Evidence map›Paper›PMID 39195858›Full record

ArticlePharmacy (Basel, Switzerland)2024

Evaluating the Risk-Benefit Profile of Corticosteroid Therapy for COVID-19 Patients: A Scoping Review.

Daniel Hsiang-Te Tsai, Emma Harmon, Jan Goelen, Heather E Barry, Li-Yang Chen, Yingfen Hsia

Abstract readScoping Review
In one paragraph

Article in Pharmacy (Basel, Switzerland), 2024. 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
–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

1 citing paper in PubMed.

  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

6 authors.

Daniel Hsiang-Te TsaiCentre for Neonatal and Paediatric Infection, St George's University of London, London SW17 0RE, UK.ORCID 0000-0003-2841-0338
Emma HarmonSchool of Pharmacy, Queens University Belfast, Belfast BT9 7BL, UK.ORCID 0009-0006-3993-7556
Jan GoelenCentre for Neonatal and Paediatric Infection, St George's University of London, London SW17 0RE, UK.ORCID 0000-0002-6796-3210
Heather E BarrySchool of Pharmacy, Queens University Belfast, Belfast BT9 7BL, UK.ORCID 0000-0002-9684-8182
Li-Yang ChenSchool of Pharmacy, Queens University Belfast, Belfast BT9 7BL, UK.
Yingfen HsiaSchool of Pharmacy, Queens University Belfast, Belfast BT9 7BL, UK.ORCID 0000-0002-7955-852X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 2019 coronavirus (COVID-19) outbreak was declared a global pandemic in March 2020. It quickly spread across all continents, causing significant social, environmental, health, and economic impacts. During the pandemic, there has been consideration of repurposing and repositioning of medications, such as corticosteroids, for the treatment of hospitalised COVID-19 patients.

objectiveTo assess and summarise corticosteroid regimens used for hospitalised COVID-19 patients, focusing on dosage, route of administration, and clinical outcome from clinical trials.

methodsPubMed and Embase databases and the grey literature were searched to identify randomised controlled trials (RCTs) that evaluated the efficacy of corticosteroids in hospitalised patients with COVID-19 between January 2020 and January 2023. This scoping review was conducted in line with the PRISMA extension for scoping reviews (PRISMA-ScR) checklist. KEY

findingsA total of 24 RCTs were eligible for inclusion. There was variation in the steroid regimens used for treatment across COVID-19 trials. Despite the heterogeneity of included RCTs, the overall results have shown the benefits of improving lung function and a lower all-cause mortality rate in hospitalised COVID-19 patients treated with systematic corticosteroids.

conclusionsCorticosteroids have proven to be an effective treatment for COVID-19 patients in critical condition. However, comparative effectiveness studies should be conducted to assess the efficacy and safety of optimal corticosteroid treatment at the population level. Moreover, the global burden of long COVID is significant, affecting millions with persistent symptoms and long-term health complications. Thus, it is also necessary to evaluate the optimal steroid regimen for long COVID treatment.

Indexed as

corticosteroidsCOVID-19randomised clinical trialSARS-CoV-2

Identifiers

PMID39195858
PMCPMC11360832

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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.