Real world evidence of calcifediol or vitamin D prescription and mortality rate of COVID-19 in a retrospective cohort of hospitalized Andalusian patients
Carlos Loucera, María Peña-Chilet, Marina Esteban-Medina, Dolores Muñoyerro-Muñiz, Román Villegas, Jose Lopez-Miranda, Jesus Rodriguez-Baño, Isaac Túnez, Roger Bouillon, Joaquin Dopazo, Jose Manuel Quesada Gomez
Scientific Reports, doi:10.1038/s41598-021-02701-5
COVID-19 is a major worldwide health problem because of acute respiratory distress syndrome, and mortality. Several lines of evidence have suggested a relationship between the vitamin D endocrine system and severity of COVID-19. We present a survival study on a retrospective cohort of 15,968 patients, comprising all COVID-19 patients hospitalized in Andalusia between January and November 2020. Based on a central registry of electronic health records (the Andalusian Population Health Database, BPS), prescription of vitamin D or its metabolites within 15-30 days before hospitalization were recorded. The effect of prescription of vitamin D (metabolites) for other indication previous to the hospitalization was studied with respect to patient survival. Kaplan-Meier survival curves and hazard ratios support an association between prescription of these metabolites and patient survival. Such association was stronger for calcifediol (Hazard Ratio, HR = 0.67, with 95% confidence interval, CI, of [0.50-0.91]) than for cholecalciferol (HR = 0.75, with 95% CI of [0.61-0.91]), when prescribed 15 days prior hospitalization. Although the relation is maintained, there is a general decrease of this effect when a longer period of 30 days prior hospitalization is considered (calcifediol HR = 0.73, with 95% CI [0.57-0.95] and cholecalciferol HR = 0.88, with 95% CI [0.75, 1.03]), suggesting that association was stronger when the prescription was closer to the hospitalization.
Author contributions C.L.: Data curation, Formal Analysis, Investigation, Visualization; M.P.C.: Formal Analysis; M.E.M.: Formal Analysis; D.M.M.: Resources; R.V.: Resources; J.L.M.: Writing-review and editing; J.R.B.: Writing-review and editing; I.T.: Writing-review and editing; R.B.: Writing-review and editing; J.D.: Supervision, Project administration, Writing-original draft; J.M.Q.G.: Supervision, Writing-original draft. All authors reviewed the manuscript.
Competing interests RB declares payment of honoraria for lectures by FAES (Spain), Abiogen (Italy) and Fresenius (Germany). JMQ declares small consulting fees and small lecture fees from Amgen and FESE Farma (Spain). The rest of authors declare no competing interests.
Additional information
Supplementary Information The online version contains supplementary material available at https:// doi. org/ 10. 1038/ s41598-021-02701-5. Correspondence and requests for materials should be addressed to J.D. or J.M.Q.G. Reprints and permissions information is available at www.nature.com/reprints. Publisher's note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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{ 'value': '19 November 2021',
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{ 'value': 'RB declares payment of honoraria for lectures by FAES (Spain), Abiogen (Italy) '
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