TABLE 2.
Overview of the interventional studies included in the systematic review.
| Study (year) | Location | Sample size (male/female) | Mean age (years) | Design | Intervention | Control | Main findings | Study quality a |
|---|---|---|---|---|---|---|---|---|
| Vitamin C | ||||||||
| Zhang et al. (2021) | China | 56 (36/20) | 67 | Parallel double‐blind randomized controlled trial | 24 g/d IV vitamin C for 7 days | Matched placebo | ↔ IMVFD28, ↓ Mortality, ↔ Length of hospitalization, ↔ Disease complications, ↔ SOFA, ↑ PaO2/FiO2, ↓ IL‐6, ↔ MAP, ↓ TBIL, ↔ WBC, ↔ PCT, ↔ CRP, ↔ Cr, ↔ BUN, ↔ PT | Positive |
| Hiedra et al. (2020) | USA | 17 (10/7) | 64 | Pre‐post trial | 3 g/d IV vitamin C for 3 days | – | ↓ D‐dimer, ↓ Ferritin, ↔ FiO2 | Neutral |
| Vitamin D | ||||||||
| Castillo et al. (2020) | Spain | 76 (45/31) | 53 | Parallel randomized controlled trial | Oral calcifediol with dose of 0.532 mg at hospital admission, 0.266 mg on 3th and 7th day, and 0.266 mg/wk until discharge or ICU admission | Control group | ↓ ICU admission | Positive |
| Annweiler, Corvaisier et al. (2020) | France | 77 (39/38) | 88 | Quasi‐experimental trial |
|
Control group |
|
Neutral |
| Rastogi et al. (2022) | India | 40 (20/20) | 49 | Parallel randomized controlled trial | 60,000 IU/d oral vitamin D3 for 7 days | Matched placebo | ↓ Fibrinogen, ↔ D‐dimer, ↔ CRP, ↔ PCT, ↔ Ferritin | Positive |
| Annweiler, Hanotte, et al. (2020) | France | 66 (15/51) | 88 | Quasi‐experimental trial | 80,000 IU oral vitamin D3 either in the week following the suspicion or diagnosis of COVID‐19 or during the previous month | Control group | ↓ Mortality, ↓ OSCI, ↑ Survival | Neutral |
| Zinc | ||||||||
| Yao et al. (2021) | USA | 242 (138/104) | 68 | Quasi‐experimental trial | 100 mg/d oral elemental zinc | Control group | ↔ Mortality, ↔ Survival | Neutral |
| Derwand et al. (2020) | USA | 518 (NR) | 58 | Quasi‐experimental trial | 50 mg/d oral elemental zinc with 400 mg/d hydroxychloroquine and 500 mg/d azithromycin for 5 days | Control group | ↓ Hospitalization, ↔ Mortality | Neutral |
| Carlucci et al. (2020) | USA | 932 (584/348) | 62 | Quasi‐experimental trial | 100 mg/d oral elemental zinc for 5 days | Control group | ↔ Length of hospitalization, ↓ ICU admission, ↓ Ventilation requirement, ↔ Oxygen flow rate, ↔ FiO2, ↑ Discharged home | Neutral |
Note: ↓, decrease; ↑, increase; ↔, no difference.
Abbreviations: BUN, blood urea nitrogen; Cr, creatinine; CRP, C‐reactive protein; d, day; FiO2, fraction of inspired oxygen; ICU, intensive care unit; IL‐6, interleukin‐6; IMVFD28, invasive mechanical ventilation‐free days in 28 days; IV, intravenous; MAP, mean arterial pressure; mo, month; NR, not reported; OSCI, ordinal scale for clinical improvement; PaO2, arterial oxygen partial pressure; PCT, procalcitonin; PT, prothrombin time; SOFA, sequential organ failure assessment; TBIL, total bilirubin; WBC, white blood cell count; wk, week.
Based on the Academy of Nutrition and Dietetics Quality Criteria Checklist (QCC) for Primary Research.