Most Read

  1. Pneumococcal Vaccine as One of the Immunization Coverage Targets for Adulthood Vaccines: A Consensus Report of the Study Group for Adult Immunization of the Turkish Society of Clinical Microbiology and Infectious Diseases
  2. Does Hepatitis B Affect Erectile Dysfunction and Lower Urinary Tract Symptoms?
  3. HIV Infection in Turkey: How Close Are We to the Target?
  4. Evaluation of HBeAg-Negative Chronic Hepatitis B Patients Who Had Undergone Liver Biopsy in Accordance With the Guidelines
  5. Diagnosis, Treatment and Prevention of Diabetic Foot Wounds and Infections: Turkish Consensus Report
  6. When to Stop Antiviral Therapy in Chronic Hepatitis B
  7. Mycoplasma hominis and Ureaplasma urealyticum: Their Role in Urogenital System Infections and Retrospective Evaluation of Antibiotic Resistance Rates
  8. Crimean-Congo Haemorrhagic Fever: Treatment and Use of Ribavirin
  9. Modern Diagnostic Methods Used in Bacteriology: Rapid and Effective
  10. A Case of Generalized Tetanus With a Short Incubation Period
  11. Analysis of HIV/AIDS-Related Stigma and Discrimination in Turkey: Results of the People Living With HIV Stigma Index
  12. Does Anti-HIV Positivity in Pregnancy Suggest the Requirement of HIV Prophylaxis for Newborn?

Volume 33, Issue 3

Original Article

Evaluation of the Relationship Between Vitamin D Levels and Mortality and Morbidity in Intensive Care Unit Patients With Pneumonia

Ayşenur Sümer-Coşkun
Affiliations
  • Kepez Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Antalya, Türkiye
,
Şenay Öztürk-Durmaz
Affiliations
  • Kepez Devlet Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Antalya, Türkiye
  • Intensive care unit
  • pneumonia
  • vitamin D

Objective: Community-acquired pneumonia is a critical public health issue causing serious morbidity and mortality. It holds a prominent role in hospital and intensive care bed occupancy and economically inflicts heavy costs. Serious attempts are underway to reduce the length of hospital stay of patients in Turkey and in the world. Vitamin D deficiency has been associated with an increased risk of respiratory infections. This study has been designed to determine the relationship between vitamin D level and mortality and disease severity of hospitalized community-acquired pneumonia patients.

Methods: This retrospective cohort study examined 50 community-acquired pneumonia patients who were treated in our hospital’s intensive care unit (ICU) in 2018-2019 period. Demographic and anthropometric features of patients were recorded. Vitamin D level was determined by measuring with serum 25-hydroxylated vitamin D (25 [OH] D) by ELISA method.

Results: Examination of the patients’ vitamin D levels demonstrated that 23 (46%) were seriously deficient, 11 (22%) were deficient, 8 (16%) were insufficient, and 8 (16%) were sufficient. All patients with sufficient serum vitamin D levels were transferred from ICU to the ward. In the group with insufficient serum vitamin D levels, 16 (38.09%) patients deceased. A statistically significant difference was found between serum vitamin D levels and the treatment results of patients (p=0.043). As vitamin D levels decrease, the duration of stay in ICU becomes longer. Nine (39.1%) patients with serious deficiency remained in ICU for 14 days or longer, while 9 (34.8%) patients with deficiency received ICU treatment for 7-14 days.

Conclusions: The length of ICU stay was longer in patients with serious vitamin D deficiency and the mortality rate was higher. Vitamin D concentration demonstrated a negative correlation with the length of hospital stay, inflicting heavy financial costs on health care. Prevention of vitamin D deficiency may decrease the mortality rate of community-acquired pneumonia.

Klimik Dergisi. 2020; 33(3): 277-80.

Cite this article as: Sümer-Coşkun A, Öztürk-Durmaz Ş. [Evaluation of the relationship between vitamin D levels and mortality and morbidity in intensive care unit patients with pneumonia]. Klimik Derg. 2020; 33(3): 277-80. Turkish.

