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Results We found 11 papers comparing dexamethasone to prednisolone of which 8 were controlled trials, one was a retrospective cohort study and two were meta-analyses. There was significant heterogeneity of dosage and method of administration of dexamethasone, including intramuscular, nebulised and oral routes. We analysed four controlled studies of oral dexamethasone, as this was our preferred route. Details of the four studies can be found in Table 1. All of the studies found that dexamethasone was non-inferior to prednisolone. One study compared a single 0.6mg/kg dose of dexamethasone with 5 days of prednisolone, two studies compared two daily 0.6mg/kg doses of dexamethasone with 5 days of prednisolone and the most recent study compared a single 0.3mg/kg dose of dexamethasone with 3 days of prednisolone. Most of the studies have some limitations which may affect the validity of the results. ...
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