Evidence map›Paper›PMID 35000118›Full record

ArticleInternal and emergency medicine2022

Vitamin D deficiency is associated with higher risks for SARS-CoV-2 infection and COVID-19 severity: a retrospective case-control study.

Ariel Israel, Assi Cicurel, Ilan Feldhamer, Felicia Stern, Yosef Dror, Shmuel M Giveon, David Gillis, David Strich, Gil Lavie

Open access · bronzeAbstract read
In one paragraph

Article in Internal and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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  12. Vitamin D and COVID-19-Revisited.Journal of internal medicine · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Ariel IsraelBranch of Planning and Strategy, Clalit Health Services, Tel Aviv, Israel.
Assi CicurelBranch of Planning and Strategy, Clalit Health Services, Tel Aviv, Israel.
Ilan FeldhamerBranch of Planning and Strategy, Clalit Health Services, Tel Aviv, Israel.
Felicia SternSchool of Nutrition, Faculty of Agriculture, The Hebrew University of Jerusalem, Rehovot, Israel.
Yosef DrorSchool of Nutrition, Faculty of Agriculture, The Hebrew University of Jerusalem, Rehovot, Israel.
Shmuel M GiveonTel-Aviv University, Tel Aviv, Israel.
David GillisDepartment of Pediatrics, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
David StrichPediatric Specialist Clinic, Clalit Health Services, Jerusalem District, Israel.
Gil LavieBranch of Planning and Strategy, Clalit Health Services, Tel Aviv, Israel. gillav76@gmail.com.
Clalit Health Services · ILHebrew University of Jerusalem · ILHadassah Medical Center · ILTechnion – Israel Institute of Technology · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robust evidence of whether vitamin D deficiency is associated with COVID-19 infection and its severity is still lacking. The aim of the study was to evaluate the association between vitamin D levels and the risks of SARS-CoV-2 infection and severe disease in those infected. A retrospective study was carried out among members of Clalit Health Services (CHS), the largest healthcare organization in Israel, between March 1 and October 31, 2020. We created two matched case-control groups of individuals for which vitamin D levels and body mass index (BMI) were available before the pandemic: group (A), in which 41,757 individuals with positive SARS-CoV-2 PCR tests were matched with 417,570 control individuals without evidence of infection, and group (B), in which 2533 patients hospitalized in severe condition for COVID-19 were matched with 2533 patients who were tested positive for SARS-CoV-2, but were not hospitalized. Conditional logistic models were fitted in each of the groups to assess the association between vitamin D levels and outcome. An inverse correlation was demonstrated between the level of vitamin D and the risks of SARS-CoV-2 infection and of severe disease in those infected. Patients with very low vitamin D levels (< 30 nmol/L) had the highest risks for SARS-CoV-2 infection and also for severe COVID-19 when infected-OR 1.246 [95% CI 1.210-1.304] and 1.513 [95% CI 1.230-1.861], respectively. In this large observational population study, we show a significant association between vitamin D deficiency and the risks of SARS-CoV-2 infection and of severe disease in those infected.

Indexed as

COVID-19Vitamin D DeficiencyCase-Control StudiesHumansRetrospective StudiesSARS-CoV-2Vitamin DVitaminsVitamin DVitaminsCOVID-19Large populationRetrospective studySARS-CoV-2Vitamin D

Identifiers

PMID35000118
PMCPMC8742718
OpenAlexW4206324527

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.