Effect of corticosteroids on arginine vasopressin-containing vasopressor therapy for septic shock: a case control study

Purpose: Studies showing corticosteroids decrease time to shock reversal in septic shock did not include arginine vasopressin., which also may reduce the duration of catecholamine therapy. Thus, the effect of corticosteroids on vasopressin-containing vasopressor regimens is unknown. We designed this study to evaluate the effect of corticosteroids on time to vasopressin-containing vasopressor withdrawal and the proportion of patients alive without vasopressors at day 7. Methods: This retrospective, case-control study included patients admitted to the intensive care units of all academic medical center who received vasopressin-containing vasopressor regimens for septic shock with or without concomitant corticosteroids. Twenty-one corticosteroid-treated patients were matched to those without corticosteroids. Results: Both groups had similar Acute Physiology And Chronic Health Evaluation (APACHE) II, Simplified Acute Physiology Score (SAPS) II, and Sequential Organ Failure Assessment (SOFA) scores. There was no significant difference in median time to vasopressor withdrawal (65 hours vs 20 hours, P = .09) whether corticosteroids were given or withheld. Patients who received corticosteroids, however, were significantly more likely alive without vasopressors at day 7 than, vasopressor regimen alone (80.9%, vs 47.6%, P = .02). patients who received a vasopressin-containing Conclusions: Although corticosteroids did not improve the time to withdrawal of vasopressin-containing vasopressor therapy they significantly increased the proportion of patients alive without vasopressors at day 7. (c) 2008 Elsevier Inc. All rights reserved.