Li (2020)
Impact of corticosteroid therapy on outcomes of persons with SARS-CoV-2, SARS-CoV, or MERS-CoV infection: a systematic review and meta-analysis
https://doi.org/10.1038/s41375-020-0848-3
https://www.nature.com/articles/s41375-020-0848-3
Treatment
Treatment for coronaviruses (Treated with corticosteroid vs. Not received)
Virus clearance
Mean Difference: 3.780 (1.160-6.410) Univariate analysis

China

Review

Review

81

Meta-analysis focus on the effects of corticosteroids on virus clearing and mortality in persons infected with SARS-CoV-2, SARS-CoV, or MERS-CoV.

We included 11 reports including 10 cohort studies and 1 randomized clinical trial involving 5249 subjects (2003–2020). Two discussed the association of corticosteroids and virus clearing and 10 explored how corticosteroids impacted mortality, hospitalization duration, use of mechanical ventilation, and a composite endpoint. Risk of bias in the randomized clinical trial was assessed according to the Jadad scale in the following domains: (1) random sequence generation; (2) allocation concealment; (3) blinding of participants and personnel; and (4) completed withdrawals and dropouts.

Total

90 Day


Virus clearance

0

Comparison of virus clearness between corticosteroid and comparator


Treatment

Treatment for coronaviruses

Impact of corticosteroid use on virus clearing - included 2 studies of 81 subjects (SARS, N?=?16; MERS, N?=?65).

Not received

Treated with corticosteroid


Mean Difference

3.780 (1.160-6.410)

No

Yes

No

none


The effect of corticosteroid on virus clearness.

Average

Yes