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

Yildiz 2011.

Methods Randomized controlled trial on 2 parallel groups
1 centre
Dates the study was conducted: April 2005 and May 2008
Participants Adults (n = 55) with sepsis or septic shock
Subgroups based on adrenal status assessed by a 250‐µg ACTH test
Setting: intensive care unit and infectious disease department
Study location: Turkey
Interventions
  • Prednisolone (intravenous 3 times a day at 06:00 (10 mg), 14:00 (5 mg), and 22:00 (5 mg) for 10 days)

  • Placebo (normal saline)

Outcomes Primary
  • 28‐Day mortality from all causes


Secondary
  • Reversal of organ failure

  • Length of stay

  • Safety


Outcomes were also assessed in relation to adrenal insufficiency
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 random numbers used
Allocation concealment (selection bias) Low risk Randomization list kept by the pharmacist
Blinding (performance bias and detection bias) 
 All outcomes Low risk Pharmacist: no
Participants: yes
Caregivers: yes
Data collectors: yes
Outcome assessors: yes
Data analysts: yes
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