This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.
Hydrocortisone: emergency and stress dose in children
Hydrocortisone in adrenal crisis, on sick days and during surgery – selectable according to BSPED 2023 or Austria 2022
Calculation aid for healthcare professionals: the calculator reproduces what the sources cited assign to the inputs. Clinical assessment and every treatment decision remain with the treating physician. Inputs and results are not stored.
Frequently asked questions
Hydrocortisone: emergency and stress dose in children: What does this calculator compute?
Calculates, for children with adrenal insufficiency (the adrenal gland produces too little cortisol), the hydrocortisone dose in adrenal crisis, on sick days and during surgery. Selectable according to the British guideline (BSPED 2023: 25 mg under 1 year, 50 mg 1–5 years, 100 mg from 6 years or 2 mg/kg, maximum 100 mg) or according to the Austrian consensus document 2022 (25 mg under 2 years, 50 mg 2–6 years, 100 mg over 6 years or 50–100 mg/m²). The age bands of both sources are shown side by side. Never delay the emergency dose.
Hydrocortisone: emergency and stress dose in children: Which sources is this calculator based on?
Mushtaq T, Ali SR, Boulos N, et al.; Paediatric Adrenal Insufficiency Group, BSPED: Emergency and perioperative management of adrenal insufficiency in children and young people: British Society for Paediatric Endocrinology and Diabetes consensus guidance (Arch Dis Child 108:871–878) (2023); Austrian Society for Endocrinology and Metabolism (ÖGES) and Working Group for Paediatric Endocrinology and Diabetology Austria (APEDÖ) of the ÖGKJ: Emergency card, emergency medication and information material for the prevention and treatment of adrenal crisis (Addison crisis): consensus document (J Klin Endokrinol Stoffwechs 15:5–27) (2022)