503 Clinical Frailty Score (CFS) Vs Antibiotics, Time to Surgery and Time to Computerised Tomography (CT) Scan in An Emergency Surgical Population

Abstract Introduction Frail patients have increased mortality after surgery. However, it is not known if pre-operative process measures such as antibiotic administration, time to CT and surgery are influenced by patient frailty. Method The Emergency Laparotomy Laparoscopy Scottish Audit (ELLSA) assessed outcome emergency across hospitals (November 2017 – October 2018). Frailty was measured using the 7-point Clinical Score (CFS). Outcome were provision for sepsis, admission time, request performance time. Results 1302 (median age 63 years [IQR 49-74]; 49% male) with complete data included. Median from between those CFS 1 6/7 597 1724 minutes (p < 0.0001) 1556 4120 respectively. Time also significantly 0.042). There no significant association administration or performance. Conclusions wait longer scan requests surgery, but frailty associated delays in Possible explanations include frailty-related challenges making correct diagnoses optimal management plans.