Evidence map›Paper›PMID 30060468›Full record

ReviewNutrients2018

Vitamin C to Improve Organ Dysfunction in Cardiac Surgery Patients-Review and Pragmatic Approach.

Aileen Hill, Sebastian Wendt, Carina Benstoem, Christina Neubauer, Patrick Meybohm, Pascal Langlois, Neill Kj Adhikari, Daren K Heyland, Christian Stoppe

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
5.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04046861 nacompletednot on this mapstarted 2023, after this paper: background citation

"Influence of High Vitamin C Dose on Lactate During Extracorporeal Circulation for Heart Surgery and During the 24 Hours Thereafter." (double Blind Prospective Randomised Study)

TypeinterventionalSponsorUniversity Medical Centre MariborRan2023 to 2024Enrolled70ConditionsHyperlactatemia, Cardiac Disease, Bypass Complication, Valve Disease, HeartArmsascorbic acid,, Placebo (saline)
NCT06995586 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Synergistic Action of Vitamins and Dietary Supplements in Patients With Coronary Artery Bypass Grafting for Improving the Quality of Healthcare Delivery.

TypeinterventionalSponsorNicosia General HospitalRan2026 to 2028Enrolled108ConditionsCardio-pulmonary Bypass, Cardiovascular Diseases, Omega-3 Polyunsaturated Fatty Acids, Omega-3 SupplementationArmsVitamin C, Omega 3 PUFA (EPO/DHA), Lignin, Lactulose
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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  16. The vitamin C paradigm: new frontiers in blood transfusion.Annals of medicine and surgery (2012) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Aileen HillDepartment of Intensive Care Medicine, University Hospital RWTH, D-52074 Aachen, Germany. ahill@ukaachen.de.ORCID 0000-0002-7013-3357
Sebastian Wendt3CARE-Cardiovascular Critical Care & Anesthesia Evaluation and Research, D-52074 Aachen, Germany. swendt@ukaachen.de.
Carina BenstoemDepartment of Intensive Care Medicine, University Hospital RWTH, D-52074 Aachen, Germany. cbenstoem@ukaachen.de.
Christina NeubauerDepartment of Intensive Care Medicine, University Hospital RWTH, D-52074 Aachen, Germany. cneubauer@ukaachen.de.
Patrick MeybohmDepartment of Anesthesiology and Intensive Care, University Hospital Frankfurt, D-60590 Frankfurt, Germany. patrick.meybohm@kgu.de.
Pascal LangloisDepartment of Anesthesiology and Reanimation, Faculty of Médecine and Health Sciences, Sherbrooke University Hospital, Sherbrooke, Québec, QC J1H 5N4, Canada. Pascal.laferriere-langlois@usherbrooke.ca.
Neill Kj AdhikariDepartment of Critical Care Medicine, Sunnybrook Health Sciences Centre, Interdepartmental Division of Critical Care Medicine, University of Toronto; Toronto, ON M4N 3M5, Canada. neill.adhikari@sunnybrook.ca.ORCID 0000-0003-4038-5382
Daren K HeylandClinical Evaluation Research Unit, Kingston General Hospital, Kingston, ON K7L 2V7, Canada. dkh2@queensu.ca.
Christian StoppeDepartment of Intensive Care Medicine, University Hospital RWTH, D-52074 Aachen, Germany. christian.stoppe@gmail.com.ORCID 0000-0002-2028-2039
RWTH Aachen University · DEGoethe University Frankfurt · DEKingston General Hospital · CASunnybrook Health Science Centre · CAUniversité de Sherbrooke · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The pleiotropic biochemical and antioxidant functions of vitamin C have sparked recent interest in its application in intensive care. Vitamin C protects important organ systems (cardiovascular, neurologic and renal systems) during inflammation and oxidative stress. It also influences coagulation and inflammation; its application might prevent organ damage. The current evidence of vitamin C's effect on pathophysiological reactions during various acute stress events (such as sepsis, shock, trauma, burn and ischemia-reperfusion injury) questions whether the application of vitamin C might be especially beneficial for cardiac surgery patients who are routinely exposed to ischemia/reperfusion and subsequent inflammation, systematically affecting different organ systems. This review covers current knowledge about the role of vitamin C in cardiac surgery patients with focus on its influence on organ dysfunctions. The relationships between vitamin C and clinical health outcomes are reviewed with special emphasis on its application in cardiac surgery. Additionally, this review pragmatically discusses evidence on the administration of vitamin C in every day clinical practice, tackling the issues of safety, monitoring, dosage, and appropriate application strategy.

Indexed as

AntioxidantsAscorbic AcidCardiac Surgical ProceduresCardiovascular SystemCritical CareHumansKidneyMultiple Organ FailureNervous SystemOxidative StressPostoperative ComplicationsVitaminsAntioxidantsAscorbic AcidVitaminsantioxidant therapyascorbic acidcardiac surgerymulti organ failurenutrientorgan dysfunctionoxidative stressvitamin C

Identifiers

PMID30060468
PMCPMC6115862
OpenAlexW2810864124

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.