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. 2010 Dec 14;182(18):1971–1977. doi: 10.1503/cmaj.090707

Table 3:

Outcomes among patients with cirrhosis and sepsis receiving low-dose hydrocortisone

Outcome Hydrocortisone n = 39 Placebo n = 36 Relative risk (95% CI) p value
Mortality
28-day mortality, no. (%) 33 (85) 26 (72) 1.17 (0.92 to 1.49) 0.19
ICU mortality, no. (%) 24 (62) 24 (67) 0.92 (0.66 to 1.30) 0.64
Hospital mortality, no. (%) 34 (87) 32 (89) 0.98 (0.83 to 1.16) 0.82
Hemodynamic response
Change in norepinephrine infusion rate (day 2 – day 1), μg/kg per min, mean (SD) −0.08 (0.22) 0.09 (0.28) −0.17 (−0.28 to −0.05)* 0.005
Change in norepinephrine infusion rate (day 3 – day 1), μg/kg per min, mean (SD) −0.16 (0.29) 0.11 (0.32) −0.27 (−0.40 to −0.12)* 0.0006
Shock reversal, no. (%) 24 (62) 14 (39) 1.58 (0.91 to 2.55) 0.05
Vasopressor-free days, mean (SD) 6.8 (7.9) 5.6 (8.9) 1.2 (−2.7 to 5.1)* 0.54
Other outcomes
Ventilation-free days, mean (SD) 6.7 (7.7) 8.1 (10.9) −1.4 (−5.8 to 2.9)* 0.51
Renal replacement therapy-free days, mean (SD) 6.7 (7.8) 6.4 (10.6) 0.2 (−4.0 to 4.5)* 0.92
ICU length of stay for ICU survivors, d, mean (SD) 9.2 (6.4) 9.6 (6.0) −0.4 (−5.4 to 4.5)* 0.86
Hospital length of stay for hospital survivors, d, mean (SD) 27.2 (12.8) 43.3 (34.0) −16.1 (−54.5 to 22.4)* 0.90
Complications
Shock relapse, no. (%) 14 (36) 5 (14) 2.46 (0.98 to 6.21) 0.03
Arrhythmia, no. (%) 10 (26) 6 (17) 1.54 (0.62 to 3.80) 0.34
Gastrointestinal bleeding, no. (%) 13 (33) 4 (11) 3.00 (1.08 to 8.36) 0.02
Hyperglycemia > 10 mmol/L, no. (%) 34 (87) 25 (69) 1.26 (0.98 to 1.61) 0.06
Ventilator-associated pneumonia, no. (%) 8 (21) 3 (8) 2.46 (0.71 to 8.57) 0.14
ICU-acquired bacteremia, no (%) 14 (36) 15 (42) 0.86 (0.49 to 1.52) 0.61
Any major complication, no. (%) 25 (64) 14 (39) 1.65 (1.03 to 2.64) 0.03

Note: CI = confidence interval, ICU = intensive care unit, SD = standard deviation.

*

Mean difference and 95% CI.