Scoliosis deformity correction: Patients pre-operative anxiety and the desire for more information

Abstract

s / International Journal of Surgery 23 (2015) S15eS134 S84 0401: NECK OF FEMUR INFECTIONS: RETROSPECTIVE STUDY 2013/2014 F. Ibram, J. Fountain. Aintree University Hospital, UK Aim: Wound infections in post-operative neck of femur (NOF) patients increase morbidity and mortality. Given a recent surge in NOF infections at Aintree University Hospital (AUH), the aims of this studywere to assess our NOF infection rates compared to national standards and identify trends in current practice. Methods: Retrospective study of NOF patients with confirmed surgical site infections (SSI) during July 2013eSeptember 2014. Data collected from notes, Sigma & JAC. National SSI data obtained from Public Health England. Results: During July 2013eJune 2014, 8NOF patients developed SSIs (2.5%) compared to national standard (1.6%). An additional 3 cases (2.8%) were reported during JulyeSeptember 2014, however this data could not be compareddue to unavailable national standards. Of these 11 SSIs, 82%were deep and 18%were superficial. Deep infections were all eventually treated with girdlestones, either as primary (44%) or secondary procedure (56%). Girdlestones performed as a primarymeasure reduced hospital admission by 35 days and antibiotic duration by 20 days suggesting deep NOF infections should be treated with this intervention as first line therapy. Conclusion: AUH NOF infections were 1.6-fold higher compared to national standards. Girdlestone procedures in deep infections are most effective if performed initially. 0496: SCOLIOSIS DEFORMITY CORRECTION: PATIENTS PRE-OPERATIVE ANXIETY AND THE DESIRE FOR MORE INFORMATION S. Ismael, M. Kazeem, A. Gibson. The Royal National Orthopaedic Hospital,