Table 1

Prospective randomised trials of steroids administration in neurologically dead donors: summary of the studies

Author, yearDonors/recipients (n)Organs recoveredExperimental interventionControl intervention
Parallel design
Chatterjee et al 25 50/84KidneyMTP 5 g intravenous single dose after brain death confirmationUsual care
Dienst32 NR/106KidneyMTP 3 g intravenous + Cy 3 g intravenous single doses 5–8 hours before organ recoveryUsual care
NR/45MTP 5 g intravenous + Cy 3 g intravenous single doses 5–8 hours before organ recoveryUsual care
NR/29MTP 5 g intravenous + Cy 5 g intravenous single doses 5–8 hours. before organ recoveryPlacebo
Jeffery et al 33 NR/52KidneyMTP 5 g intravenous +Cy 7 g intravenous single doses ≥4 hours before organ recoveryUsual care
Soulillou et al 34 NR/62KidneyMTP 5 g intravenous + Cy 5 g intravenous single doses ≥5 hours before organ recoveryPlacebo
Corry et al 31 NR/52KidneyMTP 60 mg/kg intravenous +Cy 80 mg/kg intravenous single doses ≥5 hours before organ recoveryUsual care
Mariot et al 27 40/NRMulti-organsHydrocortisone 100 mg intravenous +T3 2 μg intravenous after brain death confirmation q.30–60 min until stable CVP and SBPPlacebo
Kotsch et al 29 100/100LiverMTP 250 mg intravenous+100 mg/hour intravenous after brain death confirmationUsual care
Kainz et al 26 269/455KidneyMTP 1 g single dose ≥3 hours before organ recoveryPlacebo
Amatschek et al 30 8390/83LiverMTP 1 g single dose ≥3 hours before organ recoveryPlacebo
Factorial design
Venkateswaran et al 35 60/NRLungMTP 1 g intravenous single dose±
T0.8 μg/kg+0.113 μg/kg/hour intravenous after brain death confirmation
Placebo
Venkateswaran et al 28 80/NRHeartMTP 1 g intravenous single dose ±
T0.8 μg/kg+0.113 μg/kg/hour intravenous after brain death confirmation
Placebo
  • CVP, central venous pressure,;Cy, cyclophosphamide; MTP, methylprednisolone; NR, not reported; SBP, systolic blood pressure; T3, liothyronin.