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ICU needs vitamin D - Vitamin D Council Sept 2011

Vitamin D and critical illness

clips from a post September 30, 2011 by Dr John Cannell

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Lee P. Vitamin D metabolism and deficiency in critical illness. - see below

  • “Collectively these results provide unequivocal evidence that vitamin D insufficiency and deficiency are highly prevalent among critically ill patients.”
  • “These results demonstrate current replacement regimes are grossly inadequate.”

He ends by citing studies showing death in the ICU and the CCU is 2-3 times higher for the vitamin D deficient.
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Vitamin D metabolism and deficiency in critical illness.

Best Pract Res Clin Endocrinol Metab. 2011 Oct;25(5):769-81.
Lee P.
Department of Diabetes and Endocrinology, Princess Alexandra Hospital, Brisbane, Queensland, Australia; School of Medicine, University of Queensland, Australia; Centres for Health Research, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Vitamin D deficiency is highly prevalent and has been associated with a diverse range of chronic medical conditions in the general population.
In contrast, the prevalence, pathogenesis and significance of vitamin D deficiency have received little attention in acute medicine.
Vitamin D deficiency is seldom considered and rarely corrected adequately, if at all, in critically ill patients.
Recent recognition of the extra-skeletal, pleiotropic actions of vitamin D in

  • immunity,
  • epithelial function and
  • metabolic regulation

may underlie the previously under-recognized contribution of vitamin D deficiency to typical co-morbidities in critically ill patients, including

  • sepsis,
  • systemic inflammatory response syndrome and
  • metabolic dysfunction.

Improved understanding of vitamin D metabolism and regulation in critical illness may allow therapeutic exploitation of vitamin D to improve outcome in critically ill patients.

PMID: 21925077
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See also VitaminDWiki

ICU needs vitamin D - Vitamin D Council Sept 2011        
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