Characterization of folate supplementation in pregnancy, based on a combination of health information systems

Objectives: To explore the utility of combining health information systems from the Valencia Health Agency to characterize folate supplementation in pregnant women in the autonomous region of Valencia (Spain). Methods: The cohort comprised women who gave birth during 2009 in hospitals within the Val...

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Autores: Sanfelix-Gimeno, Gabriel, Ferreros, Inmaculada, Librero, Julian, Peiro, Salvador
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2012
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p5034
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/5034
Access Level:acceso abierto
Palabra clave:Folic acid
Neural tube defects/prevention and control
Preconception care
Retrospective studies
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spelling Characterization of folate supplementation in pregnancy, based on a combination of health information systemsSanfelix-Gimeno, GabrielFerreros, InmaculadaLibrero, JulianPeiro, SalvadorFolic acidNeural tube defects/prevention and controlPreconception careRetrospective studiesObjectives: To explore the utility of combining health information systems from the Valencia Health Agency to characterize folate supplementation in pregnant women in the autonomous region of Valencia (Spain). Methods: The cohort comprised women who gave birth during 2009 in hospitals within the Valencian Health Agency. These women were retrospectively followed-up using ABUCASIS electronic medical records and the GAIA electronic prescription system to identify folate consumption in the 3 months before and after conception. Results: In 2009, there were 38,069 births in hospitals of the Valencian Health Agency, of which 37,040 (97.3%) were included for analysis. In 34% of women, at least one folate dispensation was registered with an official prescription form within the periconceptional period (6.6% in the 3 months prior to conception). Dispensation with an official prescription form was associated with older women, free pharmaceutical prescriptions, birth in Spain, antiepileptic medications, and a diagnosis of diabetes. Eight percent of women (23.6% of the folate-treated women) received folates at high doses. Conclusions: Folate consumption during pregnancy is systematically under-registered by healthcare information systems because health professionals do not use the official prescription form for prescription and dispensation. Database linkage is an inadequate approach to assess folic acid supplementation during pregnancy. (C) 2011 SESPAS. Published by Elsevier Espana, S.L. All rights reserved.ELSEVIER2012info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/5034Gaceta SanitariaISSN: 02139111ISSNe: 15781283reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Españolinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p50342026-06-11T12:45:17Z
dc.title.none.fl_str_mv Characterization of folate supplementation in pregnancy, based on a combination of health information systems
title Characterization of folate supplementation in pregnancy, based on a combination of health information systems
spellingShingle Characterization of folate supplementation in pregnancy, based on a combination of health information systems
Sanfelix-Gimeno, Gabriel
Folic acid
Neural tube defects/prevention and control
Preconception care
Retrospective studies
title_short Characterization of folate supplementation in pregnancy, based on a combination of health information systems
title_full Characterization of folate supplementation in pregnancy, based on a combination of health information systems
title_fullStr Characterization of folate supplementation in pregnancy, based on a combination of health information systems
title_full_unstemmed Characterization of folate supplementation in pregnancy, based on a combination of health information systems
title_sort Characterization of folate supplementation in pregnancy, based on a combination of health information systems
dc.creator.none.fl_str_mv Sanfelix-Gimeno, Gabriel
Ferreros, Inmaculada
Librero, Julian
Peiro, Salvador
author Sanfelix-Gimeno, Gabriel
author_facet Sanfelix-Gimeno, Gabriel
Ferreros, Inmaculada
Librero, Julian
Peiro, Salvador
author_role author
author2 Ferreros, Inmaculada
Librero, Julian
Peiro, Salvador
author2_role author
author
author
dc.subject.none.fl_str_mv Folic acid
Neural tube defects/prevention and control
Preconception care
Retrospective studies
topic Folic acid
Neural tube defects/prevention and control
Preconception care
Retrospective studies
description Objectives: To explore the utility of combining health information systems from the Valencia Health Agency to characterize folate supplementation in pregnant women in the autonomous region of Valencia (Spain). Methods: The cohort comprised women who gave birth during 2009 in hospitals within the Valencian Health Agency. These women were retrospectively followed-up using ABUCASIS electronic medical records and the GAIA electronic prescription system to identify folate consumption in the 3 months before and after conception. Results: In 2009, there were 38,069 births in hospitals of the Valencian Health Agency, of which 37,040 (97.3%) were included for analysis. In 34% of women, at least one folate dispensation was registered with an official prescription form within the periconceptional period (6.6% in the 3 months prior to conception). Dispensation with an official prescription form was associated with older women, free pharmaceutical prescriptions, birth in Spain, antiepileptic medications, and a diagnosis of diabetes. Eight percent of women (23.6% of the folate-treated women) received folates at high doses. Conclusions: Folate consumption during pregnancy is systematically under-registered by healthcare information systems because health professionals do not use the official prescription form for prescription and dispensation. Database linkage is an inadequate approach to assess folic acid supplementation during pregnancy. (C) 2011 SESPAS. Published by Elsevier Espana, S.L. All rights reserved.
publishDate 2012
dc.date.none.fl_str_mv 2012
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/5034
url https://fisabio.portalinvestigacion.com/publicaciones/5034
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv Gaceta Sanitaria
ISSN: 02139111
ISSNe: 15781283
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
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repository.mail.fl_str_mv
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