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COVID-19 pneumonia patients with 25(OH)D levels lower than 12 ng/ml are at increased risk of death

Smaha et al., International Journal of Infectious Diseases, doi:10.1016/j.ijid.2022.01.044
Jan 2022  
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Mortality 19% Improvement Relative Risk Vitamin D for COVID-19  Smaha et al.  Sufficiency Are vitamin D levels associated with COVID-19 outcomes? Retrospective 357 patients in Slovakia (November 2020 - April 2021) Lower mortality with higher vitamin D levels (not stat. sig., p=0.05) c19early.org Smaha et al., Int. J. Infectious Disea.., Jan 2022 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.
5,100+ studies for 112 treatments. c19early.org
Retrospective 357 COVID-19 pneumonia patients in Slovakia, showing higher mortality with vitamin D deficiency (<12ng/mL). All patients received vitamin D supplementation in hospital. In multivariable linear regression, vitamin D levels were independently associated with mortality (p=0.0398).
This is the 114th of 211 COVID-19 sufficiency studies for vitamin D, which collectively show higher levels reduce risk with p<0.0000000001 (1 in 248,027,826 vigintillion).
risk of death, 19.0% lower, RR 0.81, p = 0.05, high D levels (≥12ng/mL) 127 of 283 (44.9%), low D levels (<12ng/mL) 41 of 74 (55.4%), NNT 9.5.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Smaha et al., 22 Jan 2022, retrospective, Slovakia, peer-reviewed, 13 authors, study period 1 November, 2020 - 30 April, 2021. Contact: smaha1@uniba.sk.
This PaperVitamin DAll
Patients with COVID-19 pneumonia with 25(OH)D levels lower than 12 ng/ml are at increased risk of death
Juraj Smaha, Martin Kužma, Kristína Brázdilová, Samuel Nachtmann, Martin Jankovský, Katarína Pastírová, Andrea Gažová, Peter Jackuliak, Zdenko Killinger, Ján Kyselovič, Tomáš Koller, Neil Binkley, Juraj Payer
International Journal of Infectious Diseases, doi:10.1016/j.ijid.2022.01.044
This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
assessment at admission could be relevant for the risk stratification and planning for treatment strategy in patients with COVID-19. Conflict of Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Ethical Approval Statement The study was conducted in accordance with the Declaration of Helsinki and was approved by The Ethics Committee of the University Hospital Bratislava. An informed and written consent was obtained either from the participants or a first degree relative.
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