Effect of a Single High-Dose Vitamin D3 on the Length of Hospital Stay of Severely 25-Hydroxyvitamin D-Deficient Patients with COVID-19

Autor(es)

Igor H. Murai ^[1] ; Alan L. Fernandes ^[2] ; Leila Antonangelo ^[3] ; Bruno Gualano ^[4] ; Rosa Maria Rodrigues Pereira ^[5]

Afiliação do(s) autor(es)

^[1] Universidade de Sao Paulo. Faculdade de Medicina FMUSP. Divisao de Reumatologia - Brasil

^[2] Universidade de Sao Paulo. Faculdade de Medicina FMUSP. Divisao de Reumatologia - Brasil

^[3] Universidade de Sao Paulo. Faculdade de Medicina. Divisao de Patologia Clinica, Hospital das Clinicas HCFMUSP - Brasil

^[4] Universidade de Sao Paulo. Faculdade de Medicina FMUSP. Divisao de Reumatologia - Brasil

^[5] Universidade de Sao Paulo. Faculdade de Medicina FMUSP. Divisao de Reumatologia - Brasil

• Tipo de documento: Artigo Científico
• Fonte: Clinics; v. 76, 2021-11-26.

Resumo

OBJECTIVES: In this ancillary analysis of a multicenter, double-blinded, randomized, placebo-controlled trial, we investigated the effect of a single high dose of vitamin D3 on the length of hospital stay of patients with severe 25-hydroxyvitamin D deficiency and COVID-19. METHODS: The primary outcome was length of hospital stay, defined as the total number of days that patients remained hospitalized from the date of randomization until the date of hospital discharge. Secondary outcomes included serum levels of 25-hydroxyvitamin D, mortality during hospitalization, number of patients admitted to the intensive care unit, and number of patients who required mechanical ventilation. ClinicalTrials.gov: NCT04449718. RESULTS: Thirty-two patients were included in the study. The mean (SD) age was 58.5 (15.6) years, body mass index was 30.8 (8.6) kg/m2, and 25-hydroxyvitamin D level was 7.8 (1.6) ng/mL. No significant difference was observed in the median interquartile range of length of hospital stay between the vitamin D3 group (6.0 [4.0-18.0] days) versus placebo (9.5 [6.3-15.5] days) (log-rank p=0.74; hazard ratio, 1.13 [95% confidence interval (CI), 0.53-2.40]; p=0.76). Vitamin D3 significantly increased serum 25-hydroxyvitamin D levels in the vitamin D3 group compared with that in the placebo group (between-group difference, 23.9 ng/mL [95% CI, 17.7-30.1]; p<0.001). CONCLUSIONS: A dose of 200.000 IU of vitamin D3 did not significantly reduce the length of hospital stay of patients with severe 25-hydroxyvitamin D deficiency and COVID-19. (AU)

• Processo FAPESP: 20/05752-4 - Suplementação com vitamina D em pacientes com COVID-19: ensaio clínico, randomizado, duplo-cego e controlado por placebo
• Beneficiário: Rosa Maria Rodrigues Pereira
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 19/24782-4 - Comparação dos mecanismos de perda óssea em pacientes submetidos à derivação gástrica em Y de Roux ou gastrectomia vertical
• Beneficiário: Igor Hisashi Murai
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
• Processo FAPESP: 20/11102-2 - Suplementação com vitamina D em pacientes com COVID-19: ensaio clínico, randomizado, duplo-cego e controlado por placebo
• Beneficiário: Alan Lins Fernandes
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado