Jornal Vascular Brasileiro
Jornal Vascular Brasileiro
Original Article

Inpatient consultations with the vascular and endovascular surgery team at an academic tertiary hospital

Interconsultas realizadas pela equipe de cirurgia vascular e endovascular em um hospital universitário terciário

Daniel Urban Raymundo; Marcelo Bellini Dalio; Mauricio Serra Ribeiro; Edwaldo Edner Joviliano

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ABSTRACT: Background: Inpatient consultations are a fundamental component of practice in tertiary care centers. However, such consultations demand resources, generating a significant workload.

Objectives: To investigate the profile of inpatient consultations requested by other specialties and provided by the Vascular and Endovascular Surgery team at an academic tertiary hospital.

Methods: Prospective observational study.

Results: From May 2017 to May 2018, 223 consultations were provided, representing 2.2% of the workload. Most consultations were requested by Oncology (16.6%), Hematology (9.9%), Nephrology (9.0%), and Cardiology (6.3%). The leading reasons for inpatient consultation were: need for vascular access (51.1%) and requests to evaluate a vascular disease (48.9%). Acute venous diseases accounted for 19.3% of consultations, chronic arterial diseases for 14.8%, acute arterial diseases for 7.2%, diabetic feet for 5.4%, and chronic venous diseases accounted for 2.2%. Surgical treatment was performed in 57.0%, either conventional (43.9%) or endovascular (13.0%). Almost all (98.2%) patients’ issues were resolved.

Conclusions: Inpatient consultations with the Vascular and Endovascular Surgery team in a tertiary academic hospital accounted for 2.2% of the team’s entire workload. Most patients were elective and underwent low-complexity elective surgical procedures. There may be an opportunity to improve healthcare, redirecting these patients to the outpatient flow.


inpatients, consultations, vascular, endovascular, surgery, tertiary, hospital, care, healthcare


RESUMO: Introdução: Interconsultas são um componente fundamental da prática clínica em centros de atendimento terciários. No entanto, esse tipo de consulta requer recursos, resultando em uma alta carga de trabalho.

Objetivo: Investigar o perfil das interconsultas solicitadas por outros departamentos e realizadas pela equipe de Cirurgia Vascular e Endovascular em um hospital universitário terciário.

Métodos: Estudo observacional prospectivo.

Resultados: De maio de 2017 a maio de 2018, foram realizadas 223 consultas, correspondendo a 2,2% da carga de trabalho. A maioria das consultas foram solicitadas pelos departamentos de Oncologia (16,6%), Hematologia (9,9%), Nefrologia (9,0%) e Cardiologia (6,3%). As principais razões das interconsultas foram a necessidade de acesso vascular (51,1%) e de avaliação de doenças vasculares (48,9%). As doenças venosas agudas corresponderam a 19,3% das avaliações; as doenças arteriais crônicas, a 14,8%; as doenças arteriais agudas, a 7,2%; o pé diabético, a 5,4%; e as doenças venosas crônicas corresponderam a 2,2%. Foi realizado tratamento cirúrgico em 57,0% dos casos, tanto convencional (43,9%) quanto endovascular (13,0%). Foram resolvidos os problemas de quase todos os pacientes (98,2%).

Conclusão: As interconsultas realizadas pela equipe de Cirurgia Vascular e Endovascular em um hospital universitário terciário corresponderam a 2,2% da carga de trabalho total. A maioria dos pacientes eram eletivos e foram submetidos a procedimentos cirúrgicos eletivos de baixa complexidade. O redirecionamento desses pacientes para o atendimento ambulatorial poderia auxiliar na melhoria dos serviços de saúde.


pacientes internados, consultas, vascular, endovascular, cirurgia, terciário, hospital, atendimento, serviços de saúde


1 Sullivan JF, Forde JC, Creagh TA, et al. A review of inpatient urology consultations in an Irish tertiary referral centre. Surgeon. 2013;11(6):300-3. PMid:23877024.

2 Criqui MH, Fronek A, Barrett-Connor E, Klauber MR, Gabriel S, Goodman D. The prevalence of peripheral arterial disease in a defined population. Circulation. 1985;71(3):510-5. PMid:3156006.

3 Heikkinen M, Salenius JP, Auvinen O. Projected workload for a vascular service in 2020. Eur J Vasc Endovasc Surg. 2000;19(4):351-5. PMid:10801367.

4 Leithead CC, Matthews TC, Pearce BJ, et al. Analysis of emergency vascular surgery consults within a tertiary health care system. J Vasc Surg. 2016;63(1):177-81. PMid:26718823.

5 Stechman MJ, Magee TR, Galland RB. Changes in the provision of vascular surgery in a single health region over 10 years. Ann R Coll Surg Engl. 2005;87(6):439-42. PMid:16263012.

6 Zerati AE, Figueredo TR, de Moraes RD, et al. Risk factors for infectious and noninfectious complications of totally implantable venous catheters in cancer patients. J Vasc Surg Venous Lymphat Disord. 2016;4(2):200-5. PMid:26993868.

7 Koh CE, Walker SR. Vascular surgery consults: a significant workload. ANZ J Surg. 2007;77(5):352-4. PMid:17497974.

8 Danczyk RC, Coleman J, Allensworth J, et al. Incidence and outcomes of intraoperative vascular surgery consultations. J Vasc Surg. 2015;62(1):177-82. PMid:25937600.

9 Guruswamy R, Greatorex R. Inpatient referrals: an unquantified source of general surgical workload. Bull R Coll Surg Engl. 2005;87(3):104.

10 O’Malley NT, O’Daly B, Harty JA, Quinlan W. Inpatient consultations to an orthopaedic service: the hidden workload. Ir J Med Sci. 2011;180(4):855-8. PMid:21698516.

11 Ta K, Gardner GC. Evaluation of the activity of an academic rheumatology consult service over 10 years: using data to shape curriculum. J Rheumatol. 2007;34(3):563-6. PMid:17295432.

12 Pittalis C, Brugha R, Gajewski J. Surgical referral systems in low- And middle-income countries: a review of the evidence. PLoS One. 2019;14(9):e0223328. PMid:31560716.

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Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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