Low Vitamin D Levels in Persons with Spinal Cord Injury and Increased Incidence of Venous Thromboembolic Events During Acute Inpatient and Rehabilitation Stay

PM&R ◽  
2013 ◽  
Vol 5 ◽  
pp. S140-S140 ◽  
Author(s):  
Molly A. Timmerman ◽  
James Crew ◽  
Kazuko Shem ◽  
Min Kim ◽  
Stephanie A. Kolakowsky-Hayner ◽  
...  
PM&R ◽  
2010 ◽  
Vol 2 (9) ◽  
pp. 872-872
Author(s):  
James Crew ◽  
Pooja Rathi ◽  
Stephen L. McKenna ◽  
Jackie Garcia

Spinal Cord ◽  
2018 ◽  
Vol 56 (5) ◽  
pp. 494-501 ◽  
Author(s):  
Arcangelo Barbonetti ◽  
Settimio D’Andrea ◽  
Alessio Martorella ◽  
Giorgio Felzani ◽  
Sandro Francavilla ◽  
...  

PM&R ◽  
2010 ◽  
Vol 2 (3) ◽  
pp. 202-208 ◽  
Author(s):  
Gregory A. Nemunaitis ◽  
Melvin Mejia ◽  
Jennifer A. Nagy ◽  
Tova Johnson ◽  
John Chae ◽  
...  

2017 ◽  
Vol 98 (5) ◽  
pp. 940-946 ◽  
Author(s):  
Arcangelo Barbonetti ◽  
Francesca Cavallo ◽  
Settimio D'Andrea ◽  
Mario Muselli ◽  
Giorgio Felzani ◽  
...  

2018 ◽  
Vol 24 (9_suppl) ◽  
pp. 69S-75S ◽  
Author(s):  
Wen-Xiu Wu ◽  
Dong-Rui He

The objective is to determine whether a low serum 25-hydroxyvitamin D (25(OH)D) level is associated with an increased incidence of deep venous thromboembolic events in patients with ischemic stroke. One hundred eighty persons admitted consecutively for inpatient rehabilitation at the Department of Rehabilitation of the First Affiliated Hospital of Wenzhou Medical University with a diagnosis of ischemic stroke from January 2015 to December 2015 were enrolled. The following demographic data were collected: age, sex, body mass index, and history of risk factors. The levels of 25(OH)D and the presence of deep vein thrombosis (DVT) by routine duplex imaging were also recorded. The value of 25(OH)D needed to predict DVT was analyzed using logistic regression analysis, after adjusting for the possible confounders. We found that 80% of patients admitted to the acute inpatient rehabilitation unit had low levels of vitamin D. Forty-seven patients had DVT, and the incidence of DVT was 26.1% within 3 weeks after the stroke event. With all patients taken together, DVT occurrence as a dependent variable with the sufficient group as the reference used for vitamin D levels in the logistic analysis, deficiency of vitamin D was independently associated with the development of DVT (odds ratio = 4.683, 95% confidence interval: 1.396-15.703, P = .012). In conclusion, low serum 25(OH)D levels were independent predictors of DVT in patients with ischemic stroke during inpatient rehabilitation stay in China. This finding reveals the critical role played by 25(OH)D in the pathogenesis of DVT.


PM&R ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 125-134
Author(s):  
Reza Ehsanian ◽  
Molly A. Timmerman ◽  
Jerry M. Wright ◽  
Stephen McKenna ◽  
Ben Dirlikov ◽  
...  

2018 ◽  
Vol 28 (2) ◽  
pp. 28381
Author(s):  
Mauricio Sprenger Bassuino ◽  
Elisa Lettnin Kaminski ◽  
Laís Oliveira Garcia ◽  
Rafael Linden ◽  
Marina Venzon Antunes ◽  
...  

AIMS: To evaluate the levels of vitamin D, parathyroid hormone and calcium in individuals with spinal cord injury and to identify related factors.METHODS: A cross-sectional study included men with spinal cord injury, living in the South Region of Brazil. A questionnaire was applied to evaluate socioeconomic data, life habits and health. The time elapsed since the spinal cord injury was considered. Vitamin D was evaluated in plasma via liquid chromatography; calcium and PTH were measured in serum by a colorimetric method and electrochemiluminescence respectively. For data analysis, linear regression and chi-square test were utilized. Values of p<0.05 were considered significant.  RESULTS: The study included 39 paraplegic or tetraplegic men with spinal cord injury. The mean age was 35.52±9.78 years, and the mean time since injury was 6.09±5.55 years. The mean biochemical levels were: 19.0 ±6.98 ng/mL for vitamin D; 9.54±0.52 mg/dL for total calcium; and 34.81±10.84 pg/mL for parathyroid hormone. Individuals with sun exposure for more than two hours daily had higher vitamin D levels than those exposed up to one hour per day (p=0.001). Linear regression identified an inverse relationship between lesion time and vitamin D levels (regression coefficient: -0.424; p=0.029), while the other parameters did not show significant differences regarding the time elapsed since the lesion. Subjects with income above four minimum wages had higher vitamin D values (mean 25.67±5.45 ng/mL) when compared to those with income up to four minimum wages (mean 18.43±6.79 ng/mL) (p=0.021). CONCLUSIONS: Levels of vitamin D were inversely correlated to the time elapsed since the spinal cord injury, probably due to insufficient sun exposure resulting from prolonged limitation of mobility. In addition, lower levels of vitamin D were associated to lower income. These factors may aggravate bone loss associated with decreased mobility resulting from spinal cord injury.


2021 ◽  
Vol 8 (8) ◽  
pp. 1164
Author(s):  
Sucheta Saha ◽  
Sandeep K. Gupt ◽  
Nonica Laisram ◽  
Ummatul Siddique ◽  
Simin Rahman

Background: According to the published literature, Vitamin D deficiency is prevalent in spinal cord injury (SCI). Many studies were done earlier to find out different factors which predispose the SCI population to the risk of vitamin deficiency, but correlation with any such factor is still uncertain. Studies from India are scarce. The present study was conducted in view of this lacuna in existing knowledge in India and in the developing countries, to observe the levels of Vitamin D in traumatic SCI patients admitted for rehabilitation.Methods: In this prospective, observational, multicentre study, all patients admitted consecutively in the three study centres, satisfying the selection criteria were included. The level of 25-OH Vitamin D was assessed by Chemiluminescence procedure. Vitamin D level <20 ng/ml was taken as deficient, 20-29ng/ml as insufficient, ≥30 ng/ml was the optimum and ≥150 ng/ml was taken as toxic level.Results: Among 56 patients of traumatic spinal cord injury who were included in the study, having mean age of 32.32±11.82 years, only 14 (25%) were having optimum Vitamin D level. 25 (45%) subjects were deficient in Vitamin D, whereas 16 (28%) were having insufficient levels. One subject was found to have toxic level of Vitamin D (156 ng/ml). No differences of Vitamin D levels were observed between demographic and clinical groups.Conclusions: Although a high rate of Vitamin D deficiency was encountered in SCI individuals, the role of different factors causing Vitamin D deficiency remains unproven. Also the amount of Vitamin D required to forestall insufficiency is still unknown, indicating a necessity for more studies with well-defined outcome measures.  


1993 ◽  
Vol 16 (1) ◽  
pp. 9-13 ◽  
Author(s):  
X. J. Zhou ◽  
N. D. Vaziri ◽  
J. L. Segal ◽  
R. L. Winer ◽  
I. Eltorai ◽  
...  

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