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Prevalence of hypovitaminosis d among children with upper extremity fractures.
MedLine Citation:
PMID:  23389570     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: : Recent publications show a high rate of hypovitaminosis D among children in general as well as among children with fractures. 25-hydroxyvitamin D levels were analyzed from hospital records to determine the prevalence of hypovitaminosis D, with the goal of using that information in fracture management and nutritional counseling.
METHODS: : We retrospectively reviewed the records of 213 children with upper extremity fractures that were treated during a 14-month period. For 181 of those patients, the 25-hydroxyvitamin D level was measured at the time of emergency department presentation or at the first clinic appointment within 2 weeks after the initial presentation. The following information was collected from the charts: fracture mechanism (high or low energy), age, sex, race, and body mass index. Vitamin D levels were categorized as normal (≥32 ng/mL), insufficient (20 to 32 ng/mL), or deficient (<20 ng/mL). The levels were analyzed with respect to fracture pattern and race.
RESULTS: : Of the 181 patients, 24% had deficient vitamin D levels, 41% had insufficient levels, and 35% had normal levels. There was no significant correlation with vitamin D level and mechanism of injury. African American children were more likely to have insufficient or deficient levels of vitamin D.
CONCLUSIONS: : Hypovitaminosis D is common among children with upper extremity fractures. Further investigation is warranted on the use of the 25-hydroxyvitamin D level as a screening tool to predict risk of fracture and to design proper nutritional programs for children with fractures.
LEVEL OF EVIDENCE: : Retrospective chart review; Level III evidence.
Authors:
Jeremy R James; Patrick A Massey; Anne M Hollister; Eric M Greber
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  33     ISSN:  1539-2570     ISO Abbreviation:  J Pediatr Orthop     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  159-62     Citation Subset:  IM    
Affiliation:
*Department of Orthopaedic Surgery †School of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA.
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