Cochrane · systematic review · CD015125

Inhaled corticosteroids for the treatment of COVID‐19

Griesel, M, Wagner, C, Mikolajewska, A, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

AirwaysAMSTAR 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 4 · 57.1%Moderate 2 · 28.6%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

Inhaled corticosteroids plus standard care compared to standard care (with or without placebo) for adults with a confirmed diagnosis of mild COVID‐19

Population: adults with a confirmed diagnosis of mild COVID‐19, of whom only 10% (219/2132) participants had received ≥ 1 vaccination
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Inhaled corticosteroids plus standard care vs standard care (with or without placebo)
RR 0.61 [0.22, 1.67]3 studies · 2132 participantsLow
Downgraded: imprecision
Admission to hospital or death
Inhaled corticosteroids plus standard care vs standard care (with or without placebo)
RR 0.72 [0.51, 0.99]2 studies · 2025 participantsModerate
Downgraded: imprecision
Symptom resolution: all initial symptoms resolved at day 14
Inhaled corticosteroids plus standard care vs standard care (with or without placebo)
RR 1.19 [1.09, 1.3]2 studies · 1986 participantsModerate
Downgraded: risk of bias
Symptom resolution: duration to symptoms resolved
Inhaled corticosteroids plus standard care vs standard care (with or without placebo)
no estimate extracted1 study · 139 participantsLow
Downgraded: risk of bias, imprecision
Serious adverse events
Inhaled corticosteroids plus standard care vs standard care (with or without placebo)
RR 0.51 [0.09, 2.76]1 study · 1586 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events
Inhaled corticosteroids plus standard care vs standard care (with or without placebo)
RR 0.78 [0.47, 1.31]1 study · 400 participantsLow
Downgraded: risk of bias, imprecision
Infections
Inhaled corticosteroids plus standard care vs standard care (with or without placebo)
RR 0.88 [0.3, 2.58]1 study · 400 participantsLow
Downgraded: imprecision