Collaborative hospital models for shared care and on-demand interconsultations. Which offer the best results for orthopedic surgery and trauma?

Hospitalized surgical patients are increasing in medical complexity, thereby increasing the need for support by internal medicine departments. This support is provided through interconsultations, which present problems that have resulted in the development of shared care (SC). Our objective was to c...

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Bibliographic Details
Published in:Revista clínica espanõla (English edition) 2020-04, Vol.220 (3), p.167-173
Main Authors: Montero Ruiz, E., Monte Secades, R., Padilla López, D.R., Palomo Antequera, C., Gómez Fernández, R.C., Marco Martínez, J., Vázquez Campo, M., Garrachón Vallo, F., Porto Pérez, A.B.
Format: Article
Language:English
Subjects:
Asistencia compartida
Hospitalized patients
Interconsulta
Interconsultation
Internal medicine
Medicina Interna
Pacientes hospitalizados
Shared care
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Summary:Hospitalized surgical patients are increasing in medical complexity, thereby increasing the need for support by internal medicine departments. This support is provided through interconsultations, which present problems that have resulted in the development of shared care (SC). Our objective was to compare the healthcare results achieved by the SC and interconsultation models in orthopaedic surgery and trauma (OTS). We conducted an observational, prospective, multicentre study of patients hospitalized for emergency OTS recorded in the REINA-SEMI registry, treated by internal medicine departments through interconsultation or SC. We recorded the demographic characteristics, comorbidity, medical complications, hospital stay and mortality. The study included 697 patients, 415 with SC and 282 with interconsultations. The SC patients were older (78.9 vs. 74.3; p
ISSN:2254-8874
2254-8874
DOI:10.1016/j.rceng.2019.08.007