Evidence map›Paper›PMID 37239685›Full record

ArticleHealthcare (Basel, Switzerland)2023

How Dexamethasone Used in Anti-COVID-19 Therapy Influenced Antihypertensive Treatment in Patients with SARS-CoV-2.

Andrei Puiu Cârstea, Adrian Mită, Mircea-Cătălin Fortofoiu, Irina Paula Doica, Doina Cârstea, Cristina Maria Beznă, Cristina Elena Negroiu, Ileana-Diana Diaconu, Andreea-Roberta Georgescu, Adina Maria Kamal and 3 more

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Andrei Puiu CârsteaDepartment of Physiology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0002-2632-3807
Adrian MităDepartment of Medical Semiology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0003-3153-1130
Mircea-Cătălin FortofoiuDepartment of Medical Semiology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0002-3341-1442
Irina Paula DoicaDoctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Doina CârsteaDepartment of Cardiology, Clinical Municipal Hospital "Philanthropy" of Craiova, 200143 Craiova, Romania.ORCID 0000-0003-1176-0657
Cristina Maria BeznăDepartment of Cardiology, Clinical County Emergency Hospital of Craiova, 200642 Craiova, Romania.
Cristina Elena NegroiuDoctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Ileana-Diana DiaconuDoctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Andreea-Roberta GeorgescuDoctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Adina Maria KamalDepartment of Internal Medicine, Faculty of Midwives and General Nursing, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Beatrice MahlerDepartment of Pneumology, University of Medicine and Pharmacy "Carol Davila" Bucharest, 020021 Bucharest, Romania.ORCID 0000-0002-9240-922X
Adriana-Gabriela GrigorieDepartment of Physiology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Gabriel Adrian DobrinescuDepartment of Thoracic Surgery, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
University of Medicine and Pharmacy of Craiova · ROCarol Davila University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the SARS-CoV-2 pandemic period, in the treatment approved by the WHO, along with antivirals, antibiotics, nonsteroidal anti-inflammatory drugs and anticoagulants, dexamethasone was always used. This study started from the professional concern related to the vasopressor effect of cortisone on blood pressure (BP).

methodsThe study group was achieved by selecting, from a total of 356 patients hospitalized in the clinic, the patients with known hypertensive status at admission for SARS-CoV-2. Dexamethasone was part of the anti-COVID-19 treatment, with an administration of 4-6-8 mg/day, depending on bodyweight, for 10 days. All patients with hypertension received antihypertensive treatment in adjusted doses according to the recorded BP values.

resultsMonitoring of BP in hospitalized patients was performed daily, in the morning and evening. If on the 2nd day of treatment, 84% of the patients partially responded to the treatment with a moderate decrease in BP, on the 3rd therapy day, the situation clearly improved: more than 75% of the patients had values of BP that can be classified as high-normal (38.23%) and normal (40.03%).

conclusionsDexamethasone for treatment of SARS-CoV-2 infection did not have a notable influence on increasing BP, because the doses were low-moderate and prescribed for a short time.

Indexed as

blood pressureCOVID-19 pandemicdexamethasoneSARS-CoV-2 infection

Identifiers

PMID37239685
PMCPMC10217938
OpenAlexW4378515392

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.