G16 Improving vitamin d supplementation in children with epilepsy prescribed anti-epileptic medication with the use of quality improvement methodology
Abstract
Aim Evidence suggests that children treated with anti-epileptic drugs (AED’s) are at an increased risk of vitamin D deficiency. This has been recognised by the RCPCH ‘Guide for Vitamin D in Childhood’. Vitamin D deficiency is associated with loss of bone mineral density and an increased fracture risk. Recommendations have been made that children prescribed AED’s should receive supplemental vitamin D. Our clinical experience suggested that this was not routinely being offered. We wanted to determine the number of these children receiving vitamin D and ultimately improve this figure with the overall aim of improving bone health. Methods Interrogation of clinic databases and the regional electronic care record identified those patients attending epilepsy clinic’s and concomitantly prescribed AED’s/Vitamin D supplementation. Following a literature review, a guideline and algorithm for Vitamin D prescribing was created in conjunction with the hospital’s pharmacy and medicines management team. This guideline was agreed by the trust and subsequently communicated to hospital and GP colleagues alongside informative teaching sessions. A patient/parent information leaflet was created and all those patients meeting the criteria were contacted and vitamin D prescription offered. Following this series of interventions, the electronic care records were interrogated to again look at vitamin D prescription in this cohort of patients. Run charts were used to capture results after each…
Read the paper
Related studies
- Effectiveness of Bisphosphonates and Denosumab on Risk of Vertebral Fractures in Prostate Cancer Patients Under Androgen Deprivation Therapies: A Real-World Prospective Study
- Osteoporosis-related fractures after spinal cord injury: a retrospective study from Brazil
- Serum 25-hydroxyvitamin D, parathyroid hormone, and mortality in older men
- Lack of Association between Vitamin D Insufficiency and Cardiovascular or Fracture Risk: A UK Biobank Study
- Muscle strength and body composition are clinical indicators of osteoporosis
- Incidence of bone protection and associated fragility injuries in patients with proximal femur fractures
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.