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Masbough, Farnoosh, Kouchek, Mehran, Koosha, Mohsen, Salarian, Sara, Miri, Mirmohammad, Raoufi, Masoomeh, Taherpour, Niloufar, Amniati, Saied, Sistanizad, Mohammad. (1403). Investigating the Effect of High-Dose Vitamin D3 Administration on Inflammatory Biomarkers in Patients with Moderate to Severe Traumatic Brain Injury: A Randomized Clinical Trial. سامانه مدیریت نشریات علمی, 49(10), 643-651. doi: 10.30476/ijms.2023.99465.3156
Farnoosh Masbough; Mehran Kouchek; Mohsen Koosha; Sara Salarian; Mirmohammad Miri; Masoomeh Raoufi; Niloufar Taherpour; Saied Amniati; Mohammad Sistanizad. "Investigating the Effect of High-Dose Vitamin D3 Administration on Inflammatory Biomarkers in Patients with Moderate to Severe Traumatic Brain Injury: A Randomized Clinical Trial". سامانه مدیریت نشریات علمی, 49, 10, 1403, 643-651. doi: 10.30476/ijms.2023.99465.3156
Masbough, Farnoosh, Kouchek, Mehran, Koosha, Mohsen, Salarian, Sara, Miri, Mirmohammad, Raoufi, Masoomeh, Taherpour, Niloufar, Amniati, Saied, Sistanizad, Mohammad. (1403). 'Investigating the Effect of High-Dose Vitamin D3 Administration on Inflammatory Biomarkers in Patients with Moderate to Severe Traumatic Brain Injury: A Randomized Clinical Trial', سامانه مدیریت نشریات علمی, 49(10), pp. 643-651. doi: 10.30476/ijms.2023.99465.3156
Masbough, Farnoosh, Kouchek, Mehran, Koosha, Mohsen, Salarian, Sara, Miri, Mirmohammad, Raoufi, Masoomeh, Taherpour, Niloufar, Amniati, Saied, Sistanizad, Mohammad. Investigating the Effect of High-Dose Vitamin D3 Administration on Inflammatory Biomarkers in Patients with Moderate to Severe Traumatic Brain Injury: A Randomized Clinical Trial. سامانه مدیریت نشریات علمی, 1403; 49(10): 643-651. doi: 10.30476/ijms.2023.99465.3156

Investigating the Effect of High-Dose Vitamin D3 Administration on Inflammatory Biomarkers in Patients with Moderate to Severe Traumatic Brain Injury: A Randomized Clinical Trial

Iranian Journal of Medical Sciences
مقاله 4، دوره 49، شماره 10، دی 2024، صفحه 643-651    اصل مقاله (704.21 K)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2023.99465.3156
نویسندگان
Farnoosh Masbough1؛ Mehran Kouchek2؛ Mohsen Koosha3؛ Sara Salarian2؛ Mirmohammad Miri2؛ Masoomeh Raoufi4؛ Niloufar Taherpour5؛ Saied Amniati6؛ Mohammad Sistanizad* 1، 7
1Department of Clinical Pharmacy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2Department of Pulmonary and Critical Care Medicine, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3Department of Neurosurgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4Department of Radiology, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5Prevention of Cardiovascular Disease Research Center, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
6Department of Pulmonary and Critical Care Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
7Department of Pharmaceutical Care Unit, Imam Hossein Medical and Educational Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده
Background: Traumatic brain injury (TBI) is one of the most common neurological disorders worldwide. We aimed to investigate the efficacy of high-dose vitamin D3 on inflammatory biomarkers in patients with moderate to severe TBI. 
Methods: Thirty-five moderate to severe TBI patients were randomly assigned to intervention and control groups. Patients in the intervention group received a single intramuscular (IM) dose of 300,000 IU vitamin D. The primary endpoints were interleukin levels (IL-1β and IL-6), and the secondary endpoints were changes in neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), Glasgow Coma scale (GCS), and Glasgow Outcome Scale-Extended (GOS-E) scores compared between intervention and control arms of the study. The linear Generalized Estimating Equations were used for trend analysis and evaluating the association of independent factors to each outcome.
Results: The results revealed a significant decrease in IL-1β levels (-2.71±3.02, in the intervention group: P=0.001 vs. -0.14±3.70, in the control group: P=0.876) and IL-6 (-88.05±148.45, in the intervention group: P=0.0001 vs. -35.54±175.79, in the control group: P=0.325) 3 days after the intervention. The improvement in the GCS score (P=0.001), reduction in NLR (P=0.001) and PLR (P=0.002), and improvement in the GOS-E score (P=0.039) was found to be greater in the vitamin D3 arm of the study than the control group.
Conclusion: Administration of high-dose vitamin D3 in the acute phase of TBI could be effective in lowering the inflammatory markers and improving the level of consciousness and long-term performance outcomes.
Trial registration number: IRCT20180522039777N2.
کلیدواژه‌ها
Vitamin D؛ Brain injuries, traumatic؛ Inflammation mediators
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