What is it about?

High-dose prednisolone may not be superior to a low-dose regimen given over 6 weeks in improving the clinical, physiologic, and radiologic outcomes, or the health-related quality of life in symptomatic post-COVID-19 diffuse parenchymal lung abnormalities.

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Why is it important?

In some patients, respiratory symptoms and imaging abnormalities persist after acute coronavirus disease 2019 (COVID-19) pneumonia. There are no randomised controlled trials on therapies for this condition. Our study is the first RCT for this condition, known as symptomatic post-COVID-19 diffuse parenchymal lung abnormalities (PC-DPLAS).

Perspectives

Most patients with mild symptoms and few residual abnormalities on chest CT scans after COVID-19 pneumonia recover spontaneously. We included patients with persistent and severe PC-DPLAS. For such patients, low-dose prednisolone may be a good and safe therapeutic choice to help in faster recovery.

Sahajal Dhooria
Postgraduate Institute of Medical Education and Research, Chandigarh, India

Read the Original

This page is a summary of: High-dose versus low-dose prednisolone in symptomatic patients with post-COVID-19 diffuse parenchymal lung abnormalities: an open-label, randomised trial (the COLDSTER trial), European Respiratory Journal, December 2021, European Respiratory Society (ERS),
DOI: 10.1183/13993003.02930-2021.
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