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Over 5\u00a0years, hospitalised fracture incidences increased by 85% in M\u0101ori and 73% in non-M\u0101ori octogenarians. However, while fracture-related hospital nights increased by 107% in non-M\u0101ori, they remained stable for M\u0101ori. Hospitalised fracture risk increases markedly with 5\u00a0years of advanced ageing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Fractures become increasingly common in people beyond 80\u00a0years, the most serious resulting in hospitalisation. This study examines longitudinal changes in hospitalised fractures in octogenarians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Hospital discharge records from a cohort study of M\u0101ori aged 80\u201390\u00a0years and non-M\u0101ori turning 85\u00a0years (LiLACS NZ) were used to determine the incidence of hospitalised fractures for 5\u00a0years before and 5\u00a0years after enrolment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Records were available for 378 M\u0101ori (aged 82.6\u2009\u00b1\u20092.8\u00a0years; mean\u2009\u00b1\u2009SD) and 498 non-M\u0101ori (84.6\u2009\u00b1\u20090.5\u00a0years). In the 5\u00a0years prior to enrolment, 22 (5.8%) M\u0101ori and 43 (8.6%) non-M\u0101ori were hospitalised at least once for fracture, and 29 (7.7%) M\u0101ori and 62 (12.4%) non-M\u0101ori sustained hospitalised fractures in the 5\u00a0years following enrolment. Hospitalised fracture incidences were 1270\/100,000 person-years in M\u0101ori and 2048\/100,000 person-years in non-M\u0101ori before enrolment, increasing to 2345 (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.02) and 3541 (P\u2009=\u20090.002)\u00a0\/100,000 person-years in the subsequent 5\u00a0years, respectively. Pelvis\/femoral fractures accounted for almost half (47%) of fractures. Fracture-related hospital nights increased 107% in non-M\u0101ori (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.0001), but remained stable for M\u0101ori, from before to after enrolment. Following enrolment, 21% of hospital nights spent by non-M\u0101ori women were fracture-related.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In octogenarians, hospitalised fracture risk increased markedly with 5\u00a0years of ageing, almost doubling fracture-related hospitalisation time in non-M\u0101ori but having little effect on time spent in hospital for M\u0101ori. Projections of fracture burden in advanced age need to consider rapidly changing risk with small increases in age and differences between demographic groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11657-025-01528-1","type":"journal-article","created":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T12:10:15Z","timestamp":1744200615000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hospitalisation from fractures in New Zealand octogenarians: LiLACS NZ"],"prefix":"10.1007","volume":"20","author":[{"given":"Catherine J.","family":"Bacon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon A.","family":"Moyes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Hikaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Teh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Astrid E. 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