SrasV1, Main, Curation, bibRecord, 005006

The use of corticosteroid as treatment in SARS was associated with adverse outcomes: a retrospective cohort study

Identifieur interne : 005006 ( Main/Curation ); précédent : 005005; suivant : 005007

The use of corticosteroid as treatment in SARS was associated with adverse outcomes: a retrospective cohort study

Source :

The Journal of Infection [ 0163-4453 ] ; 2004.

RBID : PMC:7132384

Abstract

Objective

To study the effect of corticosteroids in the treatment of severe acute respiratory syndrome (SARS).

Methods

A retrospective cohort of 78 consecutive adult SARS patients admitted to a regional hospital in Hong Kong between March and May 2003 was analysed to study the effectiveness of corticosteroid. They were categorized according to whether or not corticosteroid therapy was given, and compared in terms of demographic characteristics, comorbidities, peak lactate dehydrogenase (LDH) levels and clinical outcomes. Established adverse prognostic factors including old age, comorbidities and high LDH levels were used as covariates in multiple logistic regressions to adjust for their confounding effect on adverse outcomes.

Results

Among 78 patients, 66 patients (84.6%) received corticosteroid. The LDH level was similar in both groups. The corticosteroid group had more adverse outcomes (37.9% vs. 16.7%) despite younger age and less comorbidity. In multivariate analysis, corticosteroid treatment was associated with a 20.7-fold increase in risk of either ICU admission or mortality, independent of age and disease severity.

Conclusion

Despite more favourable baseline characteristics and similar peak LDH levels, SARS patients given corticosteroid had more adverse outcomes.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132384

