Merhaba Misafir

Yoğun bakım ünitesinde tedavi edilen yaşlı hastaların D-vitamini düzeylerinin prognoz üzerine etkisi


Aim: 50-60% of elderly population in the world has vitamin D deficiency. In critically ill patients, the prevalence of vitamin D deficiency (25 (OH) D <20 ng/ml) exceeds 70%. The aim of this study was to compare the prognosis of patients over 65 years of age with and without vitamin D supplementation in the Intensive Care Unit (ICU). Material and Method: The records of patients who were followedup and treated in our hospital between November 2014 and April 2015 were retrospectively reviewed. The patients were grouped as enteral-fed with vitamin D supplementation (20 patients, Group D) and enterally fed without vitamin D supplementation (20 patients, Group K). Vitamin D, albumin, prealbumin, total lymphocyte, CRP levels and triceps muscle thickness were measured during the admission to intensive care unit (T1), on days 7 (T2) and 15 (T3). Results: The two groups were similar in terms of demographic data. There was no statistically significant difference between Group D and Group K in terms of vitamin D levels, albumin-prealbumin levels, infection rates, duration of mechanical ventilation, intensive care unit stay and mortality in T1, T2 and T3 times, while total lymphocyte levels (p<0,05) in T1 and T2 were statistically significant in vitamin D group. When vitamin D and other variables were evaluated at time T3, a statistically significant relationship was observed with APACHE II values, MV day, T3 albumin, T3 prealbumin and T3 total protein. Conclusion: In our study, a significant difference was observed between the vitamin D supplementation group and the group which was not given. In our opinion, the result of this study will be a guide to prospective randomized trials involving more patients.

Yayınlandığı Kaynak : Journal of Contemporary Medicine
  • Yıl : 2020
  • DOI : 10.16899/jcm.705176
  • Cilt : 10
  • ISSN : 2667-7180
  • Sayı : 1
  • Sayfa Aralığı : 13-17
  • IO Kayıt No : 114143
  • Yayıncı : Rabia Yılmaz