Evidence map›Paper›PMID 34644768›Full record

SynthesisSao Paulo medical journal = Revista paulista de medicina

Dexamethasone for treating SARS-CoV-2 infection: a systematic review and meta-analysis.

Lirane Elize Defante Ferreto, Durcelina Schiavoni Bortoloti, Paulo Cezar Nunes Fortes, Franciele Follador, Gisele Arruda, João Paulo Ximenez, Guilherme Welter Wendt

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Sao Paulo medical journal = Revista paulista de medicina. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Glucocorticoid Effects on Proteoglycans and Glycosaminoglycans.International journal of molecular sciences · 2022
    Review
  5. Medicina (Kaunas, Lithuania) · 2022
    Review
  6. 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

7 authors at 3 institutions in 1 country.

Lirane Elize Defante FerretoPhD. Pharmacist and Associate Professor, Centro de Ciências da Saúde (CCS), Universidade Estadual do Oeste do Paraná (UNIOESTE), Francisco Beltrão (PR), Brazil.ORCID http://orcid.org/0000-0002-0757-3659
Durcelina Schiavoni BortolotiPhD. Physical Education Professional and Adjunct Professor of Research Methods, Department of Biological Sciences, Medical and Health, Universidade Paranaense (UNIPAR), Umuarama (PR), Brazil.ORCID http://orcid.org/0000-0001-6976-3661
Paulo Cezar Nunes FortesMD, PhD. Intensive Care Unit Physician and Adjunct Professor, Centro de Ciências da Saúde (CCS), Universidade Estadual do Oeste do Paraná (UNIOESTE), Francisco Beltrão (PR), Brazil.ORCID http://orcid.org/0000-0001-8331-2410
Franciele FolladorPhD. Chemist and Associate Professor, Centro de Ciências da Saúde (CCS), Universidade Estadual do Oeste do Paraná (UNIOESTE), Francisco Beltrão (PR), Brazil.ORCID http://orcid.org/0000-0002-9210-1540
Gisele ArrudaPhD. Biologist and Adjunct Professor, Centro de Ciências da Saúde (CCS), Universidade Estadual do Oeste do Paraná (UNIOESTE), Francisco Beltrão (PR), Brazil.ORCID http://orcid.org/0000-0002-5690-2527
João Paulo XimenezPhD. Pharmacist and Postdoctoral Researcher, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto (SP), Brazil.ORCID http://orcid.org/0000-0002-6414-5220
Guilherme Welter WendtPhD. Psychologist and Adjunct Professor of Quantitative Research Methods, Centro de Ciências da Saúde (CCS), Universidade Estadual do Oeste do Paraná (UNIOESTE), Francisco Beltrão (PR), Brazil.ORCID http://orcid.org/0000-0002-9014-6120
Universidade Estadual do Oeste do Paraná · BRUniversidade de Ribeirão Preto · BRUniversidade Paranaense · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConsidering the disruptions imposed by lockdowns and social distancing recommendations, coupled with overwhelmed healthcare systems, researchers worldwide have been exploring drug repositioning strategies for treating severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

objectiveTo compile results from randomized clinical trials on the effect of dexamethasone, compared with standard treatment for management of SARS-CoV-2. DESIGN AND

settingWe conducted a systematic review and meta-analysis in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in a Brazilian public university.

methodsWe sought to compile data from 6724 hospitalized patients with confirmed or suspected SARS-CoV-2 infection.

resultsTreatment with dexamethasone significantly reduced mortality within 28 days (risk ratio, RR: 0.89; 95% confidence interval, CI: 0.82-0.97). Dexamethasone use was linked with being discharged alive within 28 days (odds ratio, OR: 1.20; 95% CI: 1.07-1.33).

conclusionsThis study suggests that dexamethasone may significantly improve the outcome among hospitalized patients with SARS-CoV-2 infection and associated severe respiratory complications. -Further studies need to consider both dose-dependent administration and outcomes in early and later stages of the disease. PROSPERO PLATFORM: CRD42021229825.

Indexed as

COVID-19 Drug TreatmentSARS-CoV-2Communicable Disease ControlDexamethasoneHumansDexamethasone

Identifiers

PMID34644768
PMCPMC9634846
OpenAlexW3206478965

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.