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Xiaoyi Qi
Xiaoyi Qi
Departments of Cardiology, Peking University Shenzhen Hospital, Shenzhen, China
Medical College, Shantou University, Shantou, China
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Medical College, Shantou University, Shantou, China
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Liangxian Qiu
Liangxian Qiu
Departments of Cardiology, Peking University Shenzhen Hospital, Shenzhen, China
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Shijia Wang
Shijia Wang
Departments of Cardiology, Peking University Shenzhen Hospital, Shenzhen, China
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Xiongbiao Chen
Xiongbiao Chen
Departments of Cardiology, Peking University Shenzhen Hospital, Shenzhen, China
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Qianwen Huang
Qianwen Huang
Departments of Cardiology, Peking University Shenzhen Hospital, Shenzhen, China
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Yixuan Zhao
Yixuan Zhao
Departments of Cardiology, Peking University Shenzhen Hospital, Shenzhen, China
Medical College, Shantou University, Shantou, China
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Medical College, Shantou University, Shantou, China
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Kunfu Ouyang
Kunfu Ouyang
Department of Cardiovascular Surgery, Peking University Shenzhen Hospital, School of Chemical Biology and Biotechnology, State Key Laboratory of Chemical Oncogenomics, Peking University Shenzhen Graduate School, Shenzhen, China
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Yanjun Chen
Yanjun Chen
Departments of Cardiology, Peking University Shenzhen Hospital, Shenzhen, China
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cardiovascular events (MACE), or in-hospital mortality; and (v) studies published in English. Our search strategy was therefore: (heart failure OR heart decompensation OR congestive heart failure OR HF) AND (non-thyroidal illness syndrome OR NTIS OR low T 3
Josi Vidart
Josi Vidart
Thyroid Section, Endocrine Division, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Intensive Care Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
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Intensive Care Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
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Paula Jaskulski
Paula Jaskulski
Internal Medicine Division, Hospital de Clínicas de Porto Alegre, Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Ana Laura Kunzler
Ana Laura Kunzler
Internal Medicine Division, Hospital de Clínicas de Porto Alegre, Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Rafael Aguiar Marschner
Rafael Aguiar Marschner
Thyroid Section, Endocrine Division, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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André Ferreira de Azeredo da Silva
André Ferreira de Azeredo da Silva
Internal Medicine Division, Hospital de Clínicas de Porto Alegre, Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Simone Magagnin Wajner
Simone Magagnin Wajner
Thyroid Section, Endocrine Division, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Internal Medicine Division, Hospital de Clínicas de Porto Alegre, Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Internal Medicine Division, Hospital de Clínicas de Porto Alegre, Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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–pituitary–thyroid function. These changes, collectively known as ‘non-thyroidal illness syndrome‘ (NTIS) or ‘low T3 syndrome’ are characterized by low plasma concentrations of the biologic active hormone triiodothyronine (T3), low or normal plasma concentrations of thyroxine
Amir Bashkin
Amir Bashkin
Department of Endocrinology, Galilee Medical Center, Nahariya, Israel
Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
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Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
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Eliran Yaakobi
Eliran Yaakobi
Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
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Marina Nodelman
Marina Nodelman
Department of Endocrinology, Galilee Medical Center, Nahariya, Israel
Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
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Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
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Ohad Ronen
Ohad Ronen
Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
Department of Otolaryngology Head and Neck Surgery, Galilee Medical Center, Nahariya, Israel
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Department of Otolaryngology Head and Neck Surgery, Galilee Medical Center, Nahariya, Israel
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diagnoses: overt hypothyroidism, subclinical hypothyroidism, overt thyrotoxicosis, subclinical thyrotoxicosis and non-thyroidal illness syndrome (NTIS) and/or effect of drugs. It is impossible to differentiate between the latter two based on thyroid function
Dimitra Argyro Vassiliadi
Dimitra Argyro Vassiliadi
Department of Endocrinology Diabetes and Metabolism, National Expertise Center for Rare Endocrine Diseases, Evangelismos Hospital, Athens, Greece
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Ioannis Ilias
Ioannis Ilias
Department of Endocrinology Diabetes and Metabolism, Elena Venizelou Hospital, Elena Venizelou Square, Athens, Greece
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Maria Pratikaki
Maria Pratikaki
1st Department of Critical Care & Pulmonary Services, Medical School National & Kapodistrian, Evangelismos Hospital, University of Athens, Athens, Greece
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Edison Jahaj
Edison Jahaj
1st Department of Critical Care & Pulmonary Services, Medical School National & Kapodistrian, Evangelismos Hospital, University of Athens, Athens, Greece
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Alice G Vassiliou
