eP463 Extended hospital stay in patients requiring amputation in a major vascular centre in London: Comparison with national data

Aim Our analysis investigates factors contributing to the longer average length of stay (LOS) for patients undergoing amputation1. Identify the average waiting times in our patients2. Compare this data with national average rates3. Identify areas of improvement Methods Patients undergoing procedures between 01/03/24 and 31/08/24 were analysed. Electronic patient records were reviewed for date of admission, date of procedure, mode of admission, preceding procedures, date of discharge. Reasons leading to delays and increased LOS were identified. Results A total of 11 major amputations were done and analysed. Majority were done after 1- 3 attempted revascularisation procedures (endovascular and/or open). All amputations had been done in Main Theatres on elective lists and with a consultant present in Theatre as recommended by the National Guidelines. All patients had input of the prosthetic and rehab team before and after the amputation as recommended by the National Guidelines. 36.3% of patient had a delay of over 7 days in discharge inspite of being medically fit for discharge. Common themes were –lack of rehab beds, delay in repatriation to out-of-area ICB, delay in occupational health ordered modifications at home and patient being homeless. Conclusion We found multiple factors being responsible for the increase in LOS when compared to the national average, majority of which were beyond local control.