Page last updated: 2024-10-20

thiamine and Critical Illness

thiamine has been researched along with Critical Illness in 40 studies

thiamine(1+) : A primary alcohol that is 1,3-thiazol-3-ium substituted by (4-amino-2-methylpyrimidin-5-yl)methyl, methyl and 2-hydroxyethyl groups at positions 3, 4 and 5, respectively.

Critical Illness: A disease or state in which death is possible or imminent.

Research Excerpts

ExcerptRelevanceReference
"To determine whether a combination of vitamin C, thiamine, and hydrocortisone every 6 hours increases ventilator- and vasopressor-free days compared with placebo in patients with sepsis."9.41Effect of Vitamin C, Thiamine, and Hydrocortisone on Ventilator- and Vasopressor-Free Days in Patients With Sepsis: The VICTAS Randomized Clinical Trial. ( Bernard, GR; Brown, SM; Buchman, TG; Busse, LW; Coopersmith, CM; DeWilde, C; Ely, EW; Eyzaguirre, LM; Fowler, AA; Gaieski, DF; Gong, MN; Hager, DN; Hall, A; Hinson, JS; Hooper, MH; Kelen, GD; Khan, A; Levine, MA; Lewis, RJ; Lindsell, CJ; Marlin, JS; Martin, GS; McGlothlin, A; Moore, BL; Nugent, KL; Nwosu, S; Polito, CC; Rice, TW; Ricketts, EP; Rothman, RE; Rudolph, CC; Sanfilippo, F; Sevransky, JE; Viele, K; Wright, DW, 2021)
"In critically ill enterally-fed patients who developed hypophosphatemia, intravenous thiamine did not cause measurable differences in blood lactate or clinical outcomes."9.41A multicenter randomized clinical trial of pharmacological vitamin B1 administration to critically ill patients who develop hypophosphatemia during enteral nutrition (The THIAMINE 4 HYPOPHOSPHATEMIA trial). ( Ali Abdelhamid, Y; Bellomo, R; Byrne, KM; Clancy, A; Collie, JT; Deane, AM; Douglas, JS; Fetterplace, K; Finnis, ME; Fujii, T; Greaves, R; Jiang, A; Maiden, MJ; Nichol, A; Plummer, MP; Russo, G; Tascone, B; Udy, AA; Yanase, F; Young, M, 2021)
"gov databases were searched using relevant keywords that focus on the use of thiamine to prevent or treat delirium in critically ill patients."9.12Delirium in Critical Illness Patients and the Potential Role of Thiamine Therapy in Prevention and Treatment: Findings from a Scoping Review with Implications for Evidence-Based Practice. ( Friganovic, A; Krupa, S; Lange, S; Mędrzycka-Dąbrowska, W; Oomen, B, 2021)
"To compare the prevalence of delirium among ICU patients who received thiamine with those who did not and to compare morbidity and mortality."8.31Thiamine Administration and the Prevalence of Delirium in the Intensive Care Unit: A Retrospective Before and After Interventional Study. ( Dana, E; Dichtwald, S; Fredman, B; Ifrach, N; Varbarbut, N; Zohar, E, 2023)
"To describe thiamine supplementation incidence in patients with AUD and various critical illnesses (alcohol withdrawal, septic shock, traumatic brain injury [TBI], and diabetic ketoacidosis [DKA]) in the United States."8.12Thiamine Supplementation in Patients With Alcohol Use Disorder Presenting With Acute Critical Illness : A Nationwide Retrospective Observational Study. ( Balaji, L; Berg, KM; Donnino, MW; Grossestreuer, AV; Holmberg, MJ; Issa, MS; Kronen, R; Moskowitz, A; Patel, PV; Pawar, RD; Thompson, G, 2022)
"To determine the prevalence and time course of thiamine deficiency (TD) in PICU patients."8.12Prevalence and Time Course of Thiamine Deficiency in Critically Ill Children: A Multicenter, Prospective Cohort Study in Turkey. ( Akkuzu, E; Bayrakci, B; Kalkan, G; Kendirli, T; Ozcan, S; Pasaoglu, H; Sincar, S; Yavuz, S, 2022)
"This review will provide evidence for the effectiveness of parental thiamine in the prevention or treatment of delirium in critical care."7.96Parenteral thiamine for prevention and treatment of delirium in critically ill adults: a systematic review protocol. ( Blackwood, B; McAuley, DF; McKenzie, CA; Ostermann, M; Page, VJ; Spronk, PE; Strain, WD; Taylor, D, 2020)
"The 3 cases demonstrated the rapidity of the reversal of severe thiamine deficiency, achieved by appropriate replacement in different hospitalized patients."7.81Rapid reversal of severe lactic acidosis after thiamine administration in critically ill adults: a report of 3 cases. ( Abramo, A; Forfori, F; Giacalone, M; Giunta, F; Iacconi, P; Martinelli, R; Pavoni, V; Rubino, A, 2015)
" We also identified a potential association between thiamine levels and lactic acidosis in patients without significant liver injury."7.76Thiamine deficiency in critically ill patients with sepsis. ( Barbash, I; Carney, E; Chase, M; Chou, PP; Cocchi, MN; Donnino, MW; Joyce, N; Ngo, L, 2010)
