Endocrine Abstracts

Introduction: Consultations are a common practice among different units of a hospital. In particular, those from the Vascular Surgery Service (VS) to the medical units are some of the most frequent.

Objectives: Analyze the total number of consultations performed from the Vascular Surgery Service (VS) service to a medical team (T) specifically assigned to the control of decompensated medical conditions in surgical areas, in relation to the number of total admissions in that area.

Material and methods: Descriptive analysis on the total number of consultations sent quarterly from VS to T. It is compared to the total number of VS admissions.

Results: From January 2011 to November 2014 173 consultations were sent from VS to T. The total number of consultations progressively increased in time. There was a very significant decrease in the 3rd quarter of 2013, due to the assignment of VS admitted patients to a new professional who was not informed of the existence of T, sending 2 consultations during the trimester. These figures were compared with the total number of VS admissions during the same period. The number of admissions remained approximately constant throughout the period, with the lowest numbers declining in the third quarter of each year, coinciding with the summer holiday period. In the first year of T activity, the% of patients consulted is slightly higher than 6%. Subsequently stabilizes around 10% (except for the aforementioned 3rd trimester of 2013) of hospitalized patients. In 2014 the percentage decreases to 7.36%.

Conclusions: There is an increased demand for the assessment of patients admitted by VS to Internal Medicine, Nephrology, Penumology, Endocrinology and Cardiology in the first year of T. Although this demand tends to stabilize later around 10%, in the last year it decreases, probably due to the interest shown by VS professionals in improving the control of the medical decompensations of their patients. This did not correspond to a higher or lower number of VS admissions. Taking into account the great comorbidity and vascular risk factors of VS patients, the data suggest a good control of the medical decompensations by VS professionals.