Peiris Alan N, Bailey Beth A, Manning Todd
Mountain Home VAMC, Medicine Service-111, Mountain Home, TN 37684, USA.
Mil Med. 2008 Dec;173(12):1214-8. doi: 10.7205/milmed.173.12.1214.
Vitamin D deficiency is often unrecognized and has been linked to many chronic diseases. Vitamin D supplementation has been shown to ameliorate these chronic diseases and may reduce the prevalence of some cancers. We analyzed the health care costs associated with vitamin D deficiency in Veterans in Northeast Tennessee. A retrospective electronic chart analysis of the relationship of 25-hydroxyvitamin D [25(OH)D] status to health care costs, services, and utilization was done in 886 veterans. The overall costs were higher by 39% in the vitamin D-deficient group. Vitamin D deficiency was associated with increased service utilization in many areas including more frequent emergency room and clinic visits as well as increased inpatient stay and inpatient services. The serum level of vitamin D was also related to health care costs, although to a lesser extent. Vitamin D deficiency is closely linked to increased health care costs in veterans.
维生素D缺乏往往未被识别，且与许多慢性疾病有关。补充维生素D已被证明可改善这些慢性疾病，并可能降低某些癌症的患病率。我们分析了田纳西州东北部退伍军人中与维生素D缺乏相关的医疗保健成本。对886名退伍军人进行了一项回顾性电子病历分析，以研究25-羟维生素D[25(OH)D]水平与医疗保健成本、服务及利用率之间的关系。维生素D缺乏组的总体成本高出39%。维生素D缺乏与许多领域的服务利用率增加有关，包括更频繁的急诊室和门诊就诊，以及住院时间和住院服务的增加。维生素D的血清水平也与医疗保健成本有关，尽管程度较小。维生素D缺乏与退伍军人医疗保健成本增加密切相关。