Alice G Vassiliou
1st Department of Critical Care, GP Livanos & M Simou Laboratories, Medical School National & Kapodistrian, Evangelismos Hospital, University of Athens, Athens, Greece
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Maria Detsika
Maria Detsika
1st Department of Critical Care, GP Livanos & M Simou Laboratories, Medical School National & Kapodistrian, Evangelismos Hospital, University of Athens, Athens, Greece
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Kleio Ampelakiotou
Kleio Ampelakiotou
Department of Immunology and Histocompatibility Evangelismos Hospital, Athens, Greece
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Marina Koulenti
Marina Koulenti
Department of Endocrinology Diabetes and Metabolism, National Expertise Center for Rare Endocrine Diseases, Evangelismos Hospital, Athens, Greece
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Konstantinos N Manolopoulos
Konstantinos N Manolopoulos
Department of Endocrinology Diabetes and Metabolism, National Expertise Center for Rare Endocrine Diseases, Evangelismos Hospital, Athens, Greece
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Stamatis Tsipilis
Stamatis Tsipilis
1st Department of Critical Care & Pulmonary Services, Medical School National & Kapodistrian, Evangelismos Hospital, University of Athens, Athens, Greece
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Evdokia Gavrielatou
Evdokia Gavrielatou
1st Department of Critical Care & Pulmonary Services, Medical School National & Kapodistrian, Evangelismos Hospital, University of Athens, Athens, Greece
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Aristidis Diamantopoulos
Aristidis Diamantopoulos
Department of Endocrinology Diabetes and Metabolism, National Expertise Center for Rare Endocrine Diseases, Evangelismos Hospital, Athens, Greece
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Alexandros Zacharis
Alexandros Zacharis
1st Department of Critical Care & Pulmonary Services, Medical School National & Kapodistrian, Evangelismos Hospital, University of Athens, Athens, Greece
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Nicolaos Athanasiou
Nicolaos Athanasiou
1st Department of Critical Care & Pulmonary Services, Medical School National & Kapodistrian, Evangelismos Hospital, University of Athens, Athens, Greece
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Stylianos Orfanos
Stylianos Orfanos
2nd Department of Critical Care Medical School National & Kapodistrian University of Athens Attikon University Hospital, Athens-Haidari, Greece
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Anastasia Kotanidou
Anastasia Kotanidou
1st Department of Critical Care & Pulmonary Services, Medical School National & Kapodistrian, Evangelismos Hospital, University of Athens, Athens, Greece
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Stylianos Tsagarakis
Stylianos Tsagarakis
Department of Endocrinology Diabetes and Metabolism, National Expertise Center for Rare Endocrine Diseases, Evangelismos Hospital, Athens, Greece
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Ioanna Dimopoulou
Ioanna Dimopoulou
1st Department of Critical Care & Pulmonary Services, Medical School National & Kapodistrian, Evangelismos Hospital, University of Athens, Athens, Greece
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, barrier when assessing severely or critically ill patients is the fact that these patients often display thyroid hormone alterations in the context of non-thyroidal illness syndrome (NTIS) ( 22 ). Therefore, we conducted an observational study of thyroid
Erika Biegelmeyer
Erika Biegelmeyer
Internal Medicine Division, Hospital de Clínicas de Porto Alegre, Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul
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Iury Scanagata
Iury Scanagata
Internal Medicine Division, Hospital de Clínicas de Porto Alegre, Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul
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Laura Alves
Laura Alves
Internal Medicine Division, Hospital de Clínicas de Porto Alegre, Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul
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Murilo Reveilleau
Murilo Reveilleau
Internal Medicine Division, Hospital de Clínicas de Porto Alegre, Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul
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Fernando Pereira Schwengber
Fernando Pereira Schwengber
Internal Medicine Division, Hospital de Clínicas de Porto Alegre, Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul
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Simone Magagnin Wajner
Simone Magagnin Wajner
Internal Medicine Division, Hospital de Clínicas de Porto Alegre, Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul
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-thyroidal illness in the ICU: a syndrome with different faces . Thyroid 2014 24 1456 – 1465 . ( https://doi.org/10.1089/thy.2014.0201 ) 3 de Vries EM Fliers E Boelen A . The molecular basis of the non-thyroidal illness syndrome . Journal of
Paraskevi Kazakou
Paraskevi Kazakou
Diabetes Centre, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Stavroula A Paschou
Stavroula A Paschou
Endocrine Unit, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Theodora Psaltopoulou
Theodora Psaltopoulou
Unit of Hematology and Oncology, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Maria Gavriatopoulou
Maria Gavriatopoulou
Unit of Hematology and Oncology, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Eleni Korompoki
Eleni Korompoki
Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Katerina Stefanaki
Katerina Stefanaki
Endocrine Unit, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Fotini Kanouta
Fotini Kanouta
Department of Endocrinology, Alexandra Hospital, Athens, Greece
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Georgia N Kassi
Georgia N Kassi
Department of Endocrinology, Alexandra Hospital, Athens, Greece
