61 percent of hospitalized patients in Internal Medicine present a complex chronic patient profile and, in addition, 50 percent of admissions may be due to decompensated pathologies of complex chronic patients (CCP), as analyzed in VIII Virtual Meeting of Complex Chronic Patients of the Spanish Society of Internal Medicine (SEMI).

A meeting, in which more than 400 internists have participated online, to comment on the novelties in the approach to this type of patient profile that, according to experts, is becoming more and more frequent due to population aging and greater exposure to unhealthy lifestyle habits.

In one of the discussion tables, the ‘Update on chronic pathologies’ was raised, moderated by the first vice president of the SEMI, Juana Carretero, and in which Dr. Norberto Ortega spoke on idiopathic pulmonary fibrosis (IPF) and interstitial lung disease Diffuse (EPID).

“The management of patients with pulmonary fibrosis must be multidisciplinary and that the role of the internist is key to detect cases and achieve an early diagnosis,” he explained.

In turn, he has argued that non-IPF diffuse interstitial lung disease is more complex, that it occurs in young patients (20-60 years), with less prevalence of men and affects 75 out of every 100,000 inhabitants and comprises more than 200 entities and it evolves to fibrosis in 13-40 percent of the cases.

For his part, Dr. José María Fernández has discussed the relationship between diabetes and cardiovascular disease in the presentation ‘What do iSGLT2 contribute to in my patient with DM and cardiovascular risk’.

“Patients with DM2 have twice the risk of cardiovascular disease than the general population. One in three patients with diabetes will have cardiovascular disease. 80% of diabetic patients die of cardiovascular disease,” he assured.

On the second day of the meeting, the president of SEMI, Díez Manglano, was in charge of moderating the table ‘Best practices for adapting the Internal Medicine consultation through telemedicine, in response to the COVID-19 pandemic’, where the Dr. Carlos Hernández has presented the data from the ATLAN_TIC clinical trial.


In this sense, the report reveals that 63.1 percent of the patients included had heart failure, 13.9 percent had COPD, and 22.9 percent had both pathologies. The mean age was 76 years, the majority men, and in 72 percent they required a caregiver (half of the cases a spouse).

“The benefit of telemonitoring in reducing the requirement for admission / emergencies, in increasing patient empowerment, high satisfaction with the use of technology and the decrease in healthcare requirements”, he stated, in relation to what the study has found.

Finally, Dr. García Alegría has recognized that chronicity and continuity of care is the great challenge because it is a “peremptory” and “inescapable” need to change the structure and organization of medical care in hospitals.

“Internal Medicine is a fundamental specialty in the present and it will also be more so in the future. Internal Medicine services will be essential in the hospital of the future and should be the main axis of medical care”, he stressed.

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