The Effectiveness of Mini-Pulse Methylprednisolone in the Treatment of Patients With COVID-19 in the Intensive Care Unit

IF 3.1 4区 医学 Q3 IMMUNOLOGY Immunity, Inflammation and Disease Pub Date : 2024-11-19 DOI:10.1002/iid3.70071
Yousef Mohammadi-kebar, Shahram Habibzadeh, Saeid Hoseininia, Hasan Ghobadi, Alihossein Samadi, Sousan Mohammadikebar, Ahad Azami, Shahnaz Fouladi, Yousef Amani-marani, Afshin Habibzadeh
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Abstract

Objective

To investigate the effect of mini-pulse methylprednisolone in the treatment of patients with COVID-19 hospitalized in the intensive care units (ICU).

Methods

This is a single-blind parallel non-randomized clinical trial that will be carried out on 60 hospitalized COVID-19 patients and conducted between February 2020 and December 2020 in Ardabil City Hospital, Ardabil, Iran. The t-test and chi-square test were used to compare the results of the two groups. A p-value of less than 0.05 was considered statistically significant. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 26 software.

Results

The mean (±SD) age of patients was 57.53 ± 13.71 years. Thirty-five patients (58.3%) were male and 25 (14.7%) were female. Twenty-eight patients had fever. During admission, the mean (±SD) of the oxygen saturation was 80.73 ± 8.31. No significant relationship was observed between the study variables in the two groups at baseline.

Conclusion

The results of the present study showed that in patients treated with methylprednisolone, blood oxygen saturation increased and heart rate and breathing rate decreased significantly. Also, mini-pulse treatment with methylprednisolone significantly reduced the number of days of hospitalization and the incidence of mortality.

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小脉冲甲泼尼龙治疗重症监护病房 COVID-19 患者的效果。
目的研究小脉冲甲基强的松龙治疗在重症监护室(ICU)住院的 COVID-19 患者的效果:这是一项单盲平行非随机临床试验,将于 2020 年 2 月至 2020 年 12 月期间在伊朗阿尔达比勒的阿尔达比勒市医院对 60 名 COVID-19 住院患者进行治疗。两组结果的比较采用 t 检验和卡方检验。P 值小于 0.05 即为具有统计学意义。数据使用社会科学统计软件包(SPSS)26 版软件进行分析:患者的平均年龄(±SD)为 57.53±13.71 岁。35名患者(58.3%)为男性,25名患者(14.7%)为女性。28 名患者发烧。入院时,血氧饱和度的平均值(±SD)为 80.73 ± 8.31。两组基线研究变量之间无明显关系:本研究结果表明,使用甲基强的松龙治疗的患者血氧饱和度明显升高,心率和呼吸频率明显降低。此外,使用甲基强的松龙进行小脉冲治疗可明显减少住院天数和死亡率。
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来源期刊
Immunity, Inflammation and Disease
Immunity, Inflammation and Disease Medicine-Immunology and Allergy
CiteScore
3.60
自引率
0.00%
发文量
146
审稿时长
8 weeks
期刊介绍: Immunity, Inflammation and Disease is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research across the broad field of immunology. Immunity, Inflammation and Disease gives rapid consideration to papers in all areas of clinical and basic research. The journal is indexed in Medline and the Science Citation Index Expanded (part of Web of Science), among others. It welcomes original work that enhances the understanding of immunology in areas including: • cellular and molecular immunology • clinical immunology • allergy • immunochemistry • immunogenetics • immune signalling • immune development • imaging • mathematical modelling • autoimmunity • transplantation immunology • cancer immunology
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