Vitamin D in acutely ill patients.

Objective To investigate 25(OH)D levels and their relationship to survival in a cohort of acutely ill patients on admission to an intensive care unit. Methods This study enrolled acutely ill patients at admission to an intensive care unit and a group of sex- and age-matched healthy control subjects. The 25(OH)D levels were measured using an enzyme immunoassay. C-reactive protein and procalcitonin levels were also measured using immunoassays. Results A total of 50 acutely ill patients and 50 healthy control subjects were enrolled in the study. The mean ± SEM 25(OH)D levels were significantly lower in the acutely ill patients compared with the control group (11.74 ± 0.88 ng/ml versus 24.66 ± 1.60 ng/ml, respectively). The 25(OH)D levels were not related to survival. An inverse relationship was observed between 25(OH)D levels and C-reactive protein levels. A weak inverse relationship was also observed between 25(OH)D levels and procalcitonin levels. Conclusions The 25(OH)D levels were decreased in acutely ill patients admitted to an intensive care unit compared with healthy control subjects. 25(OH)D levels may be inversely related to C-reactive protein and procalcitonin levels.