High dose intravenous vitamin C treatment in Sepsis: associations with acute kidney injury and mortality
| Autor: | Brynn E. Sheehan, Stephen T Petr, Angela J. Toepp, Sunita Dodani, Thomas R McCune, Muhammad Shaheer K Sherani |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Nephrology
Male medicine.medical_specialty Ascorbic Acid Logistic regression Sepsis Vitamin C therapy Internal medicine medicine Humans Hospital Mortality Propensity Score Retrospective Studies Vitamin C business.industry Medical record Acute kidney injury Age Factors Length of Stay Middle Aged medicine.disease Diseases of the genitourinary system. Urology Intensive Care Units In-hospital mortality Propensity score matching Regression Analysis Administration Intravenous Female RC870-923 business Cohort study Research Article |
| Zdroj: | BMC Nephrology, Vol 22, Iss 1, Pp 1-10 (2021) BMC Nephrology |
| ISSN: | 1471-2369 |
| Popis: | Background The 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. Methods Electronic 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. Results Data 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]). Conclusion Ongoing use of high dose vitamin C in sepsis should be appraised due to observed associations with AKI and death. |
| Databáze: | OpenAIRE |
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