Vitamin D status among critical children below five years in a tertiary care hospital
Journal Title: Medpulse International Journal of Community Medicine - Year 2019, Vol 9, Issue 3
Abstract
Background: Vitamin D deficiency/insufficiency is increasing in frequency. Studies have reported reduced Vitamin D concentrations in patients with previous and prevalent cardiovascular or cerebrovascular diseases. Vitamin D deficiency is commonly noticed during admission to intensive care units. Although it is not an independently decisive factor for mortality, it might be related to the worse clinical status at ICU admission. Objective: To assess the Vitamin D level among children admitted to the ICU. Methodology: A prospective observational hospital-based study was conducted at a government tertiary care hospital in Chennai, Tamil Nadu from January 2018 to Dec 2018. Eligible children below 5 years admitted to the ICU with Glasgow coma scale <_8 or shock from any origin were included in the study as cases and children admitted to ICU without the above critical presentations were included in the study as controls. Results: 90.4% of the admitted children presented with one of the categories of vitamin D deficiency. 50.5% of the cases were admitted with symptoms of the respiratory system. 44.7% of the admissions presented with CNS infection symptoms. Severe vitamin D deficiency was seen in 10.6% of the study group. Death was the outcome among 84.1% of the study group. Vitamin D levels were not statistically significant to systems involved on admission, nutritional status and outcome of the admitted children. Statistical significance was noted in the levels of vitamin D between cases and controls. The cases presented with significantly lower serum vitamin D levels compared to the controls.
Authors and Affiliations
Suruliraman S M, Suganthi S
Keywords
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- EP ID EP521751
- DOI 10.26611/1011931
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