Evidence map›Paper›PMID 34275096›Full record

ArticleInternal and emergency medicine2021

High-dose dexamethasone treatment for COVID-19 severe acute respiratory distress syndrome: a retrospective study.

Alessandra Vecchié, Alberto Batticciotto, Flavio Tangianu, Aldo Bonaventura, Benedetta Pennella, Alessia Abenante, Rossana Corso, Stefano Grazioli, Nicola Mumoli, Ombretta Para and 3 more

Open access · greenAbstract read
In one paragraph

Article in Internal and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Association between steroid therapy and increased mortality in patients at risk for ARDS.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
    Article
  3. Article
  4. Article
  5. Comprehensive evaluation of six interventions for hospitalized patients with COVID-19: A propensity score matching study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
    Article
  6. Article
  7. Drugs for COVID-19: An Update.Molecules (Basel, Switzerland) · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

13 authors at 4 institutions in 1 country.

Alessandra Vecchié *Department of Internal Medicine, ASST Sette Laghi, Varese, Italy.
Alberto Batticciotto *Department of Internal Medicine, ASST Sette Laghi, Varese, Italy.
Flavio TangianuDepartment of Internal Medicine, ASST Sette Laghi, Varese, Italy.
Aldo BonaventuraDepartment of Internal Medicine, ASST Sette Laghi, Varese, Italy.ORCID 0000-0002-4747-5535
Benedetta PennellaDepartment of Internal Medicine, ASST Sette Laghi, Varese, Italy.
Alessia AbenanteDepartment of Internal Medicine, ASST Sette Laghi, Varese, Italy.
Rossana CorsoDepartment of Internal Medicine, ASST Sette Laghi, Varese, Italy.
Stefano GrazioliDepartment of Internal Medicine, ASST Sette Laghi, Varese, Italy.
Nicola MumoliDepartment of Internal Medicine, Ospedale di Magenta, ASST Ovest Milanese, Legnano, Italy.
Ombretta ParaSOD Medicina Interna I, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italy.
Andrea Maria MarescaDepartment of Medicine and Surgery, Insubria University, Varese, Italy.
Daniela Dalla GasperinaDepartment of Medicine and Surgery, Insubria University, Varese, Italy.
Francesco DentaliDepartment of Medicine and Surgery, Insubria University, Varese, Italy. francesco.dentali@asst-settelaghi.it.
Aziende Socio Sanitarie Territoriale dei Sette LaghiUniversity of Insubria · ITAzienda Ospedaliero-Universitaria Careggi · ITAziende Socio Sanitarie Territoriale Ovest Milanese

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low-dose dexamethasone reduces mortality in patients with coronavirus disease 2019 (COVID-19)-related acute respiratory distress syndrome (ARDS). We retrospectively analyzed the efficacy of high-dose dexamethasone in patients with COVID-19-related ARDS and evaluated factors affecting the composite outcome (death or invasive mechanical ventilation). From March 4th to April 1st 2020, 98 patients with COVID-19 pneumonia were included. Those who after at least 7 days from symptom onset presented a worsening of the respiratory function or of inflammatory biomarkers were started on intravenous high-dose dexamethasone (20 mg daily for 5 days, followed by 10 mg daily for 5 days). Most patients were males (62%) with a mean age of 69 years. Hypertension and cardiovascular disease (CVD) were prevalent. Following dexamethasone treatment, a significant improvement in PaO

Indexed as

COVID-19 Drug TreatmentAgedAnti-Inflammatory AgentsCOVID-19DexamethasoneHumansMaleMiddle AgedOutcome Assessment, Health CareRespiratory Distress SyndromeRetrospective StudiesAnti-Inflammatory AgentsDexamethasoneARDSCOVID-19DexamethasoneFiO2InflammationPaO2SARS-CoV-2

Identifiers

PMID34275096
PMCPMC8286167
OpenAlexW3183677209

What OpenQuestion holds

Textmetadata
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.