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Table 4 Metabolic and hormonal measurements on ACTH test day

From: Steroidogenesis in the adrenal dysfunction of critical illness: impact of etomidate

 

Sepsis

Nonsepsis

P

 

Etomidate

No etomidate

Etomidate

No etomidate

 
 

n = 11

n = 32

n = 3

n = 21

S, E, E*S

ACTH, pM

1.4 (3.1)

2.4 (2.6)

1.9 (7.5)

4.1 (3.9)

0.37, 0.10, 0.22

Cholesterol, mM

1.3 (0.8)

1.8 (1.2)

2.4 (1.8)

2.8 (1.0)

< 0.001, 0.02, 0.75

HDL-cholesterol, mM

0.40 (0.40)

0.60 (0.60)

0.80 (0.80)

0.90 (0.60)

0.06, 0.18, 0.17

Progesterone, nM

0.40 (0.90)

0.50 (0.70)

1.0 (1.0)

0.60 (0.70)

0.55, 0.34, 0.16

Corticosterone, nM

3.4 (4.9)

3.5 (6.4)

5.3 (4.6)

4.0 (7.4)

0.23, 0.04, 0.64

Aldosterone, nM

1.3 (1.3)

0.70 (1.3)

0.50 (0.1)

1.2 (0.7)

0.08, 0.13, 0.007

17-OH-progesterone, nM

2.9 (2.8)

2.6 (1.5)

3.9 (2.1)

2.5 (2.4)

0.48, 0.09, < 0.001

11ß-deoxycortisol, nM

15 (58)

3.1 (8.3)

34 (30)

3.7 (3.3)

0.003, < 0.001, < 0.001

Cortisol, nM

460 (200)

500 (221)

325 (134)

455 (335)

0.03, 0.98, 0.04

Cortisol/11ß-deoxycortiso

l26 (175)

157 (352)

12 (28)

316 (380)

0.04, < 0.001, < 0.001

Cortisol/ACTH

209 (340)

223 (229)

171 (270)

109 (80)

0.07, 0.08, 0.08

Cortisol increase, nM

220 (190)

298 (315)

165 (169)

395 (238)

0.04, < 0.001, 0.98

Cortisol increase < 250 nM

6 (54)

14 (44)

2 (67)

6 (29)

0.92, 0.17, 0.43

DHEA, μM

6.1 (4.6)

6.4 (4.9)

6.1 (1.8)

5.9 (4.1)

0.61, 0.61, 0.44

DHEAS, nM

0.70 (1.4)

0.48 (0.76)

0.50 (4.2)

0.90 (1.1)

0.39, 0.03, 0.87

Androstenedione, nM

3.8 (8.6)

2.4 (2.9)

3.6 (2.8)

2.8 (2.4)

0.13, 0.02, 0.60

  1. Median (interquartile range) or number (%). ACTH, adrenocorticotropic hormone; CBG, cortisol-binding globulin; DHEA(S), dihydroxyepiandrostenedione (sulfate). S, sepsis; E, etomidate; E*S, interaction between etomidate and sepsis in generalized estimating equations; HDL, high-density lipoprotein.