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Vitamin D Supplementation for the Prevention of Falls and Fractures in Residents in Long-Term Care Facilities: A Review of the Clinical Effectiveness, Cost-Effectiveness, or Guidelines

Published on: April 15, 2016
Project Number: RC0770-000
Product Line: Rapid Response
Research Type: Drug
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the clinical effectiveness of vitamin D supplementation for the prevention of falls and fractures in elderly patients residing in long-term care facilities?
  2. What is the cost-effectiveness of vitamin D supplementation for the prevention of falls and fractures in elderly patients residing in long-term care facilities?
  3. What are the evidence-based guidelines regarding vitamin D supplementation for the prevention of falls and fractures in elderly patients residing in long-term care facilities?

Key Message

Current evidence does not support vitamin D supplementation in elderly residents living in long-term care facilities. A systematic review of meta-analyses (MA) identified five MAs, four of which did not report a statistically significant reduction in the rate of falls. Data from one Australian cost study (which used clinical effectiveness data from the one MA that reported a statistically significant reduction in the rate of falls in long-term care facilities with vitamin D supplementation) found that the costs were lowest with vitamin D supplementation compared to other types of interventions and that vitamin D supplementation is cost-effective for older adults living in residential aged care facilities. The American Geriatric Society Consensus Statement did not recommend vitamin D supplementation alone for the prevention of falls and fractures in elderly patients residing in long-term care facilities. The Scientific Advisory Council of Osteoporosis Canada recommended daily supplements of vitamin D for residents identified as being at high risk of fracture, and daily supplements of vitamin D to meet the recommended dietary allowance for non-high-risk residents.

Tags

assisted living facilities, cholecalciferol, diet, ergocalciferol, geriatrics, homes for the aged, housing for the elderly, long-term care, nursing homes, old age homes, residential facilities, vitamin d, vitamin d deficiency, vitamin d2, vitamin d3, musculoskeletal, palliative, aged care, assisted living, calciferol, care facilities, care facility, care home, care homes, longterm care, nursing home, old age home, residential care, retirement home, retirement homes