Steenblik Jacob, Schroeder Erika, Hatch Burke, Groke Steven, Broadwater-Hollifield Camille, Mallin Michael, Ahern Matthew, Madsen Troy
University of Utah, Salt Lake City, UT, USA.
Int J Emerg Med. 2011 Jun 24;4:38. doi: 10.1186/1865-1380-4-38.
The US Preventive Services Task Force has recommended daily folic acid supplementation for women planning on becoming pregnant in an effort to prevent fetal neural tube defects. We evaluated pregnant patients presenting to the emergency department to determine rates of folic acid supplementation.
We surveyed a convenience sample of pregnant patients who presented to the University of Utah Emergency Department (ED) between 1 January 2008, and 30 April 2009, regarding pregnancy history and prior medical care.
One hundred thirty-five patients participated in the study. Eighty-four patients (62.2%) reported current folic acid supplementation. Sixty-six patients identified themselves as Caucasian and 69 as non-Caucasian race. There was a significant difference in folic acid use between Caucasian and non-Caucasian women (p = 0.035). The majority of Caucasian women (71.2%) reported daily folic acid use versus approximately one-half of non-Caucasian women (53.6%). Both groups were similar in accessing a primary care provider (PCP) for pregnancy care prior to the ED visit (53% vs. 49.3%, p = 0.663), and rates of folic acid use were similar in those who had seen a PCP (85.7% vs. 76.5%, p = 0.326). Language did not have a significant association with folic acid use.
A large percentage of pregnant ED patients did not report current folic use, and there was a significant difference between Caucasian and non-Caucasian women in rates of folic acid supplementation. This study highlights the potential role of the ED in screening patients for folic acid supplementation.
美国预防服务工作组建议计划怀孕的女性每日补充叶酸，以预防胎儿神经管缺陷。我们评估了到急诊科就诊的孕妇，以确定叶酸补充率。
我们对2008年1月1日至2009年4月30日期间到犹他大学急诊科就诊的孕妇进行了便利抽样调查，了解她们的妊娠史和既往医疗情况。
135名患者参与了研究。84名患者（62.2%）报告正在补充叶酸。66名患者自认为是白种人，69名患者为非白种人。白种人和非白种人女性在叶酸使用方面存在显著差异（p = 0.035）。大多数白种女性（71.2%）报告每日使用叶酸，而非白种女性约为一半（53.6%）。两组在急诊就诊前寻求初级保健提供者（PCP）进行孕期护理方面相似（53%对49.3%，p = 0.663），看过PCP的患者叶酸使用率也相似（85.7%对76.5%，p = 0.326）。语言与叶酸使用没有显著关联。
很大比例的急诊孕妇未报告当前使用叶酸情况，白种人和非白种人女性在叶酸补充率方面存在显著差异。本研究强调了急诊科在筛查患者叶酸补充情况方面的潜在作用。
