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Higher versus Lower Dose Corticosteroids for Severe to Critical COVID-19: A Systematic Review and Dose-Response Meta-analysis. 11/30/22. Pitre T. Ann Am Thorac Soc.

According to this article, compared to lower-dose corticosteroids (6mg/day*10), higher-dose corticosteroids (12 mg/day*10) probably reduce mortality, and may reduce mechanical ventilation. Clinicians and guideline developers should consider benefits of treatment with higher doses of corticosteroids. The ongoing RECOVERY trial will compare high-dose dexamethasone (20 mg/day*5 followed by 10mg/day*5) with the usual treatment of low-dose dexamethasone (6 mg/day*10) and may provide necessary information to support an appropriately timed and increased dose.

View more information about the RECOVERY trial.

https://www.atsjournals.org/doi/10.1513/AnnalsATS.202208-720OC

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