Patient-Level Meta-Analysis of Low-Dose Hydrocortisone in Adults with Septic Shock

Low-Dose Hydrocortisone and Septic ShockCorticosteroids have been evaluated as a therapy for septic shock for more than 50 years. However, uncertainty persists about their effects on mortality. Pirracchio and colleagues undertake a patient-level meta-analysis to answer this important question.

Saved in:
Bibliographic Details
Published inNEJM evidence Vol. 2; no. 6; p. EVIDoa2300034
Main Authors Pirracchio, Romain, Annane, Djillali, Waschka, Andre K, Lamontagne, François, Arabi, Yaseen M, Bollaert, Pierre-Edouard, Billot, Laurent, Du, Bin, Briegel, Josef, Cohen, Jeremy, Finfer, Simon, Gordon, Anthony, Hammond, Naomi, Hyvernat, Herve, Keh, Didier, Li, Yi, Liu, Ling, Meduri, Gianfranco Umberto, Mirea, Liliana, Myburgh, John A, Sprung, Charles L, Tilouche, Neijla, Tongyoo, Surat, Venkatesh, Balasubramanian, Zheng, Ruiqiang, Delaney, Anthony
Format Journal Article
LanguageEnglish
Published United States 01.06.2023
Subjects
Online AccessGet more information

Cover

Loading…
Abstract Low-Dose Hydrocortisone and Septic ShockCorticosteroids have been evaluated as a therapy for septic shock for more than 50 years. However, uncertainty persists about their effects on mortality. Pirracchio and colleagues undertake a patient-level meta-analysis to answer this important question.
AbstractList Low-Dose Hydrocortisone and Septic ShockCorticosteroids have been evaluated as a therapy for septic shock for more than 50 years. However, uncertainty persists about their effects on mortality. Pirracchio and colleagues undertake a patient-level meta-analysis to answer this important question.
Author Sprung, Charles L
Briegel, Josef
Zheng, Ruiqiang
Gordon, Anthony
Li, Yi
Tilouche, Neijla
Pirracchio, Romain
Cohen, Jeremy
Annane, Djillali
Billot, Laurent
Mirea, Liliana
Bollaert, Pierre-Edouard
Liu, Ling
Tongyoo, Surat
Arabi, Yaseen M
Du, Bin
Meduri, Gianfranco Umberto
Delaney, Anthony
Venkatesh, Balasubramanian
Finfer, Simon
Hyvernat, Herve
Lamontagne, François
Myburgh, John A
Keh, Didier
Waschka, Andre K
Hammond, Naomi
Author_xml – sequence: 1
  givenname: Romain
  surname: Pirracchio
  fullname: Pirracchio, Romain
  organization: Department of Anesthesia and Perioperative Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, San Francisco
– sequence: 2
  givenname: Djillali
  surname: Annane
  fullname: Annane, Djillali
  organization: FHU SEPSIS, U1173, University Paris Saclay, INSERM, Paris
– sequence: 3
  givenname: Andre K
  surname: Waschka
  fullname: Waschka, Andre K
  organization: Department of Mathematics, Mercer University, Macon, Georgia
– sequence: 4
  givenname: François
  surname: Lamontagne
  fullname: Lamontagne, François
  organization: Centre de recherche du CHU de Sherbrooke, Sherbrooke, QC, Canada
– sequence: 5
  givenname: Yaseen M
  surname: Arabi
  fullname: Arabi, Yaseen M
  organization: Intensive Care Department, Ministry of the National Guard-Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
– sequence: 6
  givenname: Pierre-Edouard
  surname: Bollaert
  fullname: Bollaert, Pierre-Edouard
  organization: Intensive Care Unit, Hospital Central, Nancy, France
– sequence: 7
  givenname: Laurent
  surname: Billot
  fullname: Billot, Laurent
  organization: The George Institute for Global Health, University of New South Wales Sydney, Sydney
– sequence: 8
  givenname: Bin
  surname: Du
  fullname: Du, Bin
  organization: State Key Laboratory of Complex Severe and Rare Diseases, Medical ICU, Peking Union Medical College Hospital, Beijing
– sequence: 9
  givenname: Josef
  surname: Briegel
  fullname: Briegel, Josef
  organization: Department of Anesthesiology, University Hospital, LMU Munich, Munich, Germany
– sequence: 10
  givenname: Jeremy
  surname: Cohen
