EP.TH.917An Audit of Compliance with NICE guidelines for Acute Cholecystitis

Abstract Background Gallstone disease is common and affects approximately 10-15% of adults. Laparoscopic Cholecystectomy (LC) the definitive management cholecystitis. NICE RCS guidance recommend that in patients diagnosed with acute cholecystitis a LC should be performed during same admission or within 7 days. We audited our compliance against these national guidelines. Methods Retrospective audit all admitted uncomplicated over 4 month period. Patient demographics, details, timing cholecystectomy, complications, follow-up, re-admission data were collected. Results 50 (60% female, 40% male; mean age: 60.7 years) included. Mean length stay was 4.8 Only 10% had cholecystectomy 1 week diagnosis. Of those discharged without on index admission, 14% readmitted further gallstone related complications (cholangitis, pancreatitis) 48.6 days from initial discharge. The time to surgery after discharge 125.8 Conclusion There poor guidelines perform an early cohort patients, primarily because lack Trust based This demonstrates need develop robust ‘hot gallbladder’ pathway hospital improve current practice.