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4 "Hyun Jung Kim"
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Original Article
Endocrinology
Prevalence and Related Factors of Vitamin D Deficiency in Critically Ill Patients
Hyun Jung Kim, Min Su Sohn, Eun Young Choi
Korean J Crit Care Med. 2016;31(4):300-307.   Published online November 30, 2016
DOI: https://doi.org/10.4266/kjccm.2016.00276
  • 7,405 View
  • 182 Download
  • 3 Crossref
AbstractAbstract PDF
Background
To identify the prevalence and related factors for vitamin D deficiency in the patients who admitted to the medical intensive care unit (ICU) of a Korean tertiary care hospital.
Methods
We retrospectively analyzed the data from ICU patients requiring mechanical ventilation (MV) for a period of > 48 h to identify the prevalence and associated factors for vitamin D deficiency. Vitamin D deficiency was defined as serum 25-hydroxyvitamin D [25(OH)D] level < 20 ng/mL.
Results
Among 570 patients admitted to the ICU, 221 were enrolled in the study, 194 in the vitamin D deficient group and 27 in the non-deficient group. Prevalence of vitamin D deficiency in critically ill patients was 87.8%. The patient age was lower in the vitamin D deficient group compared with the non-deficient group (64.4 ± 15.4 vs. 71.0 ± 9.6 years, p = 0.049). A higher acute physiology and chronic health evaluation II (APACHE II) score (odds ratio [OR] 1.23, 95% confidence interval [CI] 1.10-1.37) and chronic illness (OR 3.12, 95% CI 1.08-9.01) were associated with vitamin D deficiency after adjusting for age and body mass index. Clinical outcomes of duration of MV, ICU stay, and 28- and 90-day mortality rates were not significantly different between the vitamin D deficient and nondeficient groups.
Conclusions
Vitamin D deficiency was common in critically ill patients, particularly among younger patients. Higher APACHE II score and chronic illness were associated with vitamin D deficiency.

Citations

Citations to this article as recorded by  
  • Vitamin D deficiency and mortality among critically ill surgical patients in an urban Korean hospital
    Ji-hyun Lee, Seo-rin Doo, Dongha Kim, Yoo-kyoung Park, Eun-jeong Park, Jae-myeong Lee
    International Journal for Vitamin and Nutrition Research.2022; 92(2): 101.     CrossRef
  • Vitamin D Deficiency in Critically Ill Patients
    Ji Hyun Lee, Jae-Myeong Lee
    Surgical Metabolism and Nutrition.2017; 8(2): 17.     CrossRef
  • Should We Measure Vitamin D Level?
    Jae Hwa Cho
    The Korean Journal of Critical Care Medicine.2016; 31(4): 369.     CrossRef
Case Reports
Infection
Septic Shock due to Unusual Pathogens, Comamonas testosteroni and Acinetobacter guillouiae in an Immune Competent Patient
Hyun Jung Kim, Yunkyoung Lee, Kyunghwan Oh, Sang-Ho Choi, Heungsup Sung, Jin Won Huh
Korean J Crit Care Med. 2015;30(3):180-183.   Published online August 31, 2015
DOI: https://doi.org/10.4266/kjccm.2015.30.3.180
  • 21,433 View
  • 85 Download
  • 6 Crossref
AbstractAbstract PDF
Comamonas testosteroni and Acinetobacter guillouiae are gram-negative bacilli of low virulence that are widely distributed in nature and normal flora. Despite their common occurrence in environments, they rarely cause infectious disease. We experienced a case of septic shock by C. testosterone and A. guillouiae, and isolated them by 16S ribosomal RNA sequencing method from the blood cultures of a previous healthy female during postoperative supportive care. This is the first case of septic shock required ventilator care and continuous renal replacement therapy due to these organisms in Korea.

