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About:
Effect of corticosteroid treatment on 1376 hospitalized COVID-19 patients. A cohort study.
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schema:ScholarlyArticle
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Effect of corticosteroid treatment on 1376 hospitalized COVID-19 patients. A cohort study.
Creator
Affiliations, M
Natalini, Giuseppe
Albani, Filippo
Capotosto, Cristina
Ceracchi, Claudia
Fusina, Federica
Gargaruti, Riccardo
Granato, Enza
Santangelo, Giovanni
Schiavone, Luca
Taranto, Maria
Tosati, Cinzia
Vavassori, Elena
Source
MedRxiv
abstract
Background: Since the start of the novel coronavirus 2019 (COVID-19) pandemic, corticosteroid use has been the subject of debate. The available evidence is uncertain, and knowledge on the subject is evolving. The aim of our cohort study was to evaluate the association between corticosteroid therapy and hospital mortality, in patients hospitalized with COVID-19 after balancing for possible confounders. Results: One thousand four hundred forty four patients were admitted to our hospital with a positive RT-PCR test for SARS-CoV-2, 559 patients (39%) were exposed to corticosteroids during hospital stay, 844 (61%) were not exposed to corticosteroids.In the cohort of patients exposed to corticosteroids, 171 (30.6%) died. In the cohort of patients not exposed to corticosteroids, 183 (21.7%) died (unadjusted p <0.001). Nonetheless, exposure to corticosteroids was not associated with in-hospital mortality after balancing with overlap weight propensity score (adjusted p = 0.25). Patients in the corticosteroids cohort had reduced risk of ICU admission (adjusted p <0.001). Conclusions: Treatment with corticosteroids did not affect hospital mortality in patients with COVID-19 after balancing for confounders. A possible advantage of corticosteroid therapy was to reduce Intensive Care Unit admission, which could be useful in reducing pressure on the Intensive Care Units in times of limited resources, as during the COVID-19 pandemic.
has issue date
2020-07-18
(
xsd:dateTime
)
bibo:doi
10.1101/2020.07.17.20155994
has license
medrxiv
sha1sum (hex)
d16e9fe142ca7979f40cc830d44a8d7d9cdf9768
schema:url
https://doi.org/10.1101/2020.07.17.20155994
resource representing a document's title
Effect of corticosteroid treatment on 1376 hospitalized COVID-19 patients. A cohort study.
resource representing a document's body
covid:d16e9fe142ca7979f40cc830d44a8d7d9cdf9768#body_text
is
schema:about
of
named entity 'hospital'
named entity 'balancing'
named entity 'PATIENTS'
named entity 'NOVEL CORONAVIRUS'
named entity 'COHORT STUDY'
named entity 'CORTICOSTEROID USE'
named entity 'KNOWLEDGE'
covid:arg/d16e9fe142ca7979f40cc830d44a8d7d9cdf9768
named entity 'confounders'
named entity 'corticosteroid'
named entity 'coronavirus 2019'
named entity 'corticosteroid'
named entity 'COVID-19'
named entity 'corticosteroids'
named entity 'preprint'
named entity 'preprint'
named entity 'preprint'
named entity 'methylprednisolone'
named entity 'arterial hypertension'
named entity 'prednisone'
named entity 'factorial'
named entity 'PaO2/FiO2 ratio'
named entity 'coronavirus'
named entity 'COVID-19 pandemic'
named entity 'preprint'
named entity 'dexamethasone'
named entity 'peer-review'
named entity 'COVID-19 pandemic'
named entity 'Wuhan'
named entity 'COVID'
named entity 'hypoxemia'
named entity 'corticosteroids'
named entity 'corticosteroids'
named entity 'pharmacological intervention'
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named entity 'ICU'
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named entity 'dexamethasone'
named entity 'corticosteroids'
named entity 'logistic regression'
named entity 'bivariate analysis'
named entity 'psw'
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named entity 'COVID-19 pandemic'
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named entity 'Severe Acute Respiratory Syndrome Coronavirus 2'
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named entity 'Body Mass Index'
named entity 'COVID'
named entity 'SARS-CoV-2'
named entity 'medRxiv'
named entity 'peer-reviewed'
named entity 'Covariate'
named entity 'medRxiv'
named entity 'confounder'
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