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[Correspondence] Prolonged glucocorticoid treatment in acute respiratory distress syndrome

We were disappointed that Rob Mac Sweeney and Daniel F McAuley’s Seminar (Nov 12, p 2416)1 on acute respiratory distress syndrome overlooked much of the evidence for prolonged glucocorticoid treatment. The authors reference two outdated meta-analyses2,3 that have contradictory results. The basis for the inconsistency between these two meta-analyses can be explained and current evidence suggests a net benefit for glucocorticoids in acute respiratory distress syndrome.4