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Case Reports
. 2023 Jul;27(7):503-509.
doi: 10.5005/jp-journals-10071-24486.

Vitamin-D Status and Clinical Outcomes in Critically Ill Children

Ramaning Loni  1 , Sara Zameer  1 , Fareedul Ahmed Hasan  1 , Ittrat Abbas  1 , Hager Mesrati  1 , John George  1 , Gabriel Fox  1 , Arjun C Dey  1 , Alan Finan  1
Affiliations
Case Reports

Vitamin-D Status and Clinical Outcomes in Critically Ill Children

Ramaning Loni et al. Indian J Crit Care Med. 2023 Jul.

Abstract

Aims and background: To study if 25-hydroxy cholecalciferol levels correlate with clinical outcomes in a cohort of critically ill children requiring pediatric intensive care unit (PICU) admission.

Materials and methods: All children between the ages of 1 month and 14 years admitted to a PICU were included in this study. The vitamin-D level was measured within 24 hours of admission to the PICU for each patient. The patient's clinical details, vitamin-D levels, and biochemical parameters were collected.

Results: There were 119 critically ill children (47 females and 72 males) admitted to our PICU. A total of 56 children were in the vitamin-D-deficient group, giving a prevalence of 47.05%. Sixty-three children had either insufficient or normal levels of 25(OH)D. Mean serum 25-OH cholecalciferol was 22.82 ± 16.48 nmol/L. There were no significant differences in O2 utilization, ventilation requirement, length of PICU stay, or the frequencies of use of antibiotics and steroids between the groups. The overall mortality rate in this study was 5.8% (three children died in the deficient group as compared with four in the insufficient/normal group).

Conclusion: Even though vitamin-D deficiency was highly prevalent in the PICU, there were no statistically significant differences in O2 utilization, length of PICU stay, duration of mechanical ventilation, the use of antibiotics/steroids, and mortality outcome for both deficient and insufficient/normal groups.

How to cite this article: Loni R, Zameer S, Hasan FA, Abbas I, Mesrati H, George J, et al. Vitamin-D Status and Clinical Outcomes in Critically Ill Children. Indian J Crit Care Med 2023;27(7):503-509.

Keywords: Children; Critical illnesses; Vitamin-D levels.

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Conflict of interest statement

Source of support: Nil Conflict of interest: None

Figures

Fig. 1
Fig. 1
Frequency distribution of vitamin-D-deficient and insufficient/normal vitamin-D level groups with nutritional status
Fig. 2
Fig. 2
Serum phosphorus levels in different groups
Fig. 3
Fig. 3
Level of enzyme in relation to the vitamin-D status
Fig. 4
Fig. 4
Vitamin-D status and outcome
Fig. 5
Fig. 5
PIM-3 score and PICU length of stay in relation to vitamin-D status
Fig. 6
Fig. 6
PIM-3 score and vitamin-D status
See this image and copyright information in PMC

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