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TH5.12 Impact of Nurse Specialist to Clinical Outcomes after Emergency Laparotomy


 
 
 The role of the Emergency Laparotomy nurse specialist (EmLapNS) is under-researched. In addition to data collection for ELLSA (Emergency Laparoscopic and Laparotomy Scottish Audit), the EmLapNS may provide: education; ERAS principles (daily chest exercises and early mobilisation); advocacy; multidisciplinary meetings; emotional support. We report on clinical outcomes before and after the appointment of an EmLapNS.
 
 
 
 Retrospective analysis was performed on data collected from one site as part of ELLSA. The data were compared between 6 months of 2017 (pre-EmLapNS) and 6 months of 2021 (post-EmLapNS). The role of ELLSA nurse was explored using key ELLSA clinical outcome markers.
 
 
 
 95 patients underwent EmLap in 2017 and 68 in 2021. Comparing pre-EmLapNS vs post-EmLapNS, the median age was 66 vs 61 years, 52.6% vs 45.6% were females and 63.2% vs 60.3% were ASA ≥3. Post-operative chest physiotherapy post op day 1–3 was performed in 8.8% pre-EmLapNS versus 48.4% post-EmLapNS (p<0.05); 30-day morbidity was 52.6% vs 33.8% (p<0.05) and length of stay was 11 days vs 8 days. 30-day mortality and rates of readmission were unchanged (11.6% vs 8.8% and 10.5% vs 11.8% respectively).
 
 
 
 The introduction of EmLapNS has significantly improved morbidity and perioperative care. These clinical improvements are likely to be complemented by other aspects of this patient-centred role which require further analysis.
