Evidence map›Paper›PMID 41493636›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2026

Inpatient mortality following hip fracture in the United States: an updated analysis of over one million cases.

Bradley A Lezak, Nathaniel P Mercer, Jared Silberlust, Eduardo Iturrate, Sanjit Konda, Philipp Leucht, Kenneth A Egol

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Comment on "Inpatient mortality following hip fracture in the United States: an updated analysis of over one million cases".European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Bradley A LezakNYU Langone Orthopedics, New York University Langone Medical Center, New York, United States.
Nathaniel P MercerNYU Langone Orthopedics, New York University Langone Medical Center, New York, United States.
Jared SilberlustNYU Langone Orthopedics, New York University Langone Medical Center, New York, United States.
Eduardo IturrateNYU Langone Orthopedics, New York University Langone Medical Center, New York, United States.
Sanjit KondaNYU Langone Orthopedics, New York University Langone Medical Center, New York, United States.
Philipp LeuchtNYU Langone Orthopedics, New York University Langone Medical Center, New York, United States.
Kenneth A EgolNYU Langone Orthopedics, New York University Langone Medical Center, New York, United States. kenneth.egol@nyulangone.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the current risk of inpatient mortality following hip fracture in the United States is of significant value to patient families and the health system. Currently, the literature lacks a national representation of the inpatient mortality following hip fracture. PURPOSE: The purpose of this study was to investigate the incidence of inpatient mortality following hip fracture using Epic Cosmos-an aggregated, de-identified, multi-institutional data that includes over 280 million patients in the United States.

methodsA "Cosmos hip fracture cohort" that included all adults (18 years or older) who sustained a femoral neck, intertrochanteric, or subtrochanteric hip fracture (ICD 72.0, S72.1, S72.2) between January 2019 and December 2024 was created. The dataset was queried for demographic data including age, sex, geographic location, incidence of inpatient mortality, and bone health medication use at the time of admission.

resultsThe Cosmos database included 284,455,033 patients, of which 1,232,250 hip fracture hospital admissions between January 2019 and December 2024 were identified. Of these patients, 47,773 (3.9%) expired during their hip fracture hospital admission. The most common age bracket was 85 years or older (39.8%), followed by 75-85 (30.0%), and 65-75 (17.8%). Most patients were white (91%) females (55.5%). Most inpatient mortalities occurred in the South (38.4%), followed by the Midwest (31.8%), followed by the Northeast (23.6%), and last by the West (6.2%).

conclusionThe current inpatient mortality following hip fracture is 3.9%. Most inpatient mortalities occurred in white females above the age of 85 in the South of the country. LEVEL OF EVIDENCE: Level III.

Indexed as

Hip FracturesHospital MortalityAdultAgedAged, 80 and overFemaleHumansIncidenceMaleMiddle AgedUnited StatesEpic COSMOSFemoral neck fractureHip fractureIn-patient mortalityOrthopedic trauma surgery

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.