Evidence map›Paper›PMID 33200031›Full record

ArticleAnnals of medicine and surgery (2012)2020

Comparison of efficacy of dexamethasone and methylprednisolone in moderate to severe covid 19 disease.

Syeda Arzinda Fatima, Mohsin Asif, Khurshid A Khan, Nasir Siddique, Aijaz Zeeshan Khan

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Comparison of the effect of intravenous dexamethasone and methylprednisolone on the treatment of hospitalized patients with COVID-19: a randomized clinical trial.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Clinical effect of early administration of tocilizumab following the initiation of corticosteroid therapy for patients with COVID-19.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Syeda Arzinda FatimaDepartment of Medicine, Fatima Memorial Hospital, Lahore, Pakistan.
Mohsin AsifResident Internal Medicine, Fatima Memorial Hospital, Lahore, Pakistan.
Khurshid A KhanFellow American Board of Medicine and Endocrinology, Fatima Memorial Hospital, Lahore, Pakistan.
Nasir SiddiqueDepartment of Medicine, Sir Ganga Ram Hospital, Lahore, Pakistan.
Aijaz Zeeshan KhanFatima Memorial Hospital, Lahore, Pakistan.
Sir Ganga Ram Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe first case of Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were diagnosed in Wuhan, China in 2019. In the first half of 2020 this disease has already converted into a global pandemic. Various treatment options were being tried all over the world. Some studies showed beneficial effects of corticosteroids in covid 19. Hence, we designed this study to compare the effect of two steroids in moderate to severe covid 19 disease.

objectivesTo compare the efficacy and safety of dexamethasone and methylprednisolone in moderate to severe covid 19 disease. STUDY SETTINGS: Fatima Memorial Hospital, Lahore and Ganga Ram hospital, Lahore. STUDY

designQuasi experimental, interventional study. DURATION OF STUDY: From 1st June 2020 to 30th June 2020. METHODOLOGY:

resultsThe mean age of patients was 57.91 years in dexamethasone group and 54.86 years in methylprednisolone group. In dexamethasone group, there were 15 (42.8%) critically ill patients who were shifted to Intensive care unit (ICU) and seven (20%) of them needed ventilatory support, whereas in methylprednisolone group 22 (33.8%) had to be admitted in ICU with eight (12.3%) patient needing ventilator. As outcome measure, patients in both the groups showed marked improvement in temperature, oxygen requirement and C-reactive protein (CRP) on day 5. Only six (17.1%) patient died who received dexamethasone while 10 (15.3%) patients died among those receiving methylprednisolone.

conclusionDexamethasone and methylprednisolone both are equally effective in treating moderate to severe covid 19 disease.

Indexed as

CorticosteroidsCovid 19 diseaseDexamethasoneMethylprednisolone

Identifiers

PMID33200031
PMCPMC7654232
OpenAlexW3099660863

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.