Inhaled corticosteroids on mortality in COVID-19: A systematic review and meta-analysis of randomized controlled trials.

Inhaled corticosteroids on mortality in COVID-19: A systematic review and meta-analysis of randomized controlled trials.

Publication date: Aug 01, 2024

This systematic review and meta-analysis aimed to determine the efficacy of inhaled corticosteroids (ICS) on mortality in patients with coronavirus disease-2019 (COVID-19). A systematic search was made of PubMed, Embase, Cochrane Library, and clinicaltrials. gov, without language restrictions. Randomized controlled trials (RCTs) on the treatment of COVID-19 with ICS were reviewed. Studies were pooled to risk ratios (RRs), with 95% confidence intervals (CIs). Eleven RCTs (enrolling 5832 participants) met the inclusion criteria. There was no statistically significant difference in COVID-19-related death (RR 0. 88, 95% CI 0. 38-2. 04), all-cause death (RR 1. 05, 95% CI 0. 49-2. 23), and invasive ventilation (RR 1. 26, 95% CI 0. 60-2. 62) between the two groups. ICS was not associated with reduced mortality and invasive ventilation in patients with COVID-19.

Concepts Keywords
Clinicaltrials Administration, Inhalation
Coronavirus Adrenal Cortex Hormones
Invasive Adrenal Cortex Hormones
Library COVID-19
COVID-19
COVID-19 Drug Treatment
Humans
inhaled corticosteroids
meta-analysis
Mortality
Respiration, Artificial
SARS-CoV-2

Semantics

Type Source Name
disease MESH COVID-19
pathway KEGG Coronavirus disease
drug DRUGBANK Methionine
disease MESH death
disease MESH Long Covid

Original Article

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