3. Efecto de los corticosteroides sobre la mortalidad y la curación de la neumonía adquirida en la comunidad

  • María de la Fuente Grijalvo Neumología. Hospital Universitario San Pedro, Logroño.
Palabras clave: Neumonía, Corticoesteroides, Mortalidad

Abstract

Esta revisión investigó el papel de los corticosteroides en pacientes hospitalizados con neumonía adquirida en la comunidad (NAC). Se encontró que el uso de corticosteroides se asoció con una menor necesidad de ventilación mecánica, sin diferencias significativas en mortalidad, fracaso del tratamiento o eventos adversos. No obstante, se observó un aumento en el riesgo de reingreso hospitalario en el grupo de corticosteroides.                                                                                       

 

This review investigated the role of corticosteroids in hospitalized patients with community-acquired pneumonia (CAP). The use of corticosteroids was found to be associated with a reduced need for mechanical ventilation, with no significant differences in mortality, treatment failure, or adverse events. However, an increased risk of hospital readmission was observed in the corticosteroid group.

Citas

Siemieniuk RAC, Meade MO, Alonso-Coello P, Briel M, Evaniew N, Prasad M, et al. Corticosteroid Therapy for Patients Hospitalized With Community-Acquired Pneumonia. Ann Intern Med. 6 de octubre de 2015;163(7):519-28.

Briel M, Spoorenberg SMC, Snijders D, Torres A, Fernandez-Serrano S, Meduri GU, et al. Corticosteroids in Patients Hospitalized With Community-Acquired Pneumonia: Systematic Review and Individual Patient Data Metaanalysis. Clinical Infectious Diseases. 18 de enero de 2018;66(3):346-54.

Wu JY, Tsai YW, Hsu WH, Liu TH, Huang PY, Chuang MH, et al. Efficacy and safety of adjunctive corticosteroids in the treatment of severe community-acquired pneumonia: a systematic review and meta-analysis of randomized controlled trials. Critical Care. 8 de julio de 2023;27(1):274.

See XY, Wang TH, Chang YC, Lo J, Liu W, Choo CYW, et al. Impact of different corticosteroids on severe community-acquired pneumonia: a systematic review and meta-analysis. BMJ Open Respiratory Research. 1 de enero de 2024;11(1):e002141.

Pitre T, Abdali D, Chaudhuri D, Pastores SM, Nei AM, Annane D, et al. Corticosteroids in Community-Acquired Bacterial Pneumonia: a Systematic Review, Pairwise and Dose-Response Meta-Analysis. J GEN INTERN MED. 1 de agosto de 2023;38(11):2593-606.

Publicado
09-10-2024