To the Editor: Publication of the latest study on corticosteroids in septic shock, by Sprung al. (Nov. 1 issue),1 expands the body of knowledge on this difficult topic, but it is hard to say in which direction. Depending on whether one is for or against steroids, one may conclude either that the ultimate mortality is the same but shock is reversed, or that shock is reversed but the ultimate mortality is the same. (The accompanying editorial by Kass2 seems to lean in the latter direction.) Additional information might help us to understand the real contribution of steroids in these cases:.
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