Serum 25-hydroxyvitamin D levels in hospitalized adults with community-acquired pneumonia

Abstract

Introduction: Community‐acquired pneumonia (CAP) is the infectious disease with the highest number of deaths worldwide. Several studies have shown an association between vitamin D deficiency and increases susceptibility to respiratory tract infections. Objective: The aim of this study was to evaluate the serum 25‐hydroxyvitamin D (25OHD) levels in hospitalized adults in general room with CAP. Materials and methods: An observational study was carried out in 207 hospitalized adults of both sex with CAP (>18 years) from Rosario city, Argentina (32° 52′ 18″S) between July 2015 and June 2016. Results: In total, 167 patients were included in the data analysis [59% women (57.4 ± 19.6 years), body mass index 27.2 ± 7.8 kg/m2]. In brief, 63% showed unilobar infiltrate and 37% were multilobar. The CURB‐65 index was 66.5% low risk, 16.0% intermediate risk and 17.5% high risk. According to Charlson comorbidity index (CCI) 53.5% had not comorbidity (CCI = 0) and 46.5% showed CCI ≥ 1. The 25OHD level was: 11.92 ± 7.6 ng/mL (51.5%: <10 ng/mL, 33.5%: 10–20 ng/mL, 13.2%: 20–30 ng/mL and 1.8%: >30 ng/mL). Higher 25OHD were found in male (female: 10.8 ± 6.7 ng/mL, male: 13.5 ± 8.5 ng/mL, P = .02) and 25OHD correlated with age (r = –.17; P = .02). 25‐Hydroxyvitamin D was also correlated with CURB65 index (r = –.13; P = .049), CCI (r = –.20, P = .007) and with the 10 years of life expectative (%) (r = .19; P = .008). In addition, higher 25OHD were found with lower CCI (CCI 0 = 13.0 ± 8.2 ng/mL, CCI ≥ 1= 10.5 ± 6.7 ng/mL; P = .0093). Conclusions: Hospitalized adults with CAP have lower 25OHD levels and would be associated with the severity of CAP.