Waldrop, My Linh
Comparison of Vitamin D3 (cholecalciferol) and Vitamin D2 (ergocalciferol) on Fall Reduction in Nursing Home Residents
1 online resource (28 pages) : PDF
University of North Carolina at Charlotte
Vitamin D has been proven to reduce fall rates by 15%-20% for nursing home residents. However, vitamin D is still not considered a standard for fall prevention due to vitamin D type and dosage not having been established in the literature. The purpose of this project is to retrospectively examine the relationship between vitamin D3 50,000 units and vitamin D2 50,000 units and falls occurring in the nursing home setting over a six-month period. Data were collected from April 2014 to September 2014 from two nursing homes in North Carolina. Total of 70 residents met the inclusion/exclusion criteria. Fall rates were 4 of 35 (11%) for vitamin D3 and 7 of 35 (20%) for vitamin D2. This slight difference was not statistically significant (x2=0.43, p=0.511, df=1). The fall rate vitamin D level of <30 was 2 of 12 (17%) and 2 of 14 (14%) for >31. This slight difference was not statistically significant (p=1.00). There were no fractures or emergency department visits related to falls over this six-month period. Even though the project did not finding statistically significant differences between vitamin D3 and vitamin D2 and fall rates, the rate of falls decreased significantly after vitamin D was initiated for these two nursing homes. Vitamin D supplementation should be incorporated into practice for patients in the nursing home, especially for those residents with high risks for falling. Initiating patients on a vitamin D regimen can lead to a decrease in healthcare costs related to fall morbidity and mortality.
FALLNURSING HOMESVITAMIN D2VITAMIN D3
Health Services Research
Davis, BoydScism, ElizabethBrown, Maureen
Thesis (Ph.D.)--University of North Carolina at Charlotte, 2015.
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