REDUCE

Reduction in the Use of Corticosteroids in Exacerbated COPD

Paciente / Población Intervención / Exposición Comparación Desenlace

In 314 patients with a COPD exacerbation, 5 days of 40 mg prednisone was non-inferior for re-exacerbation at 180 days compared with 14 days of treatment.

N
314
Diseño
Multicentre RCT, Switzerland
Desenlace
Re-exacerbation within 180 days
Relevancia
2
Resultado35.9% vs 36.8% (HR 0.95); non-inferiority margin met.
Leuppi JD, et al. JAMA. 2013;309(21):2223-2231. 10.1001/jama.2013.5023
Discusión y crítica

Established 5-day prednisone as the standard burst for COPD exacerbations.