Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P < 0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P < 0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P < 0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P < 0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P < 0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.
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[10.1002/bjs.11051]
Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy
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Firdouse M; Kushwaha S; Agarwal A; Bailey K; Cameron B; Livingston M; Horobjowsky A; Deckelbaum DL; Razek T; Marinkovic B; Grasset E; D'aguzan N; Grasset E; Jimenez J; Macchiavello R; Zhang ZT; Guo W; Oh J; Zheng F; Montes I; Sierra S; Mendez M; Villegas MI; Arango MCM; Mendoza I; Aristizaibal FAN; Botero JAM; Riaza VMQ; Restrepo J; Morales C; Arango MCM; Cruz H; Munera A; Arango MCM; Karlo R; Domini E; Mihanovic J; Radic M; Zamarin K; Pezelj N; Hache-Marliere M; Lemaire SB; Rivas R; Khyrallh A; Hassan A; Shimy G; Fahmy MAB; Nabawi A; Elfil M; Ghoneem M; Gohar MESAM; Asal M; Abdelkader M; Gomah M; Rashwan H; Karkeet M; Gomaa A; Hasan A; Elgebaly A; Saleh O; Fattah AA; Gouda A; Elshafay A; Gharib A; Menshawy A; Hanafy M; Al-Mallah A; Abdulgawad M; Baheeg M; Alhendy M; AbdelFattah I; Kenibar A; Osman O; Gemeah M; Mohammed A; Adel A; Gharib A; Mohammed A; Sayed A; Abozaid M; Kotb AHE; Ata AAA; Nasr M; Alkammash A; Saeed M; Abd El Hamid N; Attia AM; Abd El Galeel A; Elbanby E; El-Dien KS; Hantour U; Alahmady O; Mansour B; Elkorashy AM; Taha EMS; Lasheen KT; Elkolaly SS; Abdel-Wahab NYE; Abozyed MAF; Adel A; Saeed AM; El Sayed GS; Youssif JH; Ahmed SM; El-Shahat NS; Khedr AHK; Elsebaaye AO; Elzayat M; Abdelraheim M; Elzayat I; Warda M; El Deen KN; Elnemr AE; Salah O; Abbas M; Rashad M; Elzayyat I; Hemeda D; Tawfik G; Salama M; Khaled H; Seisa M; Elshaer K; Hussein A; Elkhadrawi M; Afifi AM; Ebrahim OS; Metwally MM; Elmelegy R; Elsawahly DME; Safa H; Nofal E; Elbermawy M; Ghazy AA; Samih H; Abdelgelil A; Abdelghany S; El Kholy A; Aboraya M; Elkady F; Salma M; Samy S; Fakher R; Aboarab A; Samir A; Sakr A; Haroun A; Al-Aarag AAR; Elkholy A; Elshanwany S; Ghanem E; Tammam A; Hammad AM; El Shoura Y; El Ashal G; Khairy H; Antar S; Mehrez S; Abdelshafy M; Hamad MGM; Hosh M; Abdallah E; Magdy B; Alzayat T; Gamaly E; Elfeki H; Abouzahra A; Elsheikh S; Elgendy FI; Abd El-Salam F; Seifelnasr O; Ammar M; Eysa A; Sadek A; Toeema AG; Nasr A; Abuseif M; Zidan H; Barakat SA; Elsayed N; Abd Elrasoul Y; Elkelany A; Ammar MS; Mustafa MA; Hegazy Y; Etman M; Saad S; Alrahawy M; Raslan A; Morsi M; Rslan A; Sabry A; Elwakil H; Shaker H; Zidan H; Abd-Elrasoul Y; Elkelany A; El-Kashef H; Shaalan M; Tarek A; Elwan A; Nayel AR; Seif M; Elwan A; Emadeldin D; Ghonaim