180-Day functional decline among older patients attending an emergency department after a fall.

•Functional outcomes of older adults after a fall-related ED visit are less well understood.•Three out of 4 older patients attended for a fall in EDs had some degree of functional impairment before the event.•One out of 3 cases had a clinically significant functional decline at 180 days.•Age ≥85 years, fall-related fracture, hospitalization and post-fall syndrome were associated with 180-day poor outcome.