Evidence map›Paper›PMID 25564428›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition2016

Plasma 25-Hydroxyvitamin D Levels at Initiation of Care and Duration of Mechanical Ventilation in Critically Ill Surgical Patients.

Sadeq A Quraishi, Caitlin McCarthy, Livnat Blum, J Perren Cobb, Carlos A Camargo

Abstract read
In one paragraph

Article in JPEN. Journal of parenteral and enteral nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Review
  6. Article
  7. Effect of High-Dose Vitamin D on Duration of Mechanical Ventilation in ICU Patients.Iranian journal of pharmaceutical research : IJPR · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Sadeq A QuraishiHarvard Medical School, Boston, MA Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA squraishi@mgh.harvard.edu.
Caitlin McCarthyDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA.
Livnat BlumDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA.
J Perren CobbHarvard Medical School, Boston, MA Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA.
Carlos A CamargoHarvard Medical School, Boston, MA Harvard School of Public Health, Boston, MA Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA.
Massachusetts General Hospital · USHarvard University · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Research Training for AnesthetistsT32GM007592 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI STUART A FORMAN · 1985 to 2026
$11.8M
Prospective Cohort Study of Severe Bronchiolitis and Risk of Recurrent WheezingU01AI087881 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI CAMARGO, CARLOS ARTURO · 2011 to 2016
$6.2M
Effects of vitamin D and omega-3 fatty acids on infectious diseases and hCAP18R01AI093723 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI CAMARGO, CARLOS ARTURO · 2011 to 2015
$4.0M
PLASTICITY OF THE SYSTEMIC INFLAMMATORY RESPONSER01GM081524 · NIGMS · WASHINGTON UNIVERSITY · PI COBB, J PERREN · 2009 to 2011
$1.0M
NCATS NIH HHS L30 TR001257NCRR NIH HHS UL1 RR025758NIAID NIH HHS R01 AI093723NIAID NIH HHS U01 AI087881NIGMS NIH HHS 5T32GM007592NIGMS NIH HHS L30 GM102903NIGMS NIH HHS R01 GM081524NIGMS NIH HHS R01 GM81524NIGMS NIH HHS T32 GM007592
6 · The paper itself

Abstract

objectiveLimited data exist regarding the relationship between plasma 25-hydroxyvitamin D levels and duration of respiratory support. Our goal was to explore whether vitamin D status at the time of intensive care unit (ICU) admission is associated with duration of mechanical ventilation in critically ill surgical patients. MATERIALS AND

methodsWe analyzed data from a prospective cohort study involving 210 critically ill surgical patients. To explore the relationship between admission plasma 25-hydroxyvitamin D levels and duration of mechanical ventilation, we performed a Poisson regression while controlling for clinically relevant covariates. Only patients who required ≥48 hours of mechanical ventilation and survived ≥24 hours after discontinuation of respiratory support were included in the analytic cohort.

resultsNinety-four patients met inclusion criteria. Mean (standard deviation) plasma 25-hydroxyvitamin D level was 16 (7) ng/mL and median (interquartile range) duration of mechanical ventilation was 4 (2-7) days. Poisson regression analysis, adjusted for age, sex, race, body mass index, primary surgical service, Acute Physiology and Chronic Health Evaluation II score, and season of ICU admission, demonstrated an inverse association of plasma 25-hydroxyvitamin D levels with duration of mechanical ventilation (incident rate ratio per 10 ng/mL, 0.66; 95% confidence interval, 0.54-0.82).

conclusionsIn our cohort of critically ill surgical patients, plasma 25-hydroxyvitamin D levels measured on ICU admission were inversely associated with the duration of respiratory support. Randomized controlled trials are needed to assess whether vitamin D supplementation can influence duration of mechanical ventilation in surgical ICU patients.

Indexed as

Respiration, ArtificialAgedAged, 80 and overAPACHEBiomarkersBody Mass IndexCritical IllnessFemaleHumansIntensive Care UnitsLength of StayMaleMiddle AgedProspective StudiesRisk FactorsSurgical Procedures, Operative25-hydroxyvitamin DBiomarkersVitamin D25(OH)Dcritical caremechanical ventilationvitamin D

Identifiers

PMID25564428
PMCPMC4492899
OpenAlexW1993491358

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.