Evidence map›Paper›PMID 27975188›Full record

ArticleMetabolic brain disease2017

Vitamin D deficiency is associated with acute ischemic stroke, C-reactive protein, and short-term outcome.

Daniela Frizon Alfieri, Márcio Francisco Lehmann, Sayonara Rangel Oliveira, Tamires Flauzino, Francieli Delongui, Maria Caroline Martins de Araújo, Isaias Dichi, Vinícius Daher Delfino, Leda Mezzaroba, Andréa Name Colado Simão and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Metabolic brain disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 7 pooled it
5.4field-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

37 citing papers in PubMed, 7 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Vitamin D and Hyperkinetic Movement Disorders: A Systematic Review.Tremor and other hyperkinetic movements (New York, N.Y.) · 2020
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Efficacy of low-fat milk and yogurt fortified with vitamin DJournal of health, population, and nutrition · 2022
    Trial
  9. Trial
  10. Review
  11. Article
  12. Novel Insights into the Molecular Mechanisms of Atherosclerosis.International journal of molecular sciences · 2023
    Review
  13. Article
  14. Association Between Serum Vitamin D Levels and Physical Outcomes of Patients Who Underwent Rehabilitation Following Ischemic Stroke.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Article
  15. Article
  16. Article
  17. Vitamin D3 and Ischemic Stroke: A Narrative Review.Antioxidants (Basel, Switzerland) · 2022
    Review
  18. Article
  19. Article
  20. Review
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

11 authors at 1 institution in 1 country.

Daniela Frizon AlfieriPostgraduate Program, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil.
Márcio Francisco LehmannDepartment of Clinical Surgery, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil.
Sayonara Rangel OliveiraPostgraduate Program, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil.
Tamires FlauzinoPostgraduate Program, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil.
Francieli DelonguiPostgraduate Program, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil.
Maria Caroline Martins de AraújoMedicine School, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil.
Isaias DichiDepartmet of Clinical Medicine, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil.
Vinícius Daher DelfinoDepartmet of Clinical Medicine, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil.
Leda MezzarobaDepartment of Pathology, Clinical Analysis and Toxicology, Health Sciences Center, State University of Londrina, Av. Robert Koch, 60, CEP 86.038-440, Londrina, Paraná, Brazil.
Andréa Name Colado SimãoDepartment of Pathology, Clinical Analysis and Toxicology, Health Sciences Center, State University of Londrina, Av. Robert Koch, 60, CEP 86.038-440, Londrina, Paraná, Brazil.
Edna Maria Vissoci ReicheDepartment of Pathology, Clinical Analysis and Toxicology, Health Sciences Center, State University of Londrina, Av. Robert Koch, 60, CEP 86.038-440, Londrina, Paraná, Brazil. reiche@sercomtel.com.br.
Universidade Estadual de Londrina · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to investigate whether vitamin D deficiency (VDD) is associated with acute ischemic stroke, inflammatory markers, and short-term outcome. 168 acute ischemic stroke patients and 118 controls were included. The modified Rankin Scale (mRS) was applied up to 8 h of admission (baseline) and after three-months follow-up, and blood samples were obtained up to 24 h of admission to evaluate serum levels of 25-hydroxivitamin D [25(OH)D] and inflammatory markers. Vitamin D levels classified the individuals in sufficient (VDS ≥ 30.0 ng/mL), insufficient (VDI 20.0-29.9 ng/mL), and deficient (VDD < 20.0 ng/mL) status. Patients had lower levels of 25(OH)D, higher frequency of VDD (43.45% vs. 5.08%, OR: 16.64, 95% CI: 5.66-42.92, p < 0.001), and higher inflammatory markers than controls (p < 0.05). Patients with VDD showed increased high sensitivity C-reactive protein (hsCRP) levels than those with VDS status (p = 0.043); those with poor outcome presented with lower 25(OH)D levels than those with good outcome (p = 0.008); moreover, 25(OH)D levels were negatively correlated with mRS after three-months follow-up (r = -0.239, p = 0.005). The associations between VDD and higher hsCRP levels and between 25(OH)D levels and poor outcome at short-term in acute ischemic stroke patients suggest the important role of vitamin D in the inflammatory response and pathophysiology of this ischemic event.

Indexed as

AgedBiomarkersBrain IschemiaC-Reactive ProteinFemaleFollow-Up StudiesHumansHydroxycholecalciferolsInflammationMaleMiddle AgedNutritional StatusStrokeTomography, X-Ray ComputedTreatment OutcomeVitamin DBiomarkersC-Reactive ProteinHydroxycholecalciferolsVitamin DC-reactive proteinInflammationStrokeVitamin DVitamin D deficiency

Identifiers

PMID27975188
OpenAlexW2562781510

What OpenQuestion holds

Textmetadata
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.