Association between prolonged corticosteroids use in COVID-19 and increased mortality in hospitalized patients: a retrospective study with inverse probability of treatment weighting analysis - Critical Care

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Prolonged course of treatment with corticosteroids in hospitalized patients with COVID-19 is associated with higher mortality, finds a study published in Crit_Care.

While the benefits of corticosteroids in the acute phase of COVID-19 are clear, the optimal duration of treatment is less well established. Previous studies suggested that early use of corticosteroids may be more effective in reducing mortality and mitigating the development of fibrosis []. However, it is still unclear if prolonged use of corticosteroids in patients with COVID-19 provides any additional clinical benefits or if it results in any adverse events.

Patients were divided into two groups: one group received corticosteroids for 10 days and the other group received corticosteroids for longer than 10 days . All patients that received corticosteroids for longer than 10 days were classified as prolonged-course, regardless of when the treatment with corticosteroids were started . The cut-off value of 10 days was chosen for prolonged courses based on recent guidelines [].

Data were presented as mean ± standard deviation, median , or number . Comparisons between groups were performed using one-way analysis of variance, the Mann–Whitney test, or the Fisher’s test, as appropriate. Missing data were not imputed.

 

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