diff --git a/src/hooks/useHospitalStore.ts b/src/hooks/useHospitalStore.ts
index 62d3822..ccd2e9e 100644
--- a/src/hooks/useHospitalStore.ts
+++ b/src/hooks/useHospitalStore.ts
@@ -357,7 +357,7 @@ const finalizarInternacion = useCallback((internacionId: string, datos: {
     const nuevaInterconsulta: Interconsulta = { ...interconsulta, id: generateUUID() };
     setState(prev => ({
       ...prev,
-      interconsultas: [...prev.interconsultas, nuevaInterconsulta],
+      interconsultas: [...(prev.interconsultas || []), nuevaInterconsulta],
     }));
     return nuevaInterconsulta.id;
   }, []);
@@ -365,14 +365,14 @@ const finalizarInternacion = useCallback((internacionId: string, datos: {
   const actualizarInterconsulta = useCallback((id: string, datos: Partial<Interconsulta>) => {
     setState(prev => ({
       ...prev,
-      interconsultas: prev.interconsultas.map(ic => ic.id === id ? { ...ic, ...datos } : ic),
+      interconsultas: (prev.interconsultas || []).map(ic => ic.id === id ? { ...ic, ...datos } : ic),
     }));
   }, []);
 
   const eliminarInterconsulta = useCallback((id: string) => {
     setState(prev => ({
       ...prev,
-      interconsultas: prev.interconsultas.filter(ic => ic.id !== id),
+      interconsultas: (prev.interconsultas || []).filter(ic => ic.id !== id),
     }));
   }, []);