Systemic Corticosteroid as an Adjunct for Acute Respiratory Distress Syndrome in Non-Fatal Fresh Water Drowning: An Evidence-based Case Report
Background: Acute lung injury or acute respiratory distress syndrome (ARDS) is one of the most common complications of non-fatal drowning. Although respiratory societies’ guidelines endorse the role of systemic corticosteroids in ARDS, the evidence for systemic corticosteroids use in ARDS due to no...
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| Format: | Article |
| Language: | English |
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Interna Publishing
2024-07-01
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| Series: | Acta Medica Indonesiana |
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| Online Access: | http://www.actamedindones.org/index.php/ijim/article/view/2298 |
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| author | Eric Daniel Tenda Joshua Henrina Andry Setiadharma Ceva Wicaksono Pitoyo Mira Yulianti Raden Fidiaji Hiltono Santoso Kuntjoro Harimurti Czeresna Heriawan Soejono |
| author_facet | Eric Daniel Tenda Joshua Henrina Andry Setiadharma Ceva Wicaksono Pitoyo Mira Yulianti Raden Fidiaji Hiltono Santoso Kuntjoro Harimurti Czeresna Heriawan Soejono |
| author_sort | Eric Daniel Tenda |
| collection | DOAJ |
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Background: Acute lung injury or acute respiratory distress syndrome (ARDS) is one of the most common complications of non-fatal drowning. Although respiratory societies’ guidelines endorse the role of systemic corticosteroids in ARDS, the evidence for systemic corticosteroids use in ARDS due to non-fatal drowning is limited. Methods: A search was conducted on Pubmed, OVID, and EuropePMC, assessing the clinical question using inclusion and exclusion criteria. The selected studies were critically appraised, and the results were summarized. Results: A total of six retrospective studies were selected and assessed, all studies showed poor validity and a high risk of bias. Out of six studies, only four informed us of steroid administration's effect on outcomes. In two studies, mortality associated with corticosteroid administration seemed to be higher. On the contrary, one study found no mortality in the corticosteroid group, but 100% mortality was observed in the control group. In another study, steroid therapy seemed to not affect hospital length of stay or mechanical ventilation rates. Conclusion: Corticosteroid administration for non–fatal drowning and its impact on clinical outcomes remain equivocal. Routine administration of corticosteroids is not indicated and should be done on a case-by-case basis.
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| format | Article |
| id | doaj-art-eaeac8f8b860499e8cf809b2e110017a |
| institution | Kabale University |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj-art-eaeac8f8b860499e8cf809b2e110017a2025-08-20T03:27:18ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322024-07-01562Systemic Corticosteroid as an Adjunct for Acute Respiratory Distress Syndrome in Non-Fatal Fresh Water Drowning: An Evidence-based Case ReportEric Daniel Tenda0Joshua Henrina1Andry Setiadharma2Ceva Wicaksono Pitoyo3Mira Yulianti4Raden Fidiaji Hiltono Santoso5Kuntjoro Harimurti6Czeresna Heriawan Soejono7Division of Respirology and Critical Medicine, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.Research Assistant, Division of Respirology and Critical Medicine, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.Research Assistant, Division of Respirology and Critical Medicine, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.Division of Respirology and Critical Medicine, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.Division of Respirology and Critical Medicine, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.Division of Cardiology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, Indonesia.1. Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, Indonesia. 2. Center for Clinical Epidemiology and Evidence-Based Medicine, Cipto Mangunkusumo Hospital/ Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Background: Acute lung injury or acute respiratory distress syndrome (ARDS) is one of the most common complications of non-fatal drowning. Although respiratory societies’ guidelines endorse the role of systemic corticosteroids in ARDS, the evidence for systemic corticosteroids use in ARDS due to non-fatal drowning is limited. Methods: A search was conducted on Pubmed, OVID, and EuropePMC, assessing the clinical question using inclusion and exclusion criteria. The selected studies were critically appraised, and the results were summarized. Results: A total of six retrospective studies were selected and assessed, all studies showed poor validity and a high risk of bias. Out of six studies, only four informed us of steroid administration's effect on outcomes. In two studies, mortality associated with corticosteroid administration seemed to be higher. On the contrary, one study found no mortality in the corticosteroid group, but 100% mortality was observed in the control group. In another study, steroid therapy seemed to not affect hospital length of stay or mechanical ventilation rates. Conclusion: Corticosteroid administration for non–fatal drowning and its impact on clinical outcomes remain equivocal. Routine administration of corticosteroids is not indicated and should be done on a case-by-case basis. http://www.actamedindones.org/index.php/ijim/article/view/2298Non-fatal drowningcorticosteroidacute respiratory distress syndromeevidence-based case report |
| spellingShingle | Eric Daniel Tenda Joshua Henrina Andry Setiadharma Ceva Wicaksono Pitoyo Mira Yulianti Raden Fidiaji Hiltono Santoso Kuntjoro Harimurti Czeresna Heriawan Soejono Systemic Corticosteroid as an Adjunct for Acute Respiratory Distress Syndrome in Non-Fatal Fresh Water Drowning: An Evidence-based Case Report Acta Medica Indonesiana Non-fatal drowning corticosteroid acute respiratory distress syndrome evidence-based case report |
| title | Systemic Corticosteroid as an Adjunct for Acute Respiratory Distress Syndrome in Non-Fatal Fresh Water Drowning: An Evidence-based Case Report |
| title_full | Systemic Corticosteroid as an Adjunct for Acute Respiratory Distress Syndrome in Non-Fatal Fresh Water Drowning: An Evidence-based Case Report |
| title_fullStr | Systemic Corticosteroid as an Adjunct for Acute Respiratory Distress Syndrome in Non-Fatal Fresh Water Drowning: An Evidence-based Case Report |
| title_full_unstemmed | Systemic Corticosteroid as an Adjunct for Acute Respiratory Distress Syndrome in Non-Fatal Fresh Water Drowning: An Evidence-based Case Report |
| title_short | Systemic Corticosteroid as an Adjunct for Acute Respiratory Distress Syndrome in Non-Fatal Fresh Water Drowning: An Evidence-based Case Report |
| title_sort | systemic corticosteroid as an adjunct for acute respiratory distress syndrome in non fatal fresh water drowning an evidence based case report |
| topic | Non-fatal drowning corticosteroid acute respiratory distress syndrome evidence-based case report |
| url | http://www.actamedindones.org/index.php/ijim/article/view/2298 |
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