Evidence map›Paper›PMID 35784615›Full record

ArticleAnnals of medicine and surgery (2012)2022

In-hospital mortality in SARS-CoV-2 stratified by the use of corticosteroid.

Naser Alotaibi, Moudhi Alroomi, Wael Aboelhassan, Soumoud Hussein, Rajesh Rajan, Noor AlNasrallah, Mohammad Al Saleh, Maryam Ramadhan, Kobalava D Zhanna, Jiazhu Pan and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 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
0.1field-weighted citation impact, top 58% 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, 1 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

16 authors at 10 institutions in 4 countries.

Naser AlotaibiDepartment of Medicine, Al Adan Hospital, Hadiya, Kuwait.
Moudhi AlroomiDepartment of Infectious Diseases, Infectious Diseases Hospital, Shuwaikh Medical Area, Kuwait.
Wael AboelhassanDivision of Gastroenterology, Department of Medicine, Jaber Al Ahmed Hospital, South Surra, Kuwait.
Soumoud HusseinDepartment of Medicine, Al Amiri Hospital, Kuwait City, Kuwait.
Rajesh RajanDepartment of Cardiology, Sabah Al Ahmed Cardiac Centre, Al Amiri Hospital, Kuwait City, Kuwait.
Noor AlNasrallahDepartment of Medicine, Al Adan Hospital, Hadiya, Kuwait.
Mohammad Al SalehDepartment of Medicine, Farwaniya Hospital, Farwaniya, Kuwait.
Maryam RamadhanDepartment of Obstetrics and Gynaecology, Maternity Hospital, Shuwaikh Medical Area, Kuwait.
Kobalava D ZhannaDepartment of Internal Medicine with the Subspecialty of Cardiology and Functional Diagnostics Named after V.S. Moiseev, Institute of Medicine, Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation.
Jiazhu PanDepartment of Mathematics and Statistics, University of Strathclyde, Glasgow, United Kingdom.
Haya MalhasDepartment of Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
Hassan AbdelnabyDepartment of Endemic and Infectious Diseases, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Farah AlmutairiDepartment of Medicine, Farwaniya Hospital, Farwaniya, Kuwait.
Bader Al-BaderDepartment of Medicine, Farwaniya Hospital, Farwaniya, Kuwait.
Ahmad AlsaberDepartment of Mathematics and Statistics, University of Strathclyde, Glasgow, United Kingdom.
Mohammed AbdullahDepartment of Infectious Diseases, Infectious Diseases Hospital, Shuwaikh Medical Area, Kuwait.
Farwaniya Hospital · KWAdan Hospital · KWAmiri Hospital · KWChest Diseases Hospital · KWUniversity of Strathclyde · GBJahra Hospital · KWKuwait Institute for Medical Specialization · KWMubarak Al Kabeer Hospital · KWPeoples' Friendship University of Russia · RUSuez Canal University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate COVID-19 related mоrtаlity according to the use of corticosteroid therapy. Design: Retrospective cohort study. Setting: Two tertiary hospitals in Kuwait. Participants: Overall, 962 patients with confirmed SARS-CoV-2 infection, were stratified according to whether they were treated with corticosteroids (dexamethasone or methylprednisolone). The mean age of the patients was 50.2 ± 15.9 years and 344/962 (35.9%) were female. Main outcome measures: In-hospital mortality and cumulative all-cause mortality. Results: Compared to non-corticosteroid therapy patients, corticosteroid therapy patients had a higher prevalence of hypertension, diabetes mellitus, cardiovascular disease, chronic lung disease, and chronic kidney disease; a longer hospital stay (median [IQR]: 17.0 [5.0-57.3] days vs 14.0 [2.0-50.2] days); and a higher in-hospital mortality (51/199 [25.6%] vs 36/763 [4.7%]). Logistic regression analysis showed a higher in-hospital mortality in the corticosteroid group (adjusted odds ratio [aOR]: 4.57, 95% confidence interval [CI]: 2.64-8.02, p < 0.001). Cox proportional hazards regression showed that corticosteroid use was a significant predictor of mortality (hazard ratio [HR]: 3.96, p < 0.001). Conclusions: In-hospital mortality in patients with SARS-CoV-2 on corticosteroid therapy was 4.6 times higher than in those without corticosteroid therapy.

Indexed as

AgeCorticosteroidsCOVID-19In-hospital mortalitySARS-COV-2

Identifiers

PMID35784615
PMCPMC9239918
OpenAlexW4283689458

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.