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May 28, 2013PLoS ONEOpen Access

Low Vitamin D Concentration Is Not Associated with Increased Mortality and Morbidity after Cardiac Surgery

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Key result

Perioperative vitamin D concentration was not associated with a composite of serious cardiac morbidities (OR 0.96) in adult patients undergoing cardiac surgery.

Why the study?

Is perioperative vitamin D concentration associated with increased mortality and morbidity after cardiac surgery in adult patients?

Population

426 adult cardiac surgical patients with perioperative 25-hydroxyvitamin D measurements from a single…

Design

Cohort

Follow-up

30 days (for mortality)

Authors

ATAlparslan TuranNorthwestern UniversityMGMartin GradyCleveland Clinic Lerner College of MedicineJYJing YouChongqing University

Discussion

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Implication

No association supports deferring vitamin D–based risk stratification; leaves open whether supplementation trials are warranted.

Study Design

Type

Cohort (n=426)

Multicenter

No

Structured PICO

Is perioperative vitamin D concentration associated with increased mortality and morbidity after cardiac surgery in adult patients?

P
Population
426 adult cardiac surgical patients with perioperative 25-hydroxyvitamin D measurements from a single institution-teaching hospital.
I
Intervention
Perioperative 25-hydroxyvitamin D concentration (observational)
O
Outcome
Composite of 11 serious cardiac morbiditiescomposite

Main Result

Effect estimate: OR 0.96 (95% CI 0.86-1.07)

p-value: p=0.46

Perioperative vitamin D concentration is not associated with clinically important postoperative outcomes in adult cardiac surgical patients.

Limitations

  • Retrospective analysis potentially suffers from selection bias and confounding.
  • List of available confounders is presumably incomplete and estimates for their magnitude are crude.
  • Limited sample size of 426 patients provides marginal or inadequate power for rare secondary outcomes like mortality or neurologic complications.

Cite This Study

Turan et al. (2013) conducted a cohort in Adult cardiac surgical patients (n=426). Perioperative Vitamin D concentration was evaluated on Composite of 11 serious cardiac morbidities (OR 0.96, 95% CI 0.86-1.07, p=0.46). Perioperative vitamin D concentration was not associated with a composite of serious cardiac morbidities (OR 0.96) in adult patients undergoing cardiac surgery.

synapsesocial.com/papers/6a10d9e0ed67694fb09f83e6https://doi.org/10.1371/journal.pone.0063831
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Also Consider

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  5. 5Myocardial Infarction is Inversely Associated with Plasma 25-Hydroxyvitamin D3 Levels: A Community-Based Study1990 · 397 citations