" Administration of a single 200-mg dose of intravenous thiamine achieved supraphysiological concentrations of thiamine pyrophosphate, with repeated dosing sustaining this effect."7.30Relationship of blood thiamine pyrophosphate to plasma phosphate and the response to enteral nutrition plus co-administration of intravenous thiamine during critical illness. ( Abdelhamid, YA; Ankravs, M; Bellomo, R; Byrne, KM; Clancy, A; Collie, JTB; Deane, AM; Finnis, ME; Greaves, R; Jiang, A; Tascone, B, 2023)
" Our examination of the most up-to-date evidence concludes that Recommended Daily Allowance supplementation is relatively safe for thiamine-deficient patients."7.01Thiamine pharmaconutrition in sepsis: Monotherapy, combined therapy, or neither? Current evidence on safety and efficacy. ( Hardy, G; Manzanares, W; Novoa, J, 2023)
" However, many questions remain regarding the optimal dosing regimens and plasma concentrations, timing of administration, and adverse effects of vitamin C and thiamine."6.66Treating sepsis with vitamin C, thiamine, and hydrocortisone: Exploring the quest for the magic elixir. ( Halpern, NA; Obi, J; Pastores, SM; Ramanathan, LV; Yang, J, 2020)
"Dogs with critical illness had nonseptic (n = 24) or septic (n = 13) etiologies."5.72Evaluation of blood thiamine concentration in hospitalized dogs with and without critical illness. ( Brainard, BM; Dowgos, NM; Lane, SL, 2022)
"In critically ill enterally-fed patients who developed hypophosphatemia, intravenous thiamine did not cause measurable differences in blood lactate or clinical outcomes."5.41A multicenter randomized clinical trial of pharmacological vitamin B1 administration to critically ill patients who develop hypophosphatemia during enteral nutrition (The THIAMINE 4 HYPOPHOSPHATEMIA trial). ( Ali Abdelhamid, Y; Bellomo, R; Byrne, KM; Clancy, A; Collie, JT; Deane, AM; Douglas, JS; Fetterplace, K; Finnis, ME; Fujii, T; Greaves, R; Jiang, A; Maiden, MJ; Nichol, A; Plummer, MP; Russo, G; Tascone, B; Udy, AA; Yanase, F; Young, M, 2021)
"To determine whether a combination of vitamin C, thiamine, and hydrocortisone every 6 hours increases ventilator- and vasopressor-free days compared with placebo in patients with sepsis."5.41Effect of Vitamin C, Thiamine, and Hydrocortisone on Ventilator- and Vasopressor-Free Days in Patients With Sepsis: The VICTAS Randomized Clinical Trial. ( Bernard, GR; Brown, SM; Buchman, TG; Busse, LW; Coopersmith, CM; DeWilde, C; Ely, EW; Eyzaguirre, LM; Fowler, AA; Gaieski, DF; Gong, MN; Hager, DN; Hall, A; Hinson, JS; Hooper, MH; Kelen, GD; Khan, A; Levine, MA; Lewis, RJ; Lindsell, CJ; Marlin, JS; Martin, GS; McGlothlin, A; Moore, BL; Nugent, KL; Nwosu, S; Polito, CC; Rice, TW; Ricketts, EP; Rothman, RE; Rudolph, CC; Sanfilippo, F; Sevransky, JE; Viele, K; Wright, DW, 2021)
"Sepsis trials examined 6 g/day of intravenous vitamin C with or without the thiamine and/or hydrocortisone compared with placebo or hydrocortisone."5.22Update on vitamin C administration in critical illness. ( Bellomo, R; Fujii, T; Lankadeva, YR, 2022)
"gov databases were searched using relevant keywords that focus on the use of thiamine to prevent or treat delirium in critically ill patients."5.12Delirium in Critical Illness Patients and the Potential Role of Thiamine Therapy in Prevention and Treatment: Findings from a Scoping Review with Implications for Evidence-Based Practice. ( Friganovic, A; Krupa, S; Lange, S; Mędrzycka-Dąbrowska, W; Oomen, B, 2021)
" In clinical settings, high-dose selenium administration in sepsis has been disappointing."5.05Do micronutrient deficiencies contribute to mitochondrial failure in critical illness? ( Berger, MM, 2020)
"Thiamine has a crucial role in energy production, and consequently thiamine deficiency (TD) has been associated with cardiac failure, neurological disorders, oxidative stress (lactic acidosis and sepsis) and refeeding syndrome (RFS)."4.95Vitamin B1 in critically ill patients: needs and challenges. ( Bellomo, R; Collie, JTB; Eastwood, GM; Greaves, RF; Jones, OAH; Lam, Q, 2017)
"To compare the prevalence of delirium among ICU patients who received thiamine with those who did not and to compare morbidity and mortality."4.31Thiamine Administration and the Prevalence of Delirium in the Intensive Care Unit: A Retrospective Before and After Interventional Study. ( Dana, E; Dichtwald, S; Fredman, B; Ifrach, N; Varbarbut, N; Zohar, E, 2023)
"To determine the prevalence and time course of thiamine deficiency (TD) in PICU patients."4.12Prevalence and Time Course of Thiamine Deficiency in Critically Ill Children: A Multicenter, Prospective Cohort Study in Turkey. ( Akkuzu, E; Bayrakci, B; Kalkan, G; Kendirli, T; Ozcan, S; Pasaoglu, H; Sincar, S; Yavuz, S, 2022)
