Population |
Outcome |
Number of studies |
Number of participants |
GRADE domains |
Strength of evidence |
Intervention favoured |
Risk of bias |
Consistency |
Directness |
Precision |
GLUCOCORTICOID versus PLACEBO |
Inpatients |
Length of stay |
8 |
633 |
Medium |
Consistent |
Direct |
Precise |
High |
No difference |
Clinical score : 3 to 6 hours |
1 |
26 |
Medium |
Unknown |
Direct |
Imprecise |
Low |
Glucocorticoid |
Clinical score : 6 to 12 hours |
3 |
175 |
Medium |
Consistent |
Direct |
Imprecise |
Moderate |
Glucocorticoid |
Clinical score : 12 to 24 hours |
3 |
230 |
Medium |
Consistent |
Direct |
Imprecise |
Moderate |
No difference (glucocorticoid favoured) |
Clinical score : 24 to 72 hours |
4 |
113 |
Medium |
Inconsistent |
Direct |
Imprecise |
Low |
No difference (glucocorticoid favoured; very close to significant) |
Outpatients |
Admissions day 1 |
8 |
1762 |
Medium |
Consistent |
Direct |
Precise |
High |
No difference |
Admissions up to day 7 |
5 |
1530 |
Low |
Consistent |
Direct |
Imprecise |
Moderate |
No difference |
Clinical score: 60 minutes |
4 |
1006 |
Low |
Consistent |
Direct |
Precise |
High |
No difference |
Clinical score: 120 minutes |
3 |
214 |
Medium |
Consistent |
Direct |
Imprecise |
Moderate |
No difference |
Clinical score: 3 to 6 hours |
2 |
808 |
Medium |
Inconsistent |
Direct |
Precise |
Moderate |
No difference |
Clinical score: 12 to 24 hours |
1 |
69 |
Medium |
Unknown |
Direct |
Imprecise |
Low |
No difference |
Clinical score: 3 to 10 days |
4 |
224 |
Medium |
Inconsistent |
Direct |
Imprecise |
Low |
No difference |
Inpatients/outpatients |
Adverse events |
5 |
1123 |
Low |
Consistent |
Direct |
Precise |
Moderate |
No difference |