Evidence map›Paper›PMID 36695233›Full record

ArticleAnnals of African medicine

Association of vitamin D with the severity of disease and mortality in COVID-19: Prospective study in central India.

Bharatsing Deorao Rathod, Ashok Kumar Ahirwar, Sitikantha Banerjee, Prashant P Joshi, Rajashree Sanjay Khot, Amol H Dube, Sunita D Kumbhalkar, Sandeep B Dabhekar

Open access · hybridAbstract read
In one paragraph

Article in Annals of African medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 44% 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 citations in OpenAlex.

  1. 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

8 authors at 4 institutions in 1 country.

Bharatsing Deorao RathodDepartment of General Medicine, AIIMS, Nagpur, Maharashtra, India.
Ashok Kumar AhirwarDepartment of Biochemistry, University College of Medical Sciences, New Delhi, India.
Sitikantha BanerjeeDepartment of Virology, ICMR-NICED, Kolkata, West Bengal, India.
Prashant P JoshiDepartment of General Medicine, AIIMS, Nagpur, Maharashtra, India.
Rajashree Sanjay KhotDepartment of General Medicine, AIIMS, Nagpur, Maharashtra, India.
Amol H DubeDepartment of General Medicine, AIIMS, Nagpur, Maharashtra, India.
Sunita D KumbhalkarDepartment of General Medicine, AIIMS, Nagpur, Maharashtra, India.
Sandeep B DabhekarDepartment of ENT, AIIMS, Nagpur, Maharashtra, India.
All India Institute of Medical Sciences Bhopal · INAll India Institute of Medical Sciences, NagpurAll India Institute of Medical Sciences Raipur · INUniversity College of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Many factors have been proposed to be associated with the severity of disease and mortality in COVID-19. Vitamin D had recently been reviewed as one of these factors. Aim and Objectives: To evaluate the association between Vitamin D and the disease severity and mortality in COVID-19. Materials and Methods: After approval from Institutional Ethics Committee, this prospective cohort study was carried out in selected tertiary care teaching medical institutes of Central India. Participants were COVID-19 patients of the age group of 18 years and above admitted during the study period. They were categorized into four groups as asymptomatic (Group A), mild (Group B), moderate (Group C), and severe (Group D) based on clinical symptoms, respiratory rate, oxygen saturation, and chest imaging. Serum level of Vitamin 25(OH) D was measured using chemiluminescent immunoassay. The outcome of the disease was classified as recovery and death during hospitalization. The association of sociodemographic and medical characteristics with treatment outcome was studied using an appropriate statistical test. A full logistic regression model was built for the assessment of the relationship between treatment outcomes with Vitamin D level. Further, one receiver operating characteristic curve was developed to examine the prognostic significance of Vitamin D levels in COVID-19 patients. Results: Out of 748 enrolled patients, 44 (5.88%), had severe disease (Group D). A total of 721 cases (96.39%) recovered and were discharged, whereas 27 (3.61%) died during hospitalization. Mean Vitamin D level was found to be significantly different in discharged patients compared to those who were deceased. Increasing age-adjusted odds ratio (AOR) (95% confidence interval [CI]=1.07 [1.02-1.12]), known hypertension AOR (95%CI) = 3.38 (1.13-10.08), and diabetes mellitus AOR (95%CI) =28.5 (6.04-134.13) were found to be significant predictors of death among COVID-19 patients. Increasing Vitamin D level was found to be protective against COVID-19-related death (AOR (95% CI = 0.87 [0.80-0.94]). Conclusion: Vitamin D was significantly associated with the disease severity and mortality in COVID-19.

Indexed as

COVID-19Vitamin DAdolescentHumansProspective StudiesSeverity of Illness IndexVitaminsVitamin DVitaminsCOVID-19cytokine stormmortalityseverityVitamin D

Identifiers

PMID36695233
PMCPMC10064909
OpenAlexW4318026170

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.