National Emergency Laparotomy Audit - Local Data Analysis Summary

This presentation provides insights from the 4th National Emergency Laparotomy Audit report, focusing on key findings such as mortality rates, length of stay, data ascertainment, and CT reporting rates. Local teams can customize the data for their own presentations to multidisciplinary teams. The report highlights national statistics and encourages comparison with local outcomes to drive improvements in patient care.

• Emergency Laparotomy Audit
• Data Analysis
• Local Teams
• Multidisciplinary Presentation
• Healthcare Statistics

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1. National Emergency Laparotomy Audit The 4threport XXXXXXXXXXX Hospital Please edit/delete slides for your own local use as required; these slides aim to support local teams in presenting their own data to multidisciplinary teams

2. 4th NELA report; 23,949 patients NELA Database now >100,00 patients in total 4thReport published November 2018

4. Mortality: National

5. Mortality: National National 30 day risk adjusted mortality = 9.5%

6. Mortality: National National 30 day risk adjusted mortality = 9.5% Local 30 day risk adjusted mortality = XX %

7. Length of Stay: National National LoS = 15.6 days

8. Length of Stay: National National LoS = 15.6 days Local LoS = XX days

9. 4th NELA report the key standards

10. Data Ascertainment: National National case ascertainment 82.7%

11. Data Ascertainment: National Hospital case ascertainment = XX % Regional case ascertainment = YY %

12. CT Reported before Surgery: National National results = 64.4%

13. CT Reported before Surgery: local Local results = XX % Regional results = YY %

14. CT Discrepancy Rates: National

15. CT Discrepancy Rates: National Overall discrepancy rate = 5.3%

16. CT Discrepancy Rates: Local Overall discrepancy rate = 5.3% Local discrepancy rate = XX% Regional discrepancy rate = YY%

17. Preop Risk Assessment: National

18. Preop Risk Assessment: Local National preop risk assessment = 74.6% Local preoperative risk assessment = XX% Regional preoperative risk assessment = YY%

19. Arrival to Theatre: National

20. Arrival to Theatre: National v Local National arrival in a timescale appropriate to surgery = 82.5% Local hospital arrival in a timescale appropriate to surgery = XX% Regional = YY%

21. Preop Consultant Input: National

22. Preop Consultant Input National 85.7% 95.4% Local XX XX XX XX Regional YY YY YY YY Both Surgeon Anaesthetist 88.8% Intensivist (risk>10%) 67.5%

23. Consultant Presence In Theatres: National

24. Consultant Presence In Theatres: National Local 82.5% 92.3% 88% Regional YY yy yy Both Surgeon Anaesthetist XX XX XX

25. Post op Critical Care: National

26. Post op Critical Care: Local National 79.3% Local XX Regional yy Admission if risk >5% Admission if risk >10% 86.8% XX yy

27. Geriatric Review: National National Mean = 22.9% of patients were seen by geriatricians

28. Geriatric Review: Local results Local geriatric reviews (proportion of patients) = XX% Regional = YY%

29. Data to support shared decision making

30. Long-Term Mortality

31. Discharge Destination

32. Antibiotics in Suspected Sepsis

33. Route of Admission & Admitting Specialty

34. Unplanned Events

35. Thank You To everyone involved in caring for patients undergoing emergency laparotomy To everyone involved in collecting the data