Kalp Yetersizliği Olan Geriatrik Hastalarda Kemik Mineral Dansitometri ve Kalça Kırıklarının Değerlendirilmesi

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dc.contributor.authorArslan, Arslan Kağan
dc.contributor.authorTolunay, Hatice
dc.date.accessioned2024-12-28T20:28:50Z
dc.date.available2024-12-28T20:28:50Z
dc.date.issued2019
dc.description.abstractObjectives: Osteoporosisdefined by low Bone Mineral Density (BMD), is a progressive disease affectingespecially older adults. Hip fracture is the important result of osteoporosis.  For the older adults, heart failure (HF) andosteoporosis are two common chronic conditions that are gaining importance forhealthcare. The aim of this study is to evaluate bone mineral density and hipfractures in geriatric aged patients with heart failureMethods: We retrospectively analyzed 157 geriatricpatients with heart failure and 155 geriatric control subjects without anycardiovascular disease and risk factors. All subjects underwent transthoracicechocardiography, biochemical analysis, and bone DEXA study. Osteoporoticfracture history and operation for fracture, list of current and prior use ofmedications were obtained from each center’s medical recordings.Results: Among the 157 patients, 45 (29%) had normalBMD, 14 (9%) had osteopenia, and 98 (62%) had osteoporosis.  In 155 control subjects,68 (44%) had normalBMD, 12 (8%) had osteopenia, and 75 (46%) had osteoporosis (P=0.019). Sixteensubjects (10.2%) in heart failure group and 6 subjects (3.9%) in controls hadhip fracture (p=0.029). Level of 25-hydroxyvitamin D was significantly lower inheart failure than in controls (15.1±10.2 vs. 29.1±20.4 ng/ml; p lt;0.001). Conclusion: Patients with heart failure have a lower bonemineral density, low vitamin D level and an increased rate of hip fractures.These findings can be explained by shared risk factors and pathogeneticmechanisms. Further prospective studies should be performed for evaluating therole of heart failure in osteoporotic hip fractures.  
dc.identifier.dergiparkDergiPark: 538977
dc.identifier.doi10.18521/ktd.538977
dc.identifier.endpage246
dc.identifier.issn1309-3878
dc.identifier.issn1309-3878
dc.identifier.issue2
dc.identifier.startpage242
dc.identifier.urihttps://doi.org/10.18521/ktd.538977
dc.identifier.urihttps://dergipark.org.tr/tr/download/article-file/758041
dc.identifier.urihttps://dergipark.org.tr/tr/pub/ktd/issue/46977/538977
dc.identifier.urihttps://hdl.handle.net/20.500.12684/17921
dc.identifier.volume11
dc.language.isoen
dc.publisherDüzce Üniversitesi
dc.relation.ispartofKonuralp Medical Journal
dc.relation.ispartofKonuralp Tip Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241228
dc.subjectHip fracture
dc.subjectOsteoporosis
dc.subjectBone Mineral Density
dc.subjectheart failure
dc.subjectvitamin D
dc.subjectHealth Care Administration
dc.titleKalp Yetersizliği Olan Geriatrik Hastalarda Kemik Mineral Dansitometri ve Kalça Kırıklarının Değerlendirilmesi
dc.title.alternativeAnalysis of Bone Mineral Density and Hip Fracture in Geriatric Patients with Heart Failure
dc.typeArticle

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