Reference 4

Level I Good quality evidence Systematic review of RCTs with
consistent findings
High quality individual RCT
Level II Limited quality patient
orientated evidence
Systematic review of lower quality
studies or studies with inconsistent
findings
Low quality clinical trial
Cohort studies
Case-control studies
Level III Other Consensus guidelines, extrapolations
from bench research, usual practice,
opinion, disease-oriented evidence
(intermediate or physiologic outcomes
only), or case series

[4] Ipratropium: Rodrigo GJ, Castro-Rodriguez JA. Anticholinergics in the treatment of children and adults with acute asthma: a systematic review with meta-analysis. Thorax. 2005 Sep;60(9):740-6. Epub 2005 Jul 29. Review. Erratum in: Thorax. 2010 Dec;65(12):1118. Thorax. 2008 Nov;63(11):1029. Thorax. 2006 May;61(5):458.Thorax. 2006 Mar;61(3):274. http://www.ncbi.nlm.nih.gov/pubmed/16055613