Loading...
 
Toggle Health Problems and D

Much higher hospital costs (ICU and pneumonia) if low vitamin D – Dec 2015

1300: ECONOMIC IMPACT OF VITAMIN D LEVELS LESS THAN 18 NG/ML ON HOSPITALS AND THIRD PARTY PAYERS

Matthews, Leslie; Wilson, Kenneth; Ahmed, Yusuf; Dennis-Griggs, Diane; Thomas, Carol; Childs, Ed; Moore, Carolyn; Danner, Omar
Critical Care Medicine, Issue: Volume 43(12) Supplement 1, December 2015, p 327

Learning Objectives: Vitamin D3 levels less than 18 ng/ml is associated with increased mortality rate of 30% from all causes. The economic impact of vitamin D3 deficiency has been unknown. We hypothesize that a vitamin D3 less than 18 ng/ml increases the financial burden on hospitals in terms of ICU cost, Hospital ward cost, ventilated associated pneumonias, myocardial infarctions, and total hospital days.
Methods: We looked at 2 groups of patients at Grady Memorial Hospital from 2009 -2012. Those with vitamin D levels less than 18ng/ml and those with vitamin D levels greater than 18 ng/ml. Primary outcomes were ICU cost, total hospital cost, VAP, MI, and total hospital days.
   [comment by VitaminDWiki: VAP = ventilator-associated pneumonia]
Results: Of the 565 patients included in the study, 26.7% (n=162) were female vs. 71.3% (n=403) males, 31.3 %(n=177) patients were Caucasian and 66.4% (n=375) were African American. 20.2% (n=114)

  • developed ventilated assisted pneumonia, 5.8% (n=33)
  • suffered Myocardial infarction during the hospital stay.

Comparing between the two groups; patients with vitamin D levels less than 18ng/ml suffered more VAP (24.3% vs. 15.5%, P= 0.024), MI (7.6% vs. 2.8%, P= 0.031), stayed longer in ICU (11.4 ± 0.95 vs. 8.11 ± 1.1 days, P= 0.03), hospital ward (23.4 ± 1.96, vs. 15.27 ± 1.5, days P 0.005), as well as increased ICU financial cost ($43,965 ± 3,683 vs. 31,274 ± 4,311, P=0.033) and Hospital ward cost ($29,780 ± 2,501 vs. 19,418 ± 1,923, P=0.005).

VAP and MI's added $40,000 and $70,000 to hospital costs, respectively.

Conclusions: Vitamin D3 deficiency is associated with a significant financial impact on hospital and third party payers.
Further studies are needed to calculate the full economic impact on hospitals, states, countries, and third party payers.


See also VitaminDWiki

Problem
Vit. D
Reduces
Evidence
0. Chance of not conceiving3.4 times Observe
1. Miscarriage 2.5 times Observe
2. Pre-eclampsia 3.6 timesRCT
3. Gestational Diabetes 3 times RCT
4. Good 2nd trimester sleep quality 3.5 times Observe
5. Premature birth 2 times RCT
6. C-section - unplanned 1.6 timesObserve
     Stillbirth - OMEGA-3 4 timesRCT - Omega-3
7. Depression AFTER pregnancy 1.4 times RCT
8. Small for Gestational Age 1.6 times meta-analysis
9. Infant height, weight, head size
     within normal limits
RCT
10. Childhood Wheezing 1.3 times RCT
11. Additional child is Autistic 4 times Intervention
12.Young adult Multiple Sclerosis 1.9 timesObserve
13. Preeclampsia in young adult 3.5 timesRCT
14. Good motor skills @ age 31.4 times Observe
15. Childhood Mite allergy 5 times RCT
16. Childhood Respiratory Tract visits 2.5 times RCT

RCT = Randomized Controlled Trial
and includes the cost savings to an HMO which gives Vitamin D during 10,000 pregnancies
   $30,000,000

See also web


10 Most visited VitaminDWiki pages in (Category) Cost savings with Vitamin D

Id Page Hits Last modification Creator Categories
1855 Sepsis is both prevented and treated by Vitamin D - many studies 298763
15 Mar, 2024 16:58
admin Breathing
Trauma and surgery
Cost savings with Vitamin D
Intervention
Infant-Child
Inflammation
AI
2424 Vitamin D and Iodine are similar, and both are deficient and important to health 63948
12 Feb, 2022 19:48
admin Cost savings with Vitamin D
Iodine
7233 Cost savings with Vitamin D 41293
01 Oct, 2023 23:42
admin Cost savings with Vitamin D
Category
6724 Healthy pregnancies need lots of vitamin D 29754
15 Mar, 2024 12:40
admin Pregnancy
Cost savings with Vitamin D
14083 Vitamin D is needed before most surgeries – many studies and RCTs 27689
10 Jan, 2024 18:47
admin Trauma and surgery
Loading dose for Vitamin D
Cost savings with Vitamin D
Top news
8078 Costs of Pregnancy much reduced by Vitamin D 21805
11 Aug, 2017 15:45
admin Pregnancy
Cost savings with Vitamin D
Top news
629 HMOs will save millions of dollars with vitamin D 21650
03 Jun, 2013 16:02
admin Trauma and surgery
Cost savings with Vitamin D
2782 If you cannot readily get medical treatment, consider Alternative Med such as vitamin D 20852
16 Dec, 2019 14:18
admin Seniors
Pain - chronic
Cost savings with Vitamin D
10174 Presenteeism reduces productivity (Vitamin D can help) 20605
07 Nov, 2018 20:30
admin Cost savings with Vitamin D
2694 VA showed increased vitamin D associated with lower health costs - Lancet May 2012 19596
02 Oct, 2023 03:21
admin Tests for Vitamin D
Cost savings with Vitamin D
Top news