"To describe thiamine supplementation incidence in patients with AUD and various critical illnesses (alcohol withdrawal, septic shock, traumatic brain injury [TBI], and diabetic ketoacidosis [DKA]) in the United States."4.12Thiamine Supplementation in Patients With Alcohol Use Disorder Presenting With Acute Critical Illness : A Nationwide Retrospective Observational Study. ( Balaji, L; Berg, KM; Donnino, MW; Grossestreuer, AV; Holmberg, MJ; Issa, MS; Kronen, R; Moskowitz, A; Patel, PV; Pawar, RD; Thompson, G, 2022)
"This review will provide evidence for the effectiveness of parental thiamine in the prevention or treatment of delirium in critical care."3.96Parenteral thiamine for prevention and treatment of delirium in critically ill adults: a systematic review protocol. ( Blackwood, B; McAuley, DF; McKenzie, CA; Ostermann, M; Page, VJ; Spronk, PE; Strain, WD; Taylor, D, 2020)
"Thiamine deficiency was detected in 61 patients within the first 10 d of ICU stay, 57 cases being diagnosed on admission and 4 new cases on the 5th d."3.88Effect of blood thiamine concentrations on mortality: Influence of nutritional status. ( de Lima, LFP; Leite, HP; Paes, ÂT; Taddei, JAAC, 2018)
"Intensive insulin therapy does not appear to cause or worsen thiamine deficiency."3.85Thiamine Levels During Intensive Insulin Therapy in Critically Ill Patients. ( de Vos, R; Hofhuis, JGM; Kamphuis, S; Reijnders, MGJ; Spronk, PE; van Snippenburg, W, 2017)
"The 3 cases demonstrated the rapidity of the reversal of severe thiamine deficiency, achieved by appropriate replacement in different hospitalized patients."3.81Rapid reversal of severe lactic acidosis after thiamine administration in critically ill adults: a report of 3 cases. ( Abramo, A; Forfori, F; Giacalone, M; Giunta, F; Iacconi, P; Martinelli, R; Pavoni, V; Rubino, A, 2015)
" We also identified a potential association between thiamine levels and lactic acidosis in patients without significant liver injury."3.76Thiamine deficiency in critically ill patients with sepsis. ( Barbash, I; Carney, E; Chase, M; Chou, PP; Cocchi, MN; Donnino, MW; Joyce, N; Ngo, L, 2010)
" Our examination of the most up-to-date evidence concludes that Recommended Daily Allowance supplementation is relatively safe for thiamine-deficient patients."3.01Thiamine pharmaconutrition in sepsis: Monotherapy, combined therapy, or neither? Current evidence on safety and efficacy. ( Hardy, G; Manzanares, W; Novoa, J, 2023)
" However, many questions remain regarding the optimal dosing regimens and plasma concentrations, timing of administration, and adverse effects of vitamin C and thiamine."2.66Treating sepsis with vitamin C, thiamine, and hydrocortisone: Exploring the quest for the magic elixir. ( Halpern, NA; Obi, J; Pastores, SM; Ramanathan, LV; Yang, J, 2020)
"However, refeeding hypophosphatemia is commonly encountered during critical illness."2.58Is refeeding syndrome relevant for critically ill patients? ( Koekkoek, WAC; Van Zanten, ARH, 2018)
"Sepsis is associated with an acute deficiency of vitamin C."2.58Vitamin C for the treatment of sepsis: The scientific rationale. ( Marik, PE, 2018)
"Dogs with critical illness had nonseptic (n = 24) or septic (n = 13) etiologies."1.72Evaluation of blood thiamine concentration in hospitalized dogs with and without critical illness. ( Brainard, BM; Dowgos, NM; Lane, SL, 2022)
"Thiamine is a precursor of the essential coenzyme thiamine pyrophosphate required for glucose metabolism; it improves the immune system function and has shown to reduce the risk of several diseases."1.62Evaluation of thiamine as adjunctive therapy in COVID-19 critically ill patients: a two-center propensity score matched study. ( Al Bekairy, AM; Al Dossari, M; Al Eidan, F; Al Ghamdi, G; Al Harbi, S; Al Jeraisy, M; Al Katheri, A; Al Muqrin, M; Al Qahtani, N; Al Sulaiman, K; Algarni, R; Alharbi, A; Aljuhani, O; Alshahrani, A; Vishwakarma, R, 2021)
"This retrospective study included 132 polytrauma patients admitted to the ICU-CA between January 2013 and December 2014."1.43Modulation of the Redox Expression and Inflammation Response in the Critically Ill Polytrauma Patient with Thoracic Injury. Statistical Correlations between Antioxidant Therapy. ( Bedreag, OH; Cradigati, CA; Dumache, R; Horhat, FG; Luca, L; Papurica, M; Popovici, SE; Rogobete, AF; Sandesc, D; Sarandan, M; Sima, LV; Vernic, C, 2016)
"An 11-year-old male with autism became less responsive and was hospitalized with hepatomegaly and liver dysfunction, as well as severe lactic acidosis."1.42Vitamin B deficiencies in a critically ill autistic child with a restricted diet. ( Baird, JS; Ravindranath, TM, 2015)
"Thiamine plays a fundamental role in cellular metabolism."1.42Shoshin Beriberi in Critically-Ill patients: case series. ( Dabar, G; Habr, B; Harmouche, C; Jaber, B; Riachi, M, 2015)

