TO STUDY SERUM FREE CORTISOL LEVEL IN SEPSIS AT TERTIARY CARE CENTER BIKANER, RAJASTHAN
Abstract
Background: Cortisol released in response to stress and low blood glucose. It functions to increase blood sugar through gluconeogenesis, to suppress the immune system, and to aid in the metabolism of fat, protein and carbohydrate.
Methods: Hospital based cross sectional study conducted on 50 cases admitted in medical intensive care unit of SPMC and associated group of hospitals, Bikaner with sepsis and septic shock were taken as per WHO criteria.
Results: On day 1, 3 &7 mean serum cortisol difference between survivors and non survivors was found statistically highly significant (p<0.001).
Conclusion: Serum free cortisol is a reliable indicator of the state of severity, mortality and recovery in critically ill patients with sepsis.
Keywords: Serum free cortisol, survivors, non survivors.