1320 Evaluation of Routine Group and Save Testing Prior To Appendicectomy

Abstract Introduction Group and save (G&S) testing is often performed prior to emergency appendicectomy. However, there are no standard national guidelines regarding the routine use of preoperative G&S. We a Trust Audit review need for G&S appendicectomy in order recommend new guidelines. Method Retrospective all patients that underwent at Chelsea Westminster Hospital between October 2019 March 2020. evaluated existing literature on blood transfusion rate Results One hundred seventy-three (female 56%, median age 26 years) (94% laparoscopic, 6% open). thirty-four (77%) had valid none received perioperatively. The estimated total cost sampling laparoscopic over one year £6825 (excluding other surgery). Conclusions Based audit findings review, not necessarily required undergoing should be requested patient case-specific basis (for example, chronic anaemia or haematological conditions) with discussions anaesthetist surgeon. This would reduce delays lists, have financial implications evidence support benefits outcomes. These recommended been presented Surgery/Anaesthetics Clinical Governance rolled out aim perform re-audit 3-6 months.