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Cited by 257

The DOI matches its Crossref record; 245 of the 245 references it cites were found in a registry or an index.

Vitamin C Can Shorten the Length of Stay in the ICU: A Meta-Analysis

Open access
Hemilä, Harri, Chalker, Elizabeth·2019·Nutrients

Abstract

A number of controlled trials have previously found that in some contexts, vitamin C can have beneficial effects on blood pressure, infections, bronchoconstriction, atrial fibrillation, and acute kidney injury. However, the practical significance of these effects is not clear. The purpose of this meta-analysis was to evaluate whether vitamin C has an effect on the practical outcomes: length of stay in the intensive care unit (ICU) and duration of mechanical ventilation. We identified 18 relevant controlled trials with a total of 2004 patients, 13 of which investigated patients undergoing elective cardiac surgery. We carried out the meta-analysis using the inverse variance, fixed effect options, using the ratio of means scale. In 12 trials with 1766 patients, vitamin C reduced the length of ICU stay on average by 7.8% (95% CI: 4.2% to 11.2%; p = 0.00003). In six trials, orally administered vitamin C in doses of 1–3 g/day (weighted mean 2.0 g/day) reduced the length of ICU stay by 8.6% (p = 0.003). In three trials in which patients needed mechanical ventilation for over 24 hours, vitamin C shortened the duration of mechanical ventilation by 18.2% (95% CI 7.7% to 27%; p = 0.001). Given the insignificant cost of vitamin C, even an 8% reduction in ICU stay is worth exploring. The effects of vitamin C on ICU patients should be investigated in more detail.

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Metadata

Authors
Hemilä, H., & Chalker, E.
Venue
Nutrients
Publisher
MDPI AG
Published
2019-03-27
Volume
11
Issue
4
Pages
708
ISSN
2072-6643 (ISSN-L)
OpenAlex
W2922732623
Cited by
257
References
245
FWCI
10.50
Type
journal article
Language
en
Open access
gold

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Hemilä, H., & Chalker, E. (2019). Vitamin C Can Shorten the Length of Stay in the ICU: A Meta-Analysis. Nutrients. https://doi.org/10.3390/nu11040708

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