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Writer's pictureAbderrahim Benmoussa, phD

Early use of short term corticosteroids therapy, an open-label non-randomized monocentric trial

Quality of evidence: C-

 

Early, low-dose and short-term application of corticosteroid treatment in patients with severe COVID-19 pneumonia: single-center experience from Wuhan, China

 

Authors: Wang Y et al

Journal: Pre-prints

Objectives: Assess the efficiency and safety of corticosteroid therapy in severe cases

Strength of evidence: Low (pre-print, 46 patients, non-randomized study, open-label, few side-effects studied, few comorbidities, differences in antiviral treatments and in time-course)

Methods/publication type:

  • A non-randomized, open-label trial

  • 46 patients, 26 treated

  • IV administration of methylprednisolone 1 to 2 mg/kg/day for one week

  • Patients matched by age, sex, co-morbidities and clinical-biological characteristics compared to those in the treatment group.

Highlights :

  • Significant reduction of the duration of the fever to 2 days against 5 (p = 0.010),

  • Improved O2 saturation and reduce oxygen dependence time by 5 days (p <0.001)

  • Improvement in CT signs

 

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