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Complement Ther Med . The effectiveness of high-dose intravenous vitamin C for patients with coronavirus disease 2019: A systematic review and meta-

tetano

Editor, Senior Moderator
Complement Ther Med


. 2021 Dec 22;64:102797.
doi: 10.1016/j.ctim.2021.102797. Online ahead of print.
The effectiveness of high-dose intravenous vitamin C for patients with coronavirus disease 2019: A systematic review and meta-analysis


Sang Gyu Kwak[SUP] 1 [/SUP], Yoo Jin Choo[SUP] 2 [/SUP], Min Cheol Chang[SUP] 3 [/SUP]



Affiliations

Abstract

Objectives: Vitamin C has anti-inflammatory effects. This review aimed to investigate the therapeutic effect of high-dose intravenous vitamin C (HDIVC) in patients with coronavirus disease 2019 (COVID-19).
Methods: The following key phrases were searched for article inclusion: "Vitamin C OR ascorbic acid" AND "COVID-19 OR coronavirus disease 2019 OR severe acute respiratory syndrome coronavirus 2 OR SARS-CoV-2″. Articles that utilized HDIVC for the management of patients with COVID-19 were included, whereas review articles and case reports were excluded from this review. Moreover, we performed a meta-analysis to evaluate whether HDIVC can reduce the length of hospital stay and in-hospital mortality rate of patients with severe COVID-19.
Results: In total, eight articles were included in this review, and five studies were included in the meta-analysis. The length of hospital stay was not significantly different between the HDIVC and control groups. Also, although our meta-analysis showed a tendency for HDIVC to reduce the in-hospital mortality rate in patients with severe COVID-19, the in-hospital mortality rate was not significantly different between patients treated with HDIVC and those who did not receive HDIVC.
Conclusions: Evidence supporting the therapeutic use of HDICV in COVID-19 patients is lacking. Further studies are required for drawing a clear conclusion on this topic.

Keywords: COVID-19; Intravenous; Review; Treatment; Vitamin C.
 
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