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Time trend 2000-2013 of vitamin D status in older people who sustain hip fractures: steps forward or steps back? A retrospective study of 1599 inpatients.

Identifieur interne : 000E60 ( Ncbi/Merge ); précédent : 000E59; suivant : 000E61

Time trend 2000-2013 of vitamin D status in older people who sustain hip fractures: steps forward or steps back? A retrospective study of 1599 inpatients.

Auteurs : M. Di Monaco [Italie] ; C. Castiglioni ; R. Di Monaco ; R. Tappero

Source :

RBID : pubmed:26672432

Abstract

Substantial proportions of hip-fracture patients have very low serum levels of 25-hydroxyvitamin D, which can negatively affect rehabilitation. However, it is not known whether changes in vitamin D deficiency have occurred over the last years in the patients who sustain hip fractures.

PubMed: 26672432

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pubmed:26672432

Le document en format XML

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<title xml:lang="en">Time trend 2000-2013 of vitamin D status in older people who sustain hip fractures: steps forward or steps back? A retrospective study of 1599 inpatients.</title>
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<name sortKey="Di Monaco, M" sort="Di Monaco, M" uniqKey="Di Monaco M" first="M" last="Di Monaco">M. Di Monaco</name>
<affiliation wicri:level="3">
<nlm:affiliation>Osteoporosis Research Center, Division of Physical Medicine and Rehabilitation, Presidio Sanitario San Camillo, Fondazione Opera San Camillo, Torino, Italy - marco.di.monaco@alice.it.</nlm:affiliation>
<country wicri:rule="url">Italie</country>
<wicri:regionArea>Osteoporosis Research Center, Division of Physical Medicine and Rehabilitation, Presidio Sanitario San Camillo, Fondazione Opera San Camillo, Torino</wicri:regionArea>
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<settlement type="city">Turin</settlement>
<region type="région" nuts="2">Piémont</region>
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<name sortKey="Castiglioni, C" sort="Castiglioni, C" uniqKey="Castiglioni C" first="C" last="Castiglioni">C. Castiglioni</name>
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<name sortKey="Di Monaco, R" sort="Di Monaco, R" uniqKey="Di Monaco R" first="R" last="Di Monaco">R. Di Monaco</name>
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<name sortKey="Tappero, R" sort="Tappero, R" uniqKey="Tappero R" first="R" last="Tappero">R. Tappero</name>
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<title xml:lang="en">Time trend 2000-2013 of vitamin D status in older people who sustain hip fractures: steps forward or steps back? A retrospective study of 1599 inpatients.</title>
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<country wicri:rule="url">Italie</country>
<wicri:regionArea>Osteoporosis Research Center, Division of Physical Medicine and Rehabilitation, Presidio Sanitario San Camillo, Fondazione Opera San Camillo, Torino</wicri:regionArea>
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<settlement type="city">Turin</settlement>
<region type="région" nuts="2">Piémont</region>
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<name sortKey="Castiglioni, C" sort="Castiglioni, C" uniqKey="Castiglioni C" first="C" last="Castiglioni">C. Castiglioni</name>
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<name sortKey="Di Monaco, R" sort="Di Monaco, R" uniqKey="Di Monaco R" first="R" last="Di Monaco">R. Di Monaco</name>
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<name sortKey="Tappero, R" sort="Tappero, R" uniqKey="Tappero R" first="R" last="Tappero">R. Tappero</name>
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<title level="j">European journal of physical and rehabilitation medicine</title>
<idno type="e-ISSN">1973-9095</idno>
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<date when="2015" type="published">2015</date>
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<div type="abstract" xml:lang="en">Substantial proportions of hip-fracture patients have very low serum levels of 25-hydroxyvitamin D, which can negatively affect rehabilitation. However, it is not known whether changes in vitamin D deficiency have occurred over the last years in the patients who sustain hip fractures.</div>
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<DateCreated>
<Year>2015</Year>
<Month>12</Month>
<Day>17</Day>
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<DateRevised>
<Year>2015</Year>
<Month>12</Month>
<Day>18</Day>
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<ISSN IssnType="Electronic">1973-9095</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2015</Year>
<Month>Dec</Month>
<Day>16</Day>
</PubDate>
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<Title>European journal of physical and rehabilitation medicine</Title>
<ISOAbbreviation>Eur J Phys Rehabil Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Time trend 2000-2013 of vitamin D status in older people who sustain hip fractures: steps forward or steps back? A retrospective study of 1599 inpatients.</ArticleTitle>
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<MedlinePgn></MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Substantial proportions of hip-fracture patients have very low serum levels of 25-hydroxyvitamin D, which can negatively affect rehabilitation. However, it is not known whether changes in vitamin D deficiency have occurred over the last years in the patients who sustain hip fractures.</AbstractText>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">To assess time trend 2000-2013 of calcifediol serum levels in the hip-fracture patients admitted to our rehabilitation division.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Retrospective observational study.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We evaluated 1599 inpatients with a hip fracture admitted between January 1, 2000 and December 31, 2013 to our rehabilitation division. A blood sample was collected in the morning following an overnight fasting 14.4 ± 4.4 (mean ± SD) days after surgery. We assessed 25-hydroxyvitamin D levels by an immunoenzymatic assay.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Calcifediol levels increased till 2006-2007 and decreased afterward. In 2006-2007, the median 25-hydroxyvitamin D level (13.1 ng/ml, interquartile range 7.9-25ng/ml) was significantly higher (p<0.001) than the one found in both the periods 2000-2001 (5.4 ng/ml, interquartile range 3.5-9 ng/ml), and 2012-2013 (7ng/ml, interquartile range 5-14 ng/ml). In the last two-year period of observation (2012-2013), 25-hydroxyvitamin D levels were slightly higher (p<0.001) than in the first one (2000-2001). The association between periods of observation and 25-hydroxyvitamin D levels persisted after adjustment for age, BMI, and sex (p<0.001).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A significant increase in calcifediol concentrations was seen till 2006-2007, but a significant decrease was observed afterward. Finally, calcifediol levels were only slightly higher in the last two years of observation than in the first two years and severe vitamin D deficiency was common during the whole 14-year study period.</AbstractText>
<AbstractText Label="CLINICAL REHABILITATION IMPACT" NlmCategory="CONCLUSIONS">Heightened awareness is needed to prevent and treat vitamin D deficiency in hip-fracture patients.</AbstractText>
</Abstract>
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<LastName>Di Monaco</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
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<Affiliation>Osteoporosis Research Center, Division of Physical Medicine and Rehabilitation, Presidio Sanitario San Camillo, Fondazione Opera San Camillo, Torino, Italy - marco.di.monaco@alice.it.</Affiliation>
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