Evaluation of a Novel Multidisciplinary Pre-Operative Workup Strategy for Geriatric Hip Fractures

To determine the financial and clinical impact of a standardized, multidisciplinary team for surgical clearance and optimization in geriatric hip fracture patients. Retrospective Case Series. Level 1 Trauma Center. One-hundred and twenty-four geriatric patients (age >65 years old) in the pre-protocol group (Cohort 1; January 2017-December 2018) and ninety-eight geriatric patients in the post-protocol group (Cohort 2; October 2019-January 2021) with operative hip fractures. Implementation of a multi-disciplinary team protocol consisting of Anesthesiology, Internal Medicine and Orthopedic Surgery departments for assessment of medical readiness and optimization for surgical intervention in geriatric hip fractures. Rate of cardiology consultation, need for cardiac workup (echocardiography stress testing, heath catheterization), time to medical readiness (TTMR), time to surgery (TTS), case-cancellation rate, length of stay (LOS) and total hospitalization charges. Following implementation of the new protocol, there were significant (p