Associations of vitamin D deficiency with postoperative gait and mortality among patients with fractures of the proximal femur
OBJECTIVE: To assess whether serum vitamin D concentration is associated with gait status and mortality among patients with fractures of the proximal femur, six months after suffering the fracture.METHODS: Consecutive patients aged ≥65 years with fractures of the proximal femur, who were admitted to...
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| Format: | Article |
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Sociedade Brasileira de Ortopedia e Traumatologia
2015-04-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000200153&lng=en&tlng=en |
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| author | David Nicoletti Gumieiro Gilberto José Cação Pereira Marcos Ferreira Minicucci Carlos Eduardo Inácio Ricciardi Erick Ribeiro Damasceno Bruno Schiavoni Funayama |
| author_facet | David Nicoletti Gumieiro Gilberto José Cação Pereira Marcos Ferreira Minicucci Carlos Eduardo Inácio Ricciardi Erick Ribeiro Damasceno Bruno Schiavoni Funayama |
| author_sort | David Nicoletti Gumieiro |
| collection | DOAJ |
| description | OBJECTIVE: To assess whether serum vitamin D concentration is associated with gait status and mortality among patients with fractures of the proximal femur, six months after suffering the fracture.METHODS: Consecutive patients aged ≥65 years with fractures of the proximal femur, who were admitted to the orthopedics and traumatology ward of our service between January and December 2011, were prospectively evaluated. Clinical, radiological, epidemiological and laboratory analyses were performed, including vitamin D. The patients underwent surgery and were followed up as outpatients, with return visits 15, 30, 60 and 180 days after discharge, at which the outcomes of gait and mortality were evaluated.RESULTS: Eighty-eight patients were evaluated. Two of them were excluded because they presented oncological fractures. Thus, 86 patients of mean age 80.2 ± 7.3 years were studied. In relation to serum vitamin D, the mean was 27.8 ± 14.5 ng/mL, and 33.7% of the patients presented deficiency of this vitamin. In relation to gait, univariate and multivariate logistic regression showed that vitamin D deficiency was not associated with gait recovery, even after adjustment for gender, age and type of fracture (OR: 1.463; 95% CI: 0.524-4.088; p = 0.469). Regarding mortality, Cox regression analysis showed that vitamin D deficiency was not related to its occurrence within six months, even in multivariate analysis (HR: 0.627; 95% CI: 0.180-2.191; p = 0.465).CONCLUSION: Serum vitamin D concentration was not related to gait status and/or mortality among patients with fractures of the proximal femur, six months after suffering the fracture. |
| first_indexed | 2024-03-08T07:36:53Z |
| format | Article |
| id | doaj.art-24ec79b2dd1345c99d7c7404e6a9a729 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T07:36:53Z |
| publishDate | 2015-04-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-24ec79b2dd1345c99d7c7404e6a9a7292024-02-02T18:30:24ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782015-04-0150215315810.1016/j.rboe.2015.03.008S0102-36162015000200153Associations of vitamin D deficiency with postoperative gait and mortality among patients with fractures of the proximal femurDavid Nicoletti GumieiroGilberto José Cação PereiraMarcos Ferreira MinicucciCarlos Eduardo Inácio RicciardiErick Ribeiro DamascenoBruno Schiavoni FunayamaOBJECTIVE: To assess whether serum vitamin D concentration is associated with gait status and mortality among patients with fractures of the proximal femur, six months after suffering the fracture.METHODS: Consecutive patients aged ≥65 years with fractures of the proximal femur, who were admitted to the orthopedics and traumatology ward of our service between January and December 2011, were prospectively evaluated. Clinical, radiological, epidemiological and laboratory analyses were performed, including vitamin D. The patients underwent surgery and were followed up as outpatients, with return visits 15, 30, 60 and 180 days after discharge, at which the outcomes of gait and mortality were evaluated.RESULTS: Eighty-eight patients were evaluated. Two of them were excluded because they presented oncological fractures. Thus, 86 patients of mean age 80.2 ± 7.3 years were studied. In relation to serum vitamin D, the mean was 27.8 ± 14.5 ng/mL, and 33.7% of the patients presented deficiency of this vitamin. In relation to gait, univariate and multivariate logistic regression showed that vitamin D deficiency was not associated with gait recovery, even after adjustment for gender, age and type of fracture (OR: 1.463; 95% CI: 0.524-4.088; p = 0.469). Regarding mortality, Cox regression analysis showed that vitamin D deficiency was not related to its occurrence within six months, even in multivariate analysis (HR: 0.627; 95% CI: 0.180-2.191; p = 0.465).CONCLUSION: Serum vitamin D concentration was not related to gait status and/or mortality among patients with fractures of the proximal femur, six months after suffering the fracture.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000200153&lng=en&tlng=enVitamina DMortalidadeMarchaFraturas do fêmur |
| spellingShingle | David Nicoletti Gumieiro Gilberto José Cação Pereira Marcos Ferreira Minicucci Carlos Eduardo Inácio Ricciardi Erick Ribeiro Damasceno Bruno Schiavoni Funayama Associations of vitamin D deficiency with postoperative gait and mortality among patients with fractures of the proximal femur Revista Brasileira de Ortopedia Vitamina D Mortalidade Marcha Fraturas do fêmur |
| title | Associations of vitamin D deficiency with postoperative gait and mortality among patients with fractures of the proximal femur |
| title_full | Associations of vitamin D deficiency with postoperative gait and mortality among patients with fractures of the proximal femur |
| title_fullStr | Associations of vitamin D deficiency with postoperative gait and mortality among patients with fractures of the proximal femur |
| title_full_unstemmed | Associations of vitamin D deficiency with postoperative gait and mortality among patients with fractures of the proximal femur |
| title_short | Associations of vitamin D deficiency with postoperative gait and mortality among patients with fractures of the proximal femur |
| title_sort | associations of vitamin d deficiency with postoperative gait and mortality among patients with fractures of the proximal femur |
| topic | Vitamina D Mortalidade Marcha Fraturas do fêmur |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000200153&lng=en&tlng=en |
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