@bghalgh It is for serious pneumonia it is..after all I've had it several times and pneumonia jab! So know from experience https://t.co/ZYs9l10Xzl
糖質コルチコイドによる高血糖発生増加はメタ解析を含む多くの報告*があり、通常一過性とされていますが本試験では検証されませんでした。 https://t.co/1oob9mYcJv https://t.co/VDqZjYAlrI https://t.co/VNeeefKtR3 https://t.co/Aohjm4KwXy https://t.co/vDBW660O0L
オープンラベル試験やバイアスリスクのある試験を組み入れた別のメタ解析*では、糖質コルチコイドが重症市中肺炎患者の死亡率を低下させ、その根拠の質は中等度でした。 https://t.co/VNeeefJW1v
@walsh_joe Not often, and to be honest I think I ought to give more - let me explain! https://t.co/5bHyARjyKv This came out in 2017 and suggests they are helpful. For some reason it never gained traction and every time I've raised it with seniors its not
RT @reverendofdoubt: This is awesome!!! But I think @MedFactChecks brings up a great point... haven't we known steroids reduce mortality f…
RT @reverendofdoubt: This is awesome!!! But I think @MedFactChecks brings up a great point... haven't we known steroids reduce mortality f…
This is awesome!!! But I think @MedFactChecks brings up a great point... haven't we known steroids reduce mortality for severe CAP since 2017 when @CochraneLibrary published their systematic review? https://t.co/A8RrZoGUvq
@ashishchauhan__ @Sanchit30497977 @drkaranmadan @Being_Medico @Mukesh_Ranjan_ @DogICUma This was already known as per Cochrane review earlier in severe CAP https://t.co/45LMFzix8p
RT @MedFactChecks: @IM_Crit_ Haven’t we already known this? https://t.co/G5RSthgwZV
@IM_Crit_ Haven’t we already known this? https://t.co/G5RSthgwZV
@msiuba Yes, based on this meta analysis https://t.co/Ti2F5y2a6d
@NoHartAnthony @jue19744 @stantheman291 @wba434 @carefreewb @dook42_domini @SkyNews I’m asking what treatments there are.. you misunderstand corticosteroids and use in covid pneumonia which is much like all pneumonia... https://t.co/QglRK9CAaU
@idg_pharma @JuMTB Pas toutes. Pour les cas sévères uniquement. Situations sevères dans lesquelles se trouvaient les patient Recovery. Ethiquement, la dexamethasone n'aurait jamais dû être testée (=> écarté des autres bras où le tx de mortalité a du cou
@gpollara @microlabdoc Cochrane review I saw a few yrs ago did not find increased secondary infxns among pts receiving steroids for pneumonia. I should give this a re-read, actually. https://t.co/vAHM1MqO77
@Th3_Maurice @JohnSilverstar2 @AlizeeRenault @raoult_didier Au temps pour moi c'était pas le bon lien, ni la bonne explication. En fait c'est là, le fait que les corticoïdes sont recommandés dans les cas graves de maladie respiratoires. Connu et documenté
Corticosteroides para la neumonía https://t.co/IDrYsZHBAw
@MichelLUC10 @HFEC282Y @JeanYvesCAPO Ca semble etre efficace par contre sur les pneumonies communautaires severes (bacteriennes) https://t.co/jQzpUQu5HW
@DrChrisHingston @PaulSaxMD Yes, effect size does seem almost too good to be true in ventilated patients but then there is plenty of favourable evidence for steroids in ARDS and pneumonia: https://t.co/yxQ47eKDGO https://t.co/lSPs43WbQT https://t.co/2geT
@ArgaizR @IsaacNunezs22 @OssianLongoria Y hay trabajos q muestran q esteroide en neumonia y ARDS sí ayuda. https://t.co/dnSOwmsvlD https://t.co/z3VijTLsmm Sin olvidar q el metaanalisis d Landsbury, q dice q los esteroides aumentan mortalidad en influenza,
@psmedic @LarcombePeter @SpanishDan1 That said you could also lean on the evidence for steroids in severe pneumonia. Just depends on how you want to justify it I guess. 🤷♂️ https://t.co/y8ZQp4gabO
@Deepikachoubey2 It's just old wine in new bottle. https://t.co/dokzecaQbZ It does improve outcomes in pneumonia and severe infections and inflammatory syndromes. It's no cure, but it can salvage lives.
