title: [Vitamin D supply of patients with hip fracture].
abstract: BACKGROUND
  Vitamin D deficiency is an important risk factor for fractures. However, there are few data available only on the relationship between serum 25-hydroxyvitamin D levels and recovery after surgery for hip fracture.
  
  
  OBJECTIVE
  The authors investigate the vitamin D supply of patients with hip fractures.
  
  
  METHODS
  Between February and September 2013, serum 25-hydroxyvitamin D and parathyroid hormone levels were determined in 203 patients with hip fracture (74.8±11.5 ys; 67 men and 136 women) and in 74 control subjects.
  
  
  RESULTS
  Vitamin D deficiency and secondary hyperparathyroidism occurred significantly more frequently in patients with hip fracture than in control subjects (72% vs. 45%, and 33% vs. 17%, respectively). Patients with better condition after surgery showed higher 25-hydroxyvitamin D levels (p<0.001) than those with poor condition. Serum 25-hydroxyvitamin D were lower in the 31 patients who died [median of survival time: 19 (5-52) days] compared to those who survived [22.6 (9.5-45.0) vs. 33.0 (16.5-56.6) nmol/l].
  
  
  CONCLUSIONS
  The association between vitamin-D deficiency and mortality as well as the positive correlation between serum 25-hydroxyvitamin D levels and better postoperative condition confirm the importance of proper vitamin D supply in the prevention and cure of hip fractures, what is more in the increase of the chance of survival.
authors.affiliation: Markusovszky Egyetemi Oktatókórház Baleseti Sebészeti Osztály Szombathely.
authors.forename: Antal
authors.initials: A
authors.lastname: Salamon
authors.affiliation: Markusovszky Egyetemi Oktatókórház Baleseti Sebészeti Osztály Szombathely.
authors.forename: Balázs
authors.initials: B
authors.lastname: Hepp
authors.affiliation: Markusovszky Egyetemi Oktatókórház Baleseti Sebészeti Osztály Szombathely.
authors.forename: Akos
authors.initials: A
authors.lastname: Mátrai
authors.affiliation: Markusovszky Egyetemi Oktatókórház Baleseti Sebészeti Osztály Szombathely.
authors.forename: Csaba
authors.initials: C
authors.lastname: Biró
authors.affiliation: Markusovszky Egyetemi Oktatókórház Általános Belgyógyászati Osztály Szombathely.
authors.forename: Katalin
authors.initials: K
authors.lastname: Agota
authors.affiliation: Markusovszky Egyetemi Oktatókórház Általános Belgyógyászati Osztály Szombathely.
authors.forename: Emőke
authors.initials: E
authors.lastname: Fata
authors.affiliation: Markusovszky Egyetemi Oktatókórház Általános Belgyógyászati Osztály Szombathely.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Lőcsei
authors.affiliation: Markusovszky Egyetemi Oktatókórház Központi Laboratórium Szombathely Király u. 11. II/10. 9700 Pécsi Tudományegyetem, Egészségtudományi Kar Diagnosztikai Intézet Pécs.
authors.forename: Erzsébet
authors.initials: E
authors.lastname: Toldy
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D015897:Comorbidity; D005260:Female; D005265:Femoral Neck Fractures / Q000097:blood / Q000209:etiology; D006620:Hip Fractures / Q000097:blood* / Q000453:epidemiology / Q000209:etiology* / Q000401:mortality / Q000517:prevention & control; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D006962:Hyperparathyroidism, Secondary / Q000097:blood / Q000150:complications; D008019:Life Style; D008297:Male; D010281:Parathyroid Hormone / Q000097:blood*; D012307:Risk Factors; D012621:Seasons; D016019:Survival Analysis; D014807:Vitamin D / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000097:blood; D014808:Vitamin D Deficiency / Q000097:blood* / Q000150:complications* / Q000188:drug therapy
chemical_list: D010281:Parathyroid Hormone; D014807:Vitamin D; C104450:25-hydroxyvitamin D
keywords: D-vitamin-hiány; Vitamin D deficiency; csípőtáji törés; gyógyulás; hip fracture; recovery; survival; túlélés