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A Multicenter, Retrospective Study to Evaluate the Efficacy of Systemic Gluco-corticoid Against COVID-19

Not Applicable
Conditions
ovel Coronavirus Infections (COVID-19)
Registration Number
JPRN-UMIN000040211
Lead Sponsor
Kanagawa Cardiovascular and Respiratory Center
Brief Summary

The odds of improvement in a 7-point ordinal score on Day 15 was significantly lower for the corticosteroid versus non-corticosteroid group. The time to improvement in radiological findings was significantly shorter in the corticosteroid. The duration of invasive mechanical ventilation was shorter in corticosteroid group. Of the 106 patients who received methylprednisolone, the duration of invasive mechanical ventilation was significantly shorter in the pulse/semi-pulse group.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
1092
Inclusion Criteria

Not provided

Exclusion Criteria

1)Requiring home oxygen therapy prior to having COVID-19

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The odds ratio for improvement on a 7-point ordinal scale* on Day 15. [*The scale is as follows: 1) Death, 2) Hospitalized, on invasive mechanical ventilation or Extracorporeal Membrane Oxygenation (ECMO), 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices, 4) Hospitalized, requiring low flow supplemental oxygen, 5) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise), 6) Hospitalized, not requiring supplemental oxygen - no longer required ongoing medical care, 7) Not hospitalized.]
Secondary Outcome Measures
NameTimeMethod
1)Time to PCR negativity of the swab solution 2)Duration of heat generation 3)Percentage of improvement in imaging findings 4)Period of time until improvement in imaging findings is confirmed 5)Percentage needed/ period of time until needed/period of implementation of supplemental oxygen/ Ventilation/ECMO 6)Period of hospitalization 7)Survival period.
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