Sepsis & infection

Trends in Use of IV Vitamin C Among Patients With Sepsis

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

IV vitamin C prescription for hospitalized patients with sepsis in the United States was overall infrequent over the 14-year study period, rising after the publication of a before-after study and declining in the COVID-19 pandemic as clinical trial results emerged.

Study context

Population
Adult inpatients with sepsis, 1,115 US hospitals, Premier Healthcare Database, 2008–2021Premier Healthcare Database
Participants
Eleven million three hundred seventy-five thousand three hundred twenty-six inpatients
Outcome
IV vitamin C use
Methodological detailsmulticentre database (Premier Healthcare Database)
  • Multicentre database (Premier Healthcare Database)

Main finding

As reported in the abstract

Overall, patients receiving IV vitamin C at any point during hospitalization (32,131)
0.3%
2008, quarter 1
0.5%
2017, quarter 1
< 0.1%
Peak, 2020, quarter 1
0.6%
2021, quarter 4
0.1%
2008 quarter 1 to 2015 quarter 3
0.2%
2015 quarter 4 to 2019 quarter 4
0.3%
2020-2021
0.3%
Variation across the three predetermined periods
p < 0.001

Observational data: associations, not effects.

Further findings

Sicker subcohorts (early mechanical ventilation, early vasopressor use, COVID-19 2020-2021)

Temporal trends similar

Between-hospital variability (multilevel logistic regression, 91 hospitals with ≥1 sepsis case per quarter)

Similar utilization pattern; median OR
7.78 (95% CI 5.45-11.58)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Trends in Use of IV Vitamin C Among Patients With Sepsis. Crit Care Med. Published 12 January 2026. doi:10.1097/ccm.0000000000007003

Composed by AI from the published abstract and checked against it. How Briefs are made →

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