Interconsultas dermatológicas en pacientes hospitalizados en un hospital terciario en España: un estudio retrospectivo de 750 pacientes

espanolObjetivo La interconsulta medica es una labor asistencial generalmente poco valorada y estudiada. El principal objetivo ha sido describir y analizar las interconsultas solicitadas a Dermatologia y los aspectos que inciden en su resolucion. Pacientes y metodos Estudio observacional retrospectivo en el que se recogieron las interconsultas de los pacientes ingresados durante 36 meses. Se analizaron variables con relacion al manejo de los pacientes y a la calidad asistencial. Resultados Se incluyo a 750 pacientes, con una edad media de 64,85 ± 20,23 anos. Los servicios medicos fueron los mas solicitantes y, principalmente, Medicina Interna (37,9%). Destacaron las dermatosis inflamatorias (36,2%). El diagnostico individual mas frecuente correspondio al exantema medicamentoso (8,1%). Conclusiones La actividad consultora conlleva un importante impacto en el manejo de los pacientes ingresados, implica una mejora en la calidad asistencial y una reduccion del coste sanitario, y conforma un valor formativo para los medicos residentes. EnglishObjective Medical consultations are a healthcare task that is generally undervalued and understudied. The main objective of this study was to describe and analyse the consultations requested of dermatology departments and the aspects that are involve in resolving the consultations. Patients and methods We conducted an observational retrospective study that collected the consultations for patients hospitalised over a period of 36 months. We analysed variables related to the management of patients and the quality of the care. Results The study included 750 patients with a mean age of 64.85 (±20.23) years. The medical departments requested the most consultations, mainly internal medicine departments (37.9%). The most common topic for the consultations was inflammatory dermatoses (36.2%). The most common individual diagnosis was drug rash (8.1%). Conclusions Consultation activities have a significant impact on the management of hospitalised patients, resulting in improved quality of care and reduced healthcare costs. These activities are also of training value for resident physicians.