Evidence map›Paper›PMID 37781348›Full record

SynthesisCanadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR2023

Inhaled corticosteroids' effect on COVID-19 patients: A systematic review and meta-analysis of randomized controlled trials.

Yasra Badi, Mohamed Hammad, Abdelrahman G Tawfik, Mona Muhe Eldeen Eshag, Mahmoud M Elhady, Khaled Mohamed Ragab, Anas Zakarya Nourelden, Mohamed Hesham Gamal, Ahmed Hashem Fathallah

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. 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

9 authors at 8 institutions in 5 countries.

Yasra BadiAll Saints University School of Medicine.ORCID https://orcid.org/0000-0002-3386-7925
Mohamed HammadJoan C. Edwards School of Medicine Marshall University.ORCID https://orcid.org/0009-0007-5813-9602
Abdelrahman G TawfikDepartment of Pharmacotherapy, College of Pharmacy University of Utah.ORCID https://orcid.org/0000-0002-4939-9353
Mona Muhe Eldeen EshagFaculty Of Medicine University of Bahri.ORCID https://orcid.org/0000-0003-3079-0026
Mahmoud M ElhadyFaculty of Medicine Banha University.ORCID https://orcid.org/0000-0002-6872-7180
Khaled Mohamed RagabFaculty of Medicine Minia University.ORCID https://orcid.org/0000-0002-7273-9221
Anas Zakarya NoureldenFaculty of Medicine Al-Azhar University.ORCID https://orcid.org/0000-0003-3605-1101
Mohamed Hesham GamalFaculty of Pharmacy Tanta University.ORCID https://orcid.org/0009-0004-5066-8735
Ahmed Hashem FathallahFaculty of Medicine Minia University.ORCID https://orcid.org/0000-0002-9639-8994
Minia University · EGAl-Azhar University · IDAll Saints University Lango · UGBenha University · EGMarshall University · USTanta University · EGUniversity of Bahri · SDUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: More than six million people died due to COVID-19, and 10-15% of infected individuals suffer from post-covid syndrome. Corticosteroids are widely used in the management of severe COVID-19 and post-acute COVID-19 symptoms. This study synthesizes current evidence of the effectiveness of inhaled corticosteroids (ICS) on mortality, hospital length-of-stay (LOS), and improvement of smell scores in patients with COVID-19. Methods: We searched Embase, Web of Science, PubMed, Cochrane Library, and Scopus until Aug 2022. The Cochrane risk of bias tool was used to assess the quality of studies. We evaluated the effectiveness of ICS in COVID-19 patients through measures of mortality, LOS, alleviation of post-acute COVID-19 symptoms, time to sustained self-reported cure, and sense of smell (visual analog scale (VAS)). Results: Ten studies were included in the meta-analysis. Our study showed a significant decrease in the LOS in ICS patients over placebo (MD = -1.52, 95% CI [-2.77 to -0.28], Conclusion: We concluded that the use of ICS decreased patient LOS and improved COVID-19-related symptoms. INC may have a role in improving the smell score. Therefore, using INC and ICS for two weeks or more may prove beneficial. Current data do not demonstrate an effect on mortality or time to sustained self-reported cure. However, the evidence is inconclusive, and more studies are needed for more precise data.

Indexed as

COVID-19Inhaled CorticosteroidIntra Nasal CorticosteroidLength of StayPost-Acute COVID-19 Syndrome

Identifiers

PMID37781348
PMCPMC10540159
OpenAlexW4385575057

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.