Author Affiliations: D’Or Institute for Research and Education, Rio de Janeiro, Brazil (Dr Salluh) (email@example.com); and Faculty of Medical Sciences, New University of Lisbon, Lisboa, Portugal (Dr Póvoa).
To the Editor: Dr Roquilly and colleagues evaluated the efficacy of corticosteroids in the treatment of hospitalized patients with severe trauma.1 Despite a significant reduction in hospital-acquired pneumonia and duration of mechanical ventilation in the treatment group, we believe that there are several shortcomings that preclude the prompt incorporation of this strategy into clinical practice.
Salluh JIF, Póvoa P. Hydrocortisone and Treatment of Multiple Trauma. JAMA. 2011;306(1):40-42. doi:10.1001/jama.2011.899