MA; Almallah A; Fouad A; Sayma EA; Elbatahgy A; El-Ma'doul AS; Mosad A; Tolba H; Elsorogy DEAA; Mostafa HA; Omar AA; Abd El Hameed OS; Lasheen A; Abd El Salam Y; Morsi A; Ismail M; El-Badawy HA; Amer MA; Elkelany A; Elkelany A; El-Hamouly AS; Attallah NA; Mosalum O; Afandy A; Mokhtar A; Abouelnasr A; Ayad S; Shaker R; Sakr R; Shaker R; Amreia M; Elsobky S; Mustafa M; El Magd AA; Marey A; Hafez AT; Zalabia MF; Mohamed MM; Fadel A; Ahmed EA; Ali A; Alwafai MG; Dwydar A; Kharsa S; Mamdouh E; El-Sheemy H; AlYoussef I; Aly AK; Aldalaq A; Alnawam E; Alkhabbaz D; Saad M; Hussein S; Elazayem AA; Meshref A; Elashmawy M; Mousa M; Nashaat A; Ghanem S; Elsayed ZM; Elwaey A; Elkadsh I; Darweesh M; Mohameden A; Hafez M; Badr A; Badwy A; Abd El Slam M; Elazoul M; Al-Nahrawi S; Eldamaty L; Nada F; Ameen M; Hagar A; Elsehimy M; Aboraya M; Dawoud H; El Mesery S; El Gendy A; Abdelkareem A; Marey AS; Allam M; Shehata S; Abozeid K; Elshobary M; Fahiem A; Sarsik S; Hashish A; Zidan M; Hashish M; Aql S; Elhendawy AOA; Husseini M; Kasem E; Gheith A; Elfouly Y; Soliman AR; Ibrahim Y; Elfouly N; Fawzy A; Hassan A; Rashid M; Elsherbiny AS; Sieda B; Badwi NM; Mohammed MMH; Mohamed O; Habeeb MA; Worku M; Starr N; Desta S; Wondimu S; Abebe NS; Thomas E; Asele FA; Dabessa D; Abebe NS; Zerihun AB; Mentula P; Leppaniemi A; Sallinen V; Scalabre A; Frade F; Irtan S; Graffeille V; Gaignard E; Alimi Q; Graffieille V; Gaignard E; Abbo O; Mouttalib S; Bouali O; Hervieux E; Aigrain Y; Botto N; Faure A; Fievet L; Panait N; Eyssartier E; Schmitt F; Podevin G; Parent V; Martin A; Arnaud AP; Muller C; Bonnard A; Peycelon M; Abantanga F; Boakye-Yiadom K; Bukari M; Owusu F; Awuku-Asabre J; Tabiri S; Bray LD; Lytras D; Psarianos K; Bamicha A; Kefalidi E; Gemenetzis G; Dervenis C; Gouvas N; Agalianos C; Kontos M; Kouraklis G; Karousos D; Germanos S; Marinos C; Anthoulakis C; Nikoloudis N; Mitroudis N; Recinos G; Estupinian S; Forno W; Azmitia JRA; Cabrera CCR; Guevara R; Aguilera M; Mendez N; Mendizabal CAA; Ramazzini P; Urquizu MC; Tale F; Soley R; Barrios E; Rodriguez DEM; Velasquez CIP; Merida SMC; Regalado F; Lopez M; Siguantay M; Lam FY; Szeto KJY; Szeto CCL; Li WS; Li KKK; Leung MF; Mak T; Ng S; Prasad SS; Kirishnan A; Gyanchandani N; Kumar BS; Rangarajan M; Bhat S; Sreedharan A; Kinnera S; Reddy Y; Venugopal C; Kumar S; Mittal A; Nadkarni S; Lakshmi HN; Malik P; Limaye N; Pai S; Jain P; Khajanchi M; Satoskar S; Satoskar R; Bin Mahamood A; Sutanto EPR; Soeselo DA; Tedjaatmadja C; Rahmawati FN; Amandito R; Mayasari M; Al-Hasani RKMJ; Al-Hameedi HII; Ibraheem HI; Al-Azraqi IAA; Sabeeh L; Kamil R; Shawki M; Telfah MM; Rasendran A; Sheehan J; Kerley R; Normile C; Gilbert RW; Song J; Dablouk M; Mauro L; Dablouk MO; Hanrahan M; Kielty P; Marks E; Gosling S; Mccarthy M; Rasndran A; Mirghani D; Naