Evidence map›Paper›PMID 25715347›Full record

ArticleRespiratory care2015

Association Between Vitamin D Status and Weaning From Prolonged Mechanical Ventilation in Survivors of Critical Illness.

Avelino C Verceles, Bethany Weiler, Dafna Koldobskiy, Andrew P Goldberg, Giora Netzer, John D Sorkin

Open access · bronzeAbstract read
In one paragraph

Article in Respiratory care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Vitamin D Status and Supplementation in the Critically Ill.Current gastroenterology reports · 2016
    Review
  3. Article
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

6 authors at 3 institutions in 1 country.

Avelino C VercelesDivision of Pulmonary and Critical Care Medicine University of Maryland Claude D Pepper Older Americans Independence Center avercele@medicine.umaryland.edu.
Bethany WeilerDepartment of Medicine.
Dafna KoldobskiyClinical Associates, Life Bridge Health, Towson, Maryland.
Andrew P GoldbergUniversity of Maryland Claude D Pepper Older Americans Independence Center Division of Geriatric Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
Giora NetzerDivision of Pulmonary and Critical Care Medicine Department of Epidemiology and Public Health.
John D SorkinUniversity of Maryland Claude D Pepper Older Americans Independence Center Division of Geriatric Medicine, University of Maryland School of Medicine, Baltimore, Maryland. Baltimore Veterans Affairs Geriatric Research, Education, and Clinical Center, Baltimore, Maryland.
Pulmonary and Critical Care Associates · USUniversity of Maryland, Baltimore · USTowson University · US

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI Stephen L. Seliger · 2006 to 2026
$28.9M
Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D, TAYLOR, SIMEON I. · 2005 to 2019
$17.3M
COPD Treatment in Older Adults with DepressionR21AG045573 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI SIMONI-WASTILA, LINDA J · 2013 to 2014
$422k
The Multimodal Rehabilitation of Older Ventilated Survivors Of Critical IllnessR03AG045100 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI VERCELES, AVELINO CATALINO · 2013 to 2014
$154k
NIA NIH HHS 5R21AG045573-02NIA NIH HHS P30 AG028747NIA NIH HHS R03 AG045100NIA NIH HHS R03AG045100NIA NIH HHS R21 AG045573NIDDK NIH HHS P30 DK072488
6 · The paper itself

Abstract

backgroundIn this study, we examined the association between 25-hydroxyvitamin D (25(OH)D) concentration and successful weaning from mechanical ventilation in a cohort of ICU survivors requiring prolonged mechanical ventilation.

methodsThis was a retrospective cohort study of ICU survivors admitted to a long-term acute care hospital. Demographic data were extracted from medical records, including 25(OH)D concentrations drawn on admission. Subjects were divided into 2 groups based on their 25(OH)D concentrations (deficient, < 20 ng/mL; not deficient, ≥ 20 ng/mL), and associations between 25(OH)D concentration and successful weaning were calculated.

resultsA total of 183 subjects were studied. A high prevalence of 25(OH)D deficiency was found (61%, 111/183). No association was found between 25(OH)D concentration and weaning from mechanical ventilation. Increased comorbidity burden (Charlson comorbidity index) was associated with decreased odds of weaning (odds ratio of 0.50, 95% CI 0.25-0.99, P = .05).

conclusionsVitamin D deficiency is common in ICU survivors requiring prolonged mechanical ventilation. Surprisingly, there was no significant relationship between 25(OH)D concentration and successful weaning. This finding may be due to the low 25(OH)D concentrations seen in our subjects. Given what is known about vitamin D and lung function and given the low vitamin D concentrations seen in patients requiring long-term ventilatory support, interventional studies assessing the effects of 25(OH)D supplementation in these patients are needed.

Indexed as

Critical IllnessSurvivorsVentilator WeaningAdultAgedComorbidityFemaleHumansMaleMiddle AgedOdds RatioPrevalenceRetrospective StudiesVitamin DVitamin D Deficiency25-hydroxyvitamin DVitamin Dcritical illnessprolonged mechanical ventilationrespiratory failureventilator weaningvitamin D

Identifiers

PMID25715347
PMCPMC4485581
OpenAlexW2127151942

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.