Abdoulhossein D, Taheri I, Saba MA, Akbari H, Shafagh S, Zataollah A. Effect of vitamin C and vitamin E on lung contusion: A randomized clinical trial study.
Ann Med Surg (Lond) 2018;
36:152-157. [PMID:
30479762 PMCID:
PMC6240669 DOI:
10.1016/j.amsu.2018.10.026]
[Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 10/16/2018] [Accepted: 10/18/2018] [Indexed: 11/24/2022] Open
Abstract
There is association between lung contusion (lC) and a progressive inflammatory response. The protective effect of vitamin C and vitamin E, as strong free radical scavengers on favourite outcome of (LC) in animal models, has been confirmed.
Design
to evaluate the effect of vitamins, E and C on arterial blood gas (ABG) and ICU stay, in (LC), with injury severity score (ISS) 18 ± 2, due to blunt chest trauma.
Methods
This study was a randomized, double-blind, placebo-controlled clinical trial. Patients with (ISS) 18 ± 2 blunt chest trauma, who meet criteria, participated in the study. A total of 80 patients from Feb 2015 to Jun2018and were randomly divided into 4 groups. Patients received intravenous vitamin E (1000IU mg), was (group I); intravenous vitamin C (500) (group II). Vitamin C + vitamin E = (group III), and intravenous distilled water = (control group) or (group IV). ABG, serum cortisol, and CRP levels were determined at baseline, 24 h and 48 h after the intervention.
Results
a significant decrease in ICU stay in group III compared to other groups (p < 0.001). Co-administration of vitamin C and vitamin E showed significant increases pH (values to reference range from acidemia”), oxygen pressure, and oxygen saturation in group III compared to other groups (p < 0.001). A significant decrease in carbon dioxide pressure was also detected after receiving vitamin C and vitamin E in group III, compared to other groups (p < 0.001). There was no significant difference cortisol and CRP levels between groups after the intervention.
Conclusion
Co-administration of vitamin C and vitamin E, improve the ABG parameters and reduce ICU stay.
Most previous studies about pulmonary contusion were performed on animal model, this is a human study in surgery ICU.
Administration of vitamin C and vitamin E showed protective effects on pulmonary contusion, co-administration of them also was more effective.
PH values, oxygen pressure, and oxygen saturation was significantly increase in group III compared to other groups (p < 0.001). carbon dioxide pressure also was significantly decrease in group III.
Mean ICU stay in group III (co-administration of vit C + E compare with control group, significantly decreased, p < 0.001).
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