Evidence map›Paper›PMID 36879627›Full record

ArticleOpen forum infectious diseases2023

Risk of Coronavirus Disease 2019-Associated Pulmonary Aspergillosis Based on Corticosteroid Duration in Intensive Care Patients.

Meera Shah, Kelly Reveles, Rebecca Moote, Elizabeth Hand, Dean Kellogg Iii, Rebecca L Attridge, Diego J Maselli, G Christina Gutierrez

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Detection ofFrontiers in cellular and infection microbiology · 2026
    Article
  4. Article
  5. Long-term survival following medical management ofMedical mycology case reports · 2024
    Article
  6. Review
  7. Review
  8. Steroid treatment for COVID-19: Suitable dose and patients.Lung India : official organ of Indian Chest Society
    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.

Meera ShahDepartment of Pharmacotherapy and Pharmacy Services, University Health, San Antonio, Texas, USA.ORCID https://orcid.org/0000-0001-9456-5878
Kelly RevelesDivision of Pharmacotherapy, College of Pharmacy, University of Texas at Austin, Austin, Texas, USA.
Rebecca MooteDepartment of Pharmacotherapy and Pharmacy Services, University Health, San Antonio, Texas, USA.
Elizabeth HandDepartment of Pharmacotherapy and Pharmacy Services, University Health, San Antonio, Texas, USA.
Dean Kellogg IiiDivision of Pulmonary Diseases and Critical Care Medicine, Department of Medicine, Joe R. and Terry Lozano Long School of Medicine, UT Health San Antonio, San Antonio, Texas, USA.
Rebecca L AttridgeFeik School of Pharmacy, University of the Incarnate Word, San Antonio, Texas, USA.
Diego J MaselliDivision of Pulmonary Diseases and Critical Care Medicine, Department of Medicine, Joe R. and Terry Lozano Long School of Medicine, UT Health San Antonio, San Antonio, Texas, USA.
G Christina GutierrezDepartment of Pharmacotherapy and Pharmacy Services, University Health, San Antonio, Texas, USA.ORCID https://orcid.org/0000-0002-6551-856X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Coronavirus disease 2019 (COVID-19)-associated pulmonary aspergillosis (CAPA) is a potential complication in critically ill COVID-19 patients. Corticosteroids are standard of care for hospitalized COVID-19 patients but carry an increased risk of secondary infections including CAPA. The objective of this study was to evaluate if duration of corticosteroid therapy ≤10 days versus >10 days affects the risk of developing CAPA. Methods: This was a retrospective cohort study of adult patients with severe COVID-19 pneumonia requiring mechanical ventilation who received at least 3 days of corticosteroid treatment. Incidence of CAPA and secondary outcomes were compared using appropriate bivariable analyses. Steroid duration was evaluated as an independent predictor in a logistic regression model. Results: A total of 278 patients were included (n = 169 for ≤10 days' steroid duration; n = 109 for >10 days). CAPA developed in 20 of 278 (7.2%) patients. Patients treated with >10 days of corticosteroid therapy had significantly higher incidence of CAPA (11.9% vs 4.1%; Conclusions: Corticosteroid treatment >10 days in critically ill COVID-19 patients is associated with an increased risk of CAPA. Patients may require corticosteroids for reasons beyond COVID-19 and clinicians should be cognizant of risk of CAPA with prolonged courses.

Indexed as

aspergillosisCAPAcorticosteroidsCOVID-19critically ill

Identifiers

PMID36879627
PMCPMC9984984

What OpenQuestion holds

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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.