Division of Endocrinology and Metabolism, Department of Internal Medicine, Medical University of Graz, Austria.
Curr Opin Clin Nutr Metab Care. 2012 Mar;15(2):188-93. doi: 10.1097/MCO.0b013e32834f0027.
To summarize the current knowledge on vitamin D with a special focus on critically ill patients.
Vitamin D deficiency is associated with adverse health outcomes including increased risk of cardiovascular disease, morbidity and mortality in the general population. In critically ill patients, the pleiotropic effects of vitamin D including its role in immune function are of great interest.
To date, it is not clear whether vitamin D deficiency is a surrogate marker for increased morbidity or whether treatment with sufficiently large doses of vitamin D may improve patient outcome in an intensive care setting.
特别关注危重症患者,总结目前关于维生素 D 的知识。
维生素 D 缺乏与不良健康结果相关,包括在普通人群中心血管疾病风险增加、发病率和死亡率增加。在危重症患者中,维生素 D 的多效作用(包括其在免疫功能中的作用)引起了极大关注。
迄今为止,维生素 D 缺乏是否是发病率增加的替代标志物尚不清楚,或者在重症监护环境中用足够大剂量的维生素 D 治疗是否可以改善患者预后。