@DrEricDing Eric, I don't see how this is new news. We've been using steroids for severe pneumonitis of any etiology for years. In this Cochrane Review 2017 steroids reduced mortality in for severe pneumonia (RR 0.58, 95% CI 0.40 to 0.84), but not in non-s
Have we not been here before? https://t.co/27B243Pp0Q
That is a spectacular result for the non-ventilated/supplementary O2 majority. Remember also spectacular reduction in mortality (treat 18 to save 1) in pneumonia https://t.co/jGbRb0Qasu
China is projecting 3.6% inflation and high negative GDP. Canary in coal mine. We need to STOP spending, live spartanly, & prepare for massive UE over two years. You don't "bounceback" after you lose 25% of Revenues. You crawl. If Rates rise, we're DON
#Corticosteriods mitigate inflammation of Viruses that cause severe respiratory deficits due to CV, if used in short term, low doses. #CV19 https://t.co/mDj1vZPxDJ https://t.co/A8VvOP7Ozf
#CNN use of steroids in severe pneumonia may be beneficial. How about for COVID19 https://t.co/Ld9YUWmUFS
@gsmartinmd @iamahawkins @JAMA_current @JAMAInternalMed Best available evidence suggest high dose steroids possibly or probably reduce mortality in severe pneumonia https://t.co/Xa0M7LhDUr / https://t.co/YXjayRNqcw
@medevidenceblog @AartikSarma @accpchest The @cochranecollab https://t.co/UKEmeIZY8j MA may not be perfect, but observational flu data or "general concern" ~ hyperglycemia are insufficient grounds to discount reasonably solid patient-oriented evidence.
RT @ogi_gajic: @MonaresTI @mkashiouris According to Cochrane data synthesis patients with community acquired pneumonia (regardless of cause…
@MonaresTI @mkashiouris According to Cochrane data synthesis patients with community acquired pneumonia (regardless of cause) benefit from steroids. https://t.co/G8EJuibUxR while data for influenza are uninterpretable https://t.co/HGN129DK2e
@AmbrizMau Me parece que el Cochrane 2017 responde la misma pregunta de investigación con mejor metodología https://t.co/iJw6aZNYhK
@nhsjuniordoc Easy: Prednisolone and amoxicillin (https://t.co/jGbRb0Qasu). Show me anything else in medicine where NNT is 18 to *save a life* https://t.co/gB4QifCyw6
@jlitell @PulmCrit Yep. A firm recommendation against steroids for severe CAP is puzzling...given that no informative data have been published after the last Cochrane Review according to which it’s obviously safe and beneficial... https://t.co/G8EJuhUjGj
@intub8_pccm Of note, new ATS/IDSA guidelines resolutely recommend against adjunct corticosteroids for severe pneumonia. Contrary to Cochrane review... https://t.co/G8EJuhUjGj
I give it to folks who are worsening.