  • 277-280
  • 10.5152/kd.2020.56
  • December 31, 2020
  • 765
  • 443
Download as PDF
  • This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. CC BY-NC
Volume 37, Issue 3 Volume 37, Issue 2 Volume 37, Issue 1 Volume 36, Issue 4 Volume 36, Supplement 1 Volume 36, Issue 3 Volume 36, Issue 2 Volume 36, Issue 1 Volume 35, Issue 4 Volume 35, Issue 3 Volume 35, Issue 2 Volume 35, Issue 1 Volume 34, Issue 3 Volume 34, Issue 2 Volume 34, Issue 1 Volume 33, Issue 3 Volume 33, Issue 2 Volume 33, Issue 1 Volume 32, Issue 3 Volume 32, Supplement 1 Volume 32, Supplement 2 Volume 32, Issue 2 Volume 32, Issue 1 Volume 31, Issue 3 Volume 31, Issue 2 Volume 31, Supplement 1 Volume 31, Issue 1 Volume 30, Issue 3 Volume 30, Issue 2 Volume 30, Supplement 1 Volume 30, Issue 1 Volume 29, Issue 3 Volume 29, Issue 2 Volume 29, Issue 1 Volume 28, Supplement 1 Volume 28, Issue 3 Volume 28, Issue 2 Volume 28, Issue 1 Volume 27, Supplement 1 Volume 27, Issue 3 Volume 27, Issue 2 Volume 27, Issue 1 Volume 26, Issue 3 Volume 26, Supplement 1 Volume 26, Issue 2 Volume 26, Issue 1 Volume 25, Issue 3 Volume 25, Issue 2 Volume 25, Issue 1 Volume 24, Issue 3 Volume 24, Issue 2 Volume 24, Issue 1 Volume 23, Issue 3 Volume 23, Issue 2 Volume 23, Issue 1 Volume 22, Issue 3 Volume 22, Issue 2 Volume 22, Issue 1 Volume 21, Issue 3 Volume 21, Supplement 2 Volume 21, Supplement 1 Volume 21, Issue 2 Volume 21, Issue 1 Volume 20, Issue 3 Volume 20, Supplement 2 Volume 20, Issue 2 Volume 20, Issue 1 Volume 20, Supplement 1 Volume 19, Issue 3 Volume 19, Issue 2 Volume 19, Issue 1 Volume 18, Issue 3 Volume 18, Supplement 1 Volume 18, Issue 2 Volume 18, Issue 1 Volume 17, Issue 3 Volume 17, Issue 2 Volume 17, Issue 1 Volume 16, Issue 3 Volume 16, Issue 2 Volume 16, Issue 1 Volume 1, Supplement 1 Volume 15, Issue 3 Volume 15, Issue 2 Volume 15, Issue 1 Volume 14, Issue 3 Volume 14, Issue 2 Volume 14, Issue 1 Volume 13, Issue 3 Volume 13, Issue 2 Volume 13, Supplement 1 Volume 13, Issue 1 Volume 12, Issue 3 Volume 12, Issue 2 Volume 12, Issue 1 Volume 11, Issue 3 Volume 11, Issue 2 Volume 11, Supplement 1 Volume 11, Issue 1 Volume 10, Issue 3 Volume 10, Issue 2 Volume 10, Issue 1 Volume 9, Issue 3 Volume 9, Issue 2 Volume 9, Issue 1 Volume 8, Issue 3 Volume 8, Issue 2 Volume 8, Issue 1 Volume 6, Issue 3 Volume 7, Issue 1 Volume 7, Issue 2 Volume 7, Issue 3 Volume 4, Issue 3 Volume 5, Issue 1 Volume 5, Issue 2 Volume 5, Issue 3 Volume 6, Issue 1 Volume 6, Issue 2 Volume 3, Issue 1 Volume 3, Issue 2 Volume 3, Issue 3 Volume 4, Issue 1 Volume 4, Issue 2 Volume 1, Issue 2 Volume 2, Issue 1 Volume 2, Issue 2 Volume 2, Issue 3 Volume 1, Issue 1