EP-279 Impact of a Subspecialty Emergency Service on Emergency Laparotomy Workload

Abstract Aims Subspecialist emergency surgical care, shared between Upper GI (UGI) and Colorectal (CR), can bring clinical benefits. Currently subspecialist care is provided in around 20% of units but likely to become more common larger with a view driving improvement outcomes. A subspecialty service was introduced our Trust April 2020. The purpose this study assess the impact on laparotomy workload for each team. Methods Data recorded NELA Database over an 18-month period (April 2020 - September 2021) were reviewed. Consultant involvement team Results There 14 surgeons (7 UGI, 7CR) participating equally (two consultants available 24/7). 589 laparotomies (mean 33/month) performed period, 6 excluded from analysis due incomplete data. consultant surgeon present 94% all cases. 357 cases (51 per surgeon) under CR compared 226 (32.3 UGI consultant. out hours then their colleagues. Conclusions good laparotomies. 61.2% reflecting presenting pathology patients. This had amount operating individuals within as whole. These differences should be taken into consideration looking establish service.