Demand for plastic surgery services via inpatient referrals in a Nigerian Teaching Hospital

Background: Plastic surgery is one of the most collaborative surgical specialties and is also considered the most consulted service in a hospital. Plastic surgeons respond to many medical consults or inpatient referrals, and the comprehensive impact of these services, when they are nonoperative, oft...

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Main Authors: Uchechukwu J Achebe, Obinna R Okwesili, Okechukwu O Onumaegbu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:International Journal of Medicine and Health Development
Subjects:
Online Access:http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2023;volume=28;issue=2;spage=145;epage=149;aulast=
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author Uchechukwu J Achebe
Obinna R Okwesili
Okechukwu O Onumaegbu
author_facet Uchechukwu J Achebe
Obinna R Okwesili
Okechukwu O Onumaegbu
author_sort Uchechukwu J Achebe
collection DOAJ
description Background: Plastic surgery is one of the most collaborative surgical specialties and is also considered the most consulted service in a hospital. Plastic surgeons respond to many medical consults or inpatient referrals, and the comprehensive impact of these services, when they are nonoperative, often goes unnoticed. Objectives: The objectives of the study were to assess the nature of demands of plastic surgery services for admitted patients in a teaching hospital and the specialties and types of patients that benefit from them. Materials and Methods: Clinical records of inpatients evaluated by plastic surgeons were retrieved using a compendium of consults received from other specialties within the hospital over a period of 1 year period. Results: The plastic surgeons received a total of 151 hand-written consults from surgeons, physicians, gynecologists, and pediatricians. The vast majority came from physicians (45.7%) and surgeons (40.4%). Among the physicians, endocrinologists sent the highest number of consults (42.5%). Ulcers constituted the commonest reason for inpatient referrals (66.2%). Over 29% of consults were for patients with primary diagnosis of diabetes mellitus, whereas 13.9% were for head injuries. Conclusions: The demands for the services of plastic surgeons come from virtually all the clinical specialties in a tertiary hospital. The commonest reason for such referral is for their review and management of ulcers. There is a need to utilize telemedicine in reducing the burden of reviewing these patients, especially in large tertiary hospitals.
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spelling doaj.art-4f6d62c1350d4bf1a466429e2810d04d2023-05-18T06:21:19ZengWolters Kluwer Medknow PublicationsInternational Journal of Medicine and Health Development2635-36952023-01-0128214514910.4103/ijmh.IJMH_60_22Demand for plastic surgery services via inpatient referrals in a Nigerian Teaching HospitalUchechukwu J AchebeObinna R OkwesiliOkechukwu O OnumaegbuBackground: Plastic surgery is one of the most collaborative surgical specialties and is also considered the most consulted service in a hospital. Plastic surgeons respond to many medical consults or inpatient referrals, and the comprehensive impact of these services, when they are nonoperative, often goes unnoticed. Objectives: The objectives of the study were to assess the nature of demands of plastic surgery services for admitted patients in a teaching hospital and the specialties and types of patients that benefit from them. Materials and Methods: Clinical records of inpatients evaluated by plastic surgeons were retrieved using a compendium of consults received from other specialties within the hospital over a period of 1 year period. Results: The plastic surgeons received a total of 151 hand-written consults from surgeons, physicians, gynecologists, and pediatricians. The vast majority came from physicians (45.7%) and surgeons (40.4%). Among the physicians, endocrinologists sent the highest number of consults (42.5%). Ulcers constituted the commonest reason for inpatient referrals (66.2%). Over 29% of consults were for patients with primary diagnosis of diabetes mellitus, whereas 13.9% were for head injuries. Conclusions: The demands for the services of plastic surgeons come from virtually all the clinical specialties in a tertiary hospital. The commonest reason for such referral is for their review and management of ulcers. There is a need to utilize telemedicine in reducing the burden of reviewing these patients, especially in large tertiary hospitals.http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2023;volume=28;issue=2;spage=145;epage=149;aulast=inpatient referralsmedical consultplastic surgery services
spellingShingle Uchechukwu J Achebe
Obinna R Okwesili
Okechukwu O Onumaegbu
Demand for plastic surgery services via inpatient referrals in a Nigerian Teaching Hospital
International Journal of Medicine and Health Development
inpatient referrals
medical consult
plastic surgery services
title Demand for plastic surgery services via inpatient referrals in a Nigerian Teaching Hospital
title_full Demand for plastic surgery services via inpatient referrals in a Nigerian Teaching Hospital
title_fullStr Demand for plastic surgery services via inpatient referrals in a Nigerian Teaching Hospital
title_full_unstemmed Demand for plastic surgery services via inpatient referrals in a Nigerian Teaching Hospital
title_short Demand for plastic surgery services via inpatient referrals in a Nigerian Teaching Hospital
title_sort demand for plastic surgery services via inpatient referrals in a nigerian teaching hospital
topic inpatient referrals
medical consult
plastic surgery services
url http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2023;volume=28;issue=2;spage=145;epage=149;aulast=
work_keys_str_mv AT uchechukwujachebe demandforplasticsurgeryservicesviainpatientreferralsinanigerianteachinghospital
AT obinnarokwesili demandforplasticsurgeryservicesviainpatientreferralsinanigerianteachinghospital
AT okechukwuoonumaegbu demandforplasticsurgeryservicesviainpatientreferralsinanigerianteachinghospital