Author/Authors :
EL-GINGIHY, SHERINE Cairo University - Faculty of Medicine - Deartment of Critical Care Medicine, Egypt , SAMIR, NAEL Cairo University - Faculty of Medicine - Department of Critical Care Medicine, Egypt , HUSSEIN, KHALED Cairo University - Faculty of Medicine - Department of Critical Care Medicine, Egypt , Abd El-Shafi, Sanaa Cairo University - Faculty of Medicine - Department of Critical Care Medicine, Egypt , EL-MARAGHI, SAMEH Cairo University - Faculty of Medicine - Department of Critical Care Medicine, Egypt , MOUSSA, AHMAD Cairo University - Faculty of Medicine - Department of Critical Care Medicine, Egypt , EFFAT, HASSAN Cairo University - Faculty of Medicine - Department of Critical Care Medicine, Egypt , ISMAIL, NORA Cairo University - Faculty of Medicine - Department of Critical Care Medicine, Egypt
Abstract :
Background: Road traffic crashes account for most serious head injuries, and the global burden of head injury can be expected to rise with the increasing use of vehicles in Asia and Africa. The overall incidence of adrenal insufficiency in critically ill patients approximates 30%, with an incidence as high as 50 to 60% in patients with septic shock.
Keywords :
Head trauma , Adrenal insufficiency , Corticosteroids , Circadian rhythm , Mortality and morbidity.