Evidence map›Paper›PMID 34800992›Full record

Observational studyBMC nephrology2021

High dose intravenous vitamin C treatment in Sepsis: associations with acute kidney injury and mortality.

Thomas R McCune, Angela J Toepp, Brynn E Sheehan, Muhammad Shaheer K Sherani, Stephen T Petr, Sunita Dodani

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Thomas R McCuneDivision of Nephrology, Department of Internal Medicine, Eastern Virginia Medical School, 301 Riverview Ave, Suite 600, Norfolk, Virginia, 23510, USA. mccunetr@evms.edu.ORCID 0000-0002-6245-3924
Angela J ToeppEVMS-Sentara Healthcare Analytics and Delivery Science Institute, Eastern Virginia Medical School, Norfolk, Virginia, USA.
Brynn E SheehanEVMS-Sentara Healthcare Analytics and Delivery Science Institute, Eastern Virginia Medical School, Norfolk, Virginia, USA.
Muhammad Shaheer K SheraniEastern Virginia Medical School, Norfolk, Virginia, USA.
Stephen T PetrEastern Virginia Medical School, Norfolk, Virginia, USA.
Sunita DodaniEVMS-Sentara Healthcare Analytics and Delivery Science Institute, Eastern Virginia Medical School, Norfolk, Virginia, USA.
Eastern Virginia Medical School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effects of vitamin C on clinical outcomes in critically ill patients remain controversial due to inconclusive studies. This retrospective observational cohort study evaluated the effects of vitamin C therapy on acute kidney injury (AKI) and mortality among septic patients.

methodsElectronic medical records of 1390 patients from an academic hospital who were categorized as Treatment (received at least one dose of 1.5 g IV vitamin C, n = 212) or Comparison (received no, or less than 1.5 g IV vitamin C, n = 1178) were reviewed. Propensity score matching was conducted to balance a number of covariates between groups. Multivariate logistic regressions were conducted predicting AKI and in-hospital mortality among the full sample and a sub-sample of patients seen in the ICU.

resultsData revealed that vitamin C therapy was associated with increases in AKI (OR = 2.07 95% CI [1.46-2.93]) and in-hospital mortality (OR = 1.67 95% CI [1.003-2.78]) after adjusting for demographic and clinical covariates. When stratified to examine ICU patients, vitamin C therapy remained a significant risk factor of AKI (OR = 1.61 95% CI [1.09-2.39]) and provided no protective benefit against mortality (OR = 0.79 95% CI [0.48-1.31]).

conclusionOngoing use of high dose vitamin C in sepsis should be appraised due to observed associations with AKI and death.

Indexed as

Acute Kidney InjuryAdministration, IntravenousAge FactorsAscorbic AcidFemaleHospital MortalityHumansIntensive Care UnitsLength of StayMaleMiddle AgedPropensity ScoreRegression AnalysisRetrospective StudiesSepsisAscorbic AcidAcute kidney injuryIn-hospital mortalitySepsisVitamin C therapy

Identifiers

PMID34800992
PMCPMC8606062
OpenAlexW3216801743

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.