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Table 2 ACTH Test 1 and 2 classified according to groups of Δ cortisol <, ≥ 250 n M

From: Diminished adrenal sensitivity to endogenous and exogenous adrenocorticotropic hormone in critical illness: a prospective cohort study

 

Test 1 Δ <250 n M

Test 1 Δ ≥250 n M

Test 2 Δ <250 n M

Test 2 Δ ≥250 n M

P Δ cortisol, time, interaction

 

n = 17

n = 42

n = 14

n = 45

ACTH, pM

3.1 (1.1-18.0)

1.5 (1.1-15.0)

6.0 (1.1-14.0)

3.8 (1.0-8.9)

0.001, 0.025, 0.72

Baseline cortisol, nM

470 (200–1,355)

430 (75–2,670)

655 (335–1,890)

495 (35–2,670)

0.021, 0.12, 0.30

Baseline cortisol/ACTH, nM/pM

148 (36–250)

238 (14–2,054)

109 (48–1,718)

126 (35–2,054)

0.029, 0.16, 0.14

Baseline free cortisol, nM

77 (63–357) (n = 9)

86 (38–256) (n = 14)

154 (114–252) (n = 6)

75 (4–151) (n = 20)

0.001, 0.91, 0.19

Baseline free cortisol/ACTH, nM/pM

22 (9–38)

39 (16–89)

26 (11–43)

17 (4–35)

0.042, 0.10, <0.001

Δ cortisol, nM

140 (−50-245)

388 (260–4,015)

177 (−80-230)

425 (255–965)

n.a., 0.45, 0.093

Δ free cortisol, nM

59 (−71-124)

151 (74–678)

40 (−34-99)

133 (32–233)

<0.001, 0.15, 0.16

CBG, mg/L

23 (6–43)

29 (13–63)

39 (4–60)

41 (21–65)

0.060, <0.001, 0.90

Albumin, g/L

13 (6–32)

17 (6–24)

16 (12–28)

20 (8–32)

0.25, <0.001, 0.89

Days from admission to test

1 (0–50)

3 (0–44)

25 (9–49)

  

Days between tests

n.a.

n.a.

18 (8–34)

16 (8–43)

 

Days after stopping hydrocortisone

n.a.

n.a.

7 (5–12)

7 (5–14)

0.75a

  1. Median (range); ACTH, adrenocorticotropic hormone; CBG, cortisol-binding globulin. aMann-Whitney U test, otherwise generalized estimating equations; n.a., not applicable.