Table 2.
Outcomes | Melatonin (n = 109) | Control (n = 117) | Difference or Odds Ratio | P-value |
---|---|---|---|---|
Primary outcome | ||||
In-hospital mortality until day 28 | 73/109 (67.0) | 110/117 (94.0) | 7.75 (3.27–18.35) | < 0.001 |
Invasive mechanical ventilation | 56/109 (51.4) | 83/117 (70.9) | 2.31 (1.34–4.00) | < 0.001 |
Secondary outcome | ||||
Clinical status at day 7a | 4.0 (4.0–4.0) | 4.0 (4.0–5.0) | – 0.34 ( – 0.93–0.06) | 0.014 |
Clinical status at day 14a | 3.0 (2.0–4.0) | 4.0 (3.0–5.0) | – 0.12 ( – 1.77–0.71) | < 0.001 |
Time to clinical improvementb | 12.0 (9.0–13.0) | 16.0 (10.0–19.0) | 3.92 (1.69–6.14) | 0.038 |
LOS in hospital until dischargec | 15.0 (13.0–17.0) | 21.0 (14.0–24.0) | 5.00 (0.15–9.84) | 0.026 |
LOS in ICUc | 9.0 (6.0–10.0) | 13.0 (7.0–15.0) | 3.59 (1.95–5.24) | < 0.001 |
Ventilator-free days | 15.5 (7.0–18.0) | 6.0 (4.0–9.0) | 6.00 (3.98–8.03) | < 0.001 |
Values were presented as median (IQR) for continuous variables and n (%) for categorical variables. Primary and secondary outcomes were analyzed in the intent-to-treat population (patients received at least one dose of melatonin). Comparison between groups was performed using the Mann–Whitney U test or the Fisher’s exact test. p < 0.05 was considered as statistically significant
ICU intensive care unit, LOS length of stay
aMedian value for clinical status on the ordinal scale at day 7 and 14
bMedian number of days until improvement by ≥ 2 on the ordinal scale in clinical status
cMedian number of days until hospital/ICU discharge for alive patients