Real-Life Impact of Glucocorticoid Treatment in COVID-19 Mortality: A Multicenter Retrospective Study.
COVID-19
SARS-CoV-2
corticosteroids
mortality
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
13 Oct 2021
13 Oct 2021
Historique:
received:
02
09
2021
revised:
06
10
2021
accepted:
08
10
2021
entrez:
23
10
2021
pubmed:
24
10
2021
medline:
24
10
2021
Statut:
epublish
Résumé
We aimed to determine the impact of steroid use in COVID-19 in-hospital mortality, in a retrospective cohort study of the SEMICOVID19 database of admitted patients with SARS-CoV-2 laboratory-confirmed pneumonia from 131 Spanish hospitals. Patients treated with corticosteroids were compared to patients not treated with corticosteroids; and adjusted using a propensity-score for steroid treatment. From March-July 2020, 5.262 (35.26%) were treated with corticosteroids and 9.659 (64.73%) were not. In-hospital mortality overall was 20.50%; it was higher in patients treated with corticosteroids than in controls (28.5% versus 16.2%, OR 2.068 [95% confidence interval; 1.908 to 2.242];
Identifiants
pubmed: 34682801
pii: jcm10204678
doi: 10.3390/jcm10204678
pmc: PMC8540860
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
J Clin Virol. 2004 Dec;31(4):304-9
pubmed: 15494274
BMJ. 2020 Sep 4;370:m3379
pubmed: 32887691
Clin Infect Dis. 2021 Apr 26;72(8):1486-1487
pubmed: 32585016
Rev Clin Esp. 2020 Nov;220(8):480-494
pubmed: 33994573
Med J Aust. 2020 May;212(9):416-420
pubmed: 32266987
Lancet Respir Med. 2021 Jun;9(6):622-642
pubmed: 33965003
JAMA. 2012 Jun 20;307(23):2526-33
pubmed: 22797452
J Infect. 2020 Jul;81(1):147-178
pubmed: 32283153
Antimicrob Agents Chemother. 2020 Aug 20;64(9):
pubmed: 32571831
PLoS One. 2020 Sep 22;15(9):e0239401
pubmed: 32960899
N Engl J Med. 2021 Feb 25;384(8):693-704
pubmed: 32678530
N Engl J Med. 2021 Feb 11;384(6):497-511
pubmed: 33264556
Clin Infect Dis. 2020 Nov 19;71(16):2114-2120
pubmed: 32427279
PLoS One. 2021 Sep 2;16(9):e0256977
pubmed: 34473766
Lancet. 2020 Feb 15;395(10223):473-475
pubmed: 32043983
BMJ. 2020 May 26;369:m1936
pubmed: 32457027
Am J Respir Crit Care Med. 2018 Mar 15;197(6):757-767
pubmed: 29161116
Clin Infect Dis. 2021 Apr 8;72(7):1297-1298
pubmed: 32588877