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

Abstract Background and objectives 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). Materials and Methods 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. Results The study included 697 patients, 415 with SC and 282 with interconsultations. The SC patients were older (78.9 vs. 74.3; p  Conclusions SC offers better healthcare results than interconsultations for patients hospitalized for emergency OTS.