Effect of Vitamin D Level on Clinical Outcomes in Patients Undergoing Left Ventricular Assist Device Implantation
Autor: | Antone Tatooles, Gardner Yost, Fadi Abou Obeid, Geetha Bhat, Erin Drever |
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Rok vydání: | 2018 |
Předmět: |
Male
Risk medicine.medical_specialty medicine.medical_treatment Heart Ventricles Medicine (miscellaneous) 030204 cardiovascular system & hematology Infections Gastroenterology Patient Readmission vitamin D deficiency Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Postoperative Complications Internal medicine Vitamin D and neurology Odds Ratio Medicine Humans 030212 general & internal medicine Vitamin D Adverse effect Stroke Aged Retrospective Studies Heart Failure Nutrition and Dietetics business.industry Odds ratio Middle Aged medicine.disease Vitamin D Deficiency Regimen Ventricular assist device Heart failure Female Heart-Assist Devices business Gastrointestinal Hemorrhage |
Zdroj: | Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition. 33(6) |
ISSN: | 1941-2452 |
Popis: | BACKGROUND Vitamin D is an important hormone that regulates cardiac myocyte function. Low levels contribute to the development of cardiovascular disease and have been implicated in immune function and the inflammatory cascade. Patients who undergo left ventricular assist device (LVAD) implantation are at risk for driveline infection, stroke, and gastrointestinal (GI) bleeding. We investigated whether serum 25-hydroxy (25-OH) vitamin D levels affect clinical outcomes after LVAD. METHODS 212 patients who underwent LVAD implantation between 2010 and 2015 were included. We measured preoperative 25-OH vitamin D level and postoperative adverse events during the first year. Vitamin D level was classified into 3 categories: normal (>30 ng/mL), insufficient (20-30 ng/mL), and deficient ( |
Databáze: | OpenAIRE |
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