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However, we believe that a multi-disciplinary strategy must be developed to protect astronauts from highly energised space radiation. The acute respiratory distress syndrome (ARDS) secondary to viral pneumonitis is one of the main causes of high mortality in patients with COVID-19 (novel coronavirus disease 2019). We systematically reviewed mortality in COVID-19 patients with ARDS and the potential role of systemic corticosteroids in COVID-19 patients. Electronic databases and country-specific healthcare databases were searched to identi