Evidence map›Paper›PMID 33658032›Full record

ArticleRespiratory research2021

Circulating Vitamin D levels status and clinical prognostic indices in COVID-19 patients.

Alberto Ricci, Alessandra Pagliuca, Michela D'Ascanio, Marta Innammorato, Claudia De Vitis, Rita Mancini, Simonetta Giovagnoli, Francesco Facchiano, Bruno Sposato, Paolo Anibaldi and 5 more

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  7. Severity of oxidative stress as a hallmark in COVID-19 patients.European journal of medical research · 2023
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  12. Vitamin D can reduce severity in COVID-19 through regulation of PD-L1.Naunyn-Schmiedeberg's archives of pharmacology · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Alberto RicciRespiratory Unit, Sant'Andrea Hospital, Sapienza University of Rome, Via di grottarossa, 1035, Rome, Italy.
Alessandra PagliucaRespiratory Unit, Sant'Andrea Hospital, Sapienza University of Rome, Via di grottarossa, 1035, Rome, Italy.
Michela D'AscanioRespiratory Unit, Sant'Andrea Hospital, Sapienza University of Rome, Via di grottarossa, 1035, Rome, Italy.
Marta InnammoratoRespiratory Unit, Sant'Andrea Hospital, Sapienza University of Rome, Via di grottarossa, 1035, Rome, Italy. marta.innammorato@hotmail.it.
Claudia De VitisSant'Andrea Hospital, Rome, Italy.
Rita ManciniSant'Andrea Hospital, Rome, Italy.
Simonetta GiovagnoliSant'Andrea Hospital, Rome, Italy.
Francesco FacchianoDepartment of Oncology and Molecular Medicine, Istituto Superiore Di Sanità, Rome, Italy.
Bruno SposatoRespiratory Unit, Misericordia Hospital, Grosseto, Italy.
Paolo AnibaldiSant'Andrea Hospital, Rome, Italy.
Adriano MarcolongoSant'Andrea Hospital, Rome, Italy.
Chiara De DominicisSant'Andrea Hospital, Rome, Italy.
Andrea LaghiSant'Andrea Hospital, Rome, Italy.
Emanuele MuscogiuriSant'Andrea Hospital, Rome, Italy.
Salvatore SciacchitanoRespiratory Unit, Sant'Andrea Hospital, Sapienza University of Rome, Via di grottarossa, 1035, Rome, Italy.
CTO Andrea Alesini · ITSapienza University of Rome · ITIstituto Superiore di Sanità · ITOspedale Misericordia - Grosseto · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral immune mechanisms activate in COVID-19 pathogenesis. Usually, coronavirus infection is characterized by dysregulated host immune responses, interleukine-6 increase, hyper-activation of cytotoxic CD8 T lymphocytes. Interestingly, Vitamin D deficiency has been often associated with altered immune responses and infections. In the present study, we evaluated Vitamin D plasma levels in patients affected with different lung involvement during COVID-19 infection.

methodsLymphocyte phenotypes were assessed by flow cytometry. Thoracic CT scan involvement was obtained by an image analysis program.

resultsVitamin D levels were deficient in (80%) of patients, insufficient in (6.5%) and normal in (13.5%). Patients with very low Vitamin D plasma levels had more elevated D-Dimer values, a more elevated B lymphocyte cell count, a reduction of CD8 + T lymphocytes with a low CD4/CD8 ratio, more compromised clinical findings (measured by LIPI and SOFA scores) and thoracic CT scan involvement.

conclusionsVitamin D deficiency is associated with compromised inflammatory responses and higher pulmonary involvement in COVID-19 affected patients. Vitamin D assessment, during COVID-19 infection, could be a useful analysis for possible therapeutic interventions.

trial registration'retrospectively registered'.

Indexed as

AdultAgedAged, 80 and overCD8-Positive T-LymphocytesCOVID-19FemaleHumansItalyLungMaleMiddle AgedPrognosisVitamin DVitamin D DeficiencyVitamin D

Identifiers

PMID33658032
PMCPMC7928197
OpenAlexW3134516198

What OpenQuestion holds

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LicenceCC BY
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.