Evidence map›Paper›PMID 42099880›Full record

ArticleThe Lancet regional health. Europe2026

Adjunctive betamethasone treatment of hypoxaemic adults hospitalised with

Karl Hagman, Magnus Hedenstierna, Elina Andersson Norlén, Karin Biasoletto, Maria Eklund Josephson, Carl-Johan Fraenkel, Elin Hedman, Johan Ljungberg, Oskar Ljungquist, Viktor Månsson and 9 more

Abstract read
In one paragraph

Article in The Lancet regional health. Europe, 2026. 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. Corticosteroids forThe Lancet regional health. Europe · 2026
    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

19 authors.

Karl HagmanDepartment of Infectious Diseases, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.
Magnus HedenstiernaDepartment of Infectious Diseases, Danderyd Hospital, Stockholm, Sweden.
Elina Andersson NorlénDepartment of Infectious Diseases, Östersund Hospital, Östersund, Sweden.
Karin BiasolettoDepartment of Infectious Diseases, Östersund Hospital, Östersund, Sweden.
Maria Eklund JosephsonDepartment of Infectious Diseases, Skåne University Hospital, Malmö, Sweden.
Carl-Johan FraenkelDepartment of Infectious Diseases, Skåne University Hospital, Lund, Sweden.
Elin HedmanDepartment of Infectious Diseases, Östersund Hospital, Östersund, Sweden.
Johan LjungbergDepartment of Infectious Diseases, Hospital of Halland, Halmstad, Sweden.
Oskar LjungquistDivision of Infection Medicine, Department of Clinical Sciences, Lund University, Sweden.
Viktor MånssonDepartment of Infectious Diseases, Skåne University Hospital, Malmö, Sweden.
David NygrenDepartment of Infectious Diseases, Skåne University Hospital, Malmö, Sweden.
Milena de Oliveira E CostaDepartment of Medicine, Capio S:t Göran Hospital, Stockholm, Sweden.
Cecilia RydénDepartment of Infectious Diseases, Helsingborg Hospital, Helsingborg, Sweden.
Jørgen Skov JensenDepartment of Bacteria, Parasites, and Fungi, Statens Serum Institut, Denmark.
Göran StenlundDepartment of Infectious Diseases, Malarhospital, Eskilstuna, Sweden.
Jonas TverringDivision of Infection Medicine, Department of Clinical Sciences, Lund University, Sweden.
Lisa WasserstromClinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, Sweden.
Anna C NilssonDepartment of Infectious Diseases, Skåne University Hospital, Malmö, Sweden.
Johan UrsingDepartment of Infectious Diseases, Danderyd Hospital, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adjunctive corticosteroid therapy appears to be beneficial for adults with severe community-acquired pneumonia (CAP), but data on Methods: An open-label, multicentre, randomised, controlled trial was conducted at eight Swedish hospitals. Adults admitted with Findings: Between March 1, 2018, and November 14, 2024, 70 participants were enrolled: 36 in the betamethasone group and 34 in the control group. The median age was 42 years (IQR 28-49) including 40 (57%) male and 30 (43%) female participants. All participants achieved resolution of hypoxaemia except two who withdrew consent. Time to resolution of hypoxaemia was shorter in the betamethasone group (HR 1.82 [95% CI 1.10-3.02], p = 0.020) compared to the standard of care group, with an estimated median of 2.3 (95% CI 1.8-2.7) and 3.6 (95% CI 1.9-5.3) days, respectively. Adverse events were similar between study groups. Severe adverse events were rare, and none were attributed to betamethasone treatment. Interpretation: Adjunctive betamethasone was well tolerated and significantly shortened the duration of hypoxaemia in adults hospitalised with Funding: The Swedish Society of Medicine.

Indexed as

AntibioticsAtypical pneumoniaCorticosteroidsDoxycyclineOxygen

Identifiers

PMID42099880
PMCPMC13147758

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.