ArticleGeriatric orthopaedic surgery & rehabilitation2016
An Orthopedic-Hospitalist Comanaged Hip Fracture Service Reduces Inpatient Length of Stay.
Article in Geriatric orthopaedic surgery & rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Do we understand each other when we develop and implement hip fracture models of care? A systematic review with narrative synthesis.BMJ open quality · 2023Pooled it
- Evaluation of Systemwide Improvement Programs to Optimize Time to Surgery for Patients With Hip Fractures: A Systematic Review.JAMA network open · 2022Pooled it
- An Electronic Health Record-Integrated, Large Language Model-Powered Tool to Triage Surgical Patients.JAMA network open · 2026Article
- Clinical Outcomes of Orthopedic Surgery Co-Management by Internal Medicine Advanced Practice Clinicians: A Cohort Study.The American journal of medicine · 2024Article
- The effectiveness of an orthogeriatric service in Ain Shams University, Egypt: a quality improvement study.Archives of osteoporosis · 2022Article
- Is It Possible to Predict the Length of Stay of Patients Undergoing Hip-Replacement Surgery?International journal of environmental research and public health · 2022Article
- Relation of mobilization after hip fractures on day of surgery to length of stay.Proceedings (Baylor University. Medical Center) · 2022Article
- Cracking the Hip: Does Protocol Matter? A Retrospective Cohort Study Investigating the Effect of Protocol Implementation.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Barriers and Enablers to Early Identification, Referral and Access to Geriatric Rehabilitation Post-Hip Fracture: A Theory-Based Descriptive Qualitative Study.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Readmissions after elective orthopedic surgery in a comprehensive co-management care system-a retrospective analysis.Perioperative medicine (London, England) · 2021Article
- Impact of an orthogeriatric collaborative care model for older adults with hip fracture in a community hospital setting.Canadian journal of surgery. Journal canadien de chirurgie · 2021Article
- Merits of Surgical Comanagement of Patients With Hip Fracture by Dedicated Orthopaedic Hospitalists.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021Article
- Neurocognitive measures predict voluntary stepping performance in older adults post-hip fracture.Clinical biomechanics (Bristol, Avon) · 2021Article
- Impact of an orthogeriatrician on length of stay of elderly patient with hip fracture.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- Surgical Comanagement for Hip Fracture: Time for a Randomized Trial.Journal of hospital medicine · 2020Article
- Hip Fracture Trends in America Between 2009 and 2016.Geriatric orthopaedic surgery & rehabilitation · 2020Article
- Nutritional markers may identify patients with greater risk of re-admission after geriatric hip fractures.International orthopaedics · 2018Article
- Admitting Service Affects Cost and Length of Stay of Hip Fracture Patients.Geriatric orthopaedic surgery & rehabilitation · 2018Article
- Hemiarthroplasty for Fractures of Metastatic Bone Disease Have Different Outcomes Compared to Fractures Without Metastasis: A Matched-Pair Analysis.Surgical technology international · 2017Article
- [Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational study].Brazilian journal of anesthesiology (Elsevier)Observational
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHip fractures are common in the elderly patients with an incidence of 320 000 fractures/year in the United States, representing a health-care cost of US$9 to 20 billion. Hip fracture incidence is projected to increase dramatically. Hospitals must modify clinical models to accommodate this growing burden. Comanagement strategies are reported in the literature, but few have addressed orthopedic-hospitalist models. An orthopedic-hospitalist comanagement (OHC) service was established at our hospital to manage hip fracture patients. We sought to determine whether the OHC (1) improves the efficiency of hip fracture management as measured by inpatient length of stay (LOS) and time to surgery (TTS) and (2) whether our results are comparable to those reported in hip fracture comanagement literature.
methodsA comparative retrospective-prospective cohort study of patients older than 60 years with an admitting diagnosis of hip fracture was conducted to compare inpatient LOS and TTS for hip fracture patients admitted 10 months before (n = 45) and 10 months after implementation (n = 54) of the OHC at a single academic hospital. Secondary outcome measures included percentage of patients taken to surgery within 24 or 48 hours, 30-day readmission rates, and mortality. Outcomes were compared to comanagement study results published in MEDLINE-indexed journals.
resultsPatient cohort demographics and comorbidities were similar. Inpatient LOS was reduced by 1.6 days after implementation of the OHC ( DISCUSSION: The OHC has improved efficiency of hip fracture management as judged by significant reductions in LOS with a trend toward reduced TTS at our institution.
conclusionOrthopedic-hospitalist comanagement may represent an effective strategy to improve hip fracture management in the setting of a rapidly expanding patient population.
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