• John R Stephens, Jamison W Chang, E Allen Liles, Mukhtar Adem, and Carlton Moore.
• a Department of Medicine, Division of Hospital Medicine , University of North Carolina School of Medicine , Chapel Hill , North Carolina , United States.
• Hosp Pract (1995). 2019 Feb 1; 47 (1): 24-27.

ObjectivesHip fracture is a common and morbid condition, affecting a patient population with significant medical co-morbidities. A number of medical co-management models have been studied, with conflicting reports of effect on patient outcomes. Our objective was to compare outcomes for patients with hip fracture managed by hospitalist vs. non-hospitalist services at an academic medical center.MethodsWe conducted a retrospective cohort study of patients with hip fracture over 1 year, comparing those on hospitalist vs. non-hospitalist services. Outcomes included 30-day readmission and hospitalization ≤7 days, with comparison between patients admitted to hospitalist vs. non-hospitalist services. We performed multivariate analysis, adjusting for age, gender, race/ethnicity, insurance type, ASA score, and blood transfusion during hospitalization and days from admission to surgery.ResultsWe identified 124 hospitalist and 53 non-hospitalist patients. In unadjusted analysis, hospitalist patients were more likely to have hospitalization ≤7 days (84.7% vs. 67.9%, p = 0.01). In adjusted analysis, hospitalist patients had lower odds of 30-day readmissions (OR 0.2, 95% CI 0.04-0.97) but no difference in odds of hospitalization ≤7 days (OR 2.1, 95% CI 0.82-5.66).ConclusionsPatients with hip fracture managed by hospitalist vs. non-hospitalist services had lower odds of 30-day readmission after discharge. Our results suggest benefit to hospitalist co-management of hip fracture patients.

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