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Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Clin+Nutr 2021 ; 40 (4): 2469-2472 Nephropedia Template TP
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Vitamin D 25OH deficiency in COVID-19 patients admitted to a tertiary referral hospital #MMPMID33187772
Cereda E; Bogliolo L; Klersy C; Lobascio F; Masi S; Crotti S; De Stefano L; Bruno R; Corsico AG; Di Sabatino A; Perlini S; Montecucco C; Caccialanza R
Clin Nutr 2021[Apr]; 40 (4): 2469-2472 PMID33187772show ga
BACKGROUND & AIMS: Great interest has been raised by the possible protective role of vitamin D in coronavirus disease 2019 (COVID-19), but objective data on 25(OH)vitamin D deficiency in hospitalized COVID-19 patients are not conclusive. The aim of this study was to determine the prevalence of 25(OH)vitamin D deficiency in COVID-19 patients admitted to an Italian referral hospital and explore its association with clinical outcomes and the markers of disease severity. METHODS: In this single-center cohort study, 129 consecutive adult COVID-19 patients hospitalized in an Italian referral center were enrolled from March to April 2020. 25(OH)Vitamin D serum levels were assessed 48 h since hospital admission and categorized into: normal (>/=30 ng/mL), insufficient (<30 - >/=20 ng/mL), moderately deficient (<20 - >/=10 ng/mL), severely deficient (<10 ng/mL). RESULTS: The prevalence of 25(OH)vitamin D insufficiency, moderate deficiency and severe deficiency was 13.2%, 22.5% and 54.3%, respectively. 25(OH)Vitamin D deficiency (<20 ng/mL) was not associated with COVID-19 clinical features and outcomes. Unexpectedly, after adjusting for major confounders, a significant positive association between increasing 25(OH)vitamin D levels and in-hospital mortality (on a continuous logarithmic scale, odds ratio = 1.73 [95% CI, 1.11 to 2.69]; P = .016) was observed. CONCLUSIONS: Very low 25(OH)vitamin D levels were highly prevalent and suggestive of deficiency among our hospitalized severe COVID-19 patients, but low 25(OH)vitamin D levels were not associated with outcome variables. Whether 25(OH)vitamin D adequacy may influence clinical outcomes in COVID-19 and the unexpected correlation between higher 25(OH)vitamin D levels and mortality require further investigations by large intervention trials.