Significant association between vitamin D deficiency and sepsis: a systematic review and meta-analysis

BMC Anesthesiology

Sikarin Upala²  Anawin Sanguankeo²  Nitipong Permpalung¹ 

[1] Department of Internal Medicine, Bassett Medical Center and Columbia University College of Physicians and Surgeons, Cooperstown, NY, USA

[2] Department of Preventive and Social Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

关键词: Meta-analysis;    Systematic review;    Sepsis;    Vitamin D deficiency;   

Others  :  1212225
DOI  :  10.1186/s12871-015-0063-3

 received in 2015-01-19, accepted in 2015-05-23,  发布年份 2015

【 摘 要 】

Background

A number of observational studies have found an association between low vitamin D levels and risk of sepsis. We conducted a systematic review and meta-analysis to determine the overall estimate of risk.

Methods

This was a systematic review and meta-analysis conducted by online searches (CENTRAL, PubMed/MEDLINE, and EMBASE) was registered in PROSPERO (CRD42014014767). Primary outcome was incidence, prevalence, relative risk or odds ratio of having sepsis or bloodstream infection between patients with vitamin D deficiency and controls.

Results

The initial search yielded 647 articles. Twenty-one articles underwent full-length review and data were extracted from 10 observational studies. Pooled odds ratio of sepsis in participants with vitamin D deficiency was 1.78 (95 % confidence interval [CI] = 1.55 to 2.03, p < 0.01) compared with controls in studies that reported participant numbers and was 1.45 (95 % CI = 1.26 to 1.66, p < 0.01) in studies that reported an adjusted odds ratio of vitamin D deficiency for developing sepsis. Statistical between-study heterogeneity was low (I² = 0 % and 5 %, respectively). Standardized mean difference of 25-hydroxyvitamin D levels in patients with sepsis and controls was −0.24 (95 % CI = −0.49 to 0.00, p = 0.05) and lower in the sepsis group compared with non-sepsis or control participants. The statistical between-study heterogeneity (I²) was 0 %.

Conclusion

Vitamin D deficiency were associated with an increased susceptibility of sepsis.

【 授权许可】

   
2015 Upala et al.; licensee BioMed Central.

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