Evidence map›Paper›PMID 34388589›Full record

ArticleNutrition (Burbank, Los Angeles County, Calif.)

Prevalence of vitamin D deficiency and its prognostic impact on patients hospitalized with COVID-19.

Vanessa Bianconi, Massimo R Mannarino, Filippo Figorilli, Elena Cosentini, Giuseppe Batori, Ettore Marini, Rita Lombardini, Marco Gargaro, Francesca Fallarino, Anna Maria Scarponi and 2 more

Open access · greenAbstract read
In one paragraph

Article in Nutrition (Burbank, Los Angeles County, Calif.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Low Vitamin D Levels Are Associated With Long COVID Syndrome in COVID-19 Survivors.The Journal of clinical endocrinology and metabolism · 2023
    Article
  6. Article
  7. Article
  8. Vitamin D and COVID-19-Revisited.Journal of internal medicine · 2022
    Review
  9. Review
  10. Observational
  11. Article
  12. Article
  13. Review
  14. Observational
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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

12 authors at 2 institutions in 2 countries.

Vanessa BianconiUnit of Internal Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Massimo R MannarinoUnit of Internal Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy. Electronic address: massimo.mannarino@unipg.it.
Filippo FigorilliUnit of Internal Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Elena CosentiniUnit of Internal Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Giuseppe BatoriUnit of Internal Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Ettore MariniUnit of Internal Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Rita LombardiniUnit of Internal Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Marco GargaroUnit of Pharmacology, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Francesca FallarinoUnit of Pharmacology, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Anna Maria ScarponiUnit of Internal Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Amirhossein SahebkarBiotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran; Neurogenic Inflammation Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
Matteo PirroUnit of Internal Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
University of Perugia · ITMashhad University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAlthough hypovitaminosis D appears to be highly prevalent in patients with coronavirus disease 2019 (COVID-19), its impact on their prognosis remains unclear.

methodsIn this study, serum 25-hydroxyvitamin D (Vit-D) level was measured in 200 patients hospitalized with COVID-19. The association between Vit-D and the composite endpoint of intensive care unit (ICU) admission/in-hospital death was explored using univariable and multivariable analyses. Also, serum Vit-D level in patients with COVID-19 was compared with that in age- and sex-balanced COVID-19-negative controls (i.e., 50 inpatients with sepsis).

resultsSerum Vit-D level was comparable between patients with COVID-19 and COVID-19-negative inpatients with sepsis (P = 0.397). No significant differences were found in serum Vit-D level according to COVID-19 severity at the time of hospital admission (P = 0.299). Incidence rates of the composite endpoint of ICU admission/in-hospital death did not differ significantly between patients with either Vit-D deficiency (i.e., Vit-D <20 ng/mL) or severe Vit-D deficiency (i.e., Vit-D <12 ng/mL) and those without (31% vs 35% with P = 0.649, and 34% vs 30% with P = 0.593, respectively). Vit-D level and status (i.e., Vit-D deficiency and severe Vit-D deficiency) were not prospectively associated with the risk of the composite endpoint of ICU admission/in-hospital death (P > 0.05 for all Cox regression models).

conclusionsRegardless of the potential usefulness of Vit-D measurement to guide appropriate supplementation, Vit-D does not appear to provide helpful information for the stratification of in-hospital prognosis in patients with COVID-19.

Indexed as

COVID-19Vitamin D DeficiencyHospital MortalityHumansPrevalencePrognosisSARS-CoV-2Vitamin DVitamin D25-hydroxyvitamin DCOVID-19PneumoniaRespiratory distressSARS-CoV-2

Identifiers

PMID34388589
PMCPMC8247197
OpenAlexW3178095167

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.