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Feverish illness in children<br />

Number of studies Number of children Effect a<br />

1 (Walson et al.,<br />

1989)<br />

1 (Walson et al.,<br />

1989)<br />

206<br />

Intervention Control Relative<br />

(95% confidence<br />

interval)<br />

460.9 b<br />

0 to 6 hours – Change in temperature<br />

1 (Wilson et al.,<br />

1991)<br />

1 (Wilson et al.,<br />

1991)<br />

Adverse events<br />

4 (Southey et al.,<br />

2009;<br />

Kauffman et<br />

al.,1992;<br />

Walson et al.,<br />

1989a; and<br />

Wilson et al., 1991)<br />

Absolute<br />

(95%<br />

confidence<br />

interval)<br />

Quality<br />

139.0 c P < 0.05 - Low<br />

510.8 d 139.0 c P < 0.05 - Low<br />

7.09 (0.58) b<br />

4.91 (0.47) d<br />

55 of 357<br />

11.70 (0.83) c<br />

11.70 (0.83) c<br />

27 of 294<br />

RR 1.67 (1.12,<br />

2.48)<br />

- Low<br />

- Low<br />

- Low<br />

NR n ot reported, P probability, RR relative risk, SD standard deviation, SMD standard mean difference<br />

a Relative and absolute differences are calculated by the NCC technical team based on the data presented in the papers. When<br />

this data is unavailable the authors reported figures may be used.<br />

b Dose of 5 mg/kg<br />

c Placebo<br />

d Dose of 10 mg/kg ibuprofen<br />

e Children aged more than 5 years included in study (Gupta up to 6; Walson up to 11; Kauffman up to 12; Wilson up to 12)<br />

f 7.5 mg/kg ibuprofen<br />

Table 9.4 GRADE findings for paracetamol vs. ibuprofen<br />

Number of studies Number of children Effect *<br />

Discomfort at 1 to 2 hours<br />

No data<br />

Discomfort at 2 to 5 hours<br />

4 hours<br />

GBC-score<br />

1 (Autret et al.,<br />

1997)<br />

Ibuprofen Paracetamol Relative<br />

(95% confidence<br />

interval)<br />

0.8 (SD 1), n =<br />

116 a<br />

0.6 (SD 0.9),<br />

n = 113 b<br />

Absolute<br />

(95%<br />

confidence<br />

interval)<br />

Quality<br />

NS c - Low

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