Research

Studies (40)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (2.50)29.6817
2010's20 (50.00)24.3611
2020's19 (47.50)2.80

Authors

AuthorsStudies
Breik, L1
Tatucu-Babet, OA1
Ridley, EJ1
Pawar, RD1
Balaji, L1
Grossestreuer, AV1
Thompson, G1
Holmberg, MJ1
Issa, MS1
Patel, PV1
Kronen, R1
Berg, KM2
Moskowitz, A1
Donnino, MW3
Akkuzu, E1
Yavuz, S1
Ozcan, S1
Sincar, S1
Bayrakci, B1
Kendirli, T1
Pasaoglu, H1
Kalkan, G1
Fujii, T2
Lankadeva, YR1
Bellomo, R4
Lane, SL1
Dowgos, NM1
Brainard, BM1
Suárez-de-la-Rica, A3
Croes, B3
Ciudad, L3
Vallejo, I3
Mújica, J3
Díaz-Almirón, M3
Maseda, E3
Novoa, J1
Hardy, G1
Manzanares, W1
Collie, JTB2
Jiang, A2
Abdelhamid, YA1
Ankravs, M1
Byrne, KM2
Clancy, A2
Finnis, ME2
Greaves, R2
Tascone, B2
Deane, AM2
Dichtwald, S1
Varbarbut, N1
Dana, E1
Zohar, E1
Ifrach, N1
Fredman, B1
Berger, MM2
Obi, J1
Pastores, SM1
Ramanathan, LV1
Yang, J1
Halpern, NA1
McKenzie, CA1
Page, VJ1
Strain, WD1
Blackwood, B1
Ostermann, M1
Taylor, D1
Spronk, PE2
McAuley, DF1
Legouis, D1
Ricksten, SE1
Faivre, A1
Verissimo, T1
Gariani, K1
Verney, C1
Galichon, P1
Berchtold, L1
Feraille, E1
Fernandez, M1
Placier, S1
Koppitch, K1
Hertig, A1
Martin, PY1
Naesens, M1
Pugin, J1
McMahon, AP1
Cippà, PE1
de Seigneux, S1
Maley, JH1
Law, AC1
Stevens, JP1
Sevransky, JE1
Rothman, RE1
Hager, DN1
Bernard, GR1
Brown, SM1
Buchman, TG1
Busse, LW1
Coopersmith, CM1
DeWilde, C1
Ely, EW1
Eyzaguirre, LM1
Fowler, AA1
Gaieski, DF1
Gong, MN1
Hall, A1
Hinson, JS1
Hooper, MH1
Kelen, GD1
Khan, A1
Levine, MA1
Lewis, RJ1
Lindsell, CJ1
Marlin, JS1
McGlothlin, A1
Moore, BL1
Nugent, KL1
Nwosu, S1
Polito, CC1
Rice, TW1
Ricketts, EP1
Rudolph, CC1
Sanfilippo, F1
Viele, K1
Martin, GS1
Wright, DW1
Sedhai, YR1
Shrestha, DB1
Budhathoki, P1
Jha, V1
Mandal, SK1
Karki, S1
Baniya, R1
Cable, CA1
Kashiouris, MG1
Al Sulaiman, K1
Aljuhani, O1
Al Dossari, M1
Alshahrani, A1
Alharbi, A1
Algarni, R1
Al Jeraisy, M1
Al Harbi, S1
Al Katheri, A1
Al Eidan, F1
Al Bekairy, AM1
Al Qahtani, N1
Al Muqrin, M1
Vishwakarma, R1
Al Ghamdi, G1
Collie, JT1
Douglas, JS1
Nichol, A1
Udy, AA1
Young, M1
Russo, G1
Fetterplace, K1
Maiden, MJ1
Plummer, MP1
Yanase, F1
Ali Abdelhamid, Y1
Lange, S1
Mędrzycka-Dąbrowska, W1
Friganovic, A1
Oomen, B1
Krupa, S1
Greaves, RF1
Jones, OAH1
Lam, Q1
Eastwood, GM1
Kamel, AY1
Dave, NJ2
Zhao, VM1
Griffith, DP2
Connor, MJ1
Ziegler, TR2
Hiffler, L1
Adamolekun, B1
Fischer, PR1
Fattal-Vavleski, A1
Koekkoek, WAC1
Van Zanten, ARH1
Leite, HP1
de Lima, LFP1
Taddei, JAAC1
Paes, ÂT1
Amrein, K1
Oudemans-van Straaten, HM1
Marik, PE1
Woolum, JA1
Abner, EL1
Kelly, A1
Thompson Bastin, ML1
Morris, PE1
Flannery, AH1
Gundogan, K1
Akbudak, IH1
Bulut, K1
Temel, S1
Sungur, M1
Guven, M1
Carr, AC1
Day, GS1
del Campo, CM1
Baird, JS1
Ravindranath, TM1
Gautam, S1
Salciccioli, JD1
Giberson, T1
Saindon, B1
Giacalone, M1
Martinelli, R1
Abramo, A1
Rubino, A1
Pavoni, V1
Iacconi, P1
Giunta, F1
Forfori, F1
Frank, LL1
Gardiner, S1
Hartzell, T1
Dabar, G1
Harmouche, C1
Habr, B1
Riachi, M1
Jaber, B1
van Snippenburg, W1
Reijnders, MGJ1
Hofhuis, JGM1
de Vos, R1
Kamphuis, S1
Bedreag, OH1
Rogobete, AF1
Sandesc, D1
Cradigati, CA1
Sarandan, M1
Popovici, SE1
Dumache, R1
Horhat, FG1
Vernic, C1
Sima, LV1
Luca, L1
Papurica, M1
Corcoran, TB1
O'Neill, MP1
Webb, SA1
Ho, KM1
Carney, E1
Cocchi, MN1
Barbash, I1
Chase, M1
Joyce, N1
Chou, PP1
Ngo, L1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Impact of Thiamine Supplementation on Mortality in Septic Shock. A Controlled Before-and-after Study.[NCT05840718]80 participants (Anticipated)Observational2023-09-30Not yet recruiting
A Multi-center, Randomized, Placebo-controlled, Double-blind, Adaptive Clinical Trial of Vitamin C, Thiamine and Steroids as Combination Therapy in Patients With Sepsis.[NCT03509350]Phase 3501 participants (Actual)Interventional2018-08-22Completed
The Thiamine Administration After Cardiac Surgery Trial[NCT04641104]Phase 4200 participants (Actual)Interventional2020-11-20Completed
The Effect of Thiamine on VO2 Levels in Critically Ill Patients[NCT01462279]20 participants (Actual)Interventional2011-09-30Completed
Evaluation of Hydrocortisone, Vitamin C and Thiamine for the Treatment of Septic Shock[NCT03380507]Phase 2/Phase 3106 participants (Actual)Interventional2018-03-17Terminated (stopped due to The research is no longer funded and terminated due to futility)
Prevalence of Thiamine Deficiency in Hospitalized Non-Alcoholic Veterans[NCT05480943]300 participants (Anticipated)Observational2022-07-01Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Controlled Oral Word Association Test (COWAT) Score

Language is assessed with the Controlled Oral Word Association Test (COWAT). Participants generate words beginning with selected letters within 60 seconds. Generating a higher number of words indicates greater language skills. (NCT03509350)
Timeframe: Day 180

Interventionwords (Mean)
Treatment Protocol40
Control Protocol40

Digit Span Test Score

The Digit Span Test is used to assesses attention. In the Digit Span Test, participants are read a series of numbers and are asked to repeat them back in the same order. The Digit Span test is scored by the number of digits the participant is able to remember in each test. Higher scores indicate greater ability to pay attention and to remember sequences. The average adult can remember about 7 numbers, plus or minus two, without making an error. (NCT03509350)
Timeframe: Day 180

