Evidence map›Paper›PMID 34296386›Full record

ReviewInfectious diseases and therapy2021

Potential Adverse Effects of Dexamethasone Therapy on COVID-19 Patients: Review and Recommendations.

Fei Chen, Lanting Hao, Shiheng Zhu, Xinyuan Yang, Wenhao Shi, Kai Zheng, Tenger Wang, Huiran Chen

Open access · goldAbstract readReview
In one paragraph

Review in Infectious diseases and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

36 citing papers in PubMed, 82 citations in OpenAlex.

  1. Article
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  4. Article
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  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. The Effects of ProbioticInternational journal of molecular sciences · 2023
    Article
  19. Heliyon · 2023
    Article
  20. Severe COVID-19: Drugs and Clinical Trials.Journal of clinical medicine · 2023
    Review
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 at 1 institution in 1 country.

Fei ChenDepartment of Physiology, Jining Medical University, 133 Hehua Rd, Jining, 272067, China. chenfei123@mail.jnmc.edu.cn.ORCID http://orcid.org/0000-0002-2578-7159
Lanting HaoDepartment of Physiology, Jining Medical University, 133 Hehua Rd, Jining, 272067, China.
Shiheng ZhuDepartment of Physiology, Jining Medical University, 133 Hehua Rd, Jining, 272067, China.
Xinyuan YangDepartment of Physiology, Jining Medical University, 133 Hehua Rd, Jining, 272067, China.
Wenhao ShiDepartment of Physiology, Jining Medical University, 133 Hehua Rd, Jining, 272067, China.
Kai ZhengDepartment of Physiology, Jining Medical University, 133 Hehua Rd, Jining, 272067, China.
Tenger WangDepartment of Physiology, Jining Medical University, 133 Hehua Rd, Jining, 272067, China.
Huiran ChenDepartment of Physiology, Jining Medical University, 133 Hehua Rd, Jining, 272067, China.
Jining Medical University · CN

Funding

Innovation and Entrepreneurship Training Program for College Students of Jining Medical University cx2019033Natural Science Foundation of Shandong Province ZR2020QC100
6 · The paper itself

Abstract

In the context of the coronavirus disease 2019 (COVID-19) pandemic, the global healthcare community has raced to find effective therapeutic agents against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). To date, dexamethasone is the first and an important therapeutic to significantly reduce the risk of death in COVID-19 patients with severe disease. Due to powerful anti-inflammatory and immunosuppressive effects, dexamethasone could attenuate SARS-CoV-2-induced uncontrolled cytokine storm, severe acute respiratory distress syndrome and lung injury. Nevertheless, dexamethasone treatment is a double-edged sword, as numerous studies have revealed that it has significant adverse impacts later in life. In this article, we reviewed the literature regarding the adverse effects of dexamethasone administration on different organ systems as well as related disease pathogenesis in an attempt to clarify the potential harms that may arise in COVID-19 patients receiving dexamethasone treatment. Overall, taking the threat of COVID-19 pandemic into account, we think it is necessary to apply dexamethasone as a pharmaceutical therapy in critical patients. However, its adverse side effects cannot be ignored. Our review will help medical professionals in the prognosis and follow-up of patients treated with dexamethasone. In addition, given that a considerable amount of uncertainty, confusion and even controversy still exist, further studies and more clinical trials are urgently needed to improve our understanding of the parameters and the effects of dexamethasone on patients with SARS-CoV-2 infection.

Indexed as

COVID-19DepressionDexamethasoneDiabetesNecrosis of the femoral headPatientsSARS-CoV-2

Identifiers

PMID34296386
PMCPMC8298044
OpenAlexW3186838602

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.