Clinical Trial of Vitamin D2vs D3Supplementation in Critically Ill Pediatric Burn Patients

Autor: Richard J. Kagan, Michele M. Gottschlich, Theresa Mayes, Jane C. Khoury
Rok vydání: 2016
Předmět:
Zdroj: Journal of Parenteral and Enteral Nutrition. 41:412-421
ISSN: 1941-2444
0148-6071
DOI: 10.1177/0148607115587948
Popis: Background: Hypovitaminosis D exists postburn. However, evidence-based guidelines for vitamin D repletion are unknown. This investigation examined differences between D2 and D3 supplementation on outcome in children with burn injuries. Methods: Fifty patients with total body surface area burn of 55.7% ± 2.6% and full-thickness injury of 40.8% ± 3.8% were enrolled, ranging in age from 0.7–18.4 years. All participants received multivitamin supplementation per standardized clinical protocol. In addition, 100 IU/kg D2, D3, or placebo was administered daily during hospitalization using a randomized, double-blinded study design. Assay of total 25-hydroxyvitamin D (D25), 1,25-dihydroxyvitamin D (D1,25), 25-hydroxyvitamin D2 (25-OH-D2), 25-hydroxyvitamin D3 (25-OH-D3), and parathyroid hormone (PTH) was performed at 4 preplanned time intervals (baseline, midpoint, discharge, and 1 year postburn). Differences in vitamin D status were compared over time and at each specific study interval. Results: There were no sig...
Databáze: OpenAIRE