Evidence map›Paper›PMID 31770235›Full record

Trial reportMedicine2019

Vitamin D deficiency is highly prevalent in malnourished inpatients and associated with higher mortality: A prospective cohort study.

Meret Merker, Aline Amsler, Renata Pereira, Rebekka Bolliger, Pascal Tribolet, Nina Braun, Claus Hoess, Vojtech Pavlicek, Stefan Bilz, Sarah Sigrist and 10 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Vitamin D deficiency in bedridden elderly people at home.Revista da Associacao Medica Brasileira (1992) · 2023
    Article
  13. Observational
  14. Article
  15. Article
  16. Investigating the potential mechanisms of depression induced-by COVID-19 infection in patients.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2021
    Review
  17. Review
  18. 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

20 authors at 9 institutions in 2 countries.

Meret MerkerMedical University Department, Division of General Internal and Emergency Medicine, Kantonsspital Aarau, Aarau.
Aline AmslerUniversity of Basel, Basel.
Renata PereiraUniversity of Basel, Basel.
Rebekka BolligerMedical University Department, Division of General Internal and Emergency Medicine, Kantonsspital Aarau, Aarau.
Pascal TriboletMedical University Department, Division of General Internal and Emergency Medicine, Kantonsspital Aarau, Aarau.
Nina BraunInternal Medicine, Kantonsspital Münsterlingen, Münsterlingen.
Claus HoessInternal Medicine, Kantonsspital Münsterlingen, Münsterlingen.
Vojtech PavlicekInternal Medicine, Kantonsspital Münsterlingen, Münsterlingen.
Stefan BilzInternal Medicine & Endocrinology, Kantonsspital St. Gallen, St. Gallen.
Sarah SigristInternal Medicine & Endocrinology, Kantonsspital St. Gallen, St. Gallen.
Michael BrändleInternal Medicine & Endocrinology, Kantonsspital St. Gallen, St. Gallen.
Christoph HenzenInternal Medicine, Kantonsspital Luzern, Luzern.
Robert ThomannInternal Medicine, Bürgerspital Solothurn, Solothurn.
Jonas RutishauserInternal Medicine, Kantonsspital Baselland, Standort Bruderholz.
Drahomir AujeskyDepartment of General Internal Medicine, Inselspital, Bern University Hospital.
Nicolas RodondiDepartment of General Internal Medicine, Inselspital, Bern University Hospital.
Jaques DonzéDepartment of General Internal Medicine, Inselspital, Bern University Hospital.
Zeno StangaDivision of Diabetology, Endocrinology, Nutritional Medicine & Metabolism, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Beat MuellerMedical University Department, Division of General Internal and Emergency Medicine, Kantonsspital Aarau, Aarau.
Philipp SchuetzMedical University Department, Division of General Internal and Emergency Medicine, Kantonsspital Aarau, Aarau.
Kantonsspital Aarau · CHKantonsspital Münsterlingen · CHKantonsspital St. Gallen · CHUniversity Hospital of Bern · CHUniversity of Basel · CHBrigham and Women's Hospital · USKantonsspital Baselland Standort Bruderholz · CHLuzerner Kantonsspital · CHSolothurner Spitäler · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of vitamin D deficiency on the recovery of patients with malnutrition remains undefined. Our aim was to study the prevalence of vitamin D deficiency in a well-characterized cohort of patients with malnutrition and its association with outcomes.Within this secondary analysis of a randomized controlled trial, we examined the association of vitamin D deficiency and adverse clinical outcomes over a follow-up of 180 days in hospitalized patients at risk for malnutrition. We measured 25-hydroxyvitamin D levels upon admission and defined Vitamin D deficiency when levels were <50nmol/l. The primary endpoint was 180-day mortality.The prevalence of vitamin D deficiency in our cohort of 828 patients was 58.2% (n = 482). Patients with vitamin D deficiency had increased 180-day mortality rates from 23.1% to 29.9% (odds ratio 1.42, 95% confidence interval [CI] 1.03-1.94, P = .03). When adjusting the analysis for demographics, comorbidities, and randomization, this association remained significant for the subgroup of patients not receiving vitamin D treatment (adjusted odds ratio 1.63, 95% CI 1.01-2.62, P = .04). There was no significantly lower risk for mortality in the subgroup of vitamin D deficient patients receiving vitamin D treatment compared to not receiving treatment (adjusted odds ratio 0.74, 95% CI 0.48-1.13, P = .15).Vitamin D deficiency is highly prevalent in the population of malnourished inpatients and is negatively associated with long-term mortality particularly when patients are not receiving vitamin D treatment. Our findings suggest that malnourished patients might benefit from vitamin D screening and treatment in case of deficiency.

Indexed as

AgedAged, 80 and overDietary SupplementsFemaleFrail ElderlyFrailtyHumansInpatientsMaleMalnutritionPrevalenceProspective StudiesQuality of LifeTreatment OutcomeVitamin DVitamin D Deficiency25-hydroxyvitamin DVitamin DVitamins

Identifiers

PMID31770235
PMCPMC6890327
OpenAlexW2991449155

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.