Research Article

Target Groups for a Short Dexamethasone Course among Critically Ill COVID-19 Patients

Table 1

Patient characteristics at ICU admission.

VariableDexamethasone (n = 83)Usual care (n = 137) value

Age, years, median (IQR)62 (53–70)67 (56–75)0.022
Female sex, n (%)26 (31)57 (42)0.127
BMI ≥30, kg/m2, n (%)40/65 (62)52/92 (57)0.530
Positive RT-PCR SARS-CoV-2, n (%)58 (70)83 (61)0.164
Comorbidities, n (%)62 (75)111 (81)0.183
 Hypertension45 (54)88 (64)0.060
 Other CVD22 (27)46 (34)0.194
 Chronic lung disease10 (12)16 (12)0.981
 Chronic kidney disease2 (2)11 (8)0.075
 Diabetes mellitus19 (23)41 (30)0.188
 Malignancy10 (12)15 (11)0.869
Systolic BP, mm Hg, median (IQR)130 (120–140)130 (117–140)0.708
Diastolic BP, mm Hg, median (IQR)75 (70–85)75 (69–80)0.625
HR, beats/min, median (IQR)84 (75–91)85 (74–100)0.585
RR, breaths/min, median (IQR)28 (24–35)25 (22–30)0.007
SaO2, %, median (IQR)88 (80–90)89 (82–94)0.025
Fever ≥38o C (≥100.4°F), n (%)43 (52)51 (37)0.026
qSOFA, n (%)
 03 (4)16 (12)0.039
 160 (72)73 (53)0.005
 213 (16)29 (21)0.314
 37 (8)19 (14)0.226
Lung injury on chest CT scan, %, median (IQR)64 (52–76)54 (36–74)0.017
CRP, mg/L, median (IQR)157 (97–244)118 (53–209)0.009
Ferritin, ng/mL, median (IQR)691 (556–715)635 (376–705)0.024
Interleukin-6, pg/mL, median (IQR)92 (35–156)81 (24–212)0.892
D-dimer, ng/mL, median (IQR)1,424 (665–3,446)1,556 (810–3,912)0.575
Creatinine, mcmol/L, median (IQR)92 (75–117)91 (71–118)0.850
Procalcitonin ≥0.5 ng/mL, n (%)23/74 (31)35/110 (32)0.916
Arterial blood gas analysis, median (IQR)
 Blood pH7.41 (7.33–7.46)7.38 (7.32–7.43)0.150
 PaO2, mm Hg83 (68–110)89 (68–113)0.812
 PaCO2, mm Hg39 (33–48)38 (32–51)0.983
Complete blood count, median (IQR)
 Hemoglobin, g/L126 (113–137)124 (103–139)0.785
 Leukocytes, ×109/L8.0 (6.0–11.5)8.2 (5.2–12.0)0.948
 Neutrophils, ×109/L6.6 (4.6–10.0)6.8 (3.9–10.4)0.836
 Lymphocytes, ×109/L0.7 (0.4–1.0)0.7 (0.5–1.1)0.579
 Platelets, ×109/L233 (169–318)200 (146–283)0.134

BMI, body mass index; BP, blood pressure; CRP, C-reactive protein; CT, computed tomography; CVD, cardiovascular disease; HR, heart rate; ICU, intensive care unit; IQR, interquartile range; PaCO2, partial pressure of carbon dioxide; PaO2, partial pressure of oxygen; qSOFA, quick sequential organ failure assessment score; RR, respiratory rate; RT-PCR, reverse transcription polymerase chain reaction; SaO2, oxygen saturation of arterial blood; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2. Bold values denote statistical significance.