Interventionnumbers recalled (Mean)
Treatment Protocol8.3
Control Protocol9.5

EuroQol, 5 Dimension (EQ-5D) Visual Analog Scale Score

Quality of life is assessed with the Visual Analog Scale of the EuroQol, 5 dimension (EQ-5D) questionnaire. The EQ-5D asks about 5 dimensions of health (mobility, self-care, usual activities, pain, and depression). The questionnaire includes a visual analog scale where respondents rate their current health where 0 = worst health imaginable and 100 = best health imaginable. (NCT03509350)
Timeframe: Day 180

Interventionunits on a scale (Mean)
Treatment Protocol66
Control Protocol67

Functional Activities Questionnaire (FAQ) Score

Instrumental activities of daily living is assessed with the Functional Activities Questionnaire (FAQ). The FAQ includes 10 items which are scored on a scale from 0 to 3 where 0 = normal and 3 = dependent. Total scores range from 0 to 30 and lower scores indicate that the respondent is able to perform daily activities. A score of 9 (where the person is dependent in 3 activities) is used as a cut-point indicating impairments with functioning. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol9.5
Control Protocol7.7

Hayling Test Score

Executive function is assessed with the Hayling Test. The Hayling Test includes two parts of 15 items each where participants complete sentences by providing the missing word. The test is scored as the amount of time it takes, in seconds, to recite a correct response and the appropriateness of the response (in Part 2). Scaled scores range from 1 to 10 where 1 = impaired, 6 = average, and 10 = very superior. (NCT03509350)
Timeframe: Day 180

Interventionunits on a scale (Mean)
Treatment Protocol4.2
Control Protocol4.2

Intensive Care Unit (ICU) Mortality

The number of participants who died while in the ICU is compared between study arms. (NCT03509350)
Timeframe: Day 30

InterventionParticipants (Count of Participants)
Treatment Protocol52
Control Protocol49

Katz Index of Independence in Activities of Daily Living (ADL) Score

Activities of daily living is assessed with the Katz ADL instrument. The Katz ADL has 6 items asking if participants can perform daily tasks independently. Responses are scored as 1 = yes and 0 = no. Total scores range from 0 to 6 with higher scores indicating greater independence. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol2.8
Control Protocol2.4

Length of Hospital Stay

The number of days that participants were in the hospital is compared between study arms. (NCT03509350)
Timeframe: Day 30

Interventiondays (Mean)
Treatment Protocol12.6
Control Protocol13.5

Length of ICU Stay

The number of days that participants were in the ICU is compared between study arms. (NCT03509350)
Timeframe: Day 30

Interventiondays (Mean)
Treatment Protocol6.7
Control Protocol6.4

Mortality at 180 Days

The number of participants who did not survive until Day 180 is compared between study arms. (NCT03509350)
Timeframe: Day 180

InterventionParticipants (Count of Participants)
Treatment Protocol102
Control Protocol94

Mortality at 30 Days

The number of participants who did not survive until Day 30 is compared between study arms. (NCT03509350)
Timeframe: Day 30

InterventionParticipants (Count of Participants)
Treatment Protocol56
Control Protocol60

Number of Participants Employed

The Employment Questionnaire is a brief measure of the participant's employment history and ability or capacity to work. The number of participants who indicated being employed are presented here. (NCT03509350)
Timeframe: Day 180

InterventionParticipants (Count of Participants)
Treatment Protocol17
Control Protocol25

Number of Participants With Delirium Assessed With the DeliriumTelephone Confusion Assessment Method (CAM)

The Telephone CAM evaluates dementia with 9-items, where additional questions are asked if symptoms are present. Rather than providing a summary score, if participants exhibit signs of a change in mental status which fluctuates and they experience inattention, along with disorganized thinking or altered level of consciousness, delirium is suggested. (NCT03509350)
Timeframe: Day 180

InterventionParticipants (Count of Participants)
Treatment Protocol0
Control Protocol0

Patient-Reported Outcomes Measurement Information System (PROMIS) Depression 6

Depression is assessed with the PROMIS Depression 6 instrument. This tool includes 6 items with response options on a scale of 1 to 5. Total raw scores range from 6 to 30 with higher scores indicating greater symptoms of depression. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol11.9
Control Protocol11.9

Posttraumatic Stress Disorder-8 (PTSD-8) Score

Posttraumatic Stress Disorder (PTSD) is assessed with the Posttraumatic Stress Disorder - 8 instrument. The PTSD-8 includes 8 items which are answered on a 4 point scale where 01 = not at all and 3 = all of the time. Total scores range from 0 to 24 where higher scores indicate greater symptoms of PTSD. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol5.7
Control Protocol5.2

Telephone Interview for Cognitive Status (TICS)

The Telephone Interview for Cognitive Status (TICS) is an 11-item instrument assessing orientation. Correct responses to the items are scored in a variety of ways, depending on how much of the response is correct. Total scores range from 0 to 41 with higher scores indicating increased cognitive orientation. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol30.6
Control Protocol31.2

Vasopressor and Ventilator-free Days (VVFD)

The primary outcome measure is VVFD in the first 30 days after the start of treatment. The endpoint was recorded to the nearest day. Participants who died are scored zero days, even if there was a period during which the participant was alive and free of vasopressors and mechanical ventilation. Participants who must return to ventilation and/or vasopressors had their counters reset at zero days. (NCT03509350)
Timeframe: Up to Day 30

Interventiondays (Median)
Treatment Protocol25
Control Protocol26

Wechsler Adult Intelligence Scale (WAIS)-IV Similarities Score

Reasoning is assessed with the WAIS-IV Similarities instrument. Participants were asked to explain how two words are alike. Responses are scored according to how correct they are, with a score of 0 for incorrect answers. After 3 consecutive scores of 0 the survey is stopped. Total raw scores vary depending on the number of word pairs presented. Higher scores indicate better performance. Scores will be compared between study arms. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol7.7
Control Protocol8.2

