Evidence map›Paper›PMID 38532424›Full record

ArticleVirology journal2024

Efficacy of different doses of corticosteroids in treating severe COVID-19 pneumonia.

Ge Zhang, Lin Su, Wenwen Wu, Qing Qiao, Shuncui Gao, Yan Zhang, Yanmei Zhang

Abstract read
In one paragraph

Article in Virology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
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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.

Ge ZhangDepartment of Respiratory and Critical Care Medicine, The Third Affiliated Hospital of Shandong First Medical University, Jinan Fourth People's Hospital, Shandong Jinan, 250000, China.
Lin SuDepartment of Respiratory and Critical Care Medicine, The Third Affiliated Hospital of Shandong First Medical University, Jinan Fourth People's Hospital, Shandong Jinan, 250000, China. 13969068817@163.com.
Wenwen WuDepartment of Respiratory and Critical Care Medicine, The Third Affiliated Hospital of Shandong First Medical University, Jinan Fourth People's Hospital, Shandong Jinan, 250000, China.
Qing QiaoDepartment of Respiratory and Critical Care Medicine, The Third Affiliated Hospital of Shandong First Medical University, Jinan Fourth People's Hospital, Shandong Jinan, 250000, China.
Shuncui GaoDepartment of Respiratory and Critical Care Medicine, The Third Affiliated Hospital of Shandong First Medical University, Jinan Fourth People's Hospital, Shandong Jinan, 250000, China.
Yan ZhangDepartment of Respiratory and Critical Care Medicine, The Third Affiliated Hospital of Shandong First Medical University, Jinan Fourth People's Hospital, Shandong Jinan, 250000, China.
Yanmei ZhangDepartment of Respiratory and Critical Care Medicine, The Third Affiliated Hospital of Shandong First Medical University, Jinan Fourth People's Hospital, Shandong Jinan, 250000, China.

Funding

Jinan Municipal Health Commission 2022-1-26Jinan Municipal Health Commission 2023-1-33
6 · The paper itself

Abstract

backgroundTo investigate the efficacy of different doses of corticosteroids in treating severe coronavirus disease 2019 (COVID-19) pneumonia.

methodsBetween May 01, 2023, and June 20, 2023, 48 patients with severe COVID-19 pneumonia were treated at the Department of Respiratory and Critical Care Medicine of Jinan Fourth People's Hospital. The observation group (21 patients) received standard care and high-dose corticosteroids, (high-dose group). The control group (27 patients) received standard care and low-dose corticosteroids (low-dose group). We collected baseline data and recorded inflammatory marker levels after 3 days of treatment, body temperature recovery time, length of stay, and 28-day all-cause mortality. The results of outpatient follow-up were recorded after 1 month.

resultsThere were no significant differences in 28-day mortality and length of stay. The number of days it took for body temperature to return to normal in the high-dose group was less than in the low-dose group. The high-dose group had significantly more reduced inflammatory factors (C-reactive protein (CRP), interleukin-6 (IL-6). A total of 20 discharged patients were given 8-16 mg of methylprednisolone, depending on chest computed tomography (CT) and clinical symptoms after 1 month; in all discharged patients using oral corticosteroids, CT features improved.

conclusionHigh-dose corticosteroids had a significantly positive effect on the reduction of inflammatory factors and shortening body temperature recovery time. In the treatment of severe COVID-19 pneumonia, early administration of high-dose, short-course corticosteroids should be implemented.

Indexed as

COVID-19PneumoniaAdrenal Cortex HormonesHumansMethylprednisoloneSARS-CoV-2Adrenal Cortex HormonesMethylprednisoloneChest CT featuresCorticosteroidInflammatory factorsMortalitySevere COVID-19 pneumonia

Identifiers

PMID38532424
PMCPMC10967132

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.