  fullname: Cohen, Jeremy
  organization: Intensive Care Unit, The Royal Brisbane and Women's Hospital, University of Queensland, Brisbane, QLD, Australia
– sequence: 11
  givenname: Simon
  surname: Finfer
  fullname: Finfer, Simon
  organization: School of Public Health, Imperial College London, London
– sequence: 12
  givenname: Anthony
  surname: Gordon
  fullname: Gordon, Anthony
  organization: Division of Anaesthetics, Pain Medicine and Intensive Care, Imperial College London, London
– sequence: 13
  givenname: Naomi
  surname: Hammond
  fullname: Hammond, Naomi
  organization: Newtown, NSW, Malcolm Fisher Department of Intensive Care, Royal North Shore Hospital, St. Leonards, NSW, Australia
– sequence: 14
  givenname: Herve
  surname: Hyvernat
  fullname: Hyvernat, Herve
  organization: Intensive Care Unit, Hôpital ARCHET 1-CHU de Nice, Nice, France
– sequence: 15
  givenname: Didier
  surname: Keh
  fullname: Keh, Didier
  organization: Klinik für Anästhsiologie m.S. Canpus Virchow-Klinikum, Charite University Berlin, Berlin
– sequence: 16
  givenname: Yi
  surname: Li
  fullname: Li, Yi
  organization: Chinese Academy of Medical Science and Peking Union Medical College, Beijing
– sequence: 17
  givenname: Ling
  surname: Liu
  fullname: Liu, Ling
  organization: Department of Critical Medicine, Zhong-Da Hospital, and School of Clinical Medicine, Southeast University, Nanjing, China
– sequence: 18
  givenname: Gianfranco Umberto
  surname: Meduri
  fullname: Meduri, Gianfranco Umberto
  organization: Department of Pharmaceutical Sciences, University of Tennessee Health Science Center, Memphis
– sequence: 19
  givenname: Liliana
  surname: Mirea
  fullname: Mirea, Liliana
  organization: Anaesthesia and Intensive Care Clinic, Clinical Emergency Hospital of Bucharest, Carol Davila University of Medicine, Bucharest, Romania
– sequence: 20
  givenname: John A
  surname: Myburgh
  fullname: Myburgh, John A
  organization: The George Institute for Global Health, University of New South Wales Sydney, Sydney
– sequence: 21
  givenname: Charles L
  surname: Sprung
  fullname: Sprung, Charles L
  organization: Department of Anesthesiology, Critical Care and Pain Medicine, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem
– sequence: 22
  givenname: Neijla
  surname: Tilouche
  fullname: Tilouche, Neijla
  organization: Intensive Care Unit, University Hospital Taher Sfar Mahdia, University of Monastir, Research Laboratory, Monastir, Tunisia
– sequence: 23
  givenname: Surat
  surname: Tongyoo
  fullname: Tongyoo, Surat
  organization: Division of Critical Care, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
– sequence: 24
  givenname: Balasubramanian
  surname: Venkatesh
  fullname: Venkatesh, Balasubramanian
  organization: Wesley Hospital, George Institute for Global Health, University of New South Wales, Sydney
– sequence: 25
  givenname: Ruiqiang
  surname: Zheng
  fullname: Zheng, Ruiqiang
  organization: Department of Critical Care Medicine, Northern Jiangsu People's Hospital; Clinical Medical College, Yangzhou University, Yangzhou, China
– sequence: 26
  givenname: Anthony
  surname: Delaney
  fullname: Delaney, Anthony
  organization: Northern Clinical School, Sydney Medical School, University of Sydney, Sydney
BackLink https://www.ncbi.nlm.nih.gov/pubmed/38320130$$D View this record in MEDLINE/PubMed
BookMark eNo1j09LwzAchoMobs4dvUq-QDR_mvza49imG1QUp15H2iQs2jWlyRz99g7U0wvP4Xl4r9B5G1qL0A2jd4xKdb_8WC-C5oJSKrIzNOagFJGSqxGaxvh5wlwWShXsEo1ELjhlgo7R64tO3raJlPbbNvjJJk1mrW6G6CMODpfhSBYhWrwaTB_q0CcfT13sWzwzhyZFfPRphze2S77Gm12ov67RhdNNtNO_naD3h-XbfEXK58f1fFaSmgFkROUKtOY1VBm4jDrBqMsro3IHBfCCGyscV0XupHBUanBKZsbmruDgAIDxCbr99XaHam_Ntuv9XvfD9v8c_wGcIVDl
CitedBy_id crossref_primary_10_1056_NEJMc2307400
crossref_primary_10_36290_aim_2023_071
