The initiative on hip fractures of the Veneto Region.
OBJECTIVE
to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture was the aim of this observational study promoted by the Health Authorities of the Regione Veneto (Italy).


METHODS
patients aged > 60 years of both genders with a recent hip fracture not associated with malignancies, were administered questionnaires on dietary habits, sun exposure, disability score. A complete family, pharmacological and pathology history was collected together with previous falls, details of the fracture index, anthropometric data. In a subgroup of patients blood was taken for the measurements of serum 25 hydroxy-vitamin D (25OHD).


RESULTS
the study includes 704 patients (573 women and 131 men). Mean age was 81±8 years (range 60-102). Severe pre-fracture disability was a common feature (58%) associated with multiple co-morbidities (84%), more frequently cardiovascular and neurological diseases, and specific medications. In a large proportion (86%) of the patients environmental or individual risk factors for falling were found. Vitamin D insufficiency was quite common, particularly in the regional Health Districts were strategies for preventing vitamin D deficiency were not implemented. Only a small proportion (17%) of the study population had been evaluate and treated for osteoporosis.


CONCLUSIONS
in senile patients with a recent hip fracture pre-existing disability, multiple co-morbidities, high risk of falling and inadequate intake of calcium and vitamin D was quite common. Community and case-finding interventions are highly warranted.
Osteoporosis Centers, Veneto Region, Italy, Integrated University Hospital of Verona, Verona, Italy.
Maurizio
M
Rossini
Cristian
C
Caimmi
Sandro
S
Giannini
Stefania
S
Sella
Alberto
A
Mattarei
Roberto
R
Lovato
Ilaria
I
Piazza
Angelo
A
Fassio
Pierluigi
P
Persi
Pier Paolo
PP
Benetollo
Silvano
S
Adami