Vitamin D for Critically Traumatic Patients
Study Details
Study Description
Brief Summary
Trauma has been an important global public health issue. Yet it is the sixth cause of death in Taiwan, trauma brings great negative impact to national productivity since it presents specifically as the leading cause of death for the population aged below 40 years. According to the national databank from Formosa Association for the Surgery of Trauma, mortality rate in critically traumatic patients with injury severity score (ISS) ≥ 25 is as high as 23%. Vitamin D, a pleiotropic hormone, regulates directly functions of most organs and immune system. It has been proven that vitamin D insufficiency or deficiency would deteriorate survival of critically ill patients, while supplementation of high-dose vitamin D ameliorates the clinical outcomes. This study investigates whether multiple high doses of vitamin D supplementation in one week can decrease the mortality and morbidity in critically traumatic patients.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Treatment group
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Other: Vitamin D
High dose of vitamin D is given in divided dose orally or enterally via a feeding tube
|
Placebo Comparator: Control group
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Other: Placebo
Placebo
|
Outcome Measures
Primary Outcome Measures
- Mortality [up to 3 months after discharge]
Mortality in ICU
Eligibility Criteria
Criteria
Inclusion Criteria:
- Major trauma adult (> 20 years old) with Injury Severity Score equal or higher than 16, who is admitted to ICU
Exclusion Criteria:
Patients with the following conditions:
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Chronic liver disease
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Contraindication to enteral feeds
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Hypercalcemia
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Current use of vitamin D, estrogen, or medications for bone disease
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High risk of hypercalcemia, ex. metastatic cancer, primary hyperparathyroidism, sarcoidosis, multiple myeloma
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | National Taiwan University Hospital | Taipei | Taiwan |
Sponsors and Collaborators
- National Taiwan University Hospital
Investigators
- Principal Investigator: Yin-Yi Han, MD, PhD, National Taiwan University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 201705002MIPC