AB1030 Phospho-calcium metabolism in patients with hip fracture
2013
Background In Spanish population, there is a high prevalence of hypovitaminosis D which is more severe in elderly patients and, above all, in patients with hip fracture. Objectives Study the analytical parameters of phospho-calcium metabolism in patients with hip fracture, with special emphasis on the serum concentration of calcidiol and on response to supplements of calcium and vitamin D. Methods Prospective cross-sectional study including individuals admitted for hip fracture to a university hospital in the period between March 1, 2009 and December 31, 2010. Pathological or secondary to high impact trauma fractures, and patients with a glomerular filtrate Results We included 324 patients (83±8 years, 71% women). The analytical parameters are shown in the table below. 58% of patients had vitamin D deficiency. The monthly distribution of the average concentrations of calcidiol showed a statistically significant increase in the summer months. Patients receiving calcium and vitamin D supplements had a higher mean serum concentration of calcidiol (47.6±43.4 nM/L vs 25.2±11.2 nM/L; p Conclusions In hospitalized patients with hip fracture, there is a high prevalence of hypovitaminosis D which did not achieve a satisfactory decrease in the subgroup that received vitamin D supplements. Disclosure of Interest None Declared
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