?

CORTICUS

2008 Sepsis Steroids
? ICUs
499 patients

Hydrocortisone therapy for septic shock

Clinical Question

In adult patients with severe septic shock, does hydrocortisone versus
placebo reduce mortality at 28 days?

Critical Appraisal

Key findings

No difference in mortality. This deviates from the results of Annane 2002. Hastened reversal of shock.

Critique

Failed to recruit required numbers. Mortality a lot lower than estimate.

Population
Sepsis
Population Details
Not recorded
Intervention Arms

Hydrocortisone 50 mg QID for 5 days
Hydrocortisone 50 mg QID for 5 days

Control Arms

Placebo

Primary Outcome
Not recorded
Secondary Outcomes
No difference in mortality , Hastened the reversal of shock , Increase rate of superinfection
P Value
Not recorded

Outcome Results

Not recorded