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Meletios-Athanasios Dimopoulos
Meletios-Athanasios Dimopoulos
Unit of Hematology and Oncology, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Asimina Mitrakou
Asimina Mitrakou
Diabetes Centre, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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’ storm ( 76 , 89 ). Another potential explanation could be an underlying non-thyroidal illness syndrome or euthyroid sick syndrome, which is often caused by critical illness ( 93 ). This is characterized by normal or low serum TSH and T3 levels, with
Clara Lundetoft Clausen
Clara Lundetoft Clausen
Center of Research & Disruption of Infectious Diseases, Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Denmark
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Åse Krogh Rasmussen
Åse Krogh Rasmussen
Department of Medical Endocrinology and Metabolism, Copenhagen University Hospital, Copenhagen, Denmark
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Trine Holm Johannsen
Trine Holm Johannsen
Department of Growth and Reproduction, Copenhagen University Hospital, Copenhagen, Denmark
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Linda Maria Hilsted
Linda Maria Hilsted
Department of Clinical Biochemistry, Copenhagen University Hospital, Copenhagen, Denmark
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Niels Erik Skakkebæk
Niels Erik Skakkebæk
Department of Growth and Reproduction, Copenhagen University Hospital, Copenhagen, Denmark
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Pal Bela Szecsi
Pal Bela Szecsi
Department of Clinical Biochemistry, Holbæk Hospital, Holbæk, Denmark
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Lise Pedersen
Lise Pedersen
Department of Clinical Biochemistry, Holbæk Hospital, Holbæk, Denmark
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Thomas Benfield
Thomas Benfield
Center of Research & Disruption of Infectious Diseases, Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Denmark
Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Anders Juul
Anders Juul
Department of Growth and Reproduction, Copenhagen University Hospital, Copenhagen, Denmark
Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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in 9.5% of patients which is comparable to – although in the high end of – the general population at any given time ( 18 ). Lastly, 1.7% of patients were found to have non-thyroidal illness syndrome. In this study, IL-8, IL-10, IL-15, IP-10, and GM
John E M Midgley
John E M Midgley
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Rolf Larisch
Rolf Larisch
North Lakes Clinical, Department of Nuclear Medicine, Medical Department I, Ruhr Center for Rare Diseases (CeSER), 20 Wheatley Avenue, Ilkley LS29 8PT, UK
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Johannes W Dietrich
Johannes W Dietrich
North Lakes Clinical, Department of Nuclear Medicine, Medical Department I, Ruhr Center for Rare Diseases (CeSER), 20 Wheatley Avenue, Ilkley LS29 8PT, UK
North Lakes Clinical, Department of Nuclear Medicine, Medical Department I, Ruhr Center for Rare Diseases (CeSER), 20 Wheatley Avenue, Ilkley LS29 8PT, UK
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North Lakes Clinical, Department of Nuclear Medicine, Medical Department I, Ruhr Center for Rare Diseases (CeSER), 20 Wheatley Avenue, Ilkley LS29 8PT, UK
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Rudolf Hoermann
Rudolf Hoermann
North Lakes Clinical, Department of Nuclear Medicine, Medical Department I, Ruhr Center for Rare Diseases (CeSER), 20 Wheatley Avenue, Ilkley LS29 8PT, UK
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not compromised in any way by problematic conditions such as the non-thyroid illness syndrome, as the study was conducted in a cohort of otherwise ‘healthy’ out-patients without relevant comorbidity. There was no evidence for a potential bias stemming
Madalena von Hafe
Madalena von Hafe
Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal
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João Sergio Neves
João Sergio Neves
Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal
Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar São João, Porto, Portugal
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Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar São João, Porto, Portugal
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Catarina Vale
Catarina Vale
Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal
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Marta Borges-Canha
Marta Borges-Canha
Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal
Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar São João, Porto, Portugal
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Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar São João, Porto, Portugal
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Adelino Leite-Moreira
Adelino Leite-Moreira
Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal
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Clinical Endocrinology and Metabolism 2003 88 3202 – 3211 . ( https://doi.org/10.1210/jc.2002-022013 ) 10.1210/jc.2002-022013 72 Warner MH Beckett GJ . Mechanisms behind the non-thyroidal illness syndrome: an update . Journal of Endocrinology
Arno Téblick
Arno Téblick
Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven, Leuven, Belgium
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Lies Langouche
Lies Langouche
Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven, Leuven, Belgium
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Greet Van den Berghe
Greet Van den Berghe
Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven, Leuven, Belgium
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Pauwels L Verbruggen S Wouters P Langouche L Garcia Guerra G , et al . Non-thyroidal illness syndrome in critically ill children: prognostic value and impact of nutritional management . Thyroid 2019 29 480 – 492 . ( https://doi.org/10
