Loading...
 
Translate Register Log In Login with facebookLogin and Register

Hip fracture – not getting enough vitamin D – 2013

The incidence of vitamin D deficiency amongst patients with a femoral neck fracture: are current bone protection guidelines sufficient ?

Bryson DJ, Nichols JS, Ford AJ, Williams SC. Acta Orthop. Belg. 2013; 79(4): 470-473.
Dept of Trauma and Orthopaedic Surgery, Leicester Royal Infirmary, Leicester, UK. davidjbryson at hotmail.com

Vitamin D is required for calcium homeostasis and bone metabolism. This prospective observational study examined the incidence of vitamin D deficiency amongst patients with a fracture of the femoral neck, and the correlation between pre-admission use of bone-protection medication and vitamin D levels. Vitamin D assays were available in 75 out of 151 patients admitted with a hip fracture in February-March 2012; the assays were performed within one week of admission and surgery.
The incidence of

  • suboptimal vitamin D levels was 90% (68/75), with
  • severe deficiency (<15nmol/l) or deficiency (<30nmol/l) seen in 71% (53/75).

Only 7 patients were on bone protection medication at the time of admission, and all of them had suboptimal vitamin D levels. This suggests that the prevention is practically inexistent or at best insufficient. According to the literature, vitamin D deficiency is also associated with falls and maybe with outcome of surgery. Current management strategies may not be sufficient to address vitamin D deficiency and are overlooking an important and potentially modifiable risk factor.

PMID 24205780


PDF is attached at the bottom of this page

See also VitaminDWiki


The TOP articles in Fractures and Vitamin D are listed here:


Image

Attached files

ID Name Comment Uploaded Size Downloads
3966 Femoral neck fracture.jpg admin 28 May, 2014 13:58 19.16 Kb 565
3965 19-Bryson et al.pdf admin 28 May, 2014 13:57 342.51 Kb 424
See any problem with this page? Report it (FINALLY WORKS)