Table 1

Clinical characteristics on admission by cortisol level

Severe low cortisolRelative low cortisolNormal cortisolP value
≤15 µg/dL15.01–25 µg/dL>25 µg/dL
N22 (12%)83 (44%)84 (44%)
Male gender16 (73%)67 (81%)63 (75%)0.59
Mechanism of injury
 Bike/Ped v auto4 (18%)12 (15%)8 (10%)0.45
 Fall1 (4%)4 (5%)18 (21%)0.002
 MVC/MCC12 (55%)41 (49%)32 (38%)0.22
 Other blunt2 (9%)5 (6%)15 (18%)0.054
 GSW/SW3 (14%)21 (25%)11 (13%)0.11
Age44±340±244±20.44
GCS6 (3–12)12 (3–15)8 (3–15)0.18
SBP97 (78–115)110 (80–116)126 (94–144)*0.027
HR104 (69–122)92 (80–116)112 (90–125)0.02
Base deficit−5.2(−9.7 to −3.1]−4.3(−7.4 to −2.8]−4.6(−7.5 to −1.3]0.46
Albumin2.8 [2.4–2.9]2.7 [2.5–3.1]3.0 [2.7–3.4)*0.01
ISS29 (22–36)26 (19–33)22 (13 - 26)*<0.001
AIS≥3
 Head/neck13 (59%)43 (52%)52 (62%)0.41
 Chest14 (64%)49 (59%)33 (39%)*0.017
 Abdomen/pelvis10 (46%)22 (27%)11 (13%)*0.003
 Extremities5 (23%)23 (28%)11 (13%)0.064
  • *p < 0.05 compared with cortisol ≤15 µg/dL.

  • AIS, abbreviated injury scale; GCS, Glasgow Coma Scale; GSW, gunshot wound; HR, heart rate; ISS, injury severity score; MCC, motorcycle collision; MVC, motor vehicle collision; Ped, pedestrian; SBP, systolic blood pressure; SW, stab wound.