A Retrospective Controlled Cohort Study of the Impact of Glucocorticoid Treatment in SARS-CoV-2 Infection Mortality

Author:

Fernández-Cruz Ana1ORCID,Ruiz-Antorán Belén2,Muñoz-Gómez Ana3,Sancho-López Aránzazu2,Mills-Sánchez Patricia3,Centeno-Soto Gustavo Adolfo2,Blanco-Alonso Silvia3,Javaloyes-Garachana Laura2,Galán-Gómez Amy3,Valencia-Alijo Ángela3,Gómez-Irusta Javier3,Payares-Herrera Concepción2,Morrás-Torre Ignacio3,Sánchez-Chica Enrique3,Delgado-Téllez-de-Cepeda Laura4,Callejas-Díaz Alejandro1,Ramos-Martínez Antonio145ORCID,Múñez-Rubio Elena1,Avendaño-Solá Cristina2

Affiliation:

1. Infectious Diseases Unit, Internal Medicine Department, Hospital Universitario Puerta de Hierro-Majadahonda, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Madrid, Spain

2. Clinical Pharmacology Department, Hospital Universitario Puerta de Hierro-Majadahonda, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Madrid, Spain

3. Internal Medicine Department, Hospital Universitario Puerta de Hierro-Majadahonda, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Madrid, Spain

4. Pharmacy Department, Hospital Universitario Puerta de Hierro-Majadahonda, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Madrid, Spain

5. Medicine Department, School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain

Abstract

Evidence to support the use of steroids in coronavirus disease 2019 (COVID-19) pneumonia is lacking. We aim to determine the impact of steroid use for COVID-19 pneumonia on hospital mortality. We performed a single-center retrospective cohort study in a university hospital in Madrid, Spain, during March of 2020. To determine the role of steroids in in-hospital mortality, patients admitted with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia and treated with steroids were compared to patients not treated with steroids, and we adjusted with a propensity score for patients on steroid treatment.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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