Research Article

Effectiveness of Air Filters in Allergic Rhinitis: A Systematic Review and Meta-Analysis

Table 1

Characteristics of included trials.

Study (year), countryDesignAR typeSize (M/F)Age (years)Intervention and controlOperating time/day and study period

Park et al. [34], South KoreaRCT parallelAR sensitized to HDMsI: 22 (6/16)
C: 22 (9/13)
I: 35.
C:
I: air purifier with HEPA filter
C: without HEPA filter
24 hours/day
6 weeks
Li et al. [33], ChinaRCT parallelAR sensitized to
Artemisa pollen
I: 45 (24/21)
C: 45 (26/19)
I: 35.53
C: 36.11
I: air purifier with HEPA filter
C: placebo HEPA filter
Continuous
8 weeks (4 weeks for treatment and 4 weeks for observation)
Wood et al. [32], USARCT parallelAR sensitized to cat allergenI: 18 (2/16)
C: 17 (8/9)
I: 36.3
C: 36.4
I: air cleaner with HEPA filter
C: without HEPA filter
Continuous
3 months
Brehler et al. [31], GermanyRCT crossoverAR sensitized to
tree or grass pollen
44 (23/31)NII: air ventilator with pollen filter
C: placebo filter
Continuous
4 weeks (2 weeks for intervention and 2 weeks for control)
Stillerman et al. [35], USARCT crossoverPRAC sensitized to dust, mite, dog, or cat35 (13/22)39.1I: PAF pillow with HEPA filter
C: blocked HEPA filter
During sleep (at least 12 of 14 nights)
6 weeks (2-week treatment, 1-week wash out, 2-week treatment, 1-week washout)
Antonicelli et al. [16], ItalyRCT crossoverAR sensitized to
D. pteronyssinus and D. farina
9 (NA)16I: air cleaner with HEPA filter
C: without filter
24 hours/day
16 weeks (8 weeks for treatment and 8 weeks for observation)
Reisman et al. [17], USARCT crossoverPerennial AR
sensitized to HDMs
32 (12/20)27.5I: air cleaner with HEPA filter
C: placebo filter
NI
8 weeks (4 weeks for intervention and 4 weeks for control)
Kooistra et al. [24], USARCT crossoverAR sensitized to
ragweed pollen
20 (11/9)NII: air cleaner with internal filter
C: no filter
24 hours/day
8 weeks (4 weeks for intervention and 4 weeks for control)

AR: allergic rhinitis; C: control; F: female; HDMs: house dust mites; HEPA: high-efficiency particulate air; I: intervention; M: male; NA: not applicable; NI: no information; PAF: personal air filtration; PRAC: perennial allergic rhinoconjunctivitis; RCT: randomized controlled trial.