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Clin Cases Miner Bone Metab. 2012 Jan;9(1):45-9. Epub 2012 May 29.

The initiative on hip fractures of the Veneto Region.

Author information

  • 1Osteoporosis Centers, Veneto Region, Italy, Integrated University Hospital of Verona, Verona, Italy.

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

PMID:
22783336
[PubMed]
PMCID:
PMC3392679
Free PMC Article

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