Table 3:
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.