Matches in SemOpenAlex for { <https://semopenalex.org/work/W153080510> ?p ?o ?g. }
Showing items 1 to 96 of
96
with 100 items per page.
- W153080510 endingPage "290" @default.
- W153080510 startingPage "287" @default.
- W153080510 abstract "Acute adrenal insufficiency in the trauma patient is underrecognized and the impact poorly understood. Our hypothesis was that the identification and treatment of acute adrenal insufficiency reduces mortality in trauma patients. Institutional Review Board approval for the retrospective review of a prospective database from a Level 1 trauma center for 2002 to 2004 was obtained. The study population included patients receiving a cosyntropin stimulation test (250 microg) and/or random cortisol level based on our practice management guideline and an intensive care unit stay longer than 24 hours. Demographic, acuity, and outcome data were collected. The nonresponders had baseline cortisol levels less than 20 microg/dL or poststimulation rise less than 9 microg/dL. Independent t tests and chi2 statistics were used. One hundred thirty-seven patients had cosyntropin stimulation tests performed. Eighty-two (60%) patients were nonresponders of which 66 were treated with hydrocortisone and 16 went untreated as a result of the discretion of the attending physician. The 55 (40%) responders showed no statistical differences in outcome variables whether or not they received hydrocortisone. The untreated adrenal-insufficient patients had significantly higher mortality, longer hospital length of stay, intensive care unit days, and ventilator-free days. Conclusions were: (1) treatment of acute adrenal insufficiency reduces mortality by almost 50 per cent in the trauma patient; and (2) acute adrenal insufficiency recognized by low random cortisol levels or nonresponse to a stimulation tests should be considered for treatment." @default.
- W153080510 created "2016-06-24" @default.
- W153080510 creator A5028592475 @default.
- W153080510 creator A5044303858 @default.
- W153080510 creator A5080861073 @default.
- W153080510 creator A5084135451 @default.
- W153080510 creator A5090675988 @default.
- W153080510 creator A5091194857 @default.
- W153080510 date "2009-04-01" @default.
- W153080510 modified "2023-09-23" @default.
- W153080510 title "Acute Adrenal Insufficiency May Affect Outcome in the Trauma Patient" @default.
- W153080510 cites W1979274403 @default.
- W153080510 cites W1992311120 @default.
- W153080510 cites W1997888214 @default.
- W153080510 cites W1999993088 @default.
- W153080510 cites W2003214611 @default.
- W153080510 cites W2042268246 @default.
- W153080510 cites W2046458270 @default.
- W153080510 cites W2049035389 @default.
- W153080510 cites W2053980980 @default.
- W153080510 cites W2064421192 @default.
- W153080510 cites W2064895831 @default.
- W153080510 cites W2072322517 @default.
- W153080510 cites W2087866877 @default.
- W153080510 cites W2126105025 @default.
- W153080510 cites W2156618518 @default.
- W153080510 cites W2169968309 @default.
- W153080510 cites W2550507245 @default.
- W153080510 cites W49244960 @default.
- W153080510 doi "https://doi.org/10.1177/000313480907500404" @default.
- W153080510 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/19385286" @default.
- W153080510 hasPublicationYear "2009" @default.
- W153080510 type Work @default.
- W153080510 sameAs 153080510 @default.
- W153080510 citedByCount "21" @default.
- W153080510 countsByYear W1530805102012 @default.
- W153080510 countsByYear W1530805102014 @default.
- W153080510 countsByYear W1530805102015 @default.
- W153080510 countsByYear W1530805102017 @default.
- W153080510 countsByYear W1530805102023 @default.
- W153080510 crossrefType "journal-article" @default.
- W153080510 hasAuthorship W153080510A5028592475 @default.
- W153080510 hasAuthorship W153080510A5044303858 @default.
- W153080510 hasAuthorship W153080510A5080861073 @default.
- W153080510 hasAuthorship W153080510A5084135451 @default.
- W153080510 hasAuthorship W153080510A5090675988 @default.
- W153080510 hasAuthorship W153080510A5091194857 @default.
- W153080510 hasBestOaLocation W1530805101 @default.
- W153080510 hasConcept C126322002 @default.
- W153080510 hasConcept C167135981 @default.
- W153080510 hasConcept C177713679 @default.
- W153080510 hasConcept C187212893 @default.
- W153080510 hasConcept C194828623 @default.
- W153080510 hasConcept C2776376669 @default.
- W153080510 hasConcept C2778129406 @default.
- W153080510 hasConcept C2778709874 @default.
- W153080510 hasConcept C2780110798 @default.
- W153080510 hasConcept C2908647359 @default.
- W153080510 hasConcept C2987404301 @default.
- W153080510 hasConcept C71924100 @default.
- W153080510 hasConcept C99454951 @default.
- W153080510 hasConceptScore W153080510C126322002 @default.
- W153080510 hasConceptScore W153080510C167135981 @default.
- W153080510 hasConceptScore W153080510C177713679 @default.
- W153080510 hasConceptScore W153080510C187212893 @default.
- W153080510 hasConceptScore W153080510C194828623 @default.
- W153080510 hasConceptScore W153080510C2776376669 @default.
- W153080510 hasConceptScore W153080510C2778129406 @default.
- W153080510 hasConceptScore W153080510C2778709874 @default.
- W153080510 hasConceptScore W153080510C2780110798 @default.
- W153080510 hasConceptScore W153080510C2908647359 @default.
- W153080510 hasConceptScore W153080510C2987404301 @default.
- W153080510 hasConceptScore W153080510C71924100 @default.
- W153080510 hasConceptScore W153080510C99454951 @default.
- W153080510 hasIssue "4" @default.
- W153080510 hasLocation W1530805101 @default.
- W153080510 hasLocation W1530805102 @default.
- W153080510 hasOpenAccess W153080510 @default.
- W153080510 hasPrimaryLocation W1530805101 @default.
- W153080510 hasRelatedWork W2000989443 @default.
- W153080510 hasRelatedWork W2021881890 @default.
- W153080510 hasRelatedWork W2133751410 @default.
- W153080510 hasRelatedWork W2325674104 @default.
- W153080510 hasRelatedWork W2744593820 @default.
- W153080510 hasRelatedWork W2914991650 @default.
- W153080510 hasRelatedWork W3187337246 @default.
- W153080510 hasRelatedWork W3217419129 @default.
- W153080510 hasRelatedWork W4241864131 @default.
- W153080510 hasRelatedWork W4313199418 @default.
- W153080510 hasVolume "75" @default.
- W153080510 isParatext "false" @default.
- W153080510 isRetracted "false" @default.
- W153080510 magId "153080510" @default.
- W153080510 workType "article" @default.