Evidence map›Paper›PMID 33778162›Full record

ArticleOpen medicine (Warsaw, Poland)2021

Judicious use of low-dosage corticosteroids for non-severe COVID-19: A case report.

Jian Zhang, Zigang Tian, Lina Feng, Zhongming Yang, Bo Zou, Kun Li, Yingliang Zhang, Yaguo Wang, Joy Fleming, Wenyu Cui

Open access · goldAbstract readCase Reports
In one paragraph

Article in Open medicine (Warsaw, Poland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 53% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

10 authors at 2 institutions in 1 country.

Jian ZhangDepartment of Infectious Diseases, Changchun Infectious Diseases Hospital, Changchun, Jilin, China 130123.
Zigang TianSurgical Department of Tuberculosis, Changchun Infectious Diseases Hospital, Changchun, Jilin, China 130123.
Lina FengInternal Medicine Department of Tuberculosis, Changchun Infectious Diseases Hospital, Changchun, Jilin, China 130123.
Zhongming YangInternal Medicine Department of Tuberculosis, Changchun Infectious Diseases Hospital, Changchun, Jilin, China 130123.
Bo ZouInternal Medicine Department of Tuberculosis, Changchun Infectious Diseases Hospital, Changchun, Jilin, China 130123.
Kun LiDepartment of Pleurisy, Changchun Infectious Diseases Hospital, Changchun, Jilin, China 130123.
Yingliang ZhangInternal Medicine Department of Tuberculosis, Changchun Infectious Diseases Hospital, Changchun, Jilin, China 130123.
Yaguo WangKey Laboratory of RNA Biology and CAS Center for Excellence in Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China 100101.
Joy FlemingKey Laboratory of RNA Biology and CAS Center for Excellence in Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China 100101.
Wenyu CuiChangchun Infectious Diseases Hospital, Changchun, Jilin, China 130123.
Chinese Academy of Sciences · CNInstitute of Biophysics · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammation-mediated lung injury in severe cases of infection with SARS-CoV-2, the aetiological agent of Coronavirus disease 2019 (COVID-19), can lead to respiratory failure and death, and therapies that block or ameliorate lung injury-associated inflammatory "cytokine storms" and progression to acute respiratory distress syndrome (ARDS) are urgently needed. Therapeutic use of corticosteroids for this purpose has been controversial because of conflicting reports on their efficacy and immunosuppressive behaviour. The WHO has strongly recommended treating critical COVID-19 patients with systemic corticosteroid therapy, but recommends against corticosteroid therapy in non-severe COVID-19 disease because of a lack of strong evidence on its efficacy. This retrospective case report describing the successful treatment of a non-severe COVID-19 case in Changchun, China, by judicious administration of corticosteroids using a personalized therapeutic approach was recorded to strengthen the evidence base showing how corticosteroid use in non-severe COVID-19 cases can be safe and efficacious. Alongside supportive care and lopinavir/ritonavir antiviral drugs, a low dosage of methylprednisolone was administered over a short period to attenuate lung inflammation. Regular chest CT scans guided dosage reduction in response to lesion absorption and improved lung condition. Judicious use of corticosteroids safely attenuated disease progression and facilitated rapid and complete recovery.

Indexed as

acute respiratory distress syndromecytokine stormmethylprednisolonepersonalized medicineSARS-CoV-2

Identifiers

PMID33778162
PMCPMC7985569
OpenAlexW3142260851

What OpenQuestion holds

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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.