Respiratory failure & ventilation

Heterogeneous treatment effects of dexamethasone 12 mg versus 6 mg in patients with COVID‐19 and severe hypoxaemia—Post hoc exploratory analyses of the COVID STEROID 2 trial

Acta Anaesthesiol ScandPublished Secondary analysis of the COVID STEROID 2 randomised trial

Authors' conclusion

We found no strong evidence for HTE with 12 versus 6 mg dexamethasone daily on days alive without life support or mortality at Day 90 in patients with COVID-19 and severe hypoxaemia, although these results cannot rule out HTE either.

Study context

Population
Patients with COVID-19 and severe hypoxaemia
Comparison
Dexamethasone 12 mg vs 6 mg daily
Primary endpoint
Heterogeneity in treatment effects on days alive without life support and mortality, by baseline age, weight, number of comorbidities, category of respiratory failure and predicted risk of mortality
Follow-up
Day 90
Methodological detailspost hoc, exploratory
  • Post hoc
  • Exploratory

Primary result

As reported in the abstract

HTE on days alive without life support and mortality (subgroups by baseline variables)

All p values (planned analyses)

>.37

All S values

<1.43

Original publication

Heterogeneous treatment effects of dexamethasone 12 mg versus 6 mg in patients with COVID‐19 and severe hypoxaemia—Post hoc exploratory analyses of the COVID STEROID 2 trial. Acta Anaesthesiol Scand. Published 8 November 2022. doi:10.1111/aas.14167

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