4.7 Article

Serum Calcium and Vitamin D levels: Correlation with severity of COVID-19 in hospitalized patients in Royal Hospital, Oman

Journal

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
Volume 107, Issue -, Pages 153-163

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.ijid.2021.04.050

Keywords

COVID-19; Oman; Hypocalcemia; Vitamin D; Prognosis; Disease marker

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Hypocalcemia is correlated with disease severity and progression in COVID-19 patients, while vitamin D levels do not show a significant correlation with the severity of infections. These findings suggest that hypocalcemia may serve as a reliable marker of disease severity regardless of underlying comorbidities.
Introduction: Studies have revealed hypocalcemia and low vitamin D levels in severe covid-19 that warrant further research. Objective: Our study investigates the correlation between calcium levels at presentation as a primary endpoint and pre-existing calcium levels as a secondary endpoint to the severity of disease presentation and progression. Method: Observational cohort study in adults admitted with COVID-19 from March utill September 2020. Multiple clinical scales and laboratory parameters were used to correlate corrected calcium and vitamin D associations with risk factors and outcomes. Results: Four hundred and forty five patients were included in the study. Hypocalcemic patients had more abnormal laboratory parameters and longer hospitalization duration. Hypocalcemia was in 60-75% of all age groups (p-value 0.053), for which 77.97% were ICU admissions (p-value 0.001) and 67.02% were diabetic (p-value 0.347). There were non-significant correlations between Vitamin D and almost all the parameters except for chronic respiratory diseases, which had a P-value of 0.024. Conclusion: It can be concluded that hypocalcemia is a significant and reliable marker of disease severity and progression regardless of underlying comorbidities. Vitamin D levels fail to reflect correlation with severity of COVID-19 infections. (c) 2021 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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