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Hospitalists’ increased role in perioperative medicine allows for examination of their effects on surgical patients. This study examined the effects of a hospitalist service created to medically manage elderly patients with hip fracture.

During a 2-year historical cohort study of 466 patients 65 years or older admitted for surgical repair of hip fracture, we examined outcomes 1 year prior to and subsequent to the change from the standard to the hospitalist model.

The mean (SD) time to surgery (38  [47] vs 25  [53] hours;P<.001), time from surgery to dismissal (9  [8] vs 7  [5] days;P = .04), and length of stay (10.6  [9] vs 8.4  [6] days;P<.001) were shorter in the hospitalist group. Predictors of shorter time to surgery were care by the hospitalist group (P = .002), older age (P = .01), and fall as the mechanism of fracture (P<.001), while American Society of Anesthesia scores of 3 and 4 were associated with …