Nicole N Kamps, Russell Banks, Ron W Reeder, Robert A Berg, Christopher J Newth, Murray M Pollack, Kathleen L Meert, Joseph A Carcillo, Peter M Mourani, Samuel Sorenson, James W Varni, Pelin Cengiz, Jerry J Zimmerman
OBJECTIVES: Corticosteroids are commonly used in the treatment of pediatric septic shock without clear evidence of the potential benefits or risks. This study examined the association of early corticosteroid therapy with patient-centered clinically meaningful outcomes. DESIGN: Subsequent cohort analysis of data derived from the prospective Life After Pediatric Sepsis Evaluation (LAPSE) investigation. Outcomes among patients receiving hydrocortisone or methylprednisolone on study day 0 or 1 were compared with those who did not use a propensity score-weighted analysis that controlled for age, sex, study site, and measures of first-day illness severity...
September 1, 2022: Pediatric Critical Care Medicine