Letter to the Editor

Effectiveness of Hospitalist Involvement in Hip Fracture Management Questioned

Authors: Sagar U. Nigwekar, MD, Anil V. Job, MD, Ruth W. Kouides, MD, MPH, Walter Polashenski, MD

Abstract

To the Editor:


Timely preoperative evaluation and medical optimization during the perioperative period are critical for improving outcomes in patients hospitalized for urgent hip fracture repair (UHFR).1 With rapid growth of the hospitalist movement, hospitalists are increasingly providing consultation services for UHFR patients and the effectiveness of hospitalists in the management of such patients is poorly defined. We hereby report findings of a retrospective cohort study designed to compare the hospitalist and nonhospitalist models of care for patients undergoing UHFR.

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References

1. Morrison RS, Chassin MR, Siu AL. The medical consultant’s role in caring for patients with hip fracture. Ann Intern Med 1998;128(12 Pt 1): 1010–1020.
 
2. Phy MP, Vanness DJ, Melton LJ, et al. Effects of a hospitalist model on elderly patients with hip fracture. Arch Intern Med 2005;165:796–801.
 
3. Roy A, Heckman MG, Roy V. Associations between the hospitalist model of care and quality-of-care-related outcomes in patients undergoing hip fracture surgery. Mayo Clin Proc 2006;81:28–31.