rheumatology-congress-physiology-2019-scientifictracks

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December 9-10, 2019 | Barcelona, Spain

Volume 14

ARTHRITIS AND RHEUMATOLOGY

ANATOMY AND PHYSIOLOGY

International Conference on

Journal of Orthopaedics Trauma Surgery

and Related Research

Rheumatology Congress 2019 & Anatomy and Physiology 2019

December 09-10, 2019

J Orthop Trauma Surg Rel Res, ISSN: 1897-2276

Post-operative blood tests in trauma & orthopaedic surgery – Is there a scope for

efficacy savings?

Louai Abdeh

Manchester Royal Infirmary, UK

Background

: Similar to many healthcare systems worldwide, the UK’s National Health Service (NHS) is under increasing

financial pressures owing to many factors including an ageing population and increased treatment costs. As medical professionals

we have a responsibility to identify and reduce the waste of resources within our practice We have set up a study to identify the

possible financial savings that can be achieved by eliminating unnecessary post-operative blood tests in our unit.

Aim

: Identify possible savings that can be achieved by educating staff and eliminating unnecessary post-operative blood tests for

patients undergoing orthopaedic surgery at Manchester Royal Infirmary & Trafford General Hospital.

Methods

: A retrospective study was conducted to identify the cost of unnecessary post-operative blood tests for 100 patients who

underwent trauma or elective orthopaedic surgery at both hospital sites. The patients’ notes were reviewed to identify: 1) The

operations undertaken 2) Blood tests which were done up to 5 days post-operatively 3) Whether there was a clinical indication

for the blood tests.

Results

: Apossible saving of over £1500 was identified, with over 300 blood tests being identified as unnecessary for the patients

included in the study. An estimated 80% of these blood tests were carried out at Manchester Royal Infirmary where majority of

patients underwent trauma rather than elective surgery. CRP, Liver Function Tests, Bone profile and Coagulation screen were the

most commonly ordered unnecessary blood tests.

Conclusion

: Significant financial savings can be achieved through appropriate education of medical and nursing staff to eliminate

or reduce the practice of performing unnecessary post-op blood tests. This study therefore recommends the introduction of a

post-op blood protocol followed by comprehensive staff training in order to reverse the culture of performing unnecessary tests

on patients undergoing orthopaedic surgery.

Biography

Louai Abdeh is a Trauma & Orthopedics Core Surgical Trainee at the Manchester Royal Infirmary. As a medical student and junior

doctor, he have taken an active role in many clinical governance and research projects, and he had presented at a number of

conferences including the ASiT International Conference 2018, Barts and London National Undergraduate Surgical Conference and

Warwick Undergraduate Regional Medical Conference. He have also completed a Master of Research in Tissue Engineering for

Regenerative Medicine, and he received a distinction grade for my dissertation “The Role of Macrophages and Mast Cells in Fibroblast

to Myofibroblast Differentiation- An insight into the Relationship between Inflammatory Cells and Fibrosis”.