id author title date pages extension mime words sentences flesch summary cache txt cord-287515-oe7adj91 Rello, Jordi Coronavirus Disease 2019 (COVID-19): A critical care perspective beyond China 2020-03-03 .txt text/plain 1381 76 44 Prior experience with viral pneumonia, including influenza and MERS-coronavirus, suggest that steroids can contribute to higher mortality, increase viral replication with longer periods of viral clearance and more superinfections (including invasive pulmonary aspergillosis, as already reported in the Wuhan cohort) [5, 6] . Another difference is that most COVID-19 infected patients were diagnosed with viral pneumonia, whereas acute exacerbations of COPD or bronchospasm or myocarditis were more common in influenza. Use of noninvasive ventilation is controversial, showing limited efficacy in MERS and is associated with very high levels of aerosol spread, exposing staff at much greater risk of infection [11, 12] . Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a singlecentered, retrospective, observational study High-flow nasal therapy in adults with severe acute respiratory infection: a cohort study in patients with 2009 influenza A/H1N1 v ./cache/cord-287515-oe7adj91.txt ./txt/cord-287515-oe7adj91.txt