Dietary and herbal supplements use among patients hospitalized in internal medicine departments |
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| Institution: | 1. Internal B Medicine Department, Israel;2. Complementary Medicine Service, BnaiZion Medical Center, Haifa, Israel;3. Faculty of Medicine, Technion- IsraelInstitute of Technology, Haifa, Israel;4. Integrative Oncology Program, Oncology Service, Lin Medical Center, ClalitHealth Services, Haifa, Israel;5. School of Public Health, University of Haifa, Israel;1. Department of Otorhinolaryngology, The First Affiliated Hospital of China Medical University, Shenyang 110001, People''s Republic of China;2. Department of Otorhinolaryngology, Head and Neck Surgery, The Fourth Affiliated Hospital of China Medical University, Shenyang 110032, People''s Republic of China;1. Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran;2. Student Research Committee, Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran;3. Pediatric Gastroenterology, Hepatology and Nutrition Research Center, Research Institute for Children Health, Mofid Children’s Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran;4. Department of Clinical Nutrition, Student Research Committee, Nutrition Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran;5. Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran;6. Rheumatology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran;1. Applied Sports Science Technology and Medicine Research Centre (A-STEM), College of Engineering, Swansea University, Swansea, UK;2. School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland;3. Mater Misericordiae University Hospital, Dublin, Ireland;4. Cappagh National Orthopaedic Hospital, Dublin, Ireland |
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| Abstract: | ObjectivesTo assess consumption of dietary and herbal supplements (DHS) among patients in internal medicine departments and determine whether such use is documented in their medical files.Methods267 patients from three internal medicine departments of an academic medical center in Haifa, Israel were assessed prospectively with questionnaires about their DHS use in the month preceding hospitalization. DHS were categorized into vitamins & minerals, herbal supplements and others. Further data was then collected from patients' medical records on socio-demographic and medical characteristics, as well as documentation of DHS use.Results123 patients (50.6 %) used DHS on a daily basis. Most of them (53.7 %) were using more than one DHS. DHS use was more prevalent in older (OR = 1.02 1.001–1.036], p = 0.034) and educated (OR = 0.482 0.252-0.923], p = 0.028) patients. Vitamins & minerals were used mainly to enhance vitality and address laboratory abnormalities, whereas herbal supplements were used mainly for gastrointestinal problems (p < 0.001). DHS use was reported to the physicians by 42 % of the patients, mostly at the patients’ initiative 92 (82.1 %), p < 0.001)]. Vitamins and minerals were the most reported category of DHS (94 (57.3 %), p < 0.001). The use of DHS was reported to physicians for 112 DHS (41.8 %) but only 32 DHS (11.9 %) were documented in their medical files. The documentation of vitamins and minerals was significantly higher compared to herbal supplements documentation (29 (17.7 %) & 3 (2.9 %) respectively, P < 0.001).ConclusionsDHS are commonly used by patients hospitalized in the internal medicine departments. Many patients do not report such use to the physicians, and more strikingly, physicians do not document DHS use in patient medical files. This communication gap may have serious medico-legal ramifications due to DHS side effects and DHS interactions with other DHS and with conventional drugs. |
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| Keywords: | Internal medicine department Dietary supplements |
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