Evidence map›Paper›PMID 34046454›Full record

ArticleWorld journal of clinical cases2021

Effectiveness of adjunctive corticosteroid therapy in patients with severe COVID-19: A retrospective cohort study.

Bin Xiong, Li-Min He, Yuan-Yuan Qin, Hu Du, Zhu Zhan, Yi-Hong Zhou, Yao-Kai Chen, An Zhang

Abstract read
In one paragraph

Article in World journal of clinical cases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
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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

8 authors.

Bin XiongDepartment of Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China.
Li-Min HeDepartment of Cardiology, The First Branch of The First Affiliated Hospital, Chongqing Medical University, Chongqing 400015, China.
Yuan-Yuan QinDivision of Infectious Diseases, Chongqing Public Health Medical Center, Chongqing 400036, China.
Hu DuDepartment of Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China.
Zhu ZhanDepartment of Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China.
Yi-Hong ZhouDivision of Infectious Diseases, Chongqing Public Health Medical Center, Chongqing 400036, China.
Yao-Kai ChenDivision of Infectious Diseases, Chongqing Public Health Medical Center, Chongqing 400036, China.
An ZhangDepartment of Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China. 300704@hospital.cqmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effectiveness of adjunctive corticosteroid use in patients with coronavirus disease 2019 (COVID-19) remains inconclusive.

aimTo investigate the effectiveness of adjunctive corticosteroid therapy in patients with severe COVID-19.

methodsWe conducted a retrospective analysis of the difference in several outcomes between patients with severe COVID-19 who received corticosteroid therapy (the corticosteroid group) and patients with severe COVID-19 who did not receive corticosteroid therapy (the non-corticosteroid group).

resultsSeventy-five patients were included in this study. Of these, 47 patients were in the corticosteroid group and 28 patients were in the non-corticosteroid group. There were no differences between the two groups in the total length of hospital stay, the length of intensive care unit stay, high-flow oxygen days, non-invasive ventilator days, invasive ventilation days, and mortality rate. Total lesion volume ratio, consolidation volume ratio and ground-glass opacity volume ratio in the corticosteroid group decreased significantly on day 14, while those in the non-corticosteroid group did not show a significant decrease.

conclusionOur results show that adjunctive corticosteroid use did not significantly improve clinical outcomes in severe COVID-19 patients, but might promote the absorption of pulmonary lesions. Larger multicenter randomized controlled studies may be needed to confirm this.

Indexed as

CorticosteroidCOVID-19OutcomesSARS-CoV-2

Identifiers

PMID34046454
PMCPMC8130064

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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.