A Descriptive Study on Vitamin D Levels in Individuals With Spinal Cord Injury in an Acute Inpatient Rehabilitation Setting

作者：Nemunaitis Gregory A; Mejia Melvin; Nagy Jennifer A; Johnson Tova; Chae John; Roach Mary Joan^*

来源：PM and R, 2010, 2(3): 202-208.

DOI：10.1016/j.pmrj.2010.01.010

Objective: To determine the prevalence of inadequate or severely deficient levels of vitamin D in patients with spinal cord injury (SCI) admitted to an inpatient rehabilitation service and to describe any associations between patient demographics and injury characteristics and vitamin D levels.
Design: Retrospective case series.
Setting: Academic inpatient SCI rehabilitation program.
Subjects: One hundred patients with SCI who were consecutively admitted to acute inpatient rehabilitation from January to December 2007.
Methods: Data were retrospectively abstracted from the patient's medical chart.
Outcome Measure: VitD-25(OH)
Results: The prevalence of VitD-25(OH) inadequacy or severe deficiency was 93% in this sample of patients with SCI. The mean VitD-25(OH) level was 16.29 +/- 7.73 ng/mL, with a range from 7.00 to 36.80 ng/mL. Twenty-one percent of the sample had VitD-25(OH) levels that were considered as severely deficient (<= 10 ng/mL). African-American subjects had statistically significant lower mean VitD-25(OH) levels compared with Caucasian subjects (12.96 versus 17.79 ng/mL; P = .003). Persons with an incomplete injury had significant lower mean VitD-25(OH) levels compared with complete injuries (14.64 versus 18.15 ng/mL; P = .023).
Conclusions: Inadequate or severely deficient levels of VitD-25(OH) were highly prevalent in patients with SCI admitted to an acute inpatient rehabilitation service. Evaluation of serum VitD-25(OH) levels are recommended in patients with SCI because low levels may contribute to osteoporosis. PM R 2010;2:202-208

• 出版日期2010-3