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July 6, 2011

Hydrocortisone and Treatment of Multiple Trauma

Author Affiliations

Author Affiliations: D’Or Institute for Research and Education, Rio de Janeiro, Brazil (Dr Salluh) (jorgesalluh@gmail.com); and Faculty of Medical Sciences, New University of Lisbon, Lisboa, Portugal (Dr Póvoa).

JAMA. 2011;306(1):40-42. doi:10.1001/jama.2011.899

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.

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