crossref_primary_10_1016_j_biopha_2023_115961
crossref_primary_10_3390_microorganisms11092231
crossref_primary_10_1055_a_2128_5319
crossref_primary_10_1093_trstmh_trae017
crossref_primary_10_1056_EVIDe2300105
crossref_primary_10_1097_CCM_0000000000006207
crossref_primary_10_1016_S2213_2600_23_00470_8
crossref_primary_10_1055_s_0044_1787991
crossref_primary_10_1007_s00134_023_07179_5
crossref_primary_10_1007_s00134_024_07381_z
crossref_primary_10_1097_ALN_0000000000004958
crossref_primary_10_1016_S2213_2600_23_00430_7
crossref_primary_10_1001_jama_2024_6096
crossref_primary_10_1016_j_resuscitation_2023_109922
crossref_primary_10_1164_rccm_202310_1785OC
crossref_primary_10_1164_rccm_202401_0175ED
crossref_primary_10_1097_CCM_0000000000006161
crossref_primary_10_1097_CCM_0000000000006172
crossref_primary_10_1097_CCE_0000000000001000
ContentType Journal Article
DBID CGR
CUY
CVF
ECM
EIF
NPM
DOI 10.1056/EVIDoa2300034
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
DatabaseTitleList MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod no_fulltext_linktorsrc
EISSN 2766-5526
ExternalDocumentID 38320130
Genre Meta-Analysis
Journal Article
GroupedDBID 53G
AABVL
AAEXC
ABBLC
ABJNI
ACPFK
ADXNH
AERZD
AKUJG
ALMA_UNASSIGNED_HOLDINGS
CGR
CUY
CVF
EBS
ECM
EIF
NPM
OVD
SJN
TEORI
ID FETCH-LOGICAL-c1774-6867aa2c7b47f40f310f8bd68f797292de3f2698f53f05a7f654de8f927f77712
IngestDate Tue Oct 29 09:17:54 EDT 2024
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 6
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c1774-6867aa2c7b47f40f310f8bd68f797292de3f2698f53f05a7f654de8f927f77712
OpenAccessLink https://evidence.nejm.org/doi/pdf/10.1056/EVIDoa2300034
PMID 38320130
ParticipantIDs pubmed_primary_38320130
PublicationCentury 2000
PublicationDate 2023-Jun
PublicationDateYYYYMMDD 2023-06-01
PublicationDate_xml – month: 06
  year: 2023
  text: 2023-Jun
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle NEJM evidence
PublicationTitleAlternate NEJM Evid
PublicationYear 2023
SSID ssj0002596691
Score 2.275118
SecondaryResourceType review_article
Snippet Low-Dose Hydrocortisone and Septic ShockCorticosteroids have been evaluated as a therapy for septic shock for more than 50 years. However, uncertainty persists...
SourceID pubmed
SourceType Index Database
StartPage EVIDoa2300034
SubjectTerms Adult
Humans
Hydrocortisone
Shock, Septic - drug therapy
Title Patient-Level Meta-Analysis of Low-Dose Hydrocortisone in Adults with Septic Shock
URI https://www.ncbi.nlm.nih.gov/pubmed/38320130
Volume 2
hasFullText
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3LTuswELUKSFdsEIh7eSMv2FWGxontdIloUUFthS4PsUOOY0N4NAgVIdjz34xjp20QiMcmquI2jXxOxjPOzBmEtnQUJKmOGAH7G5NIpprIUFJilAzDSLCUBrZ2uNfnndPo8Jyd12qvE1lLj8NkW718WFfyG1ThHOBqq2R_gOzoonACPgO-cASE4fgtjI-cKCrp2syfek8PJZkUGenmT6Rl89E7zymsU7ltvJw7lZBdK7vhK9uObWKLqh9f5V4g3_uq_fZhr65919GRCc0eHqRSV1nu8rLvZDailxVjdhukrWvbzOg2G2_XQxB9I0cZlOPN1a7tdjSUlz7NGFbO4tW9yLPKhgQNx4lT27owXFRwThhzlfCllaUTZJq0mO2zg1YuIRCySjkf2nRw0QCIT78HkNzfFQBDsE3ti9ivR99JbJdDU2hKxNZY9v2Wj13OIT7kvBl4fVa4mZ3KrcyiP-XP30UmhYdyMo_mfGiBdx1PFlBNDxbR_wpHcIUjODe45AiucgRnA-w4gi1HsOMILjjyF53ut0_2OsT30SAqAO-e8JgLKakSSSRM1DDg0Zs4SXlsRBNiK5rq0FDejA0LTYNJYTiLUh2bJhVGCBHQf2h6AH-9jDCnVAWp1DRI4EoanmpDIWDQMEVGM9VYQUtuCi7unVjKRTk5q5-OrKHZMY3W0YyBp1NvgKs3TDYLKN4AnJVS4A
link.rule.ids 783
linkProvider National Library of Medicine
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Patient-Level+Meta-Analysis+of+Low-Dose+Hydrocortisone+in+Adults+with+Septic+Shock&rft.jtitle=NEJM+evidence&rft.au=Pirracchio%2C+Romain&rft.au=Annane%2C+Djillali&rft.au=Waschka%2C+Andre+K&rft.au=Lamontagne%2C+Fran%C3%A7ois&rft.date=2023-06-01&rft.eissn=2766-5526&rft.volume=2&rft.issue=6&rft.spage=EVIDoa2300034&rft_id=info:doi/10.1056%2FEVIDoa2300034&rft_id=info%3Apmid%2F38320130&rft_id=info%3Apmid%2F38320130&rft.externalDocID=38320130