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Barthel indexes were significantly lower in the hypoxia group on discharge. Age (adjusted odds ratio [OR] 1.07; 95% confidence interval [CI], 1.00-1.14; =0.038), D-dimer (adjusted OR 1.02; 95% CI, 1.00-1.03; =0.005), and transtricuspid pressure gradient (adjusted OR 1.03; 95% CI, 1.00-1.07; =0.015) were independently associated with the hypoxia. We found that hypoxia, including undetermined hypoxia, was commonly encountered in the emergency department. Hypoxia in elderly patients with femoral neck fractures was associated with age, D-d