RISK FACTOR | GUIDELINES | SCORE | PATIENT SCORE |
---|---|---|---|
"Faller" | Self-reported or assessed as high risk of falling by the P rimar y C are P hysician | 5 | Â |
Any Fracture | Since age of 50 years | 5 | Â |
High risk of low vitamin "D" | Avoids sun, wears protective/cultural clothing regularly uses sunscreen and/or have dark skin | 5 | Â |
Osteoporosis | Bone density T-score at spine or hip >-2.5 | 5 | Â |
Osteopenia | Bone density T-score at spine or hip -1.0 to -2.5 | 2 | Â |
Aged > 80 years | Â | 2 | Â |
Maternal hip fracture | Â | 1 | Â |
Thinness | BMI < 20 or current weight less than that at age 25 | 1 | Â |
Self rated health as fair or worse | (excellent/good/fair/poor/very poor) | 1 | Â |
Poor vision | Self reported or assessed by primary care physician | 1 | Â |
No walking exercise | "Do you walk outside your house or yard regularly?" | 1 | Â |
On feet < 4 hours per day | Â | 1 | Â |
Inability to rise from a chair | without using arms | 1 | Â |
Caffeine intake | > Two cups of coffee or 4 cups of tea per day | 1 | Â |
Smoker | Current | 1 | Â |
Long-acting benzodiazepines | Current use | 1 | Â |
Anticonvulsant | Current use | 1 | Â |
History of thyrotoxicosis | Â | 1 | Â |
Resting pulse > 80/min | Â | 1 | Â |
 | SCORE ≥ 5 = eligible for Vital D Study (Check exclusions listed below) | TOTAL |  |
EXCLUSIONS | Â | Â | Â |
Hypercalcemia | Baseline serum corrected calcium > 2.65 mmol/L | Â | Â |
Bone-trophic medication | Current use; HRT, bisphosphonate, SERM, calcitriol, Vitamin D supplement > 400 IU/day | Â | Â |
Renal disease | Creatinine > 150 μmol/L or no known renal disease |  |  |
Sarcoidosis, TB or lymphoma | Â | Â | Â |