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Vitamin D levels in post-acute hip fractured patients and their association with rehabilitation outcomes.
- Source :
- Disability & Rehabilitation; Nov2022, Vol. 44 Issue 22, p6722-6729, 8p
- Publication Year :
- 2022
-
Abstract
- To report on serum 25-hydroxyvitamin D (25(OH)D) levels in post-acute hip fractured patients, revealed the associations between serum 25(OH)D levels and hip fractured patients' baseline characteristics and rehabilitation outcomes. A retrospective study (9/2017-9/2020) of 493 hip fractured patients. 25(OH)D levels were recorded following the patient's baseline characteristics and outcome measures, including the functional independence measure and motor functional independence measure effectiveness. The sample was divided into three groups: deficient (<30 nmol/l), insufficient (30–75 nmol/l) and sufficient (>75 nmol/l) 25(OH)D levels. ANOVA and chi-square test tests compared the groups. Multiple linear analysis assessed the associations between the 25(OH)D and discharge functional independence measure score. 25(OH)D deficiency was found in 20.3% of the patients. The only baseline characteristic significantly associated with serum 25(OH)D levels was dementia. The group with deficient levels of 25(OH)D exhibited a significantly higher rate of low education, low admission albumin levels and a reduced handgrip strength compared to the insufficient/sufficient groups. All functional measure scores were significantly lower in the deficient (25(OH)D) group compared with the insufficient/sufficient patient groups. 25(OH)D levels were found to be significantly associated with the discharge functional independence measure score. Routine screening for 25(OH)D levels is mandatory in post-acute hip fracture patients as it may affect rehabilitation outcomes. 25-hydroxyvitamin D 25(OH)D levels are associated with rehabilitation outcomes in post-acute hip fractured patients. A routine screening for 25(OH)D levels and standardized supplementation protocol during the acute and post-acute rehabilitation setting is recommended as it may improve the quality of care. [ABSTRACT FROM AUTHOR]
- Subjects :
- THERAPEUTIC use of vitamin D
ALBUMINS
GRIP strength
EXERCISE tests
ANALYSIS of variance
MUSCLE contraction
REHABILITATION centers
HOME care services
ONE-way analysis of variance
MULTIPLE regression analysis
HIP fractures
MEDICAL screening
RETROSPECTIVE studies
COGNITION
MANN Whitney U Test
VITAMIN D
FUNCTIONAL assessment
T-test (Statistics)
DESCRIPTIVE statistics
QUESTIONNAIRES
CHI-squared test
VITAMIN D deficiency
DATA analysis software
MOTOR ability
EDUCATIONAL attainment
SYMPTOMS
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 09638288
- Volume :
- 44
- Issue :
- 22
- Database :
- Complementary Index
- Journal :
- Disability & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 160164549
- Full Text :
- https://doi.org/10.1080/09638288.2021.1971304