The effect of vitamin C on the risk of mortality in patients with COVID-19: a systematic review and meta-analysis of randomized controlled trials

被引:7
作者
Kow, Chia Siang [1 ]
Hasan, Syed Shahzad [2 ,3 ]
Ramachandram, Dinesh Sangarran [4 ]
机构
[1] Int Med Univ, Sch Pharm, 126 Jalan Jalil Perkasa, Kuala Lumpur, Malaysia
[2] Univ Huddersfield, Sch Appl Sci, Huddersfield, England
[3] Univ Newcastle, Sch Biomed Sci & Pharm, Callaghan, Australia
[4] Monash Univ Malaysia, Sch Pharm, Bandar Sunway, Selangor, Malaysia
关键词
Ascorbic acid; COVID-19; Mortality; Vitamin C; BLIND;
D O I
10.1007/s10787-023-01200-5
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background and AimsVitamin C appears to be a viable treatment option for patients with COVID-19.MethodsWe conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) of vitamin C versus comparative interventions in patients with COVID-19. The outcome of interest was all-cause mortality.Results The meta-analysis of eleven trials using a random-effects model revealed significant reduction in the risk of all-cause mortality with the administration of vitamin C among patients with COVID-19 relative to no vitamin C (pooled odds ratio = 0.53; 95% confidence interval 0.30-0.92). Subgroup analysis of studies that included patients with severe COVID-19 also produced findings of significant mortality reduction with the administration of vitamin C relative to no vitamin C (pooled odds ratio = 0.47; 95% confidence interval 0.26-0.84).Conclusion Overall, evidence from RCTs suggests a survival benefit for vitamin C in patients with severe COVID-19. However, we should await data from large-scale randomized trials to affirm its mortality benefits.
引用
收藏
页码:3357 / 3362
页数:6
相关论文
共 11 条
[1]   The effect of supplementation with vitamins A, B, C, D, and E on disease severity and inflammatory responses in patients with COVID-19: a randomized clinical trial [J].
Beigmohammadi, Mohammad Taghi ;
Bitarafan, Sama ;
Hoseindokht, Azin ;
Abdollahi, Alireza ;
Amoozadeh, Laya ;
Soltani, Danesh .
TRIALS, 2021, 22 (01)
[2]   Ruxolitinib in treatment of severe coronavirus disease 2019 (COVID-19): A multicenter, single-blind, randomized controlled trial [J].
Cao, Yang ;
Wei, Jia ;
Zou, Liang ;
Jiang, Tiebin ;
Wang, Gaoxiang ;
Chen, Liting ;
Huang, Liang ;
Meng, Fankai ;
Huang, Lifang ;
Wang, Na ;
Zhou, Xiaoxi ;
Luo, Hui ;
Mao, Zekai ;
Chen, Xing ;
Xie, Jungang ;
Liu, Jing ;
Cheng, Hui ;
Zhao, Jianping ;
Huang, Gang ;
Wang, Wei ;
Zhou, Jianfeng .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2020, 146 (01) :137-+
[3]   Safety and effectiveness of high-dose vitamin C in patients with COVID-19: a randomized open-label clinical trial [J].
JamaliMoghadamSiahkali, Saeidreza ;
Zarezade, Besharat ;
Koolaji, Sogol ;
SeyedAlinaghi, SeyedAhmad ;
Zendehdel, Abolfazl ;
Tabarestani, Mohammad ;
Moghadam, Ehsan Sekhavati ;
Abbasian, Ladan ;
Manshadi, Seyed Ali Dehghan ;
Salehi, Mohamadreza ;
Hasannezhad, Malihe ;
Ghaderkhani, Sara ;
Meidani, Mohsen ;
Salahshour, Faeze ;
Jafari, Fatemeh ;
Manafi, Navid ;
Ghiasvand, Fereshteh .
EUROPEAN JOURNAL OF MEDICAL RESEARCH, 2021, 26 (01)
[4]   Efficacy of intravenous vitamin C in management of moderate and severe COVID-19: A double blind randomized placebo controlled trial [J].
Kumar, Vijay ;
Bhushan, Divendu ;
Supriya, Sushmita ;
Ganapule, Avinash Aravind ;
Lohani, Pallavi ;
Shyama ;
Pandey, Sanjay ;
Majhi, Pramod Kumar ;
Anand, Utpal ;
Kumar, Ramesh ;
Bhadani, Umesh Kumar .
JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE, 2022, 11 (08) :4758-4765
[5]   The Role of Vitamin C as Adjuvant Therapy in COVID-19 [J].
Kumari, Poona ;
Dembra, Suman ;
Dembra, Pariya ;
Bhawna, Fnu ;
Gul, Ambresha ;
Ali, Basma ;
Sohail, Hamza ;
Kumar, Besham ;
Memon, Muhammad Khizar ;
Rizwan, Amber .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2020, 12 (11)
[6]   High-dose Intravenous Vitamin C in Early Stages of Severe Acute Respiratory Syndrome Coronavirus 2 Infection: A Double-blind, Randomized, Controlled Clinical Trial [J].
Labbani-Motlagh, Zohre ;
Amini, Shahideh ;
Aliannejad, Rasoul ;
Sadeghi, Anahita ;
Shafiee, Gita ;
Heshmat, Ramin ;
Jafary, Mohamadreza ;
Talaschian, Mona ;
Akhtari, Maryam ;
Jamshidi, Ahmadreza ;
Mahmoudi, Mahdi ;
Sadeghi, Kourosh .
JOURNAL OF RESEARCH IN PHARMACY PRACTICE, 2022, 11 (02) :64-72
[7]   Effect of a Nutritional Support System to Increase Survival and Reduce Mortality in Patients with COVID-19 in Stage III and Comorbidities: A Blinded Randomized Controlled Clinical Trial [J].
Leal-Martinez, Fernando ;
Abarca-Bernal, Lorena ;
Garcia-Perez, Alejandra ;
Gonzalez-Tolosa, Dinnaru ;
Cruz-Cazares, Georgina ;
Montell-Garcia, Marco ;
Ibarra, Antonio .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2022, 19 (03)
[8]   The Effect of Vitamin C on Pathological Parameters and Survival Duration of Critically Ill Coronavirus Disease 2019 Patients: A Randomized Clinical Trial [J].
Majidi, Nazanin ;
Rabbani, Faezeh ;
Gholami, Somayeh ;
Gholamalizadeh, Maryam ;
BourBour, Fatemeh ;
Rastgoo, Samira ;
Hajipour, Azadeh ;
Shadnoosh, Mahdi ;
Akbari, Mohammad Esmail ;
Bahar, Bojlul ;
Ashoori, Narjes ;
Alizadeh, Atiyeh ;
Samipoor, Forough ;
Moslem, Alireza ;
Doaei, Saeid ;
Suzuki, Katsuhiko .
FRONTIERS IN IMMUNOLOGY, 2021, 12
[9]  
Tehrani S, 2022, UROL J, V19, P460, DOI 10.22037/uj.v18i.6863
[10]   Effect of High-Dose Zinc and Ascorbic Acid Supplementation vs Usual Care on Symptom Length and Reduction Among Ambulatory Patients With SARS-CoV-2 Infection The COVID A to Z Randomized Clinical Trial [J].
Thomas, Suma ;
Patel, Divyang ;
Bittel, Barbara ;
Wolski, Kathy ;
Wang, Qiuqing ;
Kumar, Anirudh ;
Il'Giovine, Zachary J. ;
Mehra, Reena ;
McWilliams, Carla ;
Nissen, Steve E. ;
Desai, Milind Y. .
JAMA NETWORK OPEN, 2021, 4 (02)