Vitamin D deficiency is independently associated with mortality among critically ill patients
dc.contributor.author | Moraes, Rafael Barberena | pt_BR |
dc.contributor.author | Friedman, Gilberto | pt_BR |
dc.contributor.author | Wawrzeniak, Iuri Christmann | pt_BR |
dc.contributor.author | Marques, Leonardo da Silva | pt_BR |
dc.contributor.author | Nagel, Fabiano Marcio | pt_BR |
dc.contributor.author | Lisboa, Thiago Costa | pt_BR |
dc.contributor.author | Czepielewski, Mauro Antonio | pt_BR |
dc.date.accessioned | 2017-06-20T02:29:37Z | pt_BR |
dc.date.issued | 2015 | pt_BR |
dc.identifier.issn | 1807-5932 | pt_BR |
dc.identifier.uri | http://hdl.handle.net/10183/159649 | pt_BR |
dc.description.abstract | OBJECTIVE: Studies suggest an association between vitamin D deficiency and morbidity/mortality in critically ill patients. Several issues remain unexplained, including which vitamin D levels are related to morbidity and mortality and the relevance of vitamin D kinetics to clinical outcomes. We conducted this study to address the association of baseline vitamin D levels and vitamin D kinetics with morbidity and mortality in critically ill patients. METHOD: In 135 intensive care unit (ICU) patients, vitamin D was prospectively measured on admission and weekly until discharge from the ICU. The following outcomes of interest were analyzed: 28-day mortality, mechanical ventilation, length of stay, infection rate, and culture positivity. RESULTS: Mortality rates were higher among patients with vitamin D levels o12 ng/mL (versus vitamin D levels 412 ng/mL) (32.2% vs. 13.2%), with an adjusted relative risk of 2.2 (95% CI 1.07–4.54; po 0.05). There were no differences in the length of stay, ventilation requirements, infection rate, or culture positivity. CONCLUSIONS: This study suggests that low vitamin D levels on ICU admission are an independent risk factor for mortality in critically ill patients. Low vitamin D levels at ICU admission may have a causal relationship with mortality and may serve as an indicator for vitamin D replacement among critically ill patients. | en |
dc.format.mimetype | application/pdf | pt_BR |
dc.language.iso | eng | pt_BR |
dc.relation.ispartof | Clinics. São Paulo. Vol. 70, n. 5 (maio 2015), p. 326-332 | pt_BR |
dc.rights | Open Access | en |
dc.subject | Vitamin D | en |
dc.subject | Vitamina D | pt_BR |
dc.subject | Choque séptico | pt_BR |
dc.subject | Septic shock | en |
dc.subject | Cuidados críticos | pt_BR |
dc.subject | Critical care | en |
dc.title | Vitamin D deficiency is independently associated with mortality among critically ill patients | pt_BR |
dc.type | Artigo de periódico | pt_BR |
dc.identifier.nrb | 001022164 | pt_BR |
dc.type.origin | Nacional | pt_BR |
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