RT @md_frost: Familiarizing myself with the literature on corticosteroids for pneumonia. This Cochrane review reports NNT (for mortality!)…
RT @md_frost: Familiarizing myself with the literature on corticosteroids for pneumonia. This Cochrane review reports NNT (for mortality!)…
RT @md_frost: Familiarizing myself with the literature on corticosteroids for pneumonia. This Cochrane review reports NNT (for mortality!)…
Familiarizing myself with the literature on corticosteroids for pneumonia. This Cochrane review reports NNT (for mortality!) = 18 in pts with severe CAP. Has not reached usual practice in my env't, but I'm finding it hard to justify why not https://t.co
Corticosteroids for pneumonia - Stern, A - 2017 | Cochrane Library Are you using steroids in patients with severe CAP? https://t.co/OV5cz3RyLS
@StrangeAttract5 Unless the pneumonia is very severe, there's basically no point in prescribing corticosteroids. Here's a Cochrane review, if it's helpful. 🤷♂️ https://t.co/gwV0xu5ntW
Corticosteroid therapy reduced mortality and morbidity in adults with severe community‐acquired pneumonia. #CochraneEvidence https://t.co/7b6iCwkoqQ
I probably should be and I’m not.
RT @shawnkdowling: Who is using steroids for severe pneumonia (PSI≥4)? This Cochrane review https://t.co/nilI4rXtdQ - shows NNT of 18 to…
RT @shawnkdowling: Who is using steroids for severe pneumonia (PSI≥4)? This Cochrane review https://t.co/nilI4rXtdQ - shows NNT of 18 to…
RT @shawnkdowling: Who is using steroids for severe pneumonia (PSI≥4)? This Cochrane review https://t.co/nilI4rXtdQ - shows NNT of 18 to…
RT @shawnkdowling: Who is using steroids for severe pneumonia (PSI≥4)? This Cochrane review https://t.co/nilI4rXtdQ - shows NNT of 18 to…
Who is using steroids for severe pneumonia (PSI≥4)? This Cochrane review https://t.co/nilI4rXtdQ - shows NNT of 18 to prevent one death. I'll be honest - it's not something I've been doing. Who is doing? Are inpatient teams doing this? #SkiBEEM19 @Heath
RT @masood_sameer: Steroids for severe pneumonia NNT = 18 https://t.co/1idrzNw2Et
RT @masood_sameer: Steroids for severe pneumonia NNT = 18 https://t.co/1idrzNw2Et
RT @masood_sameer: Steroids for severe pneumonia NNT = 18 https://t.co/1idrzNw2Et
RT @masood_sameer: Steroids for severe pneumonia NNT = 18 https://t.co/1idrzNw2Et
RT @masood_sameer: Steroids for severe pneumonia NNT = 18 https://t.co/1idrzNw2Et
RT @masood_sameer: Steroids for severe pneumonia NNT = 18 https://t.co/1idrzNw2Et
Steroids for severe pneumonia NNT = 18 https://t.co/1idrzNw2Et
@c_w_morrison @laxswamy also: data https://t.co/eJgXpY8IXS
@mbwhyte1 @vagabondpensees @PulmCrit Cochrane Review HERE: https://t.co/MHHtvq0Zav Corticosteroids reduced deaths in adults with severe CAP, but not in people with non-severe CAP (NNT = 18 to Prevent 1 Death)
RT @tony_breu: @laxswamy @medrants @thecurbsiders @PaulSaxMD @martinr43087111 @ChrisWorsham @aravindamenon @NicoleHerbst2 I agree with Laks…
@laxswamy @medrants @thecurbsiders @PaulSaxMD @martinr43087111 @ChrisWorsham @aravindamenon @NicoleHerbst2 I agree with Lakshman. There is consistent data that time to clinical stability and length of stay are improved with steroids. For those with severe
RT @StephenMakin: Cocharane suggests steroids are beneficial in acute pneumonia. #gimteaching https://t.co/XogJlhJsnb
Cocharane suggests steroids are beneficial in acute pneumonia. #gimteaching https://t.co/XogJlhJsnb
