Kamel Hosam K
Geriatrics and Extended Care, St. Joseph's Mercy Health Center, Hot Springs, AR, USA.
J Am Med Dir Assoc. 2004 Mar-Apr;5(2):98-100. doi: 10.1097/01.JAM.0000110649.22467.B4.
Good scientific evidence indicates that calcium and vitamin D supplementation decrease the incidence of osteoporosis-related fractures among institutionalized elderly.
The objective was to study the frequency of prescribing calcium and vitamin D supplements in elderly institutionalized individuals in a large community teaching nursing home.
A cross-sectional chart review study of 177 consecutively located elderly residents from an 899-bed academic long-term care facility.
Calcium and vitamin D supplements were prescribed in only 12% and 9% of subjects, respectively. Among subjects with the diagnosis of osteoporosis (n = 12), 66% were prescribed calcium and 58% were prescribed vitamin D supplements. Among subjects with hip fractures (n = 8), only 25% were prescribed calcium with a similar percentage prescribed vitamin D supplements. Female residents were more likely than male residents to receive calcium (P <0.05) and vitamin D supplements (P = 0.08).
There is a major need to increase the utilization of calcium and vitamin D supplementation among institutionalized elderly to decrease the risk of osteoporotic fractures, including hip fractures.
充分的科学证据表明，补充钙和维生素D可降低机构养老老年人中骨质疏松相关骨折的发生率。
研究在一家大型社区教学养老院中，机构养老老年人开具钙和维生素D补充剂的频率。
对一家拥有899张床位的学术性长期护理机构中连续收治的177名老年居民进行横断面图表回顾研究。
分别仅有12%和9%的受试者开具了钙和维生素D补充剂。在诊断为骨质疏松的受试者（n = 12）中，66%开具了钙补充剂，58%开具了维生素D补充剂。在髋部骨折的受试者（n = 8）中，仅25%开具了钙补充剂，开具维生素D补充剂的比例与之相似。女性居民比男性居民更有可能接受钙补充剂（P <0.05）和维生素D补充剂（P = 0.08）。
迫切需要提高机构养老老年人中钙和维生素D补充剂的使用率，以降低骨质疏松性骨折（包括髋部骨折）的风险。
