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Correlation Salivary Cortisol and Free Serum Cortisol to Total Serum Cortisol in MICU Septic Shock

Completed
Conditions
Septic Shock
Registration Number
NCT00523198
Lead Sponsor
The University of Texas Health Science Center, Houston
Brief Summary

The purpose of the study is:

* to correlate salivary cortisol to free serum cortisol (as salivary cortisol is considered to be almost complete free cortisol) and,

* to correlate free serum cortisol to total serum cortisol levels

Both in patients with septic shock (severe sepsis requiring vasopressors).

We believe that:

* total serum cortisol does not correlate with free serum cortisol in patient with septic shock and,

* that salivary cortisol correlates with free serum cortisol and can be used to determine the level of free serum cortisol.

Detailed Description

Free serum cortisol is considered the active hormone.

In patients with septic shock only the total serum cortisol level is available, however, the free cortisol level can be normal despite a low total cortisol level due to changes in the serum protein.

The hormone can be replaced improperly in these patients and contribute to poor outcome in septic shock.

We are studying adult MICU patients with septic shock who are not receiving corticosteroid replacement.

This study does not include any intervention.

In-hospital or 28-day mortality are registered in all the patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Adult patients with septic shock
Exclusion Criteria
  • Corticosteroid replacement
  • Blood in mouth

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Salivary cortisolone year

salivary cortisol in mg/dL

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

The University of Texas- Health Science Center at Houston

🇺🇸

Houston, Texas, United States

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