Effectiveness and safety of ibuprofen in children : a meta-analysis (Record no. 4144)

MARC details
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fixed length control field 02728nam a22002777a 4500
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control field DOH
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control field 20210421132300.0
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245 00 - TITLE STATEMENT
Title Effectiveness and safety of ibuprofen in children : a meta-analysis
Remainder of title a meta-analysis /
Statement of responsibility, etc. Felizardo Gatcheco [and nine others]
520 3# - SUMMARY, ETC.
Summary, etc. METHODS: We systematically searched the literature from 1966 to 1998 using electronic data base (MEDLINE, MEDSCAPE, COCHRANE, HERDIN and University-based clinical trial databases), manually searched local libraries, checked references of retrieved articles to screen studies for inclusion. Letters were also sent to authors to retrieved relevant data and identify other studies Included were randomized controlled trials among children (less than 18 years old) with fever comparing the antipyretic effect of ibuprofen and paracetamol. Study quality was evaluated by three independent reviewers and data were extracted by three independent extractors. Disagreement was resolved by discussion and votation. Data was analyzed using Revman 3.0.<br/><br/>RESULTS: For the temparature monitoring, a total of 454 patients from 7 studies were included. Ibuprofen had a greater reduction in temparature as compared to paracetamol. The standardized mean difference between ibuprofen and paracetamol at 15 to 30 minutes, 1,2,4,6 and 8 hours after intake were -0.41, -0.527, -0.666, -0.770, -0.546, -0.486 and -0.402 respectively and all were statistically significant. The overall side effects were similar between the two drugs (Peto odds ratio =1.00; 95 percent Cl=0.87,1.15). The side effects were based on the observation of a total of 84,844 patients from ten studies.<br/><br/>CONCLUSION: The results of this meta-analysis showed that ibuprofen as compared to paracetamol produced 1) greater reduction in temparature among children with fever (overall difference is statistically significant), 2) faster onset of action (difference in effect is still statistically significant after 15 minutes) and 3) longer duration of action (difference in effect is still statistically significant after eight hours). The results also showed that ibuprofen had similar incidence of overall side effects as compared to paracetamol.
580 ## - LINKING ENTRY COMPLEXITY NOTE
Linking entry complexity note <br/>The Filipino Family Physician, 1998 36 ( 4 ) pages 121-131
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Ibuprofen
General subdivision therapeutic use
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Child
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Personal name Gatcheco, Felizardo
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Personal name Vales, Alvin
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Lim, Raquel
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Lelina, Bonnielyn
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Alba, Ma. Elinore
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Ferrer, Necensia
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Espallardo, Noel L.
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Concha, Alvin
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Personal name Ruiz, Roberto
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Lavina, Shiela
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
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-- 4144
-- 4144
Holdings
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    National Library of Medicine     DOH Central Library DOH Central Library Electronic Resource Section 04/21/2021   J000502 D0001J000502 04/21/2021 04/21/2021 Journal Article