P04.11
Purpose: To explore medical reconciliation of dietary supplements (DS) in an urban hospitalized population and to determine characteristics associated with appropriate medical documentation of DS.
Methods: We analyzed DS use reported among 558 prescription medication users from inpatients recruited as part of the Re-Engineered Discharge clinical trial to identify: 1) if patients self-reported DS to physicians or nurses, and 2) if DS use was documented in the admission note. We examined socio-demographic and clinical characteristics for association with DS documentation. Crude associations were assessed using chi square tests for dichotomous and categorical variables and t-tests for continuous variables. A multivariable logistic regression analysis was performed to assess adjusted associations with DS documentation.
Results: Sixty percent reported DS use (n=333). Among these users, 36% had DS documentation in the admission note, 20% were asked about supplement use by a physician or nurse at admission, 18% said they would disclose use if asked, and 48% reported that they would continue to use DS after discharge. Of those reporting the use of at least one DS, only 21 (6%) were both asked about and had documentation of DS use. A multivariable logistic regression revealed that every additional year of age is associated with significantly lower odds of having documentation of supplements [OR: 0.979, 95% CI: (0.962, 0.997)]. Identifying as Hispanic or other also reduces the odds of having supplement documentation compared to those who identify as white [OR: 0.424, 95% CI: (0.185, 0.936)].
Conclusion: Six percent of participants were asked, disclosed and had documentation of DS, thus meeting Joint Commission standards. While more than half of hospitalized patients used DS, most were not asked about this use. The odds of documentation of supplements decrease with age of the patient, and are generally lower among those who identify as Hispanic or of other race.
Contact: Paula Gardiner, Paula.gardiner@bmc.org
