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Asociación de los niveles de vitamina D y magnesio con la gravedad y la mortalidad en pacientes con COVID-19

García-Zendejas et al., Cirugía y Cirujanos, doi:10.24875/CIRU.23000514
Sep 2024  
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Mortality 65% Improvement Relative Risk ICU admission 64% Hospitalization 84% Case 58% Vitamin D  García-Zendejas et al.  Sufficiency Are vitamin D levels associated with COVID-19 outcomes? Retrospective study in Mexico Lower hospitalization with higher vitamin D levels (p=0.02) c19early.org García-Zendejas et al., Cirugía y Ciru.., Sep 2024 Favorsvitamin D Favorscontrol 0 0.5 1 1.5 2+
Vitamin D for COVID-19
8th treatment shown to reduce risk in October 2020, now with p < 0.00000000001 from 122 studies, recognized in 9 countries.
No treatment is 100% effective. Protocols combine treatments.
5,000+ studies for 109 treatments. c19early.org
Case-control study with 54 hospitalized patients, 27 COVID-19 positive and 27 negative, showing higher risk of cases, hospitalization, ICU admission, and death with vitamin D deficiency, with statistical significance only for hospitalization.
This is the 206th of 208 COVID-19 sufficiency studies for vitamin D, which collectively show higher levels reduce risk with p<0.0000000001 (1 in 474,562,620 vigintillion).
risk of death, 65.2% lower, OR 0.35, p = 0.18, cutoff 20ng/mL, adjusted per study, inverted to make OR<1 favor high D levels (≥20ng/mL), multivariable, RR approximated with OR.
risk of ICU admission, 64.2% lower, OR 0.36, p = 0.15, cutoff 20ng/mL, adjusted per study, inverted to make OR<1 favor high D levels (≥20ng/mL), multivariable, RR approximated with OR.
risk of hospitalization, 83.7% lower, OR 0.16, p = 0.02, cutoff 20ng/mL, adjusted per study, inverted to make OR<1 favor high D levels (≥20ng/mL), multivariable, RR approximated with OR.
risk of case, 57.6% lower, OR 0.42, p = 0.26, cutoff 20ng/mL, adjusted per study, inverted to make OR<1 favor high D levels (≥20ng/mL), multivariable, RR approximated with OR.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
García-Zendejas et al., 16 Sep 2024, retrospective, Mexico, peer-reviewed, mean age 53.4, 3 authors. Contact: luis_simental81@hotmail.com.
This PaperVitamin DAll
Asociación de los niveles de vitamina D y magnesio con la gravedad y la mortalidad en pacientes con COVID-19
Mariela M García-Zendejas, Edgar A Cano-Torres, Luis E Simental-Mendía
Cirugía y Cirujanos, doi:10.24875/ciru.23000514
Objective: The study aimed to determine the association between serum magnesium and Vitamin D levels with the severity and mortality by coronavirus disease 19 (COVID-19) in hospitalized patients. Method: Men and women over 18 years of age with probable COVID-19 were enrolled in a case-control study. Patients with a positive or negative test for Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were allocated into case or control groups, respectively. Vitamin D deficiency was defined by concentrations < 20 ng/mL and hypomagnesemia by serum levels < 1.8 mg/dL. Results: A total of 54 patients, 30 women and 24 men, were enrolled and allocated into the groups with (n = 27) and without (n = 27) COVID-19. The logistic regression analysis showed that Vitamin D deficiency (odds ratio [OR] = 6.13; 95% confidence intervals [CI]: 1.32-28.34) and insufficiency (OR = 0.12; 95% CI: 0.02-0.60) are significantly associated with hospitalization. However, Vitamin D disorders and hypomagnesemia were not associated with mortality. Conclusions: The results of the present study revealed that Vitamin D disturbances, but not hypomagnesemia, are associated with the severity of SARS-CoV-2.
SARS-CoV-2. However, low magnesium and Vitamin D levels are not related with the mortality by COVID-19. Conflicts of interest The authors declare no conflicts of interest. Ethical disclosures Protection of human and animal subjects. The authors declare that the procedures followed were in accordance with the regulations of the relevant clinical research ethics committee and with those of the Code of Ethics of the World Medical Association (Declaration of Helsinki). Confidentiality of data. The authors declare that they have followed the protocols of their work center on the publication of patient data. Right to privacy and informed consent. The authors have obtained approval from the Ethics Committee for analysis and publication of routinely acquired clinical data and informed consent was not required for this retrospective observational study. Use of artificial intelligence for generating text. The authors declare that they have not used any type of generative artificial intelligence for the writing of this manuscript, nor for the creation of images, graphics, tables, or their corresponding captions.
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