Review Article

Severity and Mortality Associated with Steroid Use among Patients with COVID-19: A Systematic Review and Meta-Analysis

Table 2

Characteristics of included studies.

S. NoAuthorsMedian age (IQR) in yearsGenderInterventionNo. of patients
MortalitySevere cases
Control groupIntervention groupControl groupIntervention group

1Wang et al. [19]54 (48–64)26 (57%) malesMethylprednisolone (n = 26)12NRNR
2Fadel et al. [17]62 (51–62)109 (51.2%) maleMethylprednisolone (n = 132)21182127
3Wu et al. [21]51 (43–60)128 (63.7%) menMethylprednisolone (n = 62)2123NRNR
4Li et al. [12]60 (48–69)279 (50.9%) maleSystemic corticosteroids (n = 341)NRNR73196
5Zhou et al. [23]56 (46–67)Male 119 (62%)Corticosteroids (n = 57)2826NRNR
6Shang et al. [18]49 (36–61)197 (47%) malesCorticosteroid therapy (n = 196)8436277
7Yang et al. [22]59·735 (67%) malesGlucocorticoids (n = 30)16162230
8Huang et al. [24]49 (41–58) years30 [73%] malesUse of corticosteroid (n = 9)NRNR76
9Guan et al. [27]47 years639 malesSystemic glucocorticoids(n = 204)1059677
10Zhao et al. [26]46 years49 malesGlucocorticoid (n = 79)11525
11Ling et al. [25]44 (34–62) years38 malesGlucocorticoid (n = 5)00NRNR
12Horby et al. [44]66.1 years4088 malesDexamethasone (n = 2104)1065454683324
13Angus et al. [45]Mean age, 60 years29% femaleHydrocortisone (n = 283)3378101283
14Borie et al. [28]Median (IQR): 67.1 (56.7–78.1)Female 48 (28.1%)Methyl-prednisolone (n = 108)253263108
15Dequin et al. [46]Mean age, 62.2 years30.2% womenHydrocortisone (n = 76)20117376
16Falcone et al. [43]Median age was 70 (IQR, 57–80)(76.2%) malesSteroids (n = 141)4327NRNR
17Fernández-Cruz et al. [29]Mean age 66.75 years317 malesSteroids (n = 396)1655058
18Jeronimo et al. [47]Mean age (SD) 55 ± 15 yrs139 femalesMethylprednisolone (n = 194)7672NRNR
19Krishnan et al. [30]68 years (IQR 58–75)95 malesOral steroids n = 16821013616
20Li et al. [31]66 yrs (56–75)197 (67%) malesCorticosteroids, n = 1834997111183
21Papamanoli et al. [32]Mean age 61.5 yrsFemales 156Methylprednisolone, n = 15314671294153
22Tomazini et al. [48]Mean age 61.4 yrsFemales 112Dexamethasone (n = 151)9185148151
23You et al. [33]Mean age 53.8Female 157Methylprednisolone (n = 118)114958
24Rodríguez-Baño et al. [34]Age 71 yrsFemale 226Corticosteroids (n = 195)6230NRNR
25Ma et al. [35]Age 60 (13.8) yrsFemale 32 (44%)Corticosteroid group (n = 47)222547
26Lu et al. [36]57 (50–69) yrsMale 32Steroid (n = 31)5123131
27Cao et al. [37]Age, years 54(37–67)Female 49Methylprednisolone Sodium (n = 51)611NRNR
28Nelson et al. [38]Age 61.5 (46–69)Male 80Methylprednisolone n = 4829156948
29Bani-Sadr et al. [39]Age 71 yrsMale 135Corticosteroids n = 1721731129
30Salton et al. [40]Age 65.75 yrsMale 120Methylprednisolone (n = 83)2169083
31Mikulska et al. [41]Age mean 67.5 yrsMale 132Methylprednisolone (n = 130)2214NRNR
32Majmundar et al. [42]Age, mean 57.61Male 153Corticosteroids (N = 60)34800

NR: not reported.