Vitamin D level among patients referred by general practitioners to the Geriatric Ward

Introduction and objective: The elderly are particularly affected by vitamin D deficiency. However, screening tests are not required to begin vitamin D supplementation in the elderly. The aim of the study was to analyze the vitamin D level among patients at least 60 years old referred by primary gen...

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Published in:Annals of Agricultural and Environmental Medicine 2022-01, Vol.29 (3), p.438-442
Main Authors: Królik, Paweł, Rudnicka-Drożak, Ewa, Panasiuk, Lech, Drożak, Paulina
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Dietary supplements
Frailty
Geriatrics
Older people
Patients
Vitamin D
Vitamin deficiency
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container_title Annals of Agricultural and Environmental Medicine
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creator Królik, Paweł
Rudnicka-Drożak, Ewa
Panasiuk, Lech
Drożak, Paulina
description Introduction and objective: The elderly are particularly affected by vitamin D deficiency. However, screening tests are not required to begin vitamin D supplementation in the elderly. The aim of the study was to analyze the vitamin D level among patients at least 60 years old referred by primary general practitioners to the Geriatric Department of the District Hospital in Jasło, southeastern Poland, depending on age, referral mode and presence of frailty syndrome. Material and methods: The study included 601 patients aged 60 years and over, hospitalized during the period 1 October 2016 – 31 December 2017 at the Geriatric Department of the District Hospital in Jasło. The serum concentration of 25OH-D was tested on the first day of their hospitalization. Results: The proper level of 25OH-vitamin D (>75 nmol/l) was found in 17.35 % (N=104) of patients, the least frequent in the oldest (15.0%, N=41 of 80-year-olds; 7.1%, N=5 of 90-year-olds; p=0.000). The low level of 25OH-vitamin D (< 50 nmol/l) was present in 59.7% (N= 359), including significantly low (
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However, screening tests are not required to begin vitamin D supplementation in the elderly. The aim of the study was to analyze the vitamin D level among patients at least 60 years old referred by primary general practitioners to the Geriatric Department of the District Hospital in Jasło, southeastern Poland, depending on age, referral mode and presence of frailty syndrome. Material and methods: The study included 601 patients aged 60 years and over, hospitalized during the period 1 October 2016 – 31 December 2017 at the Geriatric Department of the District Hospital in Jasło. The serum concentration of 25OH-D was tested on the first day of their hospitalization. Results: The proper level of 25OH-vitamin D (&gt;75 nmol/l) was found in 17.35 % (N=104) of patients, the least frequent in the oldest (15.0%, N=41 of 80-year-olds; 7.1%, N=5 of 90-year-olds; p=0.000). The low level of 25OH-vitamin D (&lt; 50 nmol/l) was present in 59.7% (N= 359), including significantly low (&lt;25 nmol/l) in 27.6% (N=166) of patients. Significant deficiency was more frequent among the oldest (61.4%, N=43 of 90-year-olds), with frailty syndrome (43.9%, N=132; p=0.000) and referred urgently (49.7%, N=96; p=0.000). Before hospitalization, vitamin D had been used by 15.5% (N=53) of patients, more often women than men (18.8%, N=81 v. 7.0%, N=12; p=0.000) and referred on schedule than urgently (18.1%, N=73 v. 9.8 %, N=19; p=0.000). No differences were fund by age and frailty syndrome. 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However, screening tests are not required to begin vitamin D supplementation in the elderly. The aim of the study was to analyze the vitamin D level among patients at least 60 years old referred by primary general practitioners to the Geriatric Department of the District Hospital in Jasło, southeastern Poland, depending on age, referral mode and presence of frailty syndrome. Material and methods: The study included 601 patients aged 60 years and over, hospitalized during the period 1 October 2016 – 31 December 2017 at the Geriatric Department of the District Hospital in Jasło. The serum concentration of 25OH-D was tested on the first day of their hospitalization. Results: The proper level of 25OH-vitamin D (&gt;75 nmol/l) was found in 17.35 % (N=104) of patients, the least frequent in the oldest (15.0%, N=41 of 80-year-olds; 7.1%, N=5 of 90-year-olds; p=0.000). The low level of 25OH-vitamin D (&lt; 50 nmol/l) was present in 59.7% (N= 359), including significantly low (&lt;25 nmol/l) in 27.6% (N=166) of patients. Significant deficiency was more frequent among the oldest (61.4%, N=43 of 90-year-olds), with frailty syndrome (43.9%, N=132; p=0.000) and referred urgently (49.7%, N=96; p=0.000). Before hospitalization, vitamin D had been used by 15.5% (N=53) of patients, more often women than men (18.8%, N=81 v. 7.0%, N=12; p=0.000) and referred on schedule than urgently (18.1%, N=73 v. 9.8 %, N=19; p=0.000). No differences were fund by age and frailty syndrome. 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subjects Dietary supplements
Frailty
Geriatrics
Older people
Patients
Vitamin D
Vitamin deficiency
title Vitamin D level among patients referred by general practitioners to the Geriatric Ward
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