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Immun Inflamm Dis . The association between vitamin D intake with inflammatory and biochemical indices and mortality in critically ill patients with

tetano

Editor, Senior Moderator
Immun Inflamm Dis

. 2023 Apr;11(4):e844.
doi: 10.1002/iid3.844.
The association between vitamin D intake with inflammatory and biochemical indices and mortality in critically ill patients with COVID-19: A case-control study
Maryam Gholamalizadeh 1 , Faezeh Rabbani 2 , Mina Ahmadzadeh 3 , Azadeh Hajipour 4 , Hayehe Musavi 5 , Khadijeh Abbasi Mobarakeh 6 , Zahra Salimi 7 , Bojlul Bahar 8 , Zahra Mahmoodi 9 , Somayeh Gholami 10 , Samaneh Mirzaei Dahka 11 , Saeid Doaei 12 , Mokammad Esmail Akbari 1
Affiliations

PMID: 37102656 DOI: 10.1002/iid3.844

Abstract

Background: The coronavirus disease-2019 (COVID-19) has become a worldwide health issue with widespread hospitalization and dependence on the intensive care unit (ICU). Vitamin D has a key role in modulating immune cells and modulating the inflammatory responses. This study aimed to investigate the association of vitamin D supplementation with inflammatory, biochemical, and mortality indices in critically ill patients with COVID-19.

Methods: This case-control study was conducted on critically ill COVID-19 patients hospitalized in the ICU including the survived >30 day patients as the case group and dead patients as the control group. The status of vitamin D supplementation and inflammatory and biochemical indices of the patients were retrieved from the medical records. Logistic regression method was used to assess the association between 30 days survival and vitamin D supplement intake.

Results: Compared to the group of COVID-19 patients who died in <30 day, the survived patients had a lower eosinophile level (2.2 ± 0.5 vs. 6 ± 0.0, p < .001) and higher vitamin D supplementation duration (9 ± 4.4 vs. 3.3 ± 1.9 day, p = .001). Vitamin D supplementation had a positive association with survival in COVID-19 patients (OR: 1.98, 95% CI: 1.15-3.40, p < .05). The association remained significant after adjustments fot age, sex, underlying diseases, and smoking.

Conclusion: Vitamin D supplementation in critically ill patients with COVID-19 has the potential to increase survivability within the first 30 days of hospitalization.

Keywords: Covid-19; critical ill patientvitamin D; survivalcritical ill patient; vitamin D survival.

 
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