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. 2012 Jan;9(1):45-9.
Epub 2012 May 29.

The initiative on hip fractures of the Veneto Region

Maurizio Rossini  1 , Cristian Caimmi, Sandro Giannini, Stefania Sella, Alberto Mattarei, Roberto Lovato, Ilaria Piazza, Angelo Fassio, Pierluigi Persi, Pier Paolo Benetollo, Silvano Adami
Affiliations

The initiative on hip fractures of the Veneto Region

Maurizio Rossini et al. Clin Cases Miner Bone Metab. 2012 Jan.

Abstract

Objective: to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture was the aim of this observational study promoted by the Health Authorities of the Regione Veneto (Italy).

Methods: patients aged > 60 years of both genders with a recent hip fracture not associated with malignancies, were administered questionnaires on dietary habits, sun exposure, disability score. A complete family, pharmacological and pathology history was collected together with previous falls, details of the fracture index, anthropometric data. In a subgroup of patients blood was taken for the measurements of serum 25 hydroxy-vitamin D (25OHD).

Results: the study includes 704 patients (573 women and 131 men). Mean age was 81±8 years (range 60-102). Severe pre-fracture disability was a common feature (58%) associated with multiple co-morbidities (84%), more frequently cardiovascular and neurological diseases, and specific medications. In a large proportion (86%) of the patients environmental or individual risk factors for falling were found. Vitamin D insufficiency was quite common, particularly in the regional Health Districts were strategies for preventing vitamin D deficiency were not implemented. Only a small proportion (17%) of the study population had been evaluate and treated for osteoporosis.

Conclusions: in senile patients with a recent hip fracture pre-existing disability, multiple co-morbidities, high risk of falling and inadequate intake of calcium and vitamin D was quite common. Community and case-finding interventions are highly warranted.

Keywords: co-morbidities; disability; fall; hip fracture; vitamin D.

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Figures

Figure 1
Figure 1
Prevalence of patients with vitamin D supplementation in Veneto Region.
Figure 2
Figure 2
Mean 25OHD serum levels in patients with or without supplementation.
Figure 3
Figure 3
Prevalence of hypovitaminosis D in patient with or without supplementation.
See this image and copyright information in PMC

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