Vitamin D deficiency and clinical outcomes related to septic shock in children with critical illness: a systematic review

European Journal of Clinical Nutrition
Yu WangLi Gao

Abstract

Low vitamin D blood levels are related to many clinical outcomes in children with critically illness. However, the relationship of it and septic shock has not been systematically analyzed. The objective of this review was to evaluate the effect of vitamin D on septic shock and predict if vitamin D administration can improve prognosis of it. Online databases were searched up to June 1st, 2017 for studies on the relation of vitamin D deficiency (VDD) and clinical outcomes on septic shock in children with critical illness. The primary end point was the effect of VDD on occurrence of septic shock. The secondary endpoints were the association of VDD and clinical outcomes related to septic shock. We summarized the strength of association between VDD and each factor on septic shock. Individual factors were defined as strong, moderate, weak, or inconclusive according to the numbers of the article supporting the relation between them. Eight studies published between 2012 and 2017, for a total of 1367 patients, were included in the final analysis. We extracted eight patient-level factors and among them one showed strong association of VDD and septic shock. Four factors demonstrated moderate or weak strength of evidence for it: nonresolut...Continue Reading

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Mar 16, 2021·Terapevticheskiĭ arkhiv·E A PigarovaN G Mokrysheva
Jun 3, 2021·Pediatric Transplantation·Muhammed YukselCigdem Arikan
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