Patients presenting with fractures are likely to be vitamin D deficient: are we getting enough sun?

Mow, Tyler C., Stokes, Christopher M. and Sutherland, Alasdair G. 2015, Patients presenting with fractures are likely to be vitamin D deficient: are we getting enough sun?, ANZ journal of surgery, vol. 85, no. 10, pp. 766-769, doi: 10.1111/ans.13190.

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Title Patients presenting with fractures are likely to be vitamin D deficient: are we getting enough sun?
Author(s) Mow, Tyler C.
Stokes, Christopher M.
Sutherland, Alasdair G.
Journal name ANZ journal of surgery
Volume number 85
Issue number 10
Start page 766
End page 769
Total pages 4
Publisher Wiley
Place of publication London, Eng.
Publication date 2015-10
ISSN 1445-2197
Keyword(s) deficiency
fracture force
internal fixation
Science & Technology
Life Sciences & Biomedicine
Summary BACKGROUND: 25-Hydroxyvitamin D serves a crucial role in bone metabolism through its role on osteoclast and osteoblastic function. To assess the implication of vitamin D and its relationship to bone fracture and fracture force, we have examined vitamin D levels in patients requiring inpatient fracture management. METHODS: We performed serological testing of vitamin D levels, calcium, parathyroid hormone and liver function tests on patients admitted to our rural institution in southeastern Australia for inpatient fracture management. All participants completed a questionnaire designed to screen for potential contributing factors to bony fragility. Demographic data were also obtained including age, gender and body mass index. Fracture location and the type of inpatient management as well as the force of injury were included in our analysis. RESULTS: We recruited 100 patients to the study, with a median age of 72 (range 22-98) of whom 66 were women. Most had low-energy fractures (79%), treated by internal fixation (73%) or arthroplasty (9%) with 18 treated non-operatively. The majority of the patients were at best vitamin D insufficient, <75 nmol/L (77%), and 38% were vitamin D deficient (<50 nmol/L). Only 14 patients had a formal diagnosis of osteoporosis at presentation, with 63 patients claiming daily sun exposure in line with recommendations for vitamin D sufficiency. CONCLUSIONS: Our data suggest that the prevalence of vitamin D insufficiency and deficiency is common in patients presenting with fractures in southeastern Australia and is not confined to elderly patients. All patients with fractures should be assessed for vitamin D levels and treated in accordance with vitamin D deficiency guidelines.
Language eng
DOI 10.1111/ans.13190
Field of Research 1103 Clinical Sciences
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Royal Australasian College of Surgeons
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Document type: Journal Article
Collection: School of Medicine
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