{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T19:36:44Z","timestamp":1778701004249,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T00:00:00Z","timestamp":1734480000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Routine group and save (G&amp;S) is commonly performed before appendicectomy despite limited evidence. This study aims to evaluate the necessity of preoperative G&amp;S by determining perioperative blood transfusion rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multicentre retrospective observational study of adult patients who had emergency appendicectomy across four hospitals between August 2018 and November 2020. Data analysed included demographics, operative details, G&amp;S, crossmatching and perioperative blood transfusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>1105 patients were identified, 635 (57.4%) were male. Median age was 37 years (IQR 26\u201352). 1012 (91.6%) were ASA 1 or 2. Surgical approach: 890 (80.5%) laparoscopic, 79 (7.1%) converted to open, 119 (10.8%) open and 17 (1.5%) laparotomy. Severity of appendicitis: 804 (72.8%) inflamed, 56 (5.1%) gangrenous, 235 (21.3%) perforated and 10 (0.9%) normal. 921 (83.3%) patients had preoperative G&amp;S. 42 (3.8%) patients also had crossmatch. No patients required blood transfusion in 30 days post appendicectomy. The cost of G&amp;S is estimated to be \u00a340,164 in this cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The need for perioperative blood transfusion is rare in patients undergoing appendicectomy. It has a significant cost impact and can cause unnecessary delays. Our study suggests that a routine G&amp;S policy is not necessary, and we suggest a more \u2018selective\u2019 G&amp;S policy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00369330241307338","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T08:30:33Z","timestamp":1734510633000},"page":"10-14","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Routine preoperative blood group and save is unnecessary for adult emergency appendicectomies: A retrospective multicentre study"],"prefix":"10.1177","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0998-8575","authenticated-orcid":false,"given":"Iona","family":"Robertson","sequence":"first","affiliation":[{"name":"Department of General Surgery, University Hospital Hairmyres, East Kilbride, Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeeva Karuniya","family":"Sundarraj","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Glasgow Royal Infirmary, Glasgow, Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8304-5970","authenticated-orcid":false,"given":"Khurram Shahzad","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Hospital Hairmyres, East Kilbride, Scotland, UK"},{"name":"School of Medicine, Dentistry &amp; Nursing, University of Glasgow, Glasgow, Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,18]]},"reference":[{"key":"e_1_3_3_2_2","article-title":"Acute appendicitis","author":"Baird DLH","year":"2017","unstructured":"Baird DLH, Simillis C, Kontovounisios C, et al. Acute appendicitis. Br Med J 2017; 357: j1703. http:\/\/www.bmj.com\/content\/357\/bmj.j1703.abstract","journal-title":"Br Med J"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38940.664363.AE"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1021466"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/MS9.0000000000000401"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13102749"},{"key":"e_1_3_3_7_2","unstructured":"National Institute for Health and Care Excellence (NICE). https:\/\/www.nice.org.uk\/guidance\/ng45\/resources\/routine-preoperative-tests-for-elective-surgery-1837454508997. 2016. Routine preoperative tests for elective surgery (NICE Guideline NG45)."},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2018.0033"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3463-8"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2011.12.009"},{"key":"e_1_3_3_11_2","first-page":"2205","volume-title":"Langenbeck\u2019s archives of surgery","author":"Fadel MG","year":"2022","unstructured":"Fadel MG, Patel I, O\u2019Leary L, et al. Requirement of preoperative blood typing for cholecystectomy and appendectomy: a systematic review. Langenbeck\u2019s archives of surgery, Vol. 407. Germany: Springer Science and Business Media; 2022, pp. 2205\u20132216."},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2020.7135"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/17504589221110333"},{"key":"e_1_3_3_14_2","article-title":"The Necessity of Routine Pre-operative Group and Save Testing for Emergency Appendectomies.","volume":"12","author":"Ibrahim B","unstructured":"Ibrahim B, Obayi E, Barghash M, et al. The Necessity of Routine Pre-operative Group and Save Testing for Emergency Appendectomies.Cureus 2023; 12: e50032.","journal-title":"Cureus"},{"key":"e_1_3_3_15_2","unstructured":"NHS Greater Glasgow and Clyde. https:\/\/www.nhsggc.scot\/about-us\/who-we-are\/. 2024. Who we are."},{"key":"e_1_3_3_16_2","article-title":"A retrospective study of routine preoperative blood grouping and saving in laparoscopic surgeries: a minimally utilized expenditure","volume":"16","author":"Ramasamy S","year":"2024","unstructured":"Ramasamy S, Bylapudi SK, Kumar S, et al. A retrospective study of routine preoperative blood grouping and saving in laparoscopic surgeries: a minimally utilized expenditure. Cureus 2024; 16: e68557.","journal-title":"Cureus"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(00)00416-5"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.4293\/108680810X12924466007241"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900925"},{"key":"e_1_3_3_20_2","first-page":"373","article-title":"Routine preoperative blood group and save testing is unnecessary for elective laparoscopic cholecystectomy","volume":"29","author":"Tandon A","year":"2017","unstructured":"Tandon A, Shahzad K, Nunes Q, et al. Routine preoperative blood group and save testing is unnecessary for elective laparoscopic cholecystectomy. 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