Cochrane · systematic review · CD003488

Corticosteroids for dengue infection

Zhang, F, Kramer, CV · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

Infectious DiseasesAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
11
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 10 · 90.9%Low 1 · 9.1%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Corticosteroid for dengue‐related shock

Population: Patients with dengue‐related shock
5 questions
OutcomeEffectEvidenceStatus / GRADE
Death
RR 0.68 [0.42, 1.11]4 studies · 284 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Need for blood transfusion
RR 1.08 [0.52, 2.24]2 studies · 89 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Pulmonary haemorrhage
RR 0.97 [0.06, 14.82]1 study · 63 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Convulsions
RR 6.79 [0.36, 126.24]1 study · 63 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Days in hospital
no estimate extracted1 study · 63 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

Corticosteroid for dengue at an early stage

Population: Patients with dengue infection at an early stage
6 questions
OutcomeEffectEvidenceStatus / GRADE
Death
no estimate extracted4 studies · 664 participantsLow
Downgraded: risk of bias
Severe dengue: shock
RR 1.3 [0.48, 3.51]2 studies · 286 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Severe dengue: severe bleeding
RR 1.51 [0.24, 9.43]2 studies · 425 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Severe thrombocytopaenia11
RR 1.51 [0.31, 7.28]1 study · 225 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Ascitis
RR 0.12 [0.01, 2.13]1 study · 178 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
ICU admission
RR 0.88 [0.38, 1.99]2 studies · 286 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness