98FRAILTY IN OLDER PATIENTS UNDERGOING EMERGENCY LAPAROTOMY: FURTHER RESULTS FROM THE ELF STUDY (EMERGENCY LAPAROTOMY AND FRAILTY)

Abstract

Introduction: Frailty has been shown to predict older adult (≥65 years) outcomes in medical and elective surgical settings. Frailty scoring has not yet been assessed in emergency laparotomy, despite older adults now comprising the majority of patients undergoing emergency laparotomy and carrying the highest risk of both post-operative complications and post-operative mortality.Methods: This is a multi-centre (n = 49) UK-based observational study of 937 older adults (≥65 years) undergoing emergency laparotomy. The Clinical Frailty Score (CFS) ranging from 1 to 7 (CFS 1–4 non-frail; CFS 5–7 frail) was used for pre-operative frailty scoring. Inclusion criteria were in line with the National Emergency Laparotomy Audit (NELA). The primary outcome measure was 90 day post-operative mortality. Secondary outcomes measures included 30-day mortality, length of ICU stay, length of overall hospital stay, change in level of care and discharge destination.