Citations

Citations to this article as recorded by  
  • An investigation of clinical characteristics and antimicrobial agent susceptibility patterns in clinical Comamonas testosteroni isolates: An increasingly prevalent nosocomial pathogen
    Bahadır Orkun Ozbay, Adalet Aypak, Aliye Bastug, Ömer Aydos, İpek Mumcuoglu, Sevim Gayenur Büyükberber, Ayşe Müge Karcıoğlu, Hurrem Bodur
    Infectious Diseases Now.2023; 53(2): 104622.     CrossRef
  • Bullfrogs (Lithobates catesbeianus) as a Potential Source of Foodborne Disease
    Andrea P. Zepeda-Velazquez, Fabián-Ricardo Gómez-De-Anda, Luis F. Aguilar-Mendoza, Nayeli Shantal Castrejón-Jiménez, Juan Carlos Hernández-González, Jorge A. Varela-Guerrero, Jorge-Luis de-la-Rosa-Arana, Vicente Vega-Sánchez, Nydia E. Reyes-Rodríguez
    Journal of Food Protection.2023; 86(4): 100067.     CrossRef
  • The Emergence of the Genus Comamonas as Important Opportunistic Pathogens
    Michael P. Ryan, Ludmila Sevjahova, Rachel Gorman, Sandra White
    Pathogens.2022; 11(9): 1032.     CrossRef
  • A rare case of peritoneal dialysis‐associated peritonitis caused by Comamonas testosteroni
    Roman Kuźniewicz, Mirosław Śnit, Dariusz Szczyra
    Seminars in Dialysis.2022; 35(6): 556.     CrossRef
  • The complex pattern of codon usage evolution in the family Comamonadaceae
    Eugenio Jara, María A. Morel, Guillermo Lamolle, Susana Castro-Sowinski, Diego Simón, Andrés Iriarte, Héctor Musto
    Ecological Genetics and Genomics.2018; 6: 1.     CrossRef
  • First microbiota assessments of children's paddling pool waters evaluated using 16S rRNA gene-based metagenome analysis
    Toko Sawabe, Wataru Suda, Kenshiro Ohshima, Masahira Hattori, Tomoo Sawabe
    Journal of Infection and Public Health.2016; 9(3): 362.     CrossRef
Pharmacological Cardioversion with Phenylephrine for Paroxysmal Supraventricular Tachycardia during Lung Resection Surgery: A Case Report
Hyun Jung Kim, Soo Kyung Lee, Young Mi Kim, Hyun Soo Moon
Korean J Crit Care Med. 2006;21(1):57-62.
  • 2,240 View
  • 40 Download
AbstractAbstract PDF
Supraventricular arrhythmias during and after thoracotomy for pulmonary resections are well documented, and risk factors of post-pulmonary resection arrhythmias are old age, magnitude of surgery, and coexisting cardiopulmonary disease etc. Among of supraventricular arrhythmias, atrial fibrillation is the most common rhythm disturbance that may be associated with increased morbidity and mortality. We experienced a case of paroxysmal supraventricular tachycardia with severe hypotension which was escalated from atrial fibrillation during pulmonary bilobectomy for tuberculosis in a 44-year old male patient. Instead of usual electrical cardioversion or common antiarrhythmic agents, we selected phenylephrine bolus injection which induced normal sinus rhythm successfully from paroxysmal supraventricular tachycardia of the patient.
Original Article
Changes of Sodium, Potassium, Chloride and Bicarbonateion Concentrations in Apneic Rabbits
Hyun Jung Kim, Kwang Won Yum, Yong Rak Kim
Korean J Crit Care Med. 1998;13(2):186-193.
  • 1,549 View
  • 7 Download
AbstractAbstract PDF
BACKGOUND: During apnea, as in any other acid-base disturbance, ion exchanges between intra- and extracellular compartments are expected, but few studies have reported such findings. The purpose of this study was to observe serum sodium, potassium, chloride and bicarbonate concentrations during apnea until death.
METHODS
Seventeen New Zealand White Rabbits (weight 2.0~3.0 kg) were subjected to apneic oxygenation. Then we measured heart rate, blood pressure, intracranial pressure, arterial blood gas analyses and serum electrolytes (sodium, potassium, chloride and bicarbonate) concentrations during apnea until death.
RESULTS
Heart rate decreased because of sinus bradyarrythmia at 10 minutes after apnea and thereafter continued to increase. Blood pressure increased up to 30 minutes after apnea and thereafter continued to decrease. Intracranial pressure consistently increased during apnea. Serum bicarbonate and chloride ion concentrations showed reciprocal changes, but there was no significant correlation. Serum sodium and potassium concentrations increased up to 40 minutes and 30 minutes respectively, and thereafter decreased until death. All serum ion concentrations were within normal limits.
CONCLUSION
The serum sodium, potassium, chloride and bicarbonate concentrations were maintained within normal limits during apneic oxygenation until death.

ACC : Acute and Critical Care