Vitamin prescriptions on a hospital general medical ward: result of a drug utilization review.
Records of 103 consecutive admissions to a general medical ward over 4 months in a Veterans Administration Medical Center were reviewed. Assessment was made of nutritional status and potential need for supplemental vitamin therapy based upon predetermined criteria. Thirty-five of the 103 patients received one or more vitamin supplements. No patient received unnecessary vitamins as defined by our criteria. However, 48 patients had indications for vitamin supplementation, but did not receive any. Analysis of data by indication for vitamin therapy revealed 125 indications for vitamin therapy in 83 patients. Of the 125 indications 54 were treated appropriately, but there were no vitamin prescriptions in 71 indicated instances. We conclude that indicated vitamin supplementation may be underutilized in hospitalized general medical patients.
Benzel
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RA
Veterans Administration Medical Center, Washington, D.C. 20422.
Lipman
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TO
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004219:District of Columbia; D004363:Drug Utilization; D005260:Female; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D011446:Prospective Studies; D014815:Vitamins / Q000627:therapeutic use*
D014815:Vitamins