Treatment of Polytraumatisms With Corticoids

Interest of Treatment of Polytraumatisms With Corticoids (Hydrocortisone) for Patient With Relative Adrenocortical Insufficiency

Interest of treatment of polytraumatisms with corticoids (hydrocortisone) for patient with relative adrenocortical insufficiency on frequency of nosocomial infection, and hemodynamic complications and organs injuries.

Inclusion Criteria:

• Age superior of 15 years
• Hospitalization in reanimation for polytraumatism (lesion of two organs with a vital risk)
• SISS score more than 15
• Intubation for more than 48 hours.
• Agreement of a family member
• Patient with insurance

Exclusion Criteria:

• History of corticothérapies within 6 months
• History of adrenocortical insufficiency.
• Treatment by immunosuppressor
• Immunodeficiency.