In modified intention-to-treat analyses , the HR for hospital-acquired pneumonia with steroids versus placebo was 0.80 ( 95 % CI 0.56-1 .14 , p = 0.22 ) in patients with adrenal insufficiency , and , in an exploratory preplanned analysis , 048 ( 023-101 ; p = 005 ) in patients with normal adrenal function .