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Related Experiment Videos

Vascular surgery consults: a significant workload.

Cherry E Koh1, Stuart R Walker

  • 1Royal Hobart Hospital, Vascular Surgery, Hobart, Tasmania, Australia. cherry_koh@hotmail.com

ANZ Journal of Surgery
|May 15, 2007
PubMed
Summary
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Vascular surgeons spend half their time on inpatient consultations, with most referrals requiring intervention. This significant workload, particularly from renal and endocrinology, needs better resource allocation.

Area of Science:

  • Vascular Surgery
  • Inpatient Care
  • Healthcare Management

Background:

  • Patients with vascular disease often have complex, multisystem conditions.
  • Vascular surgeons frequently receive consultation requests from other hospital units.
  • The extent of this consultation workload is not well-documented.

Purpose of the Study:

  • To quantify the inpatient consultation workload of vascular surgeons.
  • To identify the sources and outcomes of inpatient vascular referrals.
  • To highlight the significance of this workload for resource allocation.

Main Methods:

  • A prospective audit of inpatient vascular consultations was conducted over six months.
  • Data on referrals to the Vascular Surgery unit were collected.

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  • Analysis focused on consultation numbers, reasons, and outcomes.

    • Main Results:

    • Inpatient referrals constituted 50% of the vascular surgeon's workload.
    • Internal medicine, renal, and endocrinology units were major sources of referrals.
    • Sixty-four percent of referrals necessitated vascular intervention.

    Conclusions:

    • Inpatient consultations represent a substantial and previously undocumented aspect of vascular surgery workload.
    • The high rate of required interventions underscores the clinical significance of these referrals.
    • Accurate assessment of this workload is crucial for effective theatre resource allocation and staff rostering.