Title
Steroid therapy and antiviral treatment in SARSCoV-2 pneumonia: Clinical contexts and indications
Date Issued
01 April 2022
Access level
open access
Resource Type
journal article
Author(s)
Hospital Clinic of Barcelona
Publisher(s)
Sociedad Espanola de Quiminoterapia
Abstract
Critically ill patients with COVID-19 face a higher risk of disease progression and complications. The current standard of care includes supportive care measures and fluid management. The Recovery trial observed a reduction in all-cause, 28-day mortality (p<0.001) when patients with COVID-19 requiring oxygen therapy received 6 mg of dexamethasone per day for 10 days. In contrast, in patients not requiring oxygen, no benefit was observed: 28-day mortality rates for the dexamethasone and routine care groups were 17.8% and 14%, respectively. To corroborate these results, the World Health Organization (WHO) performed a meta-analysis. The study showed that the use of systemic corticosteroids compared with routine care placebo was associated with a decrease in all-cause, 28-day mortality. With respect to the effectiveness of remdesivir, the ACTT-1 trial found that the drug conferred a benefit on time to clinical improvement. The subgroup analysis in the clinical trial also showed a benefit per mortality in patients requiring supplemental oxygen, albeit not those in need of mechanical ventilation.
Start page
54
End page
58
Volume
35
Language
English
OCDE Knowledge area
Medicina clínica
Scopus EID
2-s2.0-85129125254
PubMed ID
Source
Revista Espanola de Quimioterapia
ISSN of the container
02143429
Sources of information: Directorio de Producción Científica Scopus