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August 19, 2026The Egyptian Journal of Critical Care MedicineOpen Access

Vitamin C deficiency and its effect as adjuvant therapy in sepsis patients

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Authors

EAEslam AbdelhadyMSMohammed Ashraf ShawkyMNMahmoud Nour

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Overview

Interventional cohort study demonstrates reduced organ dysfunction and vasopressor requirements with intravenous vitamin C in sepsis, indicating clinical benefits for deficient patients.

Key Points

  • To evaluate plasma vitamin C concentrations in patients with sepsis and septic shock and assess the clinical impact of high-dose intravenous vitamin C on organ dysfunction, inflammation, and mortality.
  • Conducted a prospective, interventional, non-randomized controlled cohort study of 100 adult ICU patients with sepsis or septic shock at Cairo University Hospitals between December 2019 and September 2021.
  • Administered intravenous vitamin C (6 g/day for 4 days; n = 75) or placebo (n = 25) alongside standard sepsis management.
  • Measured plasma vitamin C, C-reactive protein, SOFA scores, vasopressor requirements, mechanical ventilation use, ICU length of stay, and mortality.
  • Vitamin C administration significantly reduced SOFA scores at day 4 (5.5 ± 3.1 vs. 9.2 ± 4.2, p = 0.049) and day 6 (3.3 ± 2.5 vs. 8.1 ± 4.1, p = 0.002).
  • High-dose therapy achieved normal plasma vitamin C levels (> 70 µmol/L) in 50.7% vs. 8.0% of patients by day 4 (p < 0.001), reduced C-reactive protein (p < 0.001), and decreased vasopressor requirements on day 1 (p = 0.026) and day 4 (p = 0.05).
  • No statistically significant differences occurred between groups in mean arterial pressure, mechanical ventilation, renal replacement therapy, ICU duration, or mortality.

Cite This Study

Abdelhady et al. (2026) studied this question.

synapsesocial.com/papers/6a8563ae03308d306e2d6f8ahttps://doi.org/10.1007/s44349-026-00059-z
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