Critically ill patients with vitamin D deficiency
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age = 18 years - Expected ICU stay = 48 hours - Vitamin D deficiency: 25(OH)D = 20ng/ml - Feasibility of study drug application via nasogastric tube in cases where oral food intake is not possible Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Moribund patient expected to die within 24 hours - Hypercalcaemia (toal calcium > 2.65 or ionised calcium > 1,35mmol/L) - Severly impaired gastrointestinal motility (ileus, gastric residual volume > 400ml) - pregnancy - Known history of recent nephrolithiasis (= 1 year) -Known granulomatous diseases (tuberculosis, sarcoidosis)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective of this study is to investigate whether oral high-dose of vitamin D-supplementation leads to a significant reduction of the duration of hospital stay;Secondary Objective: - Percentage of patients with 25(OH)D = 30ng/ml at day 7 - ICU stay (in hours) - Duration of mechanical ventilation (days) - Cardiac function (NT-proBNP levels, days on catecholamine support) - Frequency and length of periods with elevated CRP- and PCT-levels (area under the CRP- and PCT-curve) - TISS 28 and SAPS II scores during ICU stay - Overall mortality in hospital, at day 28 and at 6 months - Serum-calcium, serum-phosphorus, 25(OH)D, 1,25(OH)D, PTH, Osteocalcin, bALP, TRAP, urinary calcium at days 0,3,7 and 28 (if patient is still hospitalised) ;Primary end point(s): duration of hospital stay | — |
Countries
Austria