Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan:107:100-101.
doi: 10.1016/j.ejim.2022.09.014. Epub 2022 Sep 19.

Harm of early dexamethasone for COVID-19 and bias in randomized trials

Affiliations

Harm of early dexamethasone for COVID-19 and bias in randomized trials

Isaac Núñez et al. Eur J Intern Med. 2023 Jan.
No abstract available

Keywords: COVID-19; Confounding; Dexamethasone; Randomized trials; Selection bias.

PubMed Disclaimer

Conflict of interest statement

Declaration of Competing Interest None.

Figures

Fig. 1
Fig. 1
A) Causal diagram when stratifying the analysis by ‘Time with symptoms’. B) Causal diagram when stratifying the analysis by ‘Disease severity (hypoxemia)’. Biasing paths are shown in red.

Dataset described in

  • Tutorial on directed acyclic graphs.
    Digitale JC, Martin JN, Glymour MM. Digitale JC, et al. J Clin Epidemiol. 2022 Feb;142:264-267. doi: 10.1016/j.jclinepi.2021.08.001. Epub 2021 Aug 8. J Clin Epidemiol. 2022. PMID: 34371103 Free PMC article.

References

    1. Pearson H. How COVID broke the evidence pipeline. Nature. 2021;593(7858):182–185. - PubMed
    1. The RECOVERY Collaborative Group Dexamethasone in Hospitalised Patients with Covid-19. N Engl J Med. 2021;384(8):693–704. - PMC - PubMed
    1. Glesby M.J., Gulick R.M. Selecting Treatments During an Infectious Disease Pandemic: Chasing the Evidence. Ann Intern Med. 2021;174(10):1464–1465. - PMC - PubMed
    1. Arora K., Panda P.K. Steroid harms if given early in COVID-19 viraemia. BMJ Case Rep. 2021;14(2) - PMC - PubMed
    1. Bahl A., Johnson S., Chen N.-.W. Timing of corticosteroids impacts mortality in hospitalised COVID-19 patients. Intern Emerg Med. 2021;16(6):1593–1603. - PMC - PubMed