Evidence map›Paper›PMID 35781679›Full record

Observational studyAging clinical and experimental research2022

Potential of outpatient steroid therapy in elderly patients with early COVID-19.

Roberto Luzzati, Marina De Luca, Gianfranco Sanson, Massimo Borelli, Gianni Biolo, Donatella Giacomazzi, Verena Zerbato, Stefano Di Bella

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Aging clinical and experimental research, 2022. 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
0.2field-weighted citation impact, top 50% 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, 2 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

8 authors at 3 institutions in 1 country.

Roberto LuzzatiInfectious Diseases Unit, Ospedale Maggiore, University Hospital of Trieste, Piazzale dell'Ospitale 1, 34125, Trieste, Italy. roberto.luzzati@asugi.sanita.fvg.it.ORCID http://orcid.org/0000-0001-5546-0715
Marina De LucaInfectious Diseases Unit, Ospedale Maggiore, University Hospital of Trieste, Piazzale dell'Ospitale 1, 34125, Trieste, Italy.
Gianfranco SansonClinical Department of Medical, Surgical and Health Sciences, University Hospital, Trieste, Italy.
Massimo BorelliUMG School of PhD Programmes, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Gianni BioloClinical Department of Medical, Surgical and Health Sciences, University Hospital, Trieste, Italy.
Donatella GiacomazziInfectious Diseases Unit, Ospedale Maggiore, University Hospital of Trieste, Piazzale dell'Ospitale 1, 34125, Trieste, Italy.
Verena ZerbatoInfectious Diseases Unit, Ospedale Maggiore, University Hospital of Trieste, Piazzale dell'Ospitale 1, 34125, Trieste, Italy.
Stefano Di BellaInfectious Diseases Unit, Ospedale Maggiore, University Hospital of Trieste, Piazzale dell'Ospitale 1, 34125, Trieste, Italy.
University of Trieste · ITOspedale Maggiore · ITMagna Graecia University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Corticosteroids lower mortality in hospitalized patients with COVID-19 pneumonia requiring oxygen support. In this observational retrospective study (September 2020-June 2021), we explored the association between receiving home corticosteroids without oxygen supply and 30-day mortality in hospitalized patients with COVID-19 pneumonia. Among a total of 794 COVID-19 pneumonia patients, 763 were included into the study (males 68%; mean age 65 ±12 years), of whom 197 (26%) received home corticosteroids (mean daily prednisone equivalent-dose 40 mg ± 12 mg; range 10-50 mg; median 50 mg; IQR 25-50 mg; for 4 days). The overall 30-day mortality of the study population was 12%. The risk of death-adjusted for age, comorbidities, administration of remdesivir and respiratory failure severity-was lower (HR 0.405; p = 0.024) in patients receiving home corticosteroids. After stratifying the study population by age categories, home corticosteroids were associated with an adjusted decrease in mortality risk in patients > 77 years (HR 0.346; p = 0.040). Home corticosteroids may lower the 30-day mortality in elderly COVID-19 patients.

Indexed as

COVID-19 Drug TreatmentAdrenal Cortex HormonesAgedHumansMaleOutpatientsOxygenRetrospective StudiesSARS-CoV-2SteroidsAdrenal Cortex HormonesOxygenSteroidsAll-cause mortalityCorticosteroidsCOVID-19ElderlyOutpatientPneumonia

Identifiers

PMID35781679
PMCPMC9252560
OpenAlexW4283790635

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.