» Articles » PMID: 30371341

Vitamin D Deficiency and Supplementation in Critical Illness-the Known Knowns and Known Unknowns

Overview
Journal Crit Care
Specialty Critical Care
Date 2018 Oct 30
PMID 30371341
Citations 23
Authors
Affiliations
Soon will be listed here.
Abstract

The burgeoning literature on vitamin D deficiency and supplementation over the past decade or so has generated a greater understanding of some areas but also an appreciation of the many areas of equipoise. This is particularly relevant in the field of critical care with the heterogeneous patient populations, the severity and duration of illness and the frequency of comorbid conditions.This review aims to summarise the current knowledge base of vitamin D deficiency within the context of critical illness-"the known knowns"-and also highlight the areas of recognised uncertainty-"the known unknowns". It acknowledges the fact that there may well be other knowledge gaps of clinical relevance of which we are currently unaware-"the unknown unknowns".

Citing Articles

Longitudinal Evaluation of Vitamin D, Parathyroid Hormone, Antimicrobial Peptides, and Immunomodulatory Genes in Hospitalized Foals.

Kamr A, Bartish C, Summers J, Horton J, Hostnik L, Orr K J Vet Intern Med. 2025; 39(2):e70012.

PMID: 40008921 PMC: 11863360. DOI: 10.1111/jvim.70012.


The Immunomodulatory Activity of High Doses of Vitamin D in Critical Care Patients with Severe SARS-CoV-2 Pneumonia-A Randomized Controlled Trial.

Goncalves A, Velho S, Rodrigues B, Antunes M, Cardoso M, Godinho-Santos A Nutrients. 2025; 17(3).

PMID: 39940396 PMC: 11820001. DOI: 10.3390/nu17030540.


25-hydroxyvitamin D and parathyroid hormone in new onset sepsis: A prospective study in critically ill patients.

Karampela I, Stratigou T, Antonakos G, Kounatidis D, Vallianou N, Tsilingiris D Metabol Open. 2024; 23:100296.

PMID: 38983450 PMC: 11228765. DOI: 10.1016/j.metop.2024.100296.


A Comprehensive Review of the Immunomodulatory Effects of Vitamin D in Sepsis.

Ahuja A, Agrawal S, Acharya S, Kumar S Cureus. 2024; 16(2):e53678.

PMID: 38455817 PMC: 10918297. DOI: 10.7759/cureus.53678.


Positive Association of Urinary Dimethylarsinic Acid (DMA) with Serum 25(OH)D in Adults Living in an Area of Water-Borne Arsenicosis in Shanxi, China.

Zhang K, Yin Y, Lv M, Zhang X, Zhang M, Cui J Toxics. 2024; 12(1).

PMID: 38251038 PMC: 10820359. DOI: 10.3390/toxics12010083.


References
1.
Pittas A, Lau J, Hu F, Dawson-Hughes B . The role of vitamin D and calcium in type 2 diabetes. A systematic review and meta-analysis. J Clin Endocrinol Metab. 2007; 92(6):2017-29. PMC: 2085234. DOI: 10.1210/jc.2007-0298. View

2.
Lee P . Vitamin D metabolism and deficiency in critical illness. Best Pract Res Clin Endocrinol Metab. 2011; 25(5):769-81. DOI: 10.1016/j.beem.2011.03.001. View

3.
Bikle D . Vitamin D metabolism, mechanism of action, and clinical applications. Chem Biol. 2014; 21(3):319-29. PMC: 3968073. DOI: 10.1016/j.chembiol.2013.12.016. View

4.
Lai J, Lucas R, Banks E, Ponsonby A . Variability in vitamin D assays impairs clinical assessment of vitamin D status. Intern Med J. 2011; 42(1):43-50. DOI: 10.1111/j.1445-5994.2011.02471.x. View

5.
Holick M . Vitamin D deficiency. N Engl J Med. 2007; 357(3):266-81. DOI: 10.1056/NEJMra070553. View