DEXA-ARDS

2021 Respiratory
17 ICUs
277 patients

Dexamethasone treatment for the acute respiratory distress syndrome: a multicentre, randomised controlled trial

Clinical Question

In patients with moderate-severe ARDS, does dexamethasone in addition to
routine care, compared with routine care alone increase ventilator free days up to day 28?

Critical Appraisal

Key findings

Primary outcome: Number of ventilator free days – significantly greater in the
dexamethasone group 12.3 (SD 9.9) vs 7.5 (SD 9.0)Difference 4.8 days (95% CI 2.57-7.03), p<0.0001

Critique

Early administration of dexamethasone could reduce duration of mechanical
ventilation and overall mortality in patients with established moderate-to-severe ARDS

Population
ARDS
Population Details
Not recorded
Intervention Arms

Steroids

Control Arms

Standard Care

Primary Outcome
Ventilator free days at day 28
Secondary Outcomes
Not recorded
P Value
0.01

Outcome Results

Not recorded