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Severe vitamin D deficiency in preterm infants: possibly no association with clinical outcomes?

Identifikátory výsledku

  • Kód výsledku v IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11150%2F22%3A10443722" target="_blank" >RIV/00216208:11150/22:10443722 - isvavai.cz</a>

  • Nalezeny alternativní kódy

    RIV/00179906:_____/22:10443722

  • Výsledek na webu

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=mfdkDL.5TC" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=mfdkDL.5TC</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1080/14767058.2020.1762560" target="_blank" >10.1080/14767058.2020.1762560</a>

Alternativní jazyky

  • Jazyk výsledku

    angličtina

  • Název v původním jazyce

    Severe vitamin D deficiency in preterm infants: possibly no association with clinical outcomes?

  • Popis výsledku v původním jazyce

    Purpose:The primary objective of this study was to compare clinical outcomes of very low birth weight (VLBW) infants with 25-hydroxy vitamin D [25(OH)D] levels &lt;25 nmol/l in umbilical cord blood versus VLBW infants with 25(OH)D levels in cord blood &gt;25 nmol/l. The secondary objective was to evaluate umbilical cord vitamin D as a risk factor for respiratory distress syndrome (RDS) in preterm infants. Methods:We examined 25(OH)D levels in umbilical cord blood and in infants&apos; serum at discharge from the neonatal intensive care unit. We evaluated the associations between severe vitamin D deficiency and various laboratory findings and clinical outcomes. Results:Eighty one infants with birth weight less than 1500 g met the entry criteria for this study and were divided to groups according to umbilical cord blood vitamin D [Group A: 25(OH)D &lt; 25 nmol/l; 10 ng/ml and Group B: 25(OH)D &gt; 25 nmol/l; 10 ng/ml]. Overall, 81.5% of the infants had a 25(OH)D level &lt;50 nmol/L and 44.4% had a level &lt;25 nmol/L. The laboratory findings and the subsequent clinical outcomes were comparable in infants in both groups (non-significant difference). Only the infants in the 25(OH)D 25 nmol/L group had a lower calcium in urine at age 28 d (p=.0272). In addition, we found in this study that umbilical cord vitamin D level does not lead to a higher or lower risk of RDS (odds ratio 1.044; 95% confidence interval 0.349-0.88;p=.0771). Conclusions:In our prospective cohort study, we found no significant association between vitamin D status and selected clinical outcomes when using a cut-off of 25 nmol/l (severe vitamin D deficiency) in preterm infants.

  • Název v anglickém jazyce

    Severe vitamin D deficiency in preterm infants: possibly no association with clinical outcomes?

  • Popis výsledku anglicky

    Purpose:The primary objective of this study was to compare clinical outcomes of very low birth weight (VLBW) infants with 25-hydroxy vitamin D [25(OH)D] levels &lt;25 nmol/l in umbilical cord blood versus VLBW infants with 25(OH)D levels in cord blood &gt;25 nmol/l. The secondary objective was to evaluate umbilical cord vitamin D as a risk factor for respiratory distress syndrome (RDS) in preterm infants. Methods:We examined 25(OH)D levels in umbilical cord blood and in infants&apos; serum at discharge from the neonatal intensive care unit. We evaluated the associations between severe vitamin D deficiency and various laboratory findings and clinical outcomes. Results:Eighty one infants with birth weight less than 1500 g met the entry criteria for this study and were divided to groups according to umbilical cord blood vitamin D [Group A: 25(OH)D &lt; 25 nmol/l; 10 ng/ml and Group B: 25(OH)D &gt; 25 nmol/l; 10 ng/ml]. Overall, 81.5% of the infants had a 25(OH)D level &lt;50 nmol/L and 44.4% had a level &lt;25 nmol/L. The laboratory findings and the subsequent clinical outcomes were comparable in infants in both groups (non-significant difference). Only the infants in the 25(OH)D 25 nmol/L group had a lower calcium in urine at age 28 d (p=.0272). In addition, we found in this study that umbilical cord vitamin D level does not lead to a higher or lower risk of RDS (odds ratio 1.044; 95% confidence interval 0.349-0.88;p=.0771). Conclusions:In our prospective cohort study, we found no significant association between vitamin D status and selected clinical outcomes when using a cut-off of 25 nmol/l (severe vitamin D deficiency) in preterm infants.

Klasifikace

  • Druh

    J<sub>imp</sub> - Článek v periodiku v databázi Web of Science

  • CEP obor

  • OECD FORD obor

    30214 - Obstetrics and gynaecology

Návaznosti výsledku

  • Projekt

  • Návaznosti

    S - Specificky vyzkum na vysokych skolach

Ostatní

  • Rok uplatnění

    2022

  • Kód důvěrnosti údajů

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Údaje specifické pro druh výsledku

  • Název periodika

    The Journal of Maternal-Fetal &amp; Neonatal Medicine

  • ISSN

    1476-7058

  • e-ISSN

    1476-4954

  • Svazek periodika

    35

  • Číslo periodika v rámci svazku

    8

  • Stát vydavatele periodika

    GB - Spojené království Velké Británie a Severního Irska

  • Počet stran výsledku

    9

  • Strana od-do

    1562-1570

  • Kód UT WoS článku

    000542106600001

  • EID výsledku v databázi Scopus

    2-s2.0-85086831711