Naomi Grey | The University of Auckland (original) (raw)

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Research paper thumbnail of Impact of oral corticosteroids on respiratory outcomes in acute preschool wheeze: a randomised clinical trial

Archives of Disease in Childhood, 2020

Objective To determine if administration of oral prednisolone to preschool children with acute wh... more Objective To determine if administration of oral prednisolone to preschool children with acute wheeze alters respiratory outcomes. Design Double-blind, randomised, placebo-controlled equivalence trial. Setting Three hospitals in New Zealand. Patients 477 children aged 24–59 months with acute wheeze associated with respiratory illness. Interventions 2 mg/kg (maximum 40 mg) oral prednisolone or similar placebo, once daily for 3 days. Main outcome measures Primary outcome was change in Preschool Respiratory Assessment Measure (PRAM) score 24 hours after intervention. Secondary outcomes included PRAM score at 4 hours, length of emergency department and inpatient stays, admission and representation rates, time to return to normal activities and use of additional oral prednisolone or intravenous medications. Analysis was by intention-to-treat. Results There was no difference between groups for change in PRAM score at 24 hours (difference between means −0.39, 95% CI −0.84 to 0.06, p=0.09)....

Research paper thumbnail of Prednisolone for preschool children presenting with acute wheeze: A multicentre RCT

Paediatric Asthma and Allergy

Research paper thumbnail of Impact of oral corticosteroids on respiratory outcomes in acute preschool wheeze: a randomised clinical trial

Archives of Disease in Childhood, 2020

Objective To determine if administration of oral prednisolone to preschool children with acute wh... more Objective To determine if administration of oral prednisolone to preschool children with acute wheeze alters respiratory outcomes. Design Double-blind, randomised, placebo-controlled equivalence trial. Setting Three hospitals in New Zealand. Patients 477 children aged 24–59 months with acute wheeze associated with respiratory illness. Interventions 2 mg/kg (maximum 40 mg) oral prednisolone or similar placebo, once daily for 3 days. Main outcome measures Primary outcome was change in Preschool Respiratory Assessment Measure (PRAM) score 24 hours after intervention. Secondary outcomes included PRAM score at 4 hours, length of emergency department and inpatient stays, admission and representation rates, time to return to normal activities and use of additional oral prednisolone or intravenous medications. Analysis was by intention-to-treat. Results There was no difference between groups for change in PRAM score at 24 hours (difference between means −0.39, 95% CI −0.84 to 0.06, p=0.09)....

Research paper thumbnail of Prednisolone for preschool children presenting with acute wheeze: A multicentre RCT

Paediatric Asthma and Allergy

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