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Cited by 391

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

The effect of corticosteroids on mortality of patients with influenza pneumonia: a systematic review and meta-analysis

Open access
Ni, Yue-Nan, Chen, Guo, Sun, Jiankui, Liang, Bin-Miao, Liang, Zong-An·2019·Critical Care

Abstract

BACKGROUND: The effect of corticosteroids on clinical outcomes in patients with influenza pneumonia remains controversial. We aimed to further evaluate the influence of corticosteroids on mortality in adult patients with influenza pneumonia by comparing corticosteroid-treated and placebo-treated patients. METHODS: The PubMed, Embase, Medline, Cochrane Central Register of Controlled Trials (CENTRAL), and Information Sciences Institute (ISI) Web of Science databases were searched for all controlled studies that compared the effects of corticosteroids and placebo in adult patients with influenza pneumonia. The primary outcome was mortality, and the secondary outcomes were mechanical ventilation (MV) days, length of stay in the intensive care unit (ICU LOS), and the rate of secondary infection. RESULTS: = 38%, P = 0.21). Compared with placebo, corticosteroids were associated with higher mortality (risk ratio [RR] 1.75, 95% confidence interval [CI] 1.30 ~ 2.36, Z = 3.71, P = 0.0002), longer ICU LOS (mean difference [MD] 2.14, 95% CI 1.17 ~ 3.10, Z = 4.35, P < 0.0001), and a higher rate of secondary infection (RR 1.98, 95% CI 1.04 ~ 3.78, Z = 2.08, P = 0.04) but not MV days (MD 0.81, 95% CI - 1.23 ~ 2.84, Z = 0.78, P = 0.44) in patients with influenza pneumonia. CONCLUSIONS: In patients with influenza pneumonia, corticosteroid use is associated with higher mortality. TRIAL REGISTRATION: PROSPERO (ID: CRD42018112384 ).

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Metadata

Authors
Ni, Y.-N., Chen, G., Sun, J., Liang, B.-M., & Liang, Z.-A.
Venue
Critical Care
Published
2019-03-27
Volume
23
Issue
1
Pages
99-99
ISSN
1364-8535 (ISSN-L)
OpenAlex
W2927678279
Cited by
391
References
38
FWCI
16.12
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: The effect of corticosteroids on mortality of patients with influenza pneumonia: a systematic review and meta-analysis. https://app.cochat.ai/papers/10.1186/s13054-019-2395-8
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Ni, Y.-N., Chen, G., Sun, J., Liang, B.-M., & Liang, Z.-A. (2019). The effect of corticosteroids on mortality of patients with influenza pneumonia: a systematic review and meta-analysis. Critical Care. https://doi.org/10.1186/s13054-019-2395-8

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