RT @ElderlyMedEd: Useful links from this week’s CotECast: https://t.co/bndbzGxPZX ht…
RT @ElderlyMedEd: Useful links from this week’s CotECast: https://t.co/bndbzGxPZX ht…
Useful links from this week’s CotECast: https://t.co/bndbzGxPZX https://t.co/JBKx0QfdyC
RT @First10EM: Substantial mortality benefit in admitted severe pneumonia in adults - @BEEMcme #CAEP18 https://t.co/pyy27aajEw
RT @First10EM: Substantial mortality benefit in admitted severe pneumonia in adults - @BEEMcme #CAEP18 https://t.co/pyy27aajEw
Substantial mortality benefit in admitted severe pneumonia in adults - @BEEMcme #CAEP18 https://t.co/pyy27aajEw
Meta-analysis of 17 RCTs found using corticosteroids reduced mortality in severe pneumonia. Benefit not seen when limited to trials with low risk for bias. Steroids also reduced LOS, ICU stay, resp failure and shock. #FOAMed #pneumonia https://t.co/YWNbFd
RT @jquinteromd: Corticosteroids for pneumonia https://t.co/UM0ex8cMS2
Corticosteroids for pneumonia https://t.co/vC9UNKJZa9
Yet another review about steroids for CAP. Why should we not be using early steroids for CAP more often? Mortality benefit for severe CAP plus many clinical benefits for moderate cases. cc @cochranecollab https://t.co/Srz2uoSSoE #askpulm #pulmcc
RT @jquinteromd: Corticosteroids for pneumonia https://t.co/UM0ex8cMS2
RT @jquinteromd: Corticosteroids for pneumonia https://t.co/UM0ex8cMS2
RT @jquinteromd: Corticosteroids for pneumonia https://t.co/UM0ex8cMS2
RT @jquinteromd: Corticosteroids for pneumonia https://t.co/UM0ex8cMS2
RT @jquinteromd: Corticosteroids for pneumonia https://t.co/UM0ex8cMS2
Corticosteroids for pneumonia https://t.co/UM0ex8cMS2
@tobyhillman @AcuteMedEd @RoyalFreeNHS The evidence suggests the benefit is in severe CAP. https://t.co/qeze5NWehz https://t.co/yTsS5aQVex
RT @ChavarraJavier: Beneficio de esteroides en neumonía severa: NNT de 18 para prevenir una muerte!!!! https://t.co/G7xdBXaRaX
Corticosteroids for pneumonia https://t.co/EflUvX9ER2
#Corticosteroid therapy reduced #mortality and morbidity in adults with severe #Community-acquiredpneumina (CAP) -# meta-analysis @CochraneLibrary -December 2017 https://t.co/wqbRVvSoTh
RT @ChavarraJavier: Beneficio de esteroides en neumonía severa: NNT de 18 para prevenir una muerte!!!! https://t.co/G7xdBXaRaX
RT @ChavarraJavier: Beneficio de esteroides en neumonía severa: NNT de 18 para prevenir una muerte!!!! https://t.co/G7xdBXaRaX
RT @ChavarraJavier: Beneficio de esteroides en neumonía severa: NNT de 18 para prevenir una muerte!!!! https://t.co/G7xdBXaRaX
RT @ChavarraJavier: Beneficio de esteroides en neumonía severa: NNT de 18 para prevenir una muerte!!!! https://t.co/G7xdBXaRaX
RT @ChavarraJavier: Beneficio de esteroides en neumonía severa: NNT de 18 para prevenir una muerte!!!! https://t.co/G7xdBXaRaX
RT @ChavarraJavier: Beneficio de esteroides en neumonía severa: NNT de 18 para prevenir una muerte!!!! https://t.co/G7xdBXaRaX
Beneficio de esteroides en neumonía severa: NNT de 18 para prevenir una muerte!!!! https://t.co/G7xdBXaRaX
#Corticosteroids for severe #CAP # pneumonia -Low dose corticosteroids reduced mortality in severe #Community-acquiredpneumina #CAP; the number needed to treat for an additional beneficial outcome was 18 patients to prevent one death- @CochraneUK https://
Corticosteroides para la neumonía Cochrane https://t.co/JIeGKnrqrf