Evidence map›Paper›PMID 36182862›Full record

ArticleHeart & lung : the journal of critical care

The relationship between vitamin D deficiency and mortality in older adults before and during COVID-19 pandemic.

Mahmut Esad Durmuş, Özgür Kara, Murat Kara, Tuğçe Cansu Kaya, Fatıma Edibe Şener, Merve Durmuş, Ahmet Sertçelik, Banu Çakır, Levent Özçakar

Open access · bronzeAbstract read
In one paragraph

Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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

9 authors at 2 institutions in 1 country.

Mahmut Esad DurmuşDr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Internal Medicine, Ankara, Turkey. Electronic address: esad.durmus04@gmail.com.
Özgür KaraDr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Internal Medicine, Ankara, Turkey.
Murat KaraHacettepe University Medical School, Department of Physical and Rehabilitation Medicine, Ankara, Turkey.
Tuğçe Cansu KayaDr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Internal Medicine, Ankara, Turkey.
Fatıma Edibe ŞenerDr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Internal Medicine, Ankara, Turkey.
Merve DurmuşHacettepe University Medical School, Department of Family Medicine, Ankara, Turkey.
Ahmet SertçelikHacettepe University Medical School, Department of Public Health, Division of Epidemiology, Ankara, Turkey.
Banu ÇakırHacettepe University Medical School, Department of Public Health, Division of Epidemiology, Ankara, Turkey.
Levent ÖzçakarHacettepe University Medical School, Department of Physical and Rehabilitation Medicine, Ankara, Turkey.
Ankara Onkoloji Eğitim ve Araştırma Hastanesi · TRHacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin D is an essential fat-soluble vitamin thought to be associated with chronic diseases, mortality and COVID-19.

objectiveTo investigate the association between 25(OH) vitamin D levels and mortality of chronic diseases in subjects aged ≥65 years before and during COVID-19 pandemic.

methodsA single-center, retrospective study was performed using the hospital database of subjects aged 65 years and older who had undergone vitamin D measurement between 01.01.2019 and 31.12.2021. All patients with vitamin D measurement (N = 2155) were followed as a cohort from the date of serum vitamin D analysis through death date or 01.01.2022. Age, gender, chronic diseases, survival status, date of death of the deceased, laboratory values including complete blood count, liver/renal functions and 25(OH) vitamin D levels were all noted. Subjects were classified into three groups according to their 25(OH) vitamin D levels; severe deficient group (<10 ng/ml), moderate deficient group (10-19.9 ng/ml), and control group (≥20 ng/ml).

resultsData of 1949 subjects were included in this retrospective analysis and 206 of them (10.6%) had at least two vitamin D measurements. Until the time of data collection (01.01.2022), 94 of the cases had died within the last three years, and only five of them had repeated measurements. While the mean vitamin D level was lower, age and frequency of dyslipidemia, coronary artery disease (CAD), chronic obstructive pulmonary disease (COPD), arrhythmia, dementia and severe vitamin D deficiency (<10 ng/ml) were higher in subjectswho died (all p<0.05). According to the Cox proportional hazards model; age, presence of CAD, COPD, arrhythmia, dementia, anemia and severe vitamin D deficiency were independently related with mortality (all p<0.05). After adjusted by age, gender, and comorbidities, the probability of death was found to be 1.91 (95% CI=1.12-3.24) times higher in the severe vitamin D deficient group.

conclusionsThe results of this study have shown that - after having adjusted for potential factors - severe vitamin D deficiency (<10 ng/ml) seems to be an independent predictor for non-cancer mortality. Although vitamin D measurement/treatment is very easy and cheap where, on the contrary, severe vitamin D deficiency can be quite mortal.

Indexed as

Coronary Artery DiseaseCOVID-19DementiaPulmonary Disease, Chronic ObstructiveVitamin D DeficiencyAgedHumansPandemicsRetrospective StudiesVitamin DVitamin D25 (OH) vitamin DCoronavirusDeathGeriatricSevere vitamin D deficiency

Identifiers

PMID36182862
PMCPMC9482848
OpenAlexW4296260606

What OpenQuestion holds

Textmetadata
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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.