TITLE

Hypovitaminosis D in Patients Scheduled to Undergo Orthopaedic Surgery

AUTHOR(S)
Bogunovic, Ljiljana; Kim, Abraham D.; Beamer, Brandon S.; Nguyen, Joseph; Lane, Joseph M.
PUB. DATE
October 2010
SOURCE
Journal of Bone & Joint Surgery, American Volume;10/6/2010, Vol. 92-A Issue 13, p2300
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Vitamin D is essential for optimal bone health and muscle function. An alarmingly high rate of vitamin-D deficiency in the general population has been reported recently. The purpose of the present study was to characterize the extent of low serum levels of vitamin D among orthopaedic surgery patients. Methods: We performed a retrospective chart review of 723 patients who were scheduled for orthopaedic surgery between January 2007 and March 2008. Preoperative serum 25-hydroxyvitamin D (25[OH]D) levels were measured. The prevalence of normal (⤢ 32 μg/mL), insufficient (<32 ng/mL), and deficient (<20 μg/mL) vitamin-D levels was determined. Logistic regression was used to assess risk factors for insufficient (<32 ng/mL) 25(OH)D levels. Results: Overall, 43% of all patients had insufficient serum vitamin-D levels, and, of these, 40% had deficient levels. Among the orthopaedic services, the highest rates of low serum vitamin-D levels were seen in the trauma and sports services, in which the rates of abnormal (insufficient and deficient) vitamin-D levels were 66% and 52%, respectively. The lowest rate of abnormal vitamin-D levels was seen in the metabolic bone disease service. Patients between the ages of fifty-one and seventy years were 35% less likely to have low vitamin-D levels than patients between the ages of eighteen and fifty years (p = 0.018). The prevalence of low vitamin-D levels was significantly higher in men (p = 0.006). Individuals with darker skin tones (blacks and Hispanics) were 5.5 times more likely to have low vitamin-D levels when compared with those with lighter skin tones (whites and Asians) (p <0.001). Conclusions: The prevalence of low serum levels of vitamin D among patients undergoing orthopaedic surgery is very common. Given the importance of vitamin D in musculoskeletal health, such low levels may negatively impact patient outcomes.
ACCESSION #
54337288

 

Related Articles

  • A retrospective analysis of loss of reduction in operated supracondylar humerus fractures. Balakumar, Balasubramanian; Madhuri, Vrisha // Indian Journal of Orthopaedics;Nov/Dec2012, Vol. 46 Issue 6, p690 

    Background: Loss of reduction following closed or open reduction of displaced supracondylar fractures of the humerus in children varies widely and is considered dependent on stability of the fracture pattern, Gartland type, number and configuration of pins for fixation, technical errors,...

  • Is it suitable to eliminate bone scan for prostate cancer patients with PSA ≤ 20 ng/mL? Lee, Seung; Chung, Mun; Park, Kyung; Yom, Chan; Lee, Dae; Chung, Byung // World Journal of Urology;Apr2012, Vol. 30 Issue 2, p265 

    Purpose: We evaluated the relationship between bone metastasis (BM) and clinical or pathological variables, including the serum prostate-specific antigen (PSA) concentration. Methods: This retrospective study included 579 consecutive patients with newly diagnosed prostate cancer (Pca) who...

  • Standardization of vitamin D assays: art or science? Fraser, William D. // Annals of Clinical Biochemistry;Jan2009, Vol. 46 Issue 1, p3 

    The article presents the author's opinion on an issue deliberated by one of the papers in the issue, which is, methods to standardize assays for 25-hydroxyvitamin D. The topic reportedly has gained more importance due to the role of the said vitamin in metabolic bone diseases and its deficiency...

  • Prevalent hypovitaminosis D in Crohn's disease correlates highly with mediators of osteoimmunology. Turk, Nikša; Turk, Zdenka // Clinical & Investigative Medicine;Jun2014, Vol. 37 Issue 3, pE154 

    Purpose: In the context of osteoimmunology in Crohn's disease, an association was hypothesized among vitamin D and members of the TNF-ɑ family, known as the RANK (receptor-activator of nuclear factor-κB)-RANK ligand-osteoprotegerin pathway. Methods:This was a cross-sectional study of 95...

  • Regression analysis of controllable factors of surgical incision complications in closed calcaneal fractures. Kai Wu; Chuanshun Wang; Qiugen Wang; Haoqing Li // Journal of Research in Medical Sciences;Jun2014, Vol. 19 Issue 6, p495 

    Background: In surgeries of closed calcaneal fractures, the lateral L-shaped incision is usually adopted. Undesirable post-operative healing of the incision is a common complication. In this retrospective study, controllable risk factors of incision complications after closed calcaneal fracture...

  • Risk assessment and decision-making for patients undergoing orthopedic surgery. De-ming Bao; Ning Li; Lei Xia // Journal of Orthopaedic Surgery & Research;10/29/2015, Vol. 10, p1 

    Purpose: Physical and operative severity score for the enumeration of mortality and morbidity (POSSUM) scoring system was designed to predict the postoperative morbidity and mortality mainly in general surgery. The purpose of this study was to assess the value of POSSUM scoring system in...

  • Hypovitaminosis D and response to cholecalciferol supplementation in patients with autoimmune and non-autoimmune rheumatic diseases. Sainaghi, Pier; Bellan, Mattia; Carda, Stefano; Cerutti, Chiara; Sola, Daniele; Nerviani, Alessandra; Molinari, Rossella; Cisari, Carlo; Avanzi, Gian // Rheumatology International;Nov2012, Vol. 32 Issue 11, p3365 

    Recent reports suggest a role of hypovitaminosis D in the pathogenesis of inflammatory autoimmune diseases (ARD); we investigated 25(OH)vitamin D plasma level before and after supplementation in ARD and NARD (non-ARD: osteoporosis and/or OA) patients. We retrospectively evaluated 572 consecutive...

  • A 6-year experience of CPR outcomes in an emergency department in Thailand. Yuwares Sittichanbuncha; Thidathit Prachanukool; Kittisak Sawanyawisuth // Therapeutics & Clinical Risk Management;2013, Vol. 9, p377 

    Purpose: Sudden cardiac arrest is a common emergency condition found in the emergency department of the hospital. The survival rate of out-of-hospital cardiac arrest patients is 2.0%-10.0% and 7.4%-27.0% percent for in-hospital cardiac arrest patients. The factors for survival outcome are...

  • Malignant potential of skull base versus non-skull base meningiomas: clinical series of 1,663 cases. Cornelius, Jan; Slotty, Philipp; Steiger, Hans; Hänggi, Daniel; Polivka, Marc; George, Bernard // Acta Neurochirurgica;Mar2013, Vol. 155 Issue 3, p407 

    Background: About 90 % of meningiomas are benign (WHO grade I), atypical and anaplastic variants exist (WHO grade II/III, 10 %). Tumour grade has important implications for management. Non-invasive diagnosis of tumour grade is still not feasible. The purpose of this survey was to analyse...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics