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A 76-year-old community-dwelling woman with a history of chronic obstructive pulmonary disease presented to the emergency department with hip pain after a fall. The results of imaging showed a displaced fracture of the left inferior pubic ramus. She was admitted for surgical treatment of the fracture.
When interviewed, the patient reported recurrent falls during several years. A recent hospital discharge summary included falls on her problem list, but no fall risk assessment had been performed and no interventions had been recommended. She reported being under the care of a primary care physician but denied being asked about falls.
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Corresponding Author: Byron Crowe, MD, Internal Medicine Residency Program, Department of Medicine, University of Colorado School of Medicine, CU Anschutz Medical Campus, Academic Office One, 12631 E 17th Ave, #8601, Aurora, CO 80045 (firstname.lastname@example.org).
Published Online: March 22, 2021. doi:10.1001/jamainternmed.2021.0221
Conflict of Interest Disclosures: Dr Crowe reported equity in Solera Health outside the submitted work. Dr Eckstrom reported funding from the Centers for Disease Control and Prevention for fall prevention (16IPA1605223) outside the submitted work. No other disclosures were reported.
Additional Contributions: We thank the patient for granting permission to publish this information.
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