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IM versus oral steroids for post-emergency asthma treatment

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Treatment for patients with moderate to severe acute asthma discharged from acute care often includes oral corticosteroids.1 Intramuscular (IM) corticosteroids are an option, but evidence has been lacking on whether oral or IM corticosteroids are most effective.2,3 A new Cochrane systematic review has examined the effectiveness and safety of a single dose of IM corticosteroids provided prior to discharge compared with a short course of oral corticosteroids in patients discharged from emergency care.3

The review included nine studies involving 804 participants. Four studies enrolled children (245 participants), while five …

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