The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Vitamin D deficiency as a risk factor for infection, sepsis and mortality in the critically ill: systematic review and meta-analysis
Open accessAbstract
Introduction: In Europe, vitamin D deficiency is highly prevalent varying between 40% and 60% in the healthy general adult population. The consequences of vitamin D deficiency for sepsis and outcome in critically ill patients remain controversial. We therefore systematically reviewed observational cohort studies on vitamin D deficiency in the intensive care unit. Methods: Fourteen observational reports published from January 2000 to March 2014, retrieved from Pubmed and Embase, involving 9,715 critically ill patients and serum 25-hydroxyvitamin D 3 (25 (OH)-D) concentrations, were meta-analysed. Results: Levels of 25 (OH)-D less than 50 nmol/L were associated with increased rates of infection (risk ratio (RR) 1.49, 95% (confidence interval (CI) 1.12 to 1.99), P = 0.007), sepsis (RR 1.46, 95% (CI 1.27 to 1.68), P <0.001), 30-day mortality (RR 1.42, 95% (CI 1.00 to 2.02), P = 0.05), and in-hospital mortality (RR 1.79, 95% (CI 1.49 to 2.16), P <0.001). In a subgroup analysis of adjusted data including vitamin D deficiency as a risk factor for 30-day mortality the pooled RR was 1.76 (95% CI 1.37 to 2.26, P <0.001). Conclusions: This meta-analysis suggests that vitamin D deficiency increases susceptibility for severe infections and mortality of the critically ill.
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Meta-analysis of Observational Studies in Epidemiology<SUBTITLE>A Proposal for Reporting</SUBTITLE>
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Toll-Like Receptor Triggering of a Vitamin D-Mediated Human Antimicrobial Response
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Cited by
Sepsis: pathophysiology and clinical management
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Vitamin C supplementation in the critically ill: A systematic review and meta-analysis
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Metadata
- Authors
- de Haan, K., Groeneveld, A. J., de Geus, H. R., Egal, M., & Struijs, A.
- Venue
- Critical Care
- Published
- 2014-12-05
- Volume
- 18
- Issue
- 6
- Pages
- 660-660
- ISSN
- 1364-8535 (ISSN-L)
- OpenAlex
- W2125663148
- Cited by
- 301
- References
- 37
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- gold
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- de Haan, K., Groeneveld, A. J., de Geus, H. R., Egal, M., & Struijs, A. (2014). Vitamin D deficiency as a risk factor for infection, sepsis and mortality in the critically ill: systematic review and meta-analysis. Critical Care. https://doi.org/10.1186/s13054-014-0660-4
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