Evidence map›Paper›PMID 31505814›Full record

Observational studyNutrients2019

Perioperative Vitamin C and E levels in Cardiac Surgery Patients and Their Clinical Significance.

Aileen Hill, Christina Borgs, Christina Fitzner, Christian Stoppe

2 registry-linked trialsOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Nutrients, 2019. 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 26% 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.

NCT06395259 active not recruitingnot on this mapstarted 2023, after this paper: background citation

Evaluation of the Oxidative Status of Patients Undergoing Solid Organs Transplantation: Observational Study

TypeobservationalSponsorPoliclinico HospitalRan2023 to 2024Enrolled40ConditionsTransplantation, Ascorbic Acid Deficiency
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

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. What do we know about micronutrients in critically ill patients? A narrative review.JPEN. Journal of parenteral and enteral nutrition · 2025
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. [Vitamin C and D supplementation in critically ill patients].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023
    Review
  13. Review
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

4 authors at 1 institution in 1 country.

Aileen HillDepartment of Intensive Care Medicine, Medical Faculty RWTH Aachen University Hospital, D-52074 Aachen, Germany. ahill@ukaachen.de.ORCID 0000-0002-7013-3357
Christina BorgsDepartment of Intensive Care Medicine, Medical Faculty RWTH Aachen University Hospital, D-52074 Aachen, Germany. chborgs@ukaachen.de.
Christina FitznerDepartment of Anesthesiology, Medical Faculty RWTH Aachen University Hospital, D-52074 Aachen, Germany. cfitzner@ukaachen.de.
Christian StoppeDepartment of Intensive Care Medicine, Medical Faculty RWTH Aachen University Hospital, D-52074 Aachen, Germany. cstoppe@ukaachen.de.
RWTH Aachen University · DE

Funding

Faculty of Medicine of the RWTH Aachen University START-program 97/19
6 · The paper itself

Abstract

backgroundOxidative stress contributes to organ dysfunction after cardiac surgery and still represents a major problem. Antioxidants, such as vitamins C and E might be organ protective.

methodsThe primary objective of this prospective observational study was the description to evaluate the perioperative vitamin C and E levels in 56 patients undergoing cardiac surgery with the use of cardiopulmonary bypass. The association of vitamin C with inflammatory reaction, oxidative stress, organ dysfunctions, and clinical outcomes were evaluated in an explorative approach.

resultsVitamin C levels decreased significantly from 6.5 (3.5-11.5) mg/L before surgery to 2.8 (2.0-3.9) mg/L 48 h after surgery (

conclusionVitamin C and E levels significantly declined intraoperatively and remained significantly reduced low for 2 days after cardiac surgery. The influence of reduced serum levels on the inflammatory reaction and clinical outcome of the patients remain unclear in this small observational study and need to be investigated further. Given vitamin C´s pleiotropic role in the human defense mechanisms, further trials are encouraged to evaluate the clinical significance of Vitamin C in cardiac surgery patients.

Indexed as

AdultAgedAscorbic AcidCardiac Surgical ProceduresCardiopulmonary BypassFemaleHumansMaleMiddle AgedOxidative StressPostoperative ComplicationsPostoperative PeriodPreoperative PeriodProspective StudiesVitamin EAscorbic AcidVitamin Eascorbic acidcardiac surgerycritical careobservational studyorgan failureprospective studyvitamin E

Identifiers

PMID31505814
PMCPMC6769782
OpenAlexW2971932427

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.