DOI: 10.1016/j.jinf.2004.09.008
PubMed: 16038758
PubMed Central: 7132384

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PMC:7132384

Le document en format XML

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<country xml:lang="fr">République populaire de Chine</country>
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<author><name sortKey="Li, Po Chun" sort="Li, Po Chun" uniqKey="Li P" first="Po Chun" last="Li">Po Chun Li</name>
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<wicri:regionArea>Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong</wicri:regionArea>
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<author><name sortKey="Lee, Hoi Kan" sort="Lee, Hoi Kan" uniqKey="Lee H" first="Hoi Kan" last="Lee">Hoi Kan Lee</name>
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<author><name sortKey="Lee, Joo Shim" sort="Lee, Joo Shim" uniqKey="Lee J" first="Joo Shim" last="Lee">Joo Shim Lee</name>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong</wicri:regionArea>
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<author><name sortKey="Li, Po Chun" sort="Li, Po Chun" uniqKey="Li P" first="Po Chun" last="Li">Po Chun Li</name>
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<country xml:lang="fr">République populaire de Chine</country>
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<wicri:noRegion>Hong Kong</wicri:noRegion>
</affiliation>
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<author><name sortKey="Lok, Ka Ho" sort="Lok, Ka Ho" uniqKey="Lok K" first="Ka Ho" last="Lok">Ka Ho Lok</name>
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<author><name sortKey="Ng, Yuk Yung" sort="Ng, Yuk Yung" uniqKey="Ng Y" first="Yuk Yung" last="Ng">Yuk Yung Ng</name>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong</wicri:regionArea>
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<author><name sortKey="Wong, Wai Ming" sort="Wong, Wai Ming" uniqKey="Wong W" first="Wai Ming" last="Wong">Wai Ming Wong</name>
<affiliation wicri:level="1"><nlm:aff id="aff2">Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong, China</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong</wicri:regionArea>
<wicri:noRegion>Hong Kong</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yeung, Yiu Ming" sort="Yeung, Yiu Ming" uniqKey="Yeung Y" first="Yiu Ming" last="Yeung">Yiu Ming Yeung</name>
<affiliation wicri:level="1"><nlm:aff id="aff2">Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong, China</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong</wicri:regionArea>
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<series><title level="j">The Journal of Infection</title>
<idno type="ISSN">0163-4453</idno>
<idno type="eISSN">1532-2742</idno>
<imprint><date when="2004">2004</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>To study the effect of corticosteroids in the treatment of severe acute respiratory syndrome (SARS).</p>
</sec>
<sec><title>Methods</title>
<p>A retrospective cohort of 78 consecutive adult SARS patients admitted to a regional hospital in Hong Kong between March and May 2003 was analysed to study the effectiveness of corticosteroid. They were categorized according to whether or not corticosteroid therapy was given, and compared in terms of demographic characteristics, comorbidities, peak lactate dehydrogenase (LDH) levels and clinical outcomes. Established adverse prognostic factors including old age, comorbidities and high LDH levels were used as covariates in multiple logistic regressions to adjust for their confounding effect on adverse outcomes.</p>
</sec>
<sec><title>Results</title>
<p>Among 78 patients, 66 patients (84.6%) received corticosteroid. The LDH level was similar in both groups. The corticosteroid group had more adverse outcomes (37.9% vs. 16.7%) despite younger age and less comorbidity. In multivariate analysis, corticosteroid treatment was associated with a 20.7-fold increase in risk of either ICU admission or mortality, independent of age and disease severity.</p>
</sec>
<sec><title>Conclusion</title>
<p>Despite more favourable baseline characteristics and similar peak LDH levels, SARS patients given corticosteroid had more adverse outcomes.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lee, N" uniqKey="Lee N">N. Lee</name>
</author>
<author><name sortKey="Hui, D" uniqKey="Hui D">D. Hui</name>
</author>
<author><name sortKey="Wu, A" uniqKey="Wu A">A. Wu</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Wong, G W K" uniqKey="Wong G">G.W.K. Wong</name>
</author>
<author><name sortKey="Hui, D S C" uniqKey="Hui D">D.S.C. Hui</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Tsui, P T" uniqKey="Tsui P">P.T. Tsui</name>
</author>
<author><name sortKey="Kwok, M L" uniqKey="Kwok M">M.L. Kwok</name>
</author>
<author><name sortKey="Yuen, H" uniqKey="Yuen H">H. Yuen</name>
</author>
<author><name sortKey="Lai, S T" uniqKey="Lai S">S.T. Lai</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Peiris, J S M" uniqKey="Peiris J">J.S.M. Peiris</name>
</author>
<author><name sortKey="Lai, S T" uniqKey="Lai S">S.T. Lai</name>
</author>
<author><name sortKey="Poon, L L M" uniqKey="Poon L">L.L.M. Poon</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="So, L K" uniqKey="So L">L.K. So</name>
</author>
<author><name sortKey="Lau, A C" uniqKey="Lau A">A.C. Lau</name>
</author>
<author><name sortKey="Yam, L Y" uniqKey="Yam L">L.Y. Yam</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Sampathkumar, P" uniqKey="Sampathkumar P">P. Sampathkumar</name>
</author>
<author><name sortKey="Temesgen, Z" uniqKey="Temesgen Z">Z. Temesgen</name>
</author>
<author><name sortKey="Smith, T F" uniqKey="Smith T">T.F. Smith</name>
</author>
<author><name sortKey="Thompson, R L" uniqKey="Thompson R">R.L. Thompson</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Avendano, M" uniqKey="Avendano M">M. Avendano</name>
</author>
<author><name sortKey="Derkach, P" uniqKey="Derkach P">P. Derkach</name>
</author>
<author><name sortKey="Swan, S" uniqKey="Swan S">S. Swan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Booth, C M" uniqKey="Booth C">C.M. Booth</name>
</author>
<author><name sortKey="Matukas, L M" uniqKey="Matukas L">L.M. Matukas</name>
</author>
<author><name sortKey="Tomlinson, G A" uniqKey="Tomlinson G">G.A. Tomlinson</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Choi, K W" uniqKey="Choi K">K.W. Choi</name>
</author>
<author><name sortKey="Chau, T N" uniqKey="Chau T">T.N. Chau</name>
</author>
<author><name sortKey="Tsang, O" uniqKey="Tsang O">O. Tsang</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ho, J C" uniqKey="Ho J">J.C. Ho</name>
</author>
<author><name sortKey="Ooi, G C" uniqKey="Ooi G">G.C. Ooi</name>
</author>
<author><name sortKey="Mok, T Y" uniqKey="Mok T">T.Y. Mok</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
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The use of corticosteroid as treatment in SARS was associated with adverse outcomes: a retrospective cohort study

The use of corticosteroid as treatment in SARS was associated with adverse outcomes: a retrospective cohort study

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