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Study conducted on hospitalized patient in critical ill units in Nancy and Metz to evaluate if early corticosteroid treatment in first seven days after admission improve patients outcome in Acute Respiratory Distress Syndrome secondary to Covid-19 compared to later corticosteroid therapy or no treatment. Also comparison of acquired infection with or without corticosteroid treatment during hospitalisation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early corticosteroid | Corticosteroid treatment within first seven days after ICU admission |
| |
| Late corticosteroid | Corticosteroid treatment later than seventh day's after ICU admission |
| |
| No corticosteroid | No corticosteroid treatment during ICU stay |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Corticosteroids and Derivatives | Drug | Any systemic corticosteroid treatment administrated during ICU stay |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mortality in ICU | Mortality rates in ICU in each group | within ICU stay, on average 15 days |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality d28 | mortality at day 28 after ICU admission | 28 days |
| acquired infections incidence | cumulative incidence of infection acquired during ICU stay |
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Inclusion Criteria:
Exclusion Criteria:
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Patient more than 18 years old hospitalized in ICU from 01/03/2020 to 30/04/2020 with acute respiratory distress syndrome secondary to Sars-Cov-2 infection without any corticosteroid treatment before admission, excluding patients with mechanical ventilation more than 48 hours before admission and patients transferred to other ICU.
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| Name | Affiliation | Role |
|---|---|---|
| Sebastien GIBOT | Central Hospital, Nancy, France | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Central, Service de Reanimation Medicale | Nancy | 54000 | France |
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| ID | Term |
|---|---|
| D000305 | Adrenal Cortex Hormones |
| ID | Term |
|---|---|
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
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| 28 days |
| antibiotics duration | number of treatment days with antibiotics during ICU stay | 28 days |
| mechanical ventilation duration | number of days of treatment by mechanical ventilation during ICU stay | 28 days |