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3 additional hospital days after emergency neurosurgery if low vitamin D – Nov 2019

Vitamin D deficiency is endemic in neurosurgical patients and is associated with a longer length of inpatient stay

Endocrinol Diab Metab. 2019;00:e00097. https://doi.org/10.1002/edm2.97
Ronak Ved | Peter Taylor | Philippa Stewart | Jonathan Foulkes | Wilem Fields- Jewell | Steve Davies | Caroline Hayhurst



Trauma and surgery category starts with the following

Trauma and Surgery category has 335 articles

Large dose Vitamin D before surgery was found to help by 35 studies
Vitamin D is needed before most surgeries – many studies and RCTs
4.8 X more likely to die within 28 days of ICU if low Vitamin D - Jan 2024
Sepsis is both prevented and treated by Vitamin D - many studies
Thyroidectomy and Vitamin D - many studies
Orthopaedic surgeries need Vitamin D – many studies
Cancer - After diagnosis   chemotherapy
TBI OR "Traumatic Brain Injury - 21 in title as of Sept 2022
Superbug (Clostridium difficile) Infections strongly associated with low vitamin D - many studies
Glutamine and Omega-3 have also been proven to help several traumas/surgeries
   Note: Vitamin D also prevents the need for various surgeries and Omega-3 prevents many concussions/TBI
Trauma and Surgery is associated with 22 other VitaminDWiki categories
  Such as loading dose 33, Mortality 23, Infant-Child 21 Intervention 19 Cardiovascular 13, Injection 13 in Sept 2022

 Download the PDF from VitaminDWiki

Introduction: Vitamin D deficiency is common in spinal surgery and critical care. Hypovitaminosis D may impact on outcomes in cranial neurosurgical care and play roles in underlying disease processes.

Methods: A prospective observational cohort study was performed. All emergency cranial neurosurgical ward admissions from 1st January to 10th May 2017 were screened for inclusion (n = 406). Patients already receiving vitamin D supplementation, spinal patients and elective admissions were excluded. Admission vitamin D levels were checked for all remaining patients (n = 95). Patients with vitamin D <30 nmol/L were defined as “deficient” and those 30-50 nmol/L as “inadequate.” All patients with levels <50 nmol/L were replaced, as per local guidelines. Descriptive analyses of the cohorts were undertaken, with multivariate regression used to assess the effect of vitamin D on length of stay, inpatient morbidity and mortality.

Results: The median age of participants was 61 years (n = 95; 57% male, 43% female). The median vitamin D level was 23 nmol/L (deficient). 84% (n = 80) of patients had low vitamin D levels, with 61% (n = 58) classed as deficient (<30 nmol/L). Vitamin D deficiency rates were similar in those aged below 65 years (86%; n = 38/44) and those above 65 years (82%; n = 42/51). Deficient vitamin D level was associated with longer hospital stay (P = .03), and this relationship persisted after adjusting for potential confounders such as age, sex and preadmission Charlson co-morbidity index. No statistically significant association was seen with vitamin D status and inpatient morbidity or mortality.

Conclusions: Vitamin D deficiency is common in cranial neurosurgical patients, even in predefined low-risk groups (age <65). Lower vitamin D level was associated with longer length of stay. This study supports the need for: (a) further investigation into the roles of vitamin D in neurosurgical pathologies and management and (b) an appropriately powered, randomised investigation into the impact of vitamin D status upon neurosurgical diagnoses and complications.

Surgery Type

SAH, Subarachnoid haemorrhage;
CSDH, Chronic subdural haematoma;
SOL, space occupying lesion;
TBI, traumatic brain injury
ICH, intracerebral haemorrhage;
ASDH, Acute subdural haematoma;
EDH, Extradural haematoma;

Created by admin. Last Modification: Sunday November 17, 2019 03:04:16 GMT-0000 by admin. (Version 9)

Attached files

ID Name Comment Uploaded Size Downloads
12990 neuro surgery type.jpg admin 17 Nov, 2019 55.10 Kb 458
12988 Neurosurgical LOS.jpg admin 17 Nov, 2019 18.42 Kb 434
12987 neurosurgical length of stay.pdf admin 17 Nov, 2019 713.76 Kb 476