Evidence map›Paper›PMID 34406674›Full record

ArticleJournal of medical virology2022

Evaluation of the relationship between serum levels of zinc, vitamin B12, vitamin D, and clinical outcomes in patients with COVID-19.

Habibesadat Shakeri, Amir Azimian, Hamed Ghasemzadeh-Moghaddam, Mohammadreza Safdari, Mehdi Haresabadi, Tahereh Daneshmand, Hasan Namdar Ahmadabad

Open access · bronzeAbstract read
In one paragraph

Article in Journal of medical virology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
5.6field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Serum zinc level independently predicts need for inpatient intubation among patients hospitalized with COVID-19: A prospective observational study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Observational
  5. Article
  6. Article
  7. Article
  8. Zinc and selenium status in coronavirus disease 2019.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. COVID-19: Reducing the risk via diet and lifestyle.Journal of integrative medicine · 2023
    Review
  14. COVID-19 Oral Sequelae: Persistent Gustatory and Saliva Secretory Dysfunctions after Recovery from COVID-19.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2023
    Review
  15. Article
  16. Vitamin D and COVID-19-Revisited.Journal of internal medicine · 2022
    Review
  17. Review
  18. Article
  19. Review
  20. 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

7 authors at 1 institution in 1 country.

Habibesadat ShakeriDepartment of Endocrinology and Internal Medicine, Clinical Endocrinology, Imam Hassan Hospital, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Amir AzimianDepartment of Pathobiology and Laboratory Sciences, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.ORCID 0000-0002-2532-8198
Hamed Ghasemzadeh-MoghaddamDepartment of Pathobiology and Laboratory Sciences, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Mohammadreza SafdariDepartment of Orthopedic Surgery, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Mehdi HaresabadiDepartment of Society Health Nursing, School of Nursing, North Khorasan University of Medical Sciences, Bojnord, Iran.
Tahereh DaneshmandDepartment of Endocrinology and Internal Medicine, Clinical Endocrinology, Imam Hassan Hospital, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Hasan Namdar AhmadabadDepartment of Pathobiology and Laboratory Sciences, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.ORCID 0000-0002-5640-5440
North Khorasan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to the known anti-inflammatory and antiviral effects of zinc, 25(OH)D, and vitamin B12, in this study, we explored the association between serum levels of these micronutrients in coronavirus disease 2019 (COVID-19) patients at the time of admission and the clinical outcomes. This study was carried out on 293 patients with COVID-19, who were hospitalized at Imam Hassan hospital (Bojnourd, Iran). We collected demographic data, clinical characteristics, values of serum biochemical parameters in the first week of admission, and clinical outcomes from electronic medical records. We also measured serum levels of zinc, 25(OH)D, and vitamin B12 within 3 days of admission. Of the 293 hospitalized, the median age was 53 years, and 147 (50.17%) were female. Thirty-seven patients (12.62%) were admitted to the intensive care unit (ICU), and forty-two (14.32%) died. We found that the serum levels of zinc, vitamin B12, and 25(OH)D were lower in patients who died than those who were admitted to ICU or non-ICU and survived; however, these differences were not statistically significant for vitamin B12 and 25(OH)D (p > 0.05). The serum concentrations of zinc, vitamin B12, and 25(OH)D at the time of admission did not affect the length of hospital stay in patients with COVID-19. In general, it seems that serum levels of 25(OH)D, vitamin B12, and especially zinc at the time of admission can affect clinical outcomes in COVID-19 patients.

Indexed as

AdultCOVID-19FemaleHospitalizationHumansIntensive Care UnitsLength of StayMaleMiddle AgedPrognosisSeverity of Illness IndexVitamin B 12Vitamin DZinc25-hydroxyvitamin DVitamin B 12Vitamin DZinc25(OH)Dclinical outcomeCOVID-19vitamin B12zinc

Identifiers

PMID34406674
PMCPMC8426973
OpenAlexW3193704019

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.