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. 2019 Dec 6;2019(12):CD002243. doi: 10.1002/14651858.CD002243.pub4

Huang 2014.

Methods Randomized controlled trial with 3 parallel groups
Single centre
Dates study was conducted: not reported
Participants Adults (n = 60) with sepsis
Setting: intensive care unit
Study location: China
Interventions
  • Hydrocortisone 200 mg as continuous infusion for 7 days

  • Chinese herb (Sini decoction) 100 mL per day enterally for 7 days

  • Standard therapy

Outcomes Primary
  • Hypothalamic‐pituitary‐adrenal function assessed by levels of cortisol and ACTH and cortisol increment post ACTH injection at day 3 and day 14


Secondary
  • 3‐Day shock reversal

  • 28‐Day all‐cause mortality

Notes We contacted study authors, who did not reply
Funding source: not declared
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated randomization scheme
Allocation concealment (selection bias) Unclear risk No information
Blinding (performance bias and detection bias) 
 All outcomes High risk Participants: yes
Caregivers: no
Data collectors: no
Outcome assessors: no
Data analysts: no
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Lost to follow‐up: none
Selective reporting (reporting bias) Unclear risk No information
Other bias Unclear risk No information