A study protocol for vitamin-D level in sepsis and its outcome in patients admitted to the medical intensive care unit

A. Ahuja, Sachin Agrawal, Sunil Kumar
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Abstract

Vitamin D functions as a prohormone that promotes bone mineralization by regulating calcium and phosphate levels in the skeletal system. It is a fat-soluble vitamin that is required for immunomodulation, cytokine regulation, and cell proliferation. As a result, Vitamin D is a powerful hormone with pleiotropic effects that improve overall health. Sepsis is the leading cause of death in critically unwell people. According to a recent study, numerous trace minerals and nutrients have the ability to alter the human body, and supplementing these nutrients can improve the prognosis of sepsis patients. A considerable number of patients in the intensive care unit (ICU) have low vitamin D levels, a frequent condition that can increase the risk of infectious diseases. According to various studies, severely ill patients admitted to the ICU who have a vitamin D deficiency are at a higher risk of requiring mechanical ventilation and facing a higher likelihood of mortality. Nonetheless, the connection between insufficient vitamin D levels and mortality in sepsis patients remains a topic of debate.
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脓毒症患者维生素 D 含量及其在医学重症监护室的治疗效果研究方案
维生素 D 是一种促激素,通过调节骨骼系统中的钙和磷酸盐水平来促进骨骼矿化。它是一种脂溶性维生素,免疫调节、细胞因子调节和细胞增殖都需要它。因此,维生素 D 是一种强大的激素,具有改善整体健康的多重效应。败血症是危重病人死亡的主要原因。根据最近的一项研究,许多微量矿物质和营养素具有改变人体的能力,补充这些营养素可以改善败血症患者的预后。重症监护室(ICU)中有相当多的病人维生素 D 含量较低,这种情况经常发生,会增加感染疾病的风险。多项研究表明,重症监护室的重症患者如果缺乏维生素 D,则需要机械通气的风险更高,死亡的可能性也更大。然而,脓毒症患者维生素 D 水平不足与死亡率之间的关系仍是一个争论不休的话题。
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