Wechsler Memory Scale III - Delayed Recall Logical Memory Score

Memory is assessed with the Logical Memory subtest from the Wechsler Memory Scale III. Participants listened to two short paragraphs and were asked to recall details from each story after 30 minutes. Scores represent the number of correctly remembered details. Total scores range from 0 to 25 with higher scores reflecting better memory. (NCT03509350)
Timeframe: Day 180

Interventioncorrect story details (Mean)
Treatment Protocol6.9
Control Protocol8.1

Improvement in VO2

VO2 measurements are taken at baseline and VO2 is continuously monitored over 9 hours. Thiamine is administered three hours after baseline measurements are taken. (NCT01462279)
Timeframe: Baseline to 9 Hours

Interventionml/min (Mean)
Thiamine16.9

Reviews

13 reviews available for thiamine and Critical Illness

ArticleYear
Micronutrient intake from enteral nutrition in critically ill adults: A systematic review of randomised controlled trials.
    Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 2022, Volume: 35, Issue:5

    Topics: Adult; Antioxidants; Ascorbic Acid; Critical Illness; Eating; Enteral Nutrition; Humans; Micronutrie

2022
Update on vitamin C administration in critical illness.
    Current opinion in critical care, 2022, 08-01, Volume: 28, Issue:4

    Topics: Animals; Ascorbic Acid; Critical Illness; Humans; Hydrocortisone; Sepsis; Sheep; Thiamine; Vitamins

2022
Thiamine pharmaconutrition in sepsis: Monotherapy, combined therapy, or neither? Current evidence on safety and efficacy.
    Nutrition (Burbank, Los Angeles County, Calif.), 2023, Volume: 109

    Topics: Adult; Ascorbic Acid; Critical Illness; Humans; Micronutrients; Sepsis; Shock, Septic; Thiamine; Tra

2023
Do micronutrient deficiencies contribute to mitochondrial failure in critical illness?
    Current opinion in clinical nutrition and metabolic care, 2020, Volume: 23, Issue:2

    Topics: Animals; Antioxidants; Ascorbic Acid; Critical Care; Critical Care Outcomes; Critical Illness; Human

2020
Treating sepsis with vitamin C, thiamine, and hydrocortisone: Exploring the quest for the magic elixir.
    Journal of critical care, 2020, Volume: 57

    Topics: Adrenal Cortex Hormones; Ascorbic Acid; Ascorbic Acid Deficiency; Clinical Protocols; Critical Illne

2020
Effect of thiamine supplementation in critically ill patients: A systematic review and meta-analysis.
    Journal of critical care, 2021, Volume: 65

    Topics: Critical Illness; Dietary Supplements; Humans; Intensive Care Units; Thiamine

2021
Delirium in Critical Illness Patients and the Potential Role of Thiamine Therapy in Prevention and Treatment: Findings from a Scoping Review with Implications for Evidence-Based Practice.
    International journal of environmental research and public health, 2021, 08-20, Volume: 18, Issue:16

    Topics: Critical Illness; Delirium; Evidence-Based Practice; Humans; Intensive Care Units; Length of Stay; T

2021
Vitamin B1 in critically ill patients: needs and challenges.
    Clinical chemistry and laboratory medicine, 2017, Oct-26, Volume: 55, Issue:11

    Topics: Acidosis; Chromatography, High Pressure Liquid; Critical Illness; Humans; Refeeding Syndrome; Refere

2017
Thiamine content of F-75 therapeutic milk for complicated severe acute malnutrition: time for a change?
    Annals of the New York Academy of Sciences, 2017, Volume: 1404, Issue:1

    Topics: Animals; Critical Illness; Food, Fortified; Humans; Milk; Severe Acute Malnutrition; Thiamine; Thiam

2017
Is refeeding syndrome relevant for critically ill patients?
    Current opinion in clinical nutrition and metabolic care, 2018, Volume: 21, Issue:2

    Topics: Caloric Restriction; Critical Illness; Humans; Hypophosphatemia; Intensive Care Units; Magnesium; Ph

2018
Vitamin therapy in critically ill patients: focus on thiamine, vitamin C, and vitamin D.
    Intensive care medicine, 2018, Volume: 44, Issue:11

    Topics: Ascorbic Acid; Critical Illness; Humans; Thiamine; Vitamin D; Vitamins

2018
Vitamin C for the treatment of sepsis: The scientific rationale.
    Pharmacology & therapeutics, 2018, Volume: 189

    Topics: Adrenal Cortex Hormones; Animals; Antioxidants; Ascorbic Acid; Critical Illness; Humans; Sepsis; Thi

2018
Wernicke encephalopathy: a medical emergency.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2014, May-13, Volume: 186, Issue:8

    Topics: Critical Illness; Early Diagnosis; Emergencies; Female; Humans; Magnetic Resonance Imaging; Male; Pr

2014

Trials

4 trials available for thiamine and Critical Illness

ArticleYear
Relationship of blood thiamine pyrophosphate to plasma phosphate and the response to enteral nutrition plus co-administration of intravenous thiamine during critical illness.
    Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2023, Volume: 36, Issue:4

    Topics: Critical Illness; Enteral Nutrition; Humans; Phosphates; Thiamine; Thiamine Pyrophosphate

2023
Effect of Vitamin C, Thiamine, and Hydrocortisone on Ventilator- and Vasopressor-Free Days in Patients With Sepsis: The VICTAS Randomized Clinical Trial.
    JAMA, 2021, 02-23, Volume: 325, Issue:8

    Topics: Adult; Aged; Anti-Inflammatory Agents; Ascorbic Acid; Critical Illness; Double-Blind Method; Drug Th

2021
Effect of Vitamin C, Thiamine, and Hydrocortisone on Ventilator- and Vasopressor-Free Days in Patients With Sepsis: The VICTAS Randomized Clinical Trial.
    JAMA, 2021, 02-23, Volume: 325, Issue:8

