ArticleJournal of the American College of Emergency Physicians open2026
Emergency Department Encounters Preceding Hip Fracture in Older Adults: A Window for Future Risk Identification.
Article in Journal of the American College of Emergency Physicians open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: To describe the frequency of prior emergency department (ED) encounters before hip-fracture encounters among older adults in the United States (US). Methods: This was a retrospective descriptive study of US older adults aged 65 to 110 years (January 1, 2016 to December 31, 2025) using Epic Cosmos. We identified hip-fracture encounters and evaluated the proportion with an ED encounter in the preceding 12 months, overall and stratified by demographic characteristics. Results: Among 1,873,342 hip fracture-encounters representing 1,355,249 distinct patients, 37.2% had ≥ 1 ED encounter in the prior 12 months. This proportion increased with age: (≥65 to <75, 34.7%; ≥75 to <85, 36.8%; ≥85, 39.4%). Proportions slightly varied by sex (women 36.7% vs men 38.5%, and other/unknown 21.0%), by ethnicity (Hispanic/Latino 35.5%, non-Hispanic/Latino 38.1%, nonclassified 31.7%), and by region (37.5% South, 32.6% West, 40.1% Midwest, 36.4% Northeast, and 36.6% in regions not otherwise classified). Conclusion: ED encounters frequently preceded older adults' hip fractures. These findings may help inform future studies examining opportunities for earlier identification of vulnerable older adults.
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