Evidence map›Paper›PMID 34642923›Full record

SynthesisCardiology journal2022

Vitamin D supplementation to treat SARS-CoV-2 positive patients. Evidence from meta-analysis.

Luiza Szarpak, Krzysztof J Filipiak, Aleksandra Gasecka, Wladyslaw Gawel, Dorota Koziel, Milosz J Jaguszewski, Jaroslaw Chmielewski, Anatolii Gozhenko, Karol Bielski, Pawel Wroblewski and 3 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cardiology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 5 pooled it
2.1field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 5 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Vitamin D supplementations and mortality among patients with moderate/severe COVID-19: A meta-analysis of randomized controlled trials.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2024
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Vitamin D and COVID-19-Revisited.Journal of internal medicine · 2022
    Review
  13. Review
  14. Impaired Vitamin D Metabolism in Hospitalized COVID-19 Patients.Pharmaceuticals (Basel, Switzerland) · 2022
    Article
  15. 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

13 authors at 9 institutions in 5 countries.

Luiza SzarpakInstitute of Outcomes Research, Polonia University, Czestochowa, Poland.ORCID 0000-0002-9780-7040
Krzysztof J FilipiakInstitute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.ORCID 0000-0002-6563-0877
Aleksandra GaseckaLaboratory of Experimental Clinical Chemistry, Amsterdam University Medical Center, Amsterdam, the Netherlands.ORCID 0000-0001-5083-7587
Wladyslaw GawelOutcomes Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland.ORCID 0000-0003-2608-0726
Dorota KozielJan Kochanowski University, Kielce, Poland.ORCID 0000-0001-8114-1814
Milosz J Jaguszewski1st Department of Cardiology, Medical University of Gdansk, Poland.ORCID 0000-0003-2032-7484
Jaroslaw ChmielewskiCollege of Rehabiliation, Warsaw, Poland.ORCID 0000-0003-2606-1656
Anatolii GozhenkoInternational European University, Kiev, Ukraine.ORCID 0000-0001-7413-4173
Karol BielskiOutcomes Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland.ORCID 0000-0002-2428-0671
Pawel WroblewskiDepartment of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland.ORCID 0000-0002-3804-862X
Ivan SavytskyiInternational European University, Kiev, Ukraine.
Lukasz SzarpakOutcomes Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland. lukasz.szarpak@gmail.com.ORCID 0000-0002-0973-5455
Zubaid RafiqueHenry JN Taub Department of Emergency Medicine, Baylor College of Medicine Houston, TX, United States.ORCID 0000-0002-4176-5988
European University · UAPolonia University · PLBaylor College of Medicine · USGdańsk Medical University · PLJan Kochanowski University · PLKrakowskie Centrum Rehabilitacji · PLMedical University of Warsaw · PLSilesian University in Opava · CZWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin D is a likely candidate for treatment as its immune modulating characteristics have effects on coronavirus disease 2019 (COVID-19) patients. It was sought herein, to summarize the studies published to date regarding the vitamin D supplementation to treat severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positive patients.

methodsA systematic review and meta-analysis were performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The primary outcome were 14-day and in-hospital mortality reported as an odds ratio (OR) with the associated 95% confidence interval (CI).

resultsEight articles were included in the review with a combined total of 2,322 individual patients, 786 in the vitamin D supplementation group and 1,536 in the control group. The use of vitamin D compared to the group without vitamin D supplementation was associated with a lower 14-day mortality (18.8% vs. 31.3%, respectively; OR = 0.51; 95% CI: 0.12-2.19; p = 0.36), a lower in-hospital mortality (5.6% vs. 16.1%; OR = 0.56; 95% CI: 0.23-1.37; I2 = 74%; p = 0.20), the rarer intensive care unit admission (6.4% vs. 23.4%; OR = 0.19; 95% CI: 0.06-0.54; I2 = 77%; p = 0.002) as well as rarer mechanical ventilation (6.5% vs. 18.9%; OR = 0.36; 95% CI: 0.16-0.80; I2 = 0.48; p = 0.01).

conclusionsVitamin D supplementation in SARS-CoV-2 positive patients has the potential to positively impact patients with both mild and severe symptoms. As several high-quality randomized control studies have demonstrated a benefit in hospital mortality, vitamin D should be considered a supplemental therapy of strong interest. Should vitamin D prove to reduce hospitalization rates and symptoms outside of the hospital setting, the cost and benefit to global pandemic mitigation efforts would be substantial.

Indexed as

COVID-19Vitamin D DeficiencyDietary SupplementsHumansSARS-CoV-2Vitamin DVitaminsVitamin DVitaminscalciferolCOVID-19meta-analysisSARS-CoV-2systematic reviewvitamin D

Identifiers

PMID34642923
PMCPMC9007480
OpenAlexW3206134631

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.