Evidence map›Paper›PMID 40211163›Full record

ArticleBMC geriatrics2025

Impact of vitamin D levels on mortality in older covid-19 vaccinated patients.

Chiara Ceolin, Margherita Vergadoro, Cristina Simonato, Sara Cazzavillan, Mario Virgilio Papa, Giulia Salerno Trapella, Benedetta Di Marzio, Riccardo Sermasi, Bruno Micael Zanforlini, Chiara Curreri and 6 more

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
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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

16 authors.

Chiara CeolinDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Margherita VergadoroDepartment of Medicine, First Chair of Internal Medicine, Padova University Hospital, Padua, Italy.
Cristina SimonatoDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy. cristina.simonato@studenti.unipd.it.
Sara CazzavillanDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Mario Virgilio PapaDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Giulia Salerno TrapellaDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Benedetta Di MarzioDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Riccardo SermasiDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Bruno Micael ZanforliniDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Chiara CurreriDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Anna BertoccoDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Maria DevitaDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Alessandra CoinDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Luca SpieziaDepartment of Medicine, First Chair of Internal Medicine, Padova University Hospital, Padua, Italy.
Giuseppe SergiDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.
Marina De RuiDepartment of Medicine (DIMED) Geriatrics Division, University of Padua, Via Giustiniani 2, Padua, 35128, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin D plays a key role in regulating the immune system and vaccine response, and hypovitaminosis D is a known risk factor for mortality. However, its potential influence on mortality in SARS-CoV-2 vaccinated older adults remains underexplored. This study aims to examine survival differences between unvaccinated and vaccinated older adults with varying vitamin D levels, and to assess the impact of vitamin D on mortality.

methodsWe recruited patients aged 65 and over from the Geriatrics Unit of Azienda Ospedale - Università Padova. Clinical, pharmacological data, including vaccination status and vitamin D levels, were collected at admission, alongside mortality data 12 months post-hospitalization. Participants were divided into three groups: unvaccinated, vaccinated with vitamin D levels of 25-50 nmol/L, and vaccinated with levels > 50 nmol/L.

resultsA total of 126 participants were included (56% women, mean age 83 years). No significant differences were found in COVID-19 severity among the three groups. After 12 months, 24 deaths were recorded: 17% in unvaccinated, 19% in vaccinated with low vitamin D, and 20% in vaccinated with high vitamin D (p = 0.94). Kaplan-Meier curves showed that mortality risk for vaccinated individuals with low vitamin D was similar to unvaccinated patients but significantly higher than vaccinated individuals with high vitamin D (p = 0.04). Vitamin D levels of 25-50 nmol/L were associated with a threefold increased risk of 12-month mortality (HR: 3.79, p < 0.001).

conclusionsVitamin D levels can impact mortality in older vaccinated individuals. Early correction of vitamin D deficiency could potentially enhance outcomes.

Indexed as

COVID-19COVID-19 VaccinesVitamin DVitamin D DeficiencyAgedAged, 80 and overFemaleHumansItalyMaleSARS-CoV-2VaccinationCOVID-19 VaccinesVitamin DCOVID-19Older adultsSARS-CoV-2VaccinationVitamin D

Identifiers

PMID40211163
PMCPMC11983984

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Registered trials

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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.