社区获得性肺炎:给还是不给糖皮质激素?

Q4 Medicine Clinical Pulmonary Medicine Pub Date : 2019-11-01 DOI:10.1097/CPM.0000000000000337

S. Pagliuca, D. Zappetti

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引用次数: 0

摘要

摘要:几项随机对照试验(RCTs)和荟萃分析显示，在社区获得性肺炎(CAP)中使用皮质类固醇可改善预后，包括缩短住院时间，减少治疗失败，甚至降低重症患者的死亡率。在本综述的研究中，包括皮质类固醇在内的捆绑干预并没有改善结果，甚至表明皮质类固醇可能会造成伤害。资料来源:Lloyd M, Karahalios A, Janus E等。包括皮质类固醇在内的捆绑干预对社区获得性肺炎住院患者结局的有效性美国医学杂志，2019;179:1052-1060。

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Corticosteroids in Community-acquired Pneumonia: To Give or Not To Give?

Synopsis: Several randomized controlled trials (RCTs) and meta-analyses have shown improved outcomes when using corticosteroids in community-acquired pneumonia (CAP), including shorter length of stay, reduced treatment failure, and even lower mortality rates in severe disease. In this reviewed study, a bundled intervention including corticosteroids did not improve outcomes and suggested that corticosteroids may even cause harm. Source: Lloyd M, Karahalios A, Janus E, et al. Effectiveness of a bundled intervention including corticosteroids on outcomes of hospitalized patients with community-acquired pneumonia. JAMA Intern Med. 2019;179:1052–1060.

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来源期刊

Clinical Pulmonary Medicine Medicine-Critical Care and Intensive Care Medicine

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期刊介绍： Clinical Pulmonary Medicine provides a forum for the discussion of important new knowledge in the field of pulmonary medicine that is of interest and relevance to the practitioner. This goal is achieved through mini-reviews on focused sub-specialty topics in areas covered within the journal. These areas include: Obstructive Airways Disease; Respiratory Infections; Interstitial, Inflammatory, and Occupational Diseases; Clinical Practice Management; Critical Care/Respiratory Care; Colleagues in Respiratory Medicine; and Topics in Respiratory Medicine.