A Study of Vitamin D Level in Critically Ill Patients and Effect of Supplementation on Clinical Outcome.

Critical illness Vitamin D mechanical ventilation mortality

Journal

Anesthesia, essays and researches
ISSN: 0259-1162
Titre abrégé: Anesth Essays Res
Pays: India
ID NLM: 101578762

Informations de publication

Date de publication:
Historique:
received: 27 08 2020
revised: 07 09 2020
accepted: 09 09 2020
entrez: 7 6 2021
pubmed: 8 6 2021
medline: 8 6 2021
Statut: ppublish

Résumé

Supplementation of Vitamin-D in Vitamin-D deficient patients may reduce morbidity and mortality in critically ill patients in ICU. The aim of this study is to investigate serum level of Vitamin-D in critically ill patients and supplementation of vitamin-D in deficient patients and finally to compare clinical outcomes between two groups. Randomized, prospective and comparative study. In this study, serum vitamin-D level was investigated in recruited patients and vitamin-D deficient patients were randomly allocated into two groups viz; group-1, group-2. Vitamin-D (sachet CALCIROL 60,000 IU) supplementation was done once a week and twice a week in in group-1 and group-2 respectively, clinical outcomes between two groups were compared in terms of length of ICU stay, need for inotropic support, need for mechanical ventilation and 28 days ICU mortality. Mean and standard deviation were calculated. Test of analysis between two groups was done by No significant difference was found between two groups whether vitamin D supplementation done once or twice weekly ( From the above results we concluded that vitamin D supplementation in high dosages may be started in all critically ill patients, who are deficient in serum vitamin D level to get better clinical outcomes.

Sections du résumé

BACKGROUND BACKGROUND
Supplementation of Vitamin-D in Vitamin-D deficient patients may reduce morbidity and mortality in critically ill patients in ICU.
AIMS AND OBJECTIVES OBJECTIVE
The aim of this study is to investigate serum level of Vitamin-D in critically ill patients and supplementation of vitamin-D in deficient patients and finally to compare clinical outcomes between two groups.
SETTINGS AND DESIGN METHODS
Randomized, prospective and comparative study.
MATERIALS AND METHODS METHODS
In this study, serum vitamin-D level was investigated in recruited patients and vitamin-D deficient patients were randomly allocated into two groups viz; group-1, group-2. Vitamin-D (sachet CALCIROL 60,000 IU) supplementation was done once a week and twice a week in in group-1 and group-2 respectively, clinical outcomes between two groups were compared in terms of length of ICU stay, need for inotropic support, need for mechanical ventilation and 28 days ICU mortality.
STATISTICAL ANALYSIS METHODS
Mean and standard deviation were calculated. Test of analysis between two groups was done by
RESULTS RESULTS
No significant difference was found between two groups whether vitamin D supplementation done once or twice weekly (
CONCLUSION CONCLUSIONS
From the above results we concluded that vitamin D supplementation in high dosages may be started in all critically ill patients, who are deficient in serum vitamin D level to get better clinical outcomes.

Identifiants

pubmed: 34092861
doi: 10.4103/aer.AER_83_20
pii: AER-14-474
pmc: PMC8159047
doi:

Types de publication

Journal Article

Langues

eng

Pagination

474-477

Informations de copyright

Copyright: © 2020 Anesthesia: Essays and Researches.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Subhransu Sekhar Padhy (SS)

Department of Anesthesia and Critical Care, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Deepak Malviya (D)

Department of Anesthesia and Critical Care, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Mamta Harjai (M)

Department of Anesthesia and Critical Care, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Manoj Tripathi (M)

Department of Anesthesia and Critical Care, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Pravin Kumar Das (PK)

Department of Anesthesia and Critical Care, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Shivani Rastogi (S)

Department of Anesthesia and Critical Care, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Classifications MeSH