Cited by 23Adrenal Hormones and DisordersStress Responses and CortisolHyperglycemia and glycemic control in critically ill and hospitalized patients

Reduced cortisol metabolism during critical illness.

Gustav Schelling, Daniela Hauer, Martina Pfob·2013·New England Journal of Medicine

Abstract

sponsorship: British Heart Foundation|RG/11/4/28734

Integrity signals

Registry

Crossref · 10.1056/nejmc1306703

Cites

2 of 2 references verified0 citation errors · 0 not checkable

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  • Critically ill patients have paradoxically low ACTH levels and exhibit impaired cortisol clearance, which contributes to the observed hypercortisolism.

    “Elevated cortisol concentrations in acute stress have traditionally been attributed to stress-induced activation of the HPA axis with ACTH-driven cortisol secretion, however studies have shown that critically ill patients have paradoxically low ACTH levels and exhibit impaired cortisol clearance which contributes to the observed hypercortisolism.24”

    From Adrenal crisis: prevention and management in adult patients (2019) · cites this paper as [24]

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Authors
Schelling, G., Hauer, D., & Pfob, M.
Venue
New England Journal of Medicine
Published
2013-08
Volume
369
Issue
5
Pages
479-481
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W3149898234
Cited by
23
References
2
Citations by year
2025: 2 · 2024: 2 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 1 · 2017: 6 · 2016: 4 · 2014: 1 · 2013: 2
Type
journal article
Language
en
Open access
closed
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion)
  • Lirias (KU Leuven) (submittedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
  • New England Journal of Medicine
Funders
  • National Institute for Health and Care Research (NF-SI-0508-10356)
  • British Heart Foundation (RG/11/4/28734)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
Keywords
cortisol metabolism, critical illness, glucocorticoids, stress response, catabolism
MeSH terms
Adrenocorticotropic Hormone, Female, Humans, Hydrocortisone, Male, Critical Illness

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