What’s the best way to give steroids?

File:Intravenous therapy 2007-SEP-13-Singapore.JPG

Many patients who present to emergency departments with COPD score themselves a shot of IV steroids of some form, but what about using oral steroids instead?

This article from JAMA by Lindenauer and colleagues notes that “…low dose steroids administered orally are not associated with worse outcomes than high dose intravenous therapy…”. The study looked at 79,985 patients, with 92% of those initially given IV steroids, and only 8% given oral treatment. 

We are seeing a trend to more people given oral steroids on initial presentation – what are your thoughts? What variables do you use to define which patient’s have which route? 

Read the full article here

IMAGE: Michaelberry at en.wikipedia


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