scholarly journals Optimising Vitamin D Levels after Hip Fractures

10.5772/66546 ◽  
2017 ◽  
Author(s):  
Jenson Mak
Keyword(s):  
Vitamin D ◽  
Hip Fractures ◽  
Vitamin D Levels

scholarly journals Celiac disease is not increased in women with hip fractures and low vitamin D levels

2013 ◽  
Vol 17 (6) ◽  
pp. 562-565 ◽  
Author(s):  
Meryl S. Leboff ◽  
H. Cobb ◽  
L. Y. Gao ◽  
W. Hawkes ◽  
J. Yu-Yahiro ◽  
...  
Keyword(s):  
Vitamin D ◽  
Celiac Disease ◽  
Hip Fractures ◽  
Vitamin D Levels

scholarly journals Evaluation of co-relation between hip fractures and vitamin D level

2021 ◽  
Vol 7 (4) ◽  
pp. 764
Author(s):  
Pragnesh Patel ◽  
Vimal P. Gandhi
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Hip Fractures ◽  
Financial Burden ◽  
The Elderly ◽  
General Belief ◽  
Neck Of Femur ◽  
Female Patients ◽  
Number Of Patients ◽  
Vitamin D Levels

<p class="abstract"><strong>Background:</strong> Hip fractures are devastating injuries that most often affect the elderly and have a tremendous impact on both the health care system and society in general. Approximately 97% occur in patients over 50 years of age. It has been a general belief that rickets and vitamin D deficiency are uncommon problems in India because of abundant sunshine. Hence the aim was to identify patients with hip fractures and to attain the vitamin D levels in these patients.</p><p class="abstract"><strong>Methods:</strong> The study was a descriptive type of study. Patients who fulfilled the inclusion criteria were included in the study. A total of 154 patients were included in the study. Patients were assessed clinically, with a thorough history and physical examination. The symptoms and signs elicited were recorded in a performa.<strong></strong></p><p class="abstract"><strong>Results:</strong> Neck of femur (NOF) was more common in female patients and intertrochanteric (IT) fracture was common in male patients. These fractures were mainly seen in the age group between 61 to 70 years of age for hip fractures. It was also noted that anaemia was prevalent in both male and female patients and the overall vitamin D deficiency was 76% of the total number of patients with more predominant (84.6%) in female patients.</p><p class="abstract"><strong>Conclusions:</strong> Treatment of the vitamin D deficiency reduces the chances of fall, morbidity and financial burden on the patient when fractures occur. The treatment of vitamin D deficiency will improve the quality of life overall. Hence the need for food fortification and supplementation in elderly Indian population.</p>

scholarly journals Screening of serum 25-hydroxyvitamin D levels among elderly Egyptians admitted to the orthogeriatric unit by fracture hip

2020 ◽  
Vol 32 (1) ◽  
Author(s):  
Ahmed Rabiee ◽  
Mohamed AboElsoud ◽  
Sayed M. Seif El Nasr ◽  
Sameh Abouzeid
Keyword(s):  
Vitamin D ◽  
Cognitive Impairment ◽  
Vitamin D Deficiency ◽  
Hip Fractures ◽  
Daily Life ◽  
Study Group ◽  
Western Countries ◽  
Increased Risk ◽  
Vitamin D Levels ◽  
Activity Of Daily Life

Abstract Background Vitamin D deficiency increases muscle weakness and pain leading to reduced power and function, increased bone turnover and increased risk of falls and hip fractures in elderly. We postulated that vitamin D deficiency in sunny Egypt should be lower than western countries so we screen for prevalence of vitamin D deficiency among all elderly patient admitted to orthogeriatric unit by fracture hip. Results Our study showed that vitamin D deficiency is common in elderly Egyptian patients admitted to orthogeriatric unit with hip fractures. Of the study group (n 290 patients) vitamin D levels were sufficient (30 ng/dl or more) in 24 patients (8.3%) and insufficient (between 20 ng and 30 ng) in 125 patients (43.1%) and deficient (less than 20) in 141 patients (48.7%). Among the study group, female patients had lower levels of vitamin D (18.8 ± 6.9) compared to males (20.5 ± 6.7) P value 0.034. Although our study failed to link different levels of vitamin D with activity of daily life: P value was (0.116) in bathing, (0.058) in dressing, (0.115) in toileting and (054) in transfer. A little difference was found in feeding (0.036) and previous fall (0.011) and cognitive impairment; MiniCOG < 3 P value 0.017. Both previous falls and cognitive decline are in turn linked to increased fracture risk Conclusion Hypovitaminosis D is common among older patients with hip fractures even in sunny Egypt remaining slightly lower than its prevalence in western countries. Although no direct significant correlations with activity of daily life, vitamin D deficiency was associated with higher risks of previous falls and cognitive impairment both in turn increases the risk of fractures.

scholarly journals O02 Is vitamin D testing essential in elderly patients with a hip fracture?