    Topics: Adult; Aged; Anti-Inflammatory Agents; Ascorbic Acid; Critical Illness; Double-Blind Method; Drug Th

2021
Effect of Vitamin C, Thiamine, and Hydrocortisone on Ventilator- and Vasopressor-Free Days in Patients With Sepsis: The VICTAS Randomized Clinical Trial.
    JAMA, 2021, 02-23, Volume: 325, Issue:8

    Topics: Adult; Aged; Anti-Inflammatory Agents; Ascorbic Acid; Critical Illness; Double-Blind Method; Drug Th

2021
Effect of Vitamin C, Thiamine, and Hydrocortisone on Ventilator- and Vasopressor-Free Days in Patients With Sepsis: The VICTAS Randomized Clinical Trial.
    JAMA, 2021, 02-23, Volume: 325, Issue:8

    Topics: Adult; Aged; Anti-Inflammatory Agents; Ascorbic Acid; Critical Illness; Double-Blind Method; Drug Th

2021
A multicenter randomized clinical trial of pharmacological vitamin B1 administration to critically ill patients who develop hypophosphatemia during enteral nutrition (The THIAMINE 4 HYPOPHOSPHATEMIA trial).
    Clinical nutrition (Edinburgh, Scotland), 2021, Volume: 40, Issue:8

    Topics: Administration, Intravenous; Adult; Aged; Biomarkers; Critical Illness; Enteral Nutrition; Female; H

2021
Intravenous thiamine is associated with increased oxygen consumption in critically ill patients with preserved cardiac index.
    Annals of the American Thoracic Society, 2014, Volume: 11, Issue:10

    Topics: Adolescent; Adult; Aged; Critical Illness; Dose-Response Relationship, Drug; Female; Follow-Up Studi

2014

Other Studies

23 other studies available for thiamine and Critical Illness

ArticleYear
Thiamine Supplementation in Patients With Alcohol Use Disorder Presenting With Acute Critical Illness : A Nationwide Retrospective Observational Study.
    Annals of internal medicine, 2022, Volume: 175, Issue:2

    Topics: Adult; Alcoholism; Critical Illness; Dietary Supplements; Humans; Male; Middle Aged; Retrospective S

2022
Prevalence and Time Course of Thiamine Deficiency in Critically Ill Children: A Multicenter, Prospective Cohort Study in Turkey.
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2022, 05-01, Volume: 23, Issue:5

    Topics: Child; Cohort Studies; Critical Illness; Humans; Intensive Care Units, Pediatric; Prevalence; Prospe

2022
Evaluation of blood thiamine concentration in hospitalized dogs with and without critical illness.
    Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001), 2022, Volume: 32, Issue:6

    Topics: Animals; Critical Illness; DNA-Binding Proteins; Dog Diseases; Dogs; Hospitalization; Hospitals, Ani

2022
Vitamin C and thiamine for the treatment of refractory septic shock in surgical critically ill patients: a retrospective before-and-after study.
    Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia, 2023, Volume: 36, Issue:2

    Topics: Ascorbic Acid; Critical Illness; Humans; Intensive Care Units; Retrospective Studies; Sepsis; Shock,

2023
Vitamin C and thiamine for the treatment of refractory septic shock in surgical critically ill patients: a retrospective before-and-after study.
    Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia, 2023, Volume: 36, Issue:2

    Topics: Ascorbic Acid; Critical Illness; Humans; Intensive Care Units; Retrospective Studies; Sepsis; Shock,

2023
Vitamin C and thiamine for the treatment of refractory septic shock in surgical critically ill patients: a retrospective before-and-after study.
    Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia, 2023, Volume: 36, Issue:2

    Topics: Ascorbic Acid; Critical Illness; Humans; Intensive Care Units; Retrospective Studies; Sepsis; Shock,

2023
Vitamin C and thiamine for the treatment of refractory septic shock in surgical critically ill patients: a retrospective before-and-after study.
    Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia, 2023, Volume: 36, Issue:2

    Topics: Ascorbic Acid; Critical Illness; Humans; Intensive Care Units; Retrospective Studies; Sepsis; Shock,

2023
Thiamine Administration and the Prevalence of Delirium in the Intensive Care Unit: A Retrospective Before and After Interventional Study.
    The Israel Medical Association journal : IMAJ, 2023, Volume: 25, Issue:3

    Topics: Critical Illness; Delirium; Humans; Intensive Care Units; Length of Stay; Prevalence; Prospective St

2023
Parenteral thiamine for prevention and treatment of delirium in critically ill adults: a systematic review protocol.
    Systematic reviews, 2020, 06-05, Volume: 9, Issue:1

    Topics: Adult; Critical Care; Critical Illness; Delirium; Humans; Multicenter Studies as Topic; Respiration,

2020
Altered proximal tubular cell glucose metabolism during acute kidney injury is associated with mortality.
    Nature metabolism, 2020, Volume: 2, Issue:8

    Topics: Acute Kidney Injury; Adult; Aged; Animals; Critical Illness; Female; Gluconeogenesis; Glucose; Human

2020
Evidence and Our Daily Risk Trade-offs in the Care of Critically Ill Patients.
    American journal of respiratory and critical care medicine, 2020, 12-01, Volume: 202, Issue:11

    Topics: Adult; Ascorbic Acid; Critical Illness; Humans; Hydrocortisone; Patients; Shock, Septic; Thiamine

2020
Evaluation of thiamine as adjunctive therapy in COVID-19 critically ill patients: a two-center propensity score matched study.
    Critical care (London, England), 2021, 06-30, Volume: 25, Issue:1

    Topics: Adult; COVID-19; COVID-19 Drug Treatment; Critical Illness; Female; Hospital Mortality; Humans; Inte

2021
Micronutrient Alterations During Continuous Renal Replacement Therapy in Critically Ill Adults: A Retrospective Study.
    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2018, Volume: 33, Issue:3

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Ascorbic Acid; Body Mass Index; Copper; Critical Illness

2018
Effect of blood thiamine concentrations on mortality: Influence of nutritional status.
    Nutrition (Burbank, Los Angeles County, Calif.), 2018, Volume: 48

    Topics: Brazil; Child; Child Nutrition Disorders; Child, Preschool; Critical Illness; Female; Humans; Incide

2018
Effect of Thiamine Administration on Lactate Clearance and Mortality in Patients With Septic Shock.
    Critical care medicine, 2018, Volume: 46, Issue:11

    Topics: Adult; Aged; Cohort Studies; Critical Illness; Female; Follow-Up Studies; Humans; Intensive Care Uni

2018
Thiamin Status in Adults Receiving Chronic Diuretic Therapy Prior to Admission to a Medical Intensive Care Unit: A Pilot Study.
    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2019, Volume: 34, Issue:4

    Topics: Adult; Aged; Case-Control Studies; Critical Illness; Diuretics; Female; Furosemide; Hospitalization;

2019
Vitamin C administration in the critically ill: a summary of recent meta-analyses.
    Critical care (London, England), 2019, 07-30, Volume: 23, Issue:1

    Topics: Ascorbic Acid; Controlled Before-After Studies; Critical Illness; Humans; Hydrocortisone; Retrospect

2019
Vitamin B deficiencies in a critically ill autistic child with a restricted diet.
    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2015, Volume: 30, Issue:1

    Topics: Acidosis, Lactic; Autistic Disorder; Child; Critical Illness; Diet; Fast Foods; Feeding Behavior; He

2015
Rapid reversal of severe lactic acidosis after thiamine administration in critically ill adults: a report of 3 cases.
    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2015, Volume: 30, Issue:1

    Topics: Acidosis, Lactic; Administration, Intravenous; Adult; Aged; Critical Illness; Female; Humans; Nervou

2015
Thiamin in Clinical Practice.
    JPEN. Journal of parenteral and enteral nutrition, 2015, Volume: 39, Issue:5

    Topics: Adult; Child; Clinical Protocols; Critical Illness; Female; Humans; Male; Nutritional Support; Pregn

2015
Thiamine deficiency: a cause of profound hypotension and hypothermia after plastic surgery.
    Aesthetic surgery journal, 2015, Volume: 35, Issue:1

    Topics: Abdominoplasty; Administration, Intravenous; Aged; Critical Illness; Female; Humans; Hypotension; Hy

2015
Shoshin Beriberi in Critically-Ill patients: case series.
    Nutrition journal, 2015, May-17, Volume: 14

    Topics: Acidosis, Lactic; Beriberi; Critical Illness; Female; Humans; Infant; Infant, Newborn; Male; Parente

2015
Thiamine Levels During Intensive Insulin Therapy in Critically Ill Patients.
    Journal of intensive care medicine, 2017, Volume: 32, Issue:9

    Topics: Aged; Critical Care; Critical Illness; Female; Hospitalization; Humans; Hypoglycemic Agents; Insulin

2017
Modulation of the Redox Expression and Inflammation Response in the Critically Ill Polytrauma Patient with Thoracic Injury. Statistical Correlations between Antioxidant Therapy.
    Clinical laboratory, 2016, Sep-01, Volume: 62, Issue:9

    Topics: Abbreviated Injury Scale; Acetylcysteine; Adult; Aged; Antioxidants; Ascorbic Acid; Critical Illness

2016
Inflammation, vitamin deficiencies and organ failure in critically ill patients.
    Anaesthesia and intensive care, 2009, Volume: 37, Issue:5

    Topics: Adult; Aged; APACHE; Avitaminosis; Biomarkers; C-Reactive Protein; Cohort Studies; Critical Illness;

2009
Thiamine deficiency in critically ill patients with sepsis.
    Journal of critical care, 2010, Volume: 25, Issue:4

    Topics: Acidosis, Lactic; Adult; Critical Illness; Female; Humans; Male; Middle Aged; Prospective Studies; S

2010
Thiamine deficiency in critically ill patients with sepsis.
    Journal of critical care, 2010, Volume: 25, Issue:4

    Topics: Acidosis, Lactic; Adult; Critical Illness; Female; Humans; Male; Middle Aged; Prospective Studies; S

2010
Thiamine deficiency in critically ill patients with sepsis.
    Journal of critical care, 2010, Volume: 25, Issue:4

    Topics: Acidosis, Lactic; Adult; Critical Illness; Female; Humans; Male; Middle Aged; Prospective Studies; S

2010
Thiamine deficiency in critically ill patients with sepsis.
    Journal of critical care, 2010, Volume: 25, Issue:4

    Topics: Acidosis, Lactic; Adult; Critical Illness; Female; Humans; Male; Middle Aged; Prospective Studies; S

2010
Thiamine deficiency in critically ill patients with sepsis.
    Journal of critical care, 2010, Volume: 25, Issue:4

    Topics: Acidosis, Lactic; Adult; Critical Illness; Female; Humans; Male; Middle Aged; Prospective Studies; S

2010
Thiamine deficiency in critically ill patients with sepsis.
    Journal of critical care, 2010, Volume: 25, Issue:4

    Topics: Acidosis, Lactic; Adult; Critical Illness; Female; Humans; Male; Middle Aged; Prospective Studies; S

2010
Thiamine deficiency in critically ill patients with sepsis.
    Journal of critical care, 2010, Volume: 25, Issue:4

    Topics: Acidosis, Lactic; Adult; Critical Illness; Female; Humans; Male; Middle Aged; Prospective Studies; S

2010
Thiamine deficiency in critically ill patients with sepsis.
    Journal of critical care, 2010, Volume: 25, Issue:4

    Topics: Acidosis, Lactic; Adult; Critical Illness; Female; Humans; Male; Middle Aged; Prospective Studies; S

2010
Thiamine deficiency in critically ill patients with sepsis.
    Journal of critical care, 2010, Volume: 25, Issue:4

    Topics: Acidosis, Lactic; Adult; Critical Illness; Female; Humans; Male; Middle Aged; Prospective Studies; S

2010