Walker Pippy, Miller Amberber Amanda, Kurrle Susan, Kifley Annette, Cameron Ian D
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.
BMC Res Notes. 2017 Aug 10;10(1):385. doi: 10.1186/s13104-017-2721-7.
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.
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).
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。
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。