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2014年11月澳大利亚老年护理机构中维生素D补充剂的使用情况。

Prevalence of vitamin D supplement use in Australian residential aged care facilities in November 2014.

作者信息

Walker Pippy, Miller Amberber Amanda, Kurrle Susan, Kifley Annette, Cameron Ian D

机构信息

John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute of Medical Research, Royal North Shore Hospital, St Leonards, NSW, 2065, Australia.

NHMRC Cognitive Decline Partnership Centre, Hornsby Ku-ring-gai Health Service, Hornsby, NSW, 2077, Australia.

出版信息

BMC Res Notes. 2017 Aug 10;10(1):385. doi: 10.1186/s13104-017-2721-7.

Abstract

OBJECTIVE

We sought to establish the prevalence and predictors of adequate vitamin D supplement use, as per current falls prevention guidelines in Australian aged care homes. De-identified medication chart data from November 2014 were collected from pharmacists. The proportion of residents prescribed vitamin D and associations between adequate vitamin D supplementation and state, calcium use and osteoporosis medication use were assessed.

RESULTS

The prevalence of adequate vitamin D supplement use (≥800 IU) was 47.1% of residents (95% CI 41.4, 52.8%). There was no significant difference between states (p = 0.3), however there was large variation between individual facilities (15.9-85.0%). Residents were more likely to be prescribed an adequate dose of vitamin D if they were prescribed a calcium supplement (p = 0.0001) or an osteoporosis medication (p = 0.03).

摘要

目的

根据澳大利亚老年护理院目前的跌倒预防指南,我们试图确定充足维生素D补充剂使用情况的患病率及预测因素。2014年11月的匿名用药图表数据由药剂师收集。评估了开具维生素D处方的居民比例以及充足维生素D补充与州、钙使用和骨质疏松症药物使用之间的关联。

结果

充足维生素D补充剂使用(≥800国际单位)的患病率为47.1%的居民(95%可信区间41.4, 52.8%)。各州之间无显著差异(p = 0.3),但各机构之间差异很大(15.9 - 85.0%)。如果居民同时开具了钙补充剂(p = 0.0001)或骨质疏松症药物(p = 0.03),则更有可能开具充足剂量的维生素D。

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Vitamin D supplementation and falls: a trial sequential meta-analysis.维生素 D 补充与跌倒:一项试验序贯荟萃分析。
Lancet Diabetes Endocrinol. 2014 Jul;2(7):573-80. doi: 10.1016/S2213-8587(14)70068-3. Epub 2014 Apr 24.

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