We read with interest the article by Southern and colleagues1 comparing length of stay (LOS) between the hospitalist and nonhospitalist models of care. Hospitalist care was associated with shorter LOS, especially in patients requiring closer monitoring and complex discharge planning. Hospitalists are increasingly participating in medical management of surgical conditions such as urgent hip fracture repair. However, studies looking at the effectiveness of hospitalist involvement in patients with hip fracture have produced variable results.2- 4 We aimed to systematically review the studies comparing the hospitalist and the nonhospitalist models of care for patients undergoing hip fracture repair.
Nigwekar SU, Rajda J, Navaneethan SD. Hospitalist Care and Length of Stay in Patients With Hip Fracture: A Systematic Review. Arch Intern Med. 2008;168(9):1010-1011. doi:10.1001/archinte.168.9.1010