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. 2020 May 20;121(7):1354–1363. doi: 10.1016/j.jand.2020.05.015

Table.

Study characteristics and major results for studies included in a scoping review examining efficacy of providing additional micronutrients or conditional amino acids on coronavirus-related outcomes

Study Population Intervention Comparison group Outcomes reported Major results
Ascorbic acid
Fowler et al 201916
RCTa
PMIDb 31573637
N = 167 ICUc patients with sepsis and acute respiratory distress syndrome
Plasma ascorbate levels at baseline were marginally deficient in both groups
Mean ± SDd age: 54.8 ± 16.7
Nutrient: ascorbic acid
Dose: 50 mg/kg in dextrose 5% in water
Mode: intravenous infusion
Duration: every 6 h for 96 h
Placebo (dextrose 5% in water only) Organ failure (modified SOFAe score), C-reactive protein levels, thrombomodulin levels Compared with placebo, ascorbic acid did not significantly improve reported outcomes.
Lin et al 201818
Retrospective case-control
PMID 29931212
N = 80
Patients in burn shock resuscitation
Baseline ascorbic acid status not reported
Mean ± SD age: 41±15 (intervention group) and 42.4 ± 17 (comparison group)
Nutrient: high-dose ascorbic acid
Dose: started at a dose of 66 mg/kg/h
Mode: intravenous infusion
Duration: mean time 4:01 ± 15 h
No treatment Ventilator-associated pneumonia, mortality There were no significant differences in the incidence of ventilator-associated pneumonia or mortality between the 2 groups.
Cholecalciferol
Miroliaee et al 201721, 201819
RCT
PMID 29248753
29201115
N = 49
Patients with ventilator-related pneumonia and cholecalciferol deficiency
Mean ± SD age: 57.83 ± 18.84 (intervention group) and 56.45 ± 20.70 (comparison group)
Nutrient: cholecalciferol
Dose: 300,000 U
Mode: intramuscular
Duration: N/Af
Placebo IL-6g, CRPh, CPISi score (pneumonia score), SOFA score, mortality Compared with placebo, cholecalciferol group had significantly lower IL-6 levels and mortality, but not CRP level and SOFA or CPIS score.
Vitamin E
Hajimahmoodi et al 200923
RCT
No PMID
N = 20
ICU patients with acute respiratory distress syndrome
Vitamin E status at baseline not reported
Mean ± SD age: 51.2 ± 6.41
Nutrient: vitamin E (600 IU/d)
Mode: intramuscular
Duration: 3 d
Placebo (normal saline) APACHEj II score Vitamin E appeared to be beneficial in decreasing APACHE II score (significant changes in APACHE II in the intervention group).
Seeger et al 198720
Before-after study
PMID 3117857
N = 14
Ventilated and intubated acute respiratory failure patients in ICU
Vitamin E status at baseline was not reported
Participant ages not reported
Nutrient: vitamin E (d,1-alpha-tocopherylacertate)
Dose: 3 g/d
Mode: enteral (liquid oil directly in gastric tube in 6 doses)
Duration: 10 d or if mechanical ventilation is not needed before 10 d
No comparison group Mortality No difference seen in mortality according to the increase in plasma tocopherols from the intervention.
Zinc
Hasanzadeh et al 201724
Prospective cohort study
PMID 28197049
N = 186
Adult mechanically ventilated trauma patients in the ICU
Zinc status at baseline not reported
Zinc
24.4% <30 y
51.2% 30-65 y
24.4% >65 y
No zinc
21.2% <30 y
50% 30-65 y
28.8% >65 y
Nutrient: zinc sulfate
Dosage: 60-90 mg/d
Mode: nasogastric tube
Duration: 1 y
No zinc sulfate Occurrence of ventilator-associated pneumonia measured with CPIS Patients receiving zinc sulfate had a smaller hazard of progression to ventilator-associated pneumonia.
Glutamine
Aydoğmuş et al 201222
RCT
PMID 25207045
N = 40 in glutamine and comparison groups
Patients on mechanical ventilator support for at least 7 d in the ICU
Mean ± SD age:
Nonglutamine group: 45 ± 18.2 y
Glutamine group: 36.35 ± 16.37 y
Nutrient: glutamine
Dose: 40 g/d
Mode: TPNk
Duration: 7 d
TPN without glutamine Development of ventilator-associated pneumonia, CRP There was no difference development of ventilator-associated pneumonia or CRP levels between groups.
Kaya et al 201717
RCT
PMID 28096000
N = 88
Ventilated patients in neurosurgical ICU; expected to be ventilated at least 5 d
Mean ± SD age: 48.57 ± 17.36
Nutrient: glutamine
Concentration: 5%
Mode: oral care
Duration: 5 d
Oral care with 2% chlorhexidine gluconate solution Ventilator-related pneumonia measured with Clinical Infection Score (chest x-rays; endotracheal aspirate cultures), acute
APACHE II score
No difference between groups at day 1, 3, or 5 (P > .05)
a

RCT = randomized controlled trail.

b

PMID = PubMed ID.

c

ICU = intensive care unit.

d

SD = standard deviation.

e

SOFA = sequential organ failure assessment.

f

N/A = not available.

g

IL-6 = interleukin-6.

h

CRP = C-reactive protein.

i

CPIS = Clinical Pulmonary Infection Score.

j

APACHE = Acute Physiology and Chronic Health Evaluation.

k

TPN = total parenteral nutrition.