KMID : 0438420110180010009
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Korean Journal of Bone Metabolism 2011 Volume.18 No. 1 p.9 ~ p.14
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Vitamin D Inadequacy in Patients with Osteoporotic Hip Fractures
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Lee Won-Seok
Lee Soon-Hyuck Han Seung-Beom Jeong Woong-Kyo Park Si-Young
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Abstract
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Objective: To investigate the prevalence of vitamin D inadequacy in an elderly patients with hip fracture.
Methods: A prospective study was carried out for 2 years (January 2008 - December 2009). Patient records were searched for hip fracture admission and cross matched with serum vitamin D levels and bone densitometry carried out within 3 days of the hip fracture admission.
Results: There were data for 115 hip fracture patient, 69% of the patients were women (n = 79). The mean age at the time of fracture was 76.1 years. The mean of bone densitometry was -2.8 ¡¾ 0.8. About 40% of the patients had a bone mineral density (BMD) below -3.0. The mean vitamin D (25-OH) level was 20.9 ¡¾ 10 ng/mL. Over 80% of patients had a vitamin D level below 30 ng/mL. Especially, patients (n = 17) admitted from assisted nursing home had less a vitamin D level (16.3 ng/mL) than patients admitted from home (22.9 ng/mL). There were no significant differences by age or sex however, there was seasonal differences in vitamin D.
Conslusion: This study reveals universal vitamin D inadequacy in hip fracture patients.
Keyword Hip fractures, Osteoporosis, Vitamin D
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KEYWORD
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Hip fractures, Osteoporosis, Vitamin D
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