The clinical importance of XXXX in @entity409 .

@entity1 @entity326 @entity75 @entity879 @entity1887 @entity409 @entity1063 @entity65
@entity879 and @entity326 share many clinical features, including hyperdynamic @entity65 . @entity1887 may result in a similar @entity65 . In @entity326 , @entity1887 , defined using the short synacthen test (SST), is associated with hemodynamic instability and poor outcome. We examined the SST, a dynamic test of adrenal function, in 45 @entity1 with @entity409 ( @entity409 ) and determined the association of these results with hemodynamic profile, severity of illness, and outcomes. Abnormal SSTs were common, occurring in 62% of @entity1 . Those who required @entity1063 (NA) for blood pressure support had a significantly lower increment (median, 161 vs. 540 nmol/L; P <.001) following synacthen compared with @entity1 who did not. Increment and peak were lower in @entity1 who required ventilation for the management of @entity75 (increment, 254 vs. 616 nmol/L, P <.01; peak, 533 vs. 1,002 nmol/L, P <.01). Increment was significantly lower in those who fulfilled liver transplant criteria compared with those who did not (121 vs. 356 nmol/L; P <.01). @entity1 who died or underwent liver transplantation had a lower increment (148 vs. 419 nmol/L) and peak (438 vs. 764 nmol/L) than those who survived (P <.01). There was an inverse correlation between increment and severity of illness (Sequential Organ Failure Assessment, r = -0.63; P <.01). In conclusion, @entity409 assessed by the SST is common in @entity409 and may contribute to hemodynamic instability and mortality. It is more frequent in those with severe @entity409 and correlates with severity of illness.
