Evidence map›Paper›PMID 40715278›Full record

ArticleScientific reports2025

Corticosteroids in immunocompromised ICU patients with severe COVID-19: a multicenter retrospective study.

Claire Dupuis, Jean-François Timsit, Julien Domitile, Kada Klouche, Laure Calvet, Mathilde Neuville, Shidasp Siami, Yves Cohen, Virginie Laurent, Bruno Mourvillier and 7 more

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2025. 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. Review
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

17 authors.

Claire DupuisMedical Intensive Care Unit, University Hospital Gabriel Montpied, 63000, Clermont-Ferrand, France. cdupuis1@chu-clermontferrand.fr.
Jean-François TimsitOUTCOMEREA Network, 93700, Drancy, France.
Julien DomitileMedical Intensive Care Unit, University Hospital Gabriel Montpied, 63000, Clermont-Ferrand, France.
Kada KloucheDepartment of Intensive Care Medicine, Lapeyronie University Hospital, PhyMedExp, INSERM, CNRS, University of Montpellier, Montpellier, France.
Laure CalvetMedical Intensive Care Unit, University Hospital Gabriel Montpied, 63000, Clermont-Ferrand, France.
Mathilde NeuvillePolyvalent Intensive Care Unit, Hôpital Foch, 92150, Suresnes, France.
Shidasp SiamiGeneral Intensive Care Unit, Sud Essonne Hospital, 91150, Etampes, France.
Yves CohenIntensive Care Unit, University Hospital Avicenne, AP-HP, 93000, Bobigny, France.
Virginie LaurentPolyvalent Intensive Care Unit, André Mignot Hospital, 78150, Le Chesnay, France.
Bruno MourvillierMedical Intensive Care Unit, University Hospital of Reims, 51100, Reims, France.
Dany Goldgran-ToledanoMedical and Surgical Intensive Care, Montfermeil Hospital, 93370, Montfermeil, France.
Carole SchwebelMedical Intensive Care Unit, University Hospital Grenoble-Alpes, 38000, Grenoble, France.
Stéphane RucklyOUTCOMEREA Network, 93700, Drancy, France.
Ferhat MezianiFaculté de Médecine, Hôpitaux Universitaires de Strasbourg, Service de Médecine Intensive-Réanimation, Nouvel Hôpital Civil, Université de Strasbourg (UNISTRA), 1, Place de l'Hôpital, 67091, Strasbourg Cedex, France.
Matthieu RaymondMedical Intensive Care Unit, University Hospital of Nantes, 44000, Nantes, France.
Armand Mekontso DessapService de Réanimation Médicale, DHU A-TVB, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, Groupe de Recherche Clinique CARMAS, Faculté de Médecine de Créteil, Université Paris Est Créteil, 94010, Créteil Cedex, France.
Bertrand SouweineMedical Intensive Care Unit, University Hospital Gabriel Montpied, 63000, Clermont-Ferrand, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunocompromised patients were excluded most of the time from trials testing corticosteroids in COVID-19. This study aimed to assess the associations between early corticosteroid use and (1) mortality at day 60, and (2) the occurrence of nosocomial infections in immunocompromised patients with severe COVID-19 admitted to the ICU. It was a multicentre retrospective study, achieved in French ICUs of the Outcomerea™ network and medical ICUs of 4 other hospitals in France. This study included immunocompromised patients admitted to an ICU between January 1, 2020, and August 31, 2022, for severe COVID-19, with an ICU stay of more than 2 days. Patients were classified as receiving early corticosteroid therapy if they were given steroids within the first 5 days following ICU admission. Each patient was categorized into one of four immunosuppression subgroups: 'corticosteroid therapy,' 'monocytic alteration,' 'cellular immunosuppression,' or 'humoral immunosuppression.' Survival analyses were performed, and confounding by indication was addressed using propensity score weighting with overlap. 383 patients were included, 50 were into the no-early-corticosteroids group and 333 in the early-corticosteroids group. In the overlap cohort, 118 were included (46 in the non-early-corticosteroids and 72 in the early-corticosteroids group). There was no association with day-60 mortality (

Indexed as

Adrenal Cortex HormonesCOVID-19COVID-19 Drug TreatmentImmunocompromised HostAgedCross InfectionFemaleFranceHumansIntensive Care UnitsMaleMiddle AgedRetrospective StudiesSARS-CoV-2Adrenal Cortex HormonesCOVID-19ICUImmunosuppressionNosocomial infectionsOutcomesSteroids

Identifiers

PMID40715278
PMCPMC12297506

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.