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enrollment was completed
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| Name | Class |
|---|---|
| Fresenius Kabi | INDUSTRY |
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Critically ill patients are generally exposed to an increased oxidative stress, which is proportional to the severity of their condition. Endogenous antioxidant (AOX) defenses are depleted particularly in those patients with intense inflammatory response. The hypothesis tested is that early I:V: administration of a combination of AOX micronutrient supplements (Se, Zn, Vit C, Vit E, Vit B1) would improve clinical outcome in selected critically ill patients, by reinforcing the endogenous AOX defenses and reducing organ failure.
Prospective randomized, double-blind, placebo-controlled, single-center trial. Patients admitted to ICU after complicated cardiac surgery, major trauma with or without brain injury, subarachnoid hemorrhage, and predicted by the clinicians to require >48 hours of ICU treatment.
Supplements: provided IV for 5 days
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AOX group | Experimental | Treatment group - double dose (loading) for 48 hours then single dose (Se 270 mcg, Zn 30 mg, vit C 1.2 g, B1 100 mg, vit E 300 mg enteral) |
|
| 0 | Placebo Comparator | Group receiving vehicle solution for 5 days (double dose for 48 hours) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Selenium (Se), Zinc (Zn), Vitamin C, Vitamin B1, Vitamin E | Drug | Se 270mcg, Zn 30mg, C 1.1g, B1 100mg, E 300mg |
|
| Measure | Description | Time Frame |
|---|---|---|
| Organ function (SOFA) with special additional attention to renal function | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pneumonia, Length of mechanical ventilation-ICU stay-hospital stay, Mortality | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mette M Berger, MD PhD | Dpt of Adult Intensive Care, CHUV | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dpt of Adult Intensive Care - CHUV | Lausanne | Canton of Vaud | 1011 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18687132 | Result | Berger MM, Soguel L, Shenkin A, Revelly JP, Pinget C, Baines M, Chiolero RL. Influence of early antioxidant supplements on clinical evolution and organ function in critically ill cardiac surgery, major trauma, and subarachnoid hemorrhage patients. Crit Care. 2008;12(4):R101. doi: 10.1186/cc6981. Epub 2008 Aug 7. |
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D013345 | Subarachnoid Hemorrhage |
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D020300 | Intracranial Hemorrhages |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D012643 | Selenium |
| D015032 | Zinc |
| D001205 | Ascorbic Acid |
| D013831 | Thiamine |
| D014810 | Vitamin E |
| D012996 | Solutions |
| ID | Term |
|---|---|
| D018011 | Chalcogens |
| D004602 | Elements |
| D007287 | Inorganic Chemicals |
| D008903 | Minerals |
| D019216 |
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| Placebo | Drug | vehicle |
|
|
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020969 | Disease Attributes |
| Metals, Heavy |
| D028561 | Transition Elements |
| D008670 | Metals |
| D013400 | Sugar Acids |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D006880 | Hydroxy Acids |
| D002241 | Carbohydrates |
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011743 | Pyrimidines |
| D001578 | Benzopyrans |
| D011714 | Pyrans |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D004364 | Pharmaceutical Preparations |