• E Montero Ruiz, D Rubal Bran, and por el Grupo de Trabajo de Asistencia Compartida e Interconsultas de la Sociedad Española de Medicina Interna.
• Servicio de Medicina Interna, Hospital Universitario Ramón y Cajal, Madrid, España. Electronic address: eduardo.montero@salud.madrid.org.
• Rev Clin Esp. 2020 Dec 1; 220 (9): 578582578-582.

AbstractMost hospitalized surgical patients have significant medical comorbidity and are treated with a considerable number of drugs and/or experience significant complications. Shared care (SC) is the shared responsibility and authority in managing hospitalized patients. In this article, we discuss whether patients should be selected for SC or not. The various selection criteria are not an exact science nor are they easy to apply. Furthermore, they may leave out many patients who may be good candidates for SC. Perioperative management is essential for preventing postoperative mortality. Failure to rescue (in-hospital mortality secondary to postoperative complications) is the main factor linked to in-hospital surgical mortality and can affect any patient regardless of age, comorbidity, or type of surgery. The component that most reduces failure to rescue is the presence of internists in surgical wards. We believe that all patients hospitalized in surgery departments should receive SC.Copyright © 2020 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

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