Impact of an allied health professional and pharmacist led rehabilitation ward round on vitamin D (cholecalciferol )optimisation

Kemp, Ivan and McKenzie, Cathrine (2024) Impact of an allied health professional and pharmacist led rehabilitation ward round on vitamin D (cholecalciferol )optimisation. European Society of Intensive Care Medicine: LIVES2024, spain, Barcelona, United Kingdom. 05 - 09 Oct 2024. (Submitted)

Abstract

In 2021 an initiative was undertaken to introduced in critical care at UHS a weekly, Allied-Health Professional (AHP) and Pharmacist-led, Multidisciplinary Team (MDT) rehabilitation round for long-term Intensive Care Unit (ICU) patients at University Hospital Southampton (UHS); long-term defined as ICU stay >14 days. It became apparent early in the initiation of the MDT round that vitamin D deficient was common. Vitamin D deficiency is reported40-70% of patients with critical illness1. Deficiency may exist prior to admission (78% of patients present to ICU malnourished)2 or because of critically ill associated dysregulation of vitamin D metabolism.. Vitamin D deficiency has been shown to increase ICU length of stay (LOS) and increase morbidity and mortality1.

The aim of this study is to report the impact of the MDT ward round on vitamin D optimisation.

Methods: the MDT ward round was registered as a quality improvement project (QI number….). Nutrient screening, including vitamin D was undertaken on the MDT ward round, where deficiency was identified, evidence based vitamin D supplementation was prescribed by the MDT pharmacist. Presence of deficiency was also explained to each patient, alongside supplementation requirement. . was Vitamin D measurements and supplemntaion requirements patients were recorded in the MDT ward round file.

Results: between March 2023 to 2024, 26 patients were referred to the MDT rehabilitation ward round. Baseline vitamin D levels were requested, by the Pharmacist, for 17 of 24 patients. Only 1 of 17 (5%) has a optimal vitamin D at baseline, 4 were adequate, 5 insufficient and 7 deficient. 12 (71%) were immediately prescribed Vitamin D supplementation. The doses were for 7 deficient……. And 5 insufficient.

Conclusions: optimisation of vitamin D (identifying deficiency and prescribing supplementation) was required in three-quarterS of patients reviewed on the MDT ward round. Future work by the MDT will focus on clinical impact of this optimisation.

This record has no associated files available for download.

Contributors

Author: Cathrine McKenzie

Download statistics