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Table 3 Reported AEs in corticosteroid studies

From: Identification, collection, and reporting of harms among non-industry-sponsored randomized clinical trials of pharmacologic interventions in the critically ill population: a systematic review

Study

Described safety outcomes in the manuscript

Definitions

Events per total patients analyzed

Events per total patients analyzed in intervention arm

6

Superinfection

Medical Dictionary for Regulatory Activities classification A new infection ≥ 48 h after randomization up to day 180

0.30

0.31

Bleeding

Intracranial hemorrhage, any bleeding requiring surgery or at least 2 red blood cell transfusions up to day 28

0.56

0.53

Gastroduodenal bleeding

None provided

0.07

0.06

Hyperglycemia

Glucose levels ≥ 150 mg/dL, up to day 7

0.86

0.89

Neurologic sequelae

Muscular Disability Rating Scale (> 3), up to day 180

0.16

0.18

7

Incidence of new onset bacteremia or fungemia

Between 2 and 14 days, but no definition provided

0.143

0.143

Blood transfusion

In the ICU, ut no definition provided

0.37

0.39

Hyperglycemia

None provided

< 0.01

< 0.01

Hypernatremia

None provided

< 0.01

< 0.01

Hyperchloremia

None provided

< 0.01

< 0.01

Hypertension

None provided

< 0.01

< 0.01

Bleeding

None provided

< 0.01

< 0.01

Encephalopathy

None provided

< 0.01

< 0.01

Leukocytosis

None provided

< 0.01

< 0.01

Myopathy

None provided

< 0.01

< 0.01

Septic arthritis

None provided

< 0.01

< 0.01

Ischemic bowel

None provided

< 0.01

< 0.01

Abdominal-wound dehiscence

None provided

< 0.01

< 0.01

Circulatory shock

None provided

< 0.01

< 0.01

Thrombocytopenia

None provided

< 0.01

< 0.01

26

Muscle weakness

Severity of muscle weakness until ICU discharge

Evaluated using the Medical research council scale

0.22

0.25

Weaning failure

Weaning failure is defined as re-intubation within 24 h after extubation OR the need of continuous non-invasive mechanical ventilation with pressure support for more than 48 h after extubation

Up to day 28

0.09

0.09

Secondary infection

Secondary infection is defined as a microbiologically proven new infection which occurs more than 48 h after application of first study medication, with or without adaptation of the antibiotic regime, OR clinical evidence of a new source of infection with or without microbiological verification

Up to day 28

0.19

0.22

Gastrointestinal bleeding

Acute bleeding which requires treatment with more than 1unit of red blood cells within 24 h. Up to day 28

0.01

0.02

Hypernatremia

Blood sodium level and frequency of hypernatremia (> 155 mmol/l) up to day 14

0.05

0.05

Hyperglycemia

Blood glucose level and frequency of hyperglycemia (> 150 mg/dl) up to day 14

0.82

0.88

33

Hyperglycemia

None provided

0. 15

0.18

Superinfection

Patients tested positive for a nosocomial infection of any source.

0.01

0.02

Gastrointestinal bleeding

None provided

0.01

0

Delirium

None provided

0.01

0.02

Acute kidney injury

None provided

0. 13

0. 13

Acute hepatic failure.

None provided

0.01

0.02