caa a22 4500 606191194 CHVBK 20210128100858.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00391-014-0821-8 doi (NATIONALLICENCE)springer-10.1007/s00391-014-0821-8 Secondary confounders of osteoporotic hip fractures in patients admitted to a geriatric acute care department [Elektronische Daten] [Peter Dovjak, Ursula Föger-Samwald, Maarit Konrad, Bernhard Bichler, Peter Pietschmann] Sekundäre Confounder bei osteoporotisch bedingten Hüftfrakturen von Patienten in geriatrischen Akutstationen Background: With respect to the pathogenesis of osteoporosis, primary and secondary forms of the disease can be distinguished. It has been recognized that the incidence of primary and secondary osteoporosis differs in women and men. Objective: The aim of the present study was to assess the incidence and gender distribution of factors contributing to osteoporosis in older hip fracture patients. Methods: In this cross-sectional study 404 patients with hip fractures and controls referred to an acute geriatric care department over a period of 15 months were included. The medical history was recorded and blood samples were analyzed for routine laboratory parameters. Results: A total of 249 patients with hip fractures and 155 matched controls were studied. The Tinetti test and the Barthel index were found to show highly significant differences in both groups mainly because of the postoperative state of patients with fractures. Vitamin D deficiency was found in 94.1 % of male fracture patients and 94.6 % of female fracture patients. On average 2.4 secondary contributors of osteoporosis were present in male fracture patients versus 2.9 in male controls and 2.3 in female fracture patients versus 2.3 in female controls. For most parameters no significant gender differences of possible secondary contributors to osteoporosis were found. Secondary osteoporosis was diagnosed in all male fracture patients and in 56.2 % of all female fracture patients. Conclusion: Based on the findings of this study it is recommended that hip fracture patients should be assessed for secondary contributors of osteoporosis. Although the overall distribution of secondary contributors was similar in women and men, the prevalence of secondary osteoporosis was higher in men. Springer-Verlag Berlin Heidelberg, 2014 Osteoporosis nationallicence Secondary osteoporosis nationallicence Hip fractures nationallicence Elderly nationallicence Geriatric acute care nationallicence Osteoporose nationallicence Sekundäre Osteoporose nationallicence Hüftfrakturen nationallicence Ältere Menschen nationallicence Geriatrische Akutversorgung nationallicence Dovjak Peter Department of Geriatric Acute Care, Salzkammergut-Klinikum Gmunden, Miller von Aichholzstraße 49, 4810, Gmunden, Austria aut Föger-Samwald Ursula Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Spitalsgasse 23, 1090, Vienna, Austria aut Konrad Maarit Department of Geriatric Acute Care, Salzkammergut-Klinikum Gmunden, Miller von Aichholzstraße 49, 4810, Gmunden, Austria aut Bichler Bernhard Department of Geriatric Acute Care, Salzkammergut-Klinikum Gmunden, Miller von Aichholzstraße 49, 4810, Gmunden, Austria aut Pietschmann Peter Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Spitalsgasse 23, 1090, Vienna, Austria aut Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/7(2015-10-01), 633-640 0948-6704 48:7<633 2015 48 391 https://doi.org/10.1007/s00391-014-0821-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00391-014-0821-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dovjak Peter Department of Geriatric Acute Care, Salzkammergut-Klinikum Gmunden, Miller von Aichholzstraße 49, 4810, Gmunden, Austria aut NATIONALLICENCE 700 1- Föger-Samwald Ursula Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Spitalsgasse 23, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Konrad Maarit Department of Geriatric Acute Care, Salzkammergut-Klinikum Gmunden, Miller von Aichholzstraße 49, 4810, Gmunden, Austria aut NATIONALLICENCE 700 1- Bichler Bernhard Department of Geriatric Acute Care, Salzkammergut-Klinikum Gmunden, Miller von Aichholzstraße 49, 4810, Gmunden, Austria aut NATIONALLICENCE 700 1- Pietschmann Peter Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Spitalsgasse 23, 1090, Vienna, Austria aut NATIONALLICENCE 773 0- Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/7(2015-10-01), 633-640 0948-6704 48:7<633 2015 48 391