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Record W4223995196 · doi:10.2196/36261

Lessening Organ Dysfunction With Vitamin C (LOVIT) Trial: Statistical Analysis Plan

2022· article· en· W4223995196 on OpenAlexaffvenue
Neill K. J. Adhikari, Ruxandra Pinto, Andrew G. Day, Marie-Hélène Masse, Julie Ménard, Sheila Sprague, Djillali Annane, Yaseen M. Arabi, Marie‐Claude Battista, Dian Cohen, Gordon Guyatt, Daren K. Heyland, Salmaan Kanji, Shay McGuinness, Rachael Parke, Bharath Kumar Tirupakuzhi Vijayaraghavan, Emmanuel Charbonney, Michaël Chassé, Lorenzo Del Sorbo, Demetrios J. Kutsogiannis, François Lauzier, Rémi Leblanc, David M. Maslove, Sangeeta Mehta, Armand Mekontso Dessap, Tina Mele, Bram Rochwerg, Jason Shahin, Paweł Twardowski, Paul J. Young, François Lamontagne

Bibliographic record

VenueJMIR Research Protocols · 2022
Typearticle
Languageen
FieldNursing
TopicVitamin C and Antioxidants Research
Canadian institutionsMcGill University Health CentreUniversity of Alberta HospitalLondon Health Sciences CentreWestern UniversitySinai Health SystemMount Sinai HospitalUniversité LavalCentre hospitalier de l'Université LavalUniversity Health NetworkUniversity of AlbertaUniversité de MontréalCentre Hospitalier de l’Université de MontréalQueen's UniversityKingston General HospitalCentre hospitalier universitaire de QuébecUniversité de SherbrookeImpactHôpital de l'Enfant-JésusJuravinski HospitalClinical Evaluation Research UnitBishop's UniversitySt. Joseph’s Healthcare HamiltonHôpital du Sacré-Cœur de MontréalUniversity of OttawaKingston Health Sciences CentreUniversity of TorontoToronto General HospitalMcMaster UniversityOttawa HospitalHealth Sciences CentreDr. Georges-L.-Dumont University Hospital CentreCentre Hospitalier Universitaire de SherbrookeSunnybrook Health Science Centre
Fundersnot available
KeywordsMedicineSubgroup analysisClinical trialRandomized controlled trialRandomizationSeptic shockIntensive care unitSepsisOrgan dysfunctionPlaceboEmergency medicineIntensive care medicineInternal medicineConfidence interval

Abstract

fetched live from OpenAlex

BACKGROUND: The LOVIT (Lessening Organ Dysfunction with Vitamin C) trial is a blinded multicenter randomized clinical trial comparing high-dose intravenous vitamin C to placebo in patients admitted to the intensive care unit with proven or suspected infection as the main diagnosis and receiving a vasopressor. OBJECTIVE: We aim to describe a prespecified statistical analysis plan (SAP) for the LOVIT trial prior to unblinding and locking of the trial database. METHODS: The SAP was designed by the LOVIT principal investigators and statisticians, and approved by the steering committee and coinvestigators. The SAP defines the primary and secondary outcomes, and describes the planned primary, secondary, and subgroup analyses. RESULTS: The SAP includes a draft participant flow diagram, tables, and planned figures. The primary outcome is a composite of mortality and persistent organ dysfunction (receipt of mechanical ventilation, vasopressors, or new renal replacement therapy) at 28 days, where day 1 is the day of randomization. All analyses will use a frequentist statistical framework. The analysis of the primary outcome will estimate the risk ratio and 95% CI in a generalized linear mixed model with binomial distribution and log link, with site as a random effect. We will perform a secondary analysis adjusting for prespecified baseline clinical variables. Subgroup analyses will include age, sex, frailty, severity of illness, Sepsis-3 definition of septic shock, baseline ascorbic acid level, and COVID-19 status. CONCLUSIONS: We have developed an SAP for the LOVIT trial and will adhere to it in the analysis phase. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/36261.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.097
metaresearch head score (Gemma)0.093
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Protocol · Consensus signal: Protocol
Teacher disagreement score0.097
Threshold uncertainty score0.510

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0970.093
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0040.007
Bibliometrics0.0020.002
Science and technology studies0.0010.002
Scholarly communication0.0030.002
Open science0.0020.002
Research integrity0.0030.005
Insufficient payload (model declined to judge)0.0200.004

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.183
GPT teacher head0.509
Teacher spread0.326 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreProtocol

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations7
Published2022
Admission routes2
Has abstractyes

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