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Curr Med Sci ; 41(1): 24-30, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33582901

RESUMO

The role of corticosteroids in the treatment of Coronavirus disease 2019 (COVID-19) is controversial. In the present study, we evaluated the effects of adjuvant corticosteroids treatment on the outcome of patients with COVID-19 (n=966), using Propensity Score Matching to adjust for potential differences between the corticosteroids group (n=289) and the non-corticosteroids group (n=677). Analysis of data without adjusting differences in baseline characteristics indicated that the proportion of mechanical ventilation and the mortality was higher in the corticosteroids treatment group in total or severe/critical patients. The duration of viral shedding was longer in the non-corticosteroids treatment group in total or general/mild patients. After adjusting the difference between the corticosteroids and non-corticosteroids treatment group, the analysis revealed that the use of corticosteroids had no effect on the duration of viral shedding, in-hospital mortality or 28-day mortality.


Assuntos
Corticosteroides/administração & dosagem , Tratamento Farmacológico da COVID-19 , SARS-CoV-2/fisiologia , Corticosteroides/uso terapêutico , Idoso , Quimioterapia Adjuvante , Feminino , Mortalidade Hospitalar , Humanos , Masculino , Pessoa de Meia-Idade , Pontuação de Propensão , Estudos Retrospectivos , SARS-CoV-2/efeitos dos fármacos , Eliminação de Partículas Virais/efeitos dos fármacos
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