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. 2019 Mar 27;11(4):708. doi: 10.3390/nu11040708

Table 2.

Meta-analyses of all included trials and selected subgroups on the length of ICU stay.

Selection of Trials N Trials N Patients Estimate of Effect Heterogeneity
RoM 95% CI p I 2 p
All 17 1967 0.835 0.81–0.86 10−26 90% 10−24
Exclusion1 (a) 16 1882 0.908 0.87–0.94 10−6 58% 0.002
Exclusion2 (a) 15 1842 0.923 0.89–0.96 0.00003 35% 0.088
Final meta-analysis (b) 12 1766 0.922 0.89–0.96 0.00003 43% 0.055
Sensitivity analysis (c) 9 1312 0.927 0.88–0.98 0.005 51% 0.036
Cardiac trials 11 1726 0.918 0.88–0.95 0.00001 43% 0.066
Oral vitamin C 6 927 0.914 0.86–0.97 0.003 49% 0.08
Intravenous vitamin C 6 839 0.928 0.88–0.97 0.003 47% 0.10
Trials in Iran 6 862 0.927 0.88–0.98 0.005 43% 0.12
Trials out of Iran 6 904 0.917 0.87–0.97 0.002 53% 0.06
1-2 days ICU (d) 7 1231 0.943 0.89–0.99 0.027 52% 0.05
3-5 days ICU (d) 5 535 0.899 0.85–0.95 0.0001 23% 0.3

(a) Exclusion1 is the meta-analysis in which the Dingchao trial [106] is excluded. Exclusion2 is the meta-analysis in which the Abdoulhossein study vitamin E patients [122] is further excluded. (b) The final meta-analysis excludes the three small trials by Colby [109], Fowler [115], and Zabet [117] in addition to the two trials excluded in Exclusion2. Note that the exclusion of these three small trials has no meaningful effect on the point estimate of effect (RoM: 0.9227 versus 0.9220) or on the p-value, but their exclusion increases the level of heterogeneity from I2 = 35% to 43%. The Final meta-analysis, indicated by bold, is shown as Figure 3. The subgroup analyses below the final meta-analysis are based on the final meta-analysis. (c) In the sensitivity analysis, we excluded two trials with no description of allocation [114,118], and a quasi-randomized trial [121]. (d) Length of ICU stay in the control group of the trial; see the comparison of the subgroups in Supplementary file S1. Abbreviations: RoM, ratio of means; for example, RoM = 0.922 of the final model indicates that vitamin C shortens the mean length of ICU stay by 7.8%.