Gone fishing in a fluid trial

Peter B Hjortrup, Nicolai Haase, Jørn Wetterslev, Anders Perner

8 Citations (Scopus)

Abstract

Objective: To maximise the yield of existing data by assessing the effect on mortality of being born under the zodiac sign Pisces in a trial of intravenous (IV) fluids. Design, setting and participants: A retrospective observational study, with no predefined hypothesis or statistical analysis plan, of 26 Scandinavian intensive care units between 2009 and 2011. Patients aged 18 years or older with severe sepsis and in need of fluid resuscitation, randomised in the Scandinavian Starch for Severe Sepsis/ Septic Shock (6S) trial. Main outcome measure: Ninety-day mortality. Results: We included all 798 randomised patients in our study; 70 (9%) were born under the sign of Pisces. The primary outcome (death within 90 days after randomisation) occurred in 25 patients (35.7%) in the Pisces group, compared with 348 patients (48%) in the non-Pisces group (relative risk, 0.75; 95% Cl, 0.54–1.03; one-sided P = 0.03). Conclusions: In a multicentre randomised clinical trial of IV fluids, being born under the sign of Pisces was associated with a decreased risk of death. Our study shows that with convenient use of statistics and an enticing explanatory hypothesis, it is possible to achieve significant findings in post-hoc analyses of data from large trials.

Original languageEnglish
JournalCritical Care and Resuscitation
Volume18
Issue number1
Pages (from-to)55-8
Number of pages4
ISSN1441-2772
Publication statusPublished - Mar 2016

Keywords

  • Aged
  • Astrology
  • Critical Care
  • Female
  • Fluid Therapy
  • Humans
  • Hydroxyethyl Starch Derivatives
  • Male
  • Middle Aged
  • Retrospective Studies
  • Sepsis
  • Journal Article
  • Multicenter Study
  • Observational Study
  • Randomized Controlled Trial

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