TY  - JOUR
PY  - 2013//
TI  - The incidence of vitamin D deficiency amongst patients with a femoral neck fracture: are current bone protection guidelines sufficient ?
JO  - Acta orthopaedica Belgica
A1  - Ford, Alan J.
A1  - Nichols, Jennifer S.
A1  - Williams, Stephen C.
A1  - Bryson, David J.
SP  - 470
EP  - 473
VL  - 79
IS  - 4
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0001-6462
UR  - http://dx.doi.org/
ID  - ref1
ER  -