Norepinephrine, hydrocortisone, and fludrocortisone

Infectious Disease PGY1 PGY2 PGY3 PGY4

JAMA published a retrospective cohort study among septic patients who received vasopressor (norepinephrine) and hydrocortisone to show if adding fludrocortisone was more effective to this regimen compare with only giving hydrocortisone. 88275 patients reviewed and in hospital mortality and discharge to hospice as a primary outcome measured. Patients treated with combination of hydrocortisone-fludrocortisone (47.2%) had lower adjusted absolute risk difference 3.7% compare with hydrocortsone group (50.8%).

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