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Serena N Mehta ◽  
Mohd K Omar ◽  
Hem Sapkota
Keyword(s):  
Vitamin D ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Hip Fractures ◽  
Osteoporosis Treatment ◽  
Vitamin D Supplementation ◽  
High Dose ◽  
Medication History ◽  
Vitamin D Levels ◽  
High Dose Vitamin

Abstract Background Elderly patients with hip fractures are likely to be vitamin D deficient. As per some studies, a vitamin D level above 75nmol/L is considered to be sufficient for this cohort. The majority of these patients will require treatment for their osteoporosis. Prior to treatment, vitamin D levels need to be sufficient, however there is often a delay to obtain vitamin D test results and this can postpone the initiation of osteoporosis management. In this retrospective study, we hypothesised whether empirical, high dose vitamin D treatment can be given to patients with hip fractures, regardless of their vitamin D level, who are not currently on vitamin D supplementation. Methods We obtained a list of 917 patients with a hip fracture, aged over 50, from the Trust National Hip Fracture Database from January 2017 to December 2018. We accessed patients’ electronic hospital and GP records to collect patient demographics, vitamin D levels, and medication history. Results The mean age in this study was 82.7 years, and 69.8% were female. Vitamin D levels were available for 666 patients. Of this, 69.9% of patients had a below adequate level (50 nmol/L) and 88.4% of patients had a below sufficient level (75 nmol/L) of vitamin D. Electronic records for vitamin D supplementation were only available for 434 patients. Of this, 300 patients (69.1%) were not on any form of vitamin D supplementation. In this cohort, only 7 patients had a vitamin D level above sufficient levels (75 nmol/L). Upon contacting these 7 patients; 3 were taking some form of vitamin D supplementation, 3 died and no information was available for 1. Conclusion Our study demonstrates all patients with a hip fracture, who are not taking any form of vitamin D supplementation will have subtherapeutic vitamin D levels. Thus, patients presenting with a hip fracture, can be treated empirically with high dose vitamin D treatment, without prior vitamin D testing. This would reduce the number of vitamin D tests conducted by 69.1% which will enable patients to receive prompt osteoporosis treatment and will reduce costs. Disclosures S.N. Mehta None. M.K. Omar None. H. Sapkota None.

scholarly journals Vitamin D levels in hip fractures: Rationale and guidelines for rapid substitution therapy

Injury Extra ◽  
2012 ◽  
Vol 43 (10) ◽  
pp. 100
Author(s):  
A. de Jong ◽  
K. Woods ◽  
M. Suresh ◽  
M. Porteous
Keyword(s):  
Vitamin D ◽  
Hip Fractures ◽  
Substitution Therapy ◽  
Vitamin D Levels

CORRELATION OF VITAMIN D LEVELS WITH HIP FRACTURES IN PATIENTS ABOVE THE AGE OF SIXTY YEARS – A CLINICAL STUDY

2021 ◽  
pp. 40-42
Author(s):  
Rajesh Kapila ◽  
Kamal Arora ◽  
Sarika Kapila ◽  
Anil Kumar Batta ◽  
Ajay Kamat ◽  
...  
Keyword(s):  
Risk Factors ◽  
Vitamin D ◽  
Hip Fractures ◽  
Biochemical Parameters ◽  
Serum Vitamin ◽  
Hypovitaminosis D ◽  
Mineral Density ◽  
Vitamin D Levels ◽  
Important Marker

Hip fractures are common in elderly population and pose great social and economic burden on the society. The role of low levels of Vitamin D, factors responsible for hypovitaminosis D, alteration in the levels of biochemical parameters and their correlation with hip fractures in 50 patients above 60 years was evaluated. Serum vitamin D2, Bone Mineral Density (BMD) and related biochemical parameters were evaluated. Mean age for hip fractures was 69.36 ± 5.13 years. Females (62.00%) outnumbered males (38.00%) with fall at home being the commonest mode of injury (62.00%). Malnutrition (36.00%), Alcoholism (24.00%), Drug intake (14.00%), Smoking (12.00%), Diabetes Mellitus (38.00%), deranged liver function (22.00%) and renal function (12.00%) were the risk factors associated with hypovitaminosis D. Secondary hyperparathyroidism (64.00%) also came out to be an important marker for geriatric hip fractures. Osteopenia (38.00%) and Osteoporosis (28.00%) as measured by BMD was another important association. Higher age group, urban living, inactive lifestyle, various risk factors and comorbidities contribute to hypovitaminosis D.

Vitamin D levels in hip fractures: Rationale and guidelines for rapid substitution therapy

Injury ◽  
2012 ◽  
Vol 43 (10) ◽  
pp. 1624
Author(s):  
A. de Jong ◽  
K. Woods ◽  
M. Suresh ◽  
M. Porteous
Keyword(s):  
Vitamin D ◽  
Hip Fractures ◽  
Substitution Therapy ◽  
Vitamin D Levels

scholarly journals Vitamin D Levels in Patients with Low-energy Hip Fractures

Hip & Pelvis ◽  
2020 ◽  
Vol 32 (4) ◽  
pp. 192
Author(s):  
Jaehwi Han ◽  
Youngho Cho ◽  
Seungmin Jee ◽  
Seongwoo Jo
Keyword(s):  
Vitamin D ◽  
Hip Fractures ◽  
Low Energy ◽  
Vitamin D Levels
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