Do you routinely check morning cortisol before discharging a patient who received more than 3 days of high-dose corticosteroids during a hospitalization for an acute illness?

Do you routinely check a morning cortisol before discharging a patient who received more than 3 days of high-dose corticosteroids during a hospitalization for an acute illness?

• No, I do not routinely check morning cortisol — 3 days of high-dose corticosteroids is unlikely to cause clinically significant HPA axis suppression
• No, I discharge on a steroid taper and check morning cortisol as an outpatient once tapered to physiologic replacement doses
• Yes, I check morning cortisol before discharge regardless of duration or dose
• It depends — I check morning cortisol before discharge only if the patient received corticosteroids for more than 1-2 weeks
• Other