TU7.2 Preoperative Indications for Coagulation Screening in the Elective Setting- A Single Centre Review. (9th August 2022)

• Record Type: Journal Article
• Authors: Ross, Amy; Armstrong, Lará
• Is Part Of: British journal of surgery. Volume 109(2022)Supplement 5
• Publication Date: 2022-08-09
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1093/bjs/znac248.064
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract: Aim: NICE Guidelines 2016 state that coagulation screens should be carried out in all patients with chronic liver disease, anticoagulation use or those with an ASA 3 or 4. We aimed to review coagulation screening in elective patients according to current guidelines. Methods: A single centre, retrospective review was carried out over a 3 month period, of patients undergoing elective procedures in a district general hospital. Data was retrieved from an institutional data base, with follow up information reviewed in an up to date electronic data base. Results: 64 patients were included with a median age 41 years (range 19–85) and 56.3% male. Nineteen patients had an ASA of 3 or 4, however only one of these patients underwent a pre-operative coagulation screen. Four patients were taking anticoagulation medication prior to their procedure, however only one patient underwent pre-operative screening. Neither of these patient groups experienced any intra or post- operative bleeding. 3.1% of patients within the cohort experienced bleeding, all without pre-operative coagulation screening. Overall, screening was indication in 39.1% of patients, but was only performed in 3.1%. Conclusion: Whilst a small number of patients within this study had bleeding related complications, it is evident that recommendations for patients with ASA 3 and 4 or those on anticoagulation therapy are not being met. Teaching and education on these guidelines will be provided and a further audit cycle completed.