This retrospective cohort study compares short-term outcomes for elderly hip fracture patients managed under a comanaged Geriatric Fracture Center (GFC) model — with daily geriatrician-orthopedic surgeon comanagement and standardized protocols — versus usual care at a nearby institution without a dedicated fracture service.
When an elderly patient presents with a hip fracture, early operative intervention (target <24–48 hours), geriatrician comanagement, protocol-driven avoidance of deliriogenic medications, and prompt Foley removal are the levers that reduce delirium, UTI, and length of stay — not just the surgery itself.
If your institution lacks a formal GFC, understanding these five principles gives you a framework to advocate for protocol-driven care even within a hospitalist comanagement model.
This retrospective cohort study compares short-term outcomes for elderly hip fracture patients managed under a comanaged Geriatric Fracture Center (GFC) model — with daily geriatrician-orthopedic surgeon comanagement and standardized protocols — versus usual care at a nearby institution without a dedicated fracture service.
When an elderly patient presents with a hip fracture, early operative intervention (target <24–48 hours), geriatrician comanagement, protocol-driven avoidance of deliriogenic medications, and prompt Foley removal are the levers that reduce delirium, UTI, and length of stay — not just the surgery itself.
If your institution lacks a formal GFC, understanding these five principles gives you a framework to advocate for protocol-driven care even within a hospitalist comanagement model.