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Hormones in the critically ill patient: to intervene or not to intervene?

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Abstract.

Critically ill patients show a variety of hormonal changes that appear to differ considerably in acute and prolonged critical illness. Whether these endocrine alterations serve as physiological adaptation or contribute to further deterioration remains an intriguing question. We review the recent literature and discuss whether measuring circulating hormone concentrations, performing stimulation tests, and intervening with hormone substitution could contribute to the recovery of critically ill patients.

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Authors and Affiliations

  1. Intensive and Respiratory Care Unit (ICB), Department of Internal Medicine, University Hospital, PO Box 30.001, 9700 RB Groningen, The Netherlands, The Netherlands

    J. Ligtenberg, J. Tulleken, T. Werf & J. Zijlstra

  2. Department of Internal Medicine, Ny Smellinghe Hospital, Drachten, The Netherlands, The Netherlands

    J. Beentjes

  3. Surgical Intensive Care Unit, Hospital of the Free University, Amsterdam, The Netherlands, The Netherlands

    A. Girbes

Authors
  1. J. Ligtenberg
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  2. A. Girbes
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  3. J. Beentjes
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  4. J. Tulleken
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  5. T. Werf
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  6. J. Zijlstra
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Ligtenberg, J., Girbes, A., Beentjes, J. et al. Hormones in the critically ill patient: to intervene or not to intervene?. Intensive Care Med 27, 1567–1577 (2001). https://doi.org/10.1007/s001340101050

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  • DOI: https://doi.org/10.1007/s001340101050

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