Endocrine changes in critical illness

J Intensive Care Med. 2004 Mar-Apr;19(2):67-82. doi: 10.1177/0885066603259551.

Abstract

The homeostatic corrections that have emerged in the course of human evolution to cope with catastrophic events involve a complex multisystem endeavor, of which the endocrine contribution is an integral component. Although the repertoire of endocrine changes has been probed in some detail, discerning the vulnerabilities and failure of this system is far more challenging. The ensuing endocrine topics illustrate some of the current issues reflecting attempts to gain an improved insight and clinical outcome for critical illness.

Publication types

  • Review

MeSH terms

  • Adrenal Insufficiency* / diagnosis
  • Adrenal Insufficiency* / etiology
  • Adrenal Insufficiency* / therapy
  • Causality
  • Critical Care / methods
  • Critical Illness*
  • Endocrine System Diseases* / diagnosis
  • Endocrine System Diseases* / etiology
  • Endocrine System Diseases* / therapy
  • Growth Hormone* / deficiency*
  • Growth Hormone* / physiology
  • Growth Hormone* / therapeutic use
  • Homeostasis
  • Humans
  • Hydrocortisone / physiology
  • Hydrocortisone / therapeutic use
  • Hyperglycemia* / diagnosis
  • Hyperglycemia* / etiology
  • Hyperglycemia* / therapy
  • Hypothalamo-Hypophyseal System / physiology
  • Hypothalamo-Hypophyseal System / physiopathology
  • Pituitary-Adrenal System / physiology
  • Pituitary-Adrenal System / physiopathology
  • Risk Factors
  • Thyroid Diseases* / diagnosis
  • Thyroid Diseases* / etiology
  • Thyroid Diseases* / therapy
  • Thyroid Function Tests
  • Treatment Outcome

Substances

  • Growth Hormone
  • Hydrocortisone