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Inpatient consultations to an orthopaedic service: the hidden workload.

N T O'Malley¹, B O'Daly, J A Harty

¹Department of Trauma and Orthopaedics, St Vincent's University Hospital, University College Dublin, Elm Park, Dublin 4, Ireland. natashaomalley@gmail.com

Irish Journal of Medical Science

|June 24, 2011

Summary

Most inpatient orthopaedic consultations, often from medical services, could be managed as outpatients. Improved guidelines and education can optimize care for musculoskeletal issues.

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Area of Science:

Orthopaedic Surgery
Inpatient Care
Healthcare Management

Background:

Limited data exists on the standard and appropriateness of inpatient orthopaedic consultations.
Outpatient orthopaedic referral quality is well-documented, contrasting with inpatient services.

Purpose of the Study:

To prospectively audit the patterns and characteristics of inpatient consultations received by an orthopaedic service.

Main Methods:

Prospective data collection over a 4-month period.
All inpatient referrals to the orthopaedic service were recorded and analyzed.

Main Results:

Sixty-eight consultations were performed, with a mean patient age of 68 years.
Most referrals (72%) originated from medical services, with 29% of patients previously seen as outpatients.
Only 12% of consulted patients required surgical intervention.

Conclusions:

Inpatient orthopaedic consultations represent a substantial workload.
A majority of these inpatient cases could potentially be managed effectively in an outpatient setting.
Developing clear referral guidelines and enhancing education on musculoskeletal disorder management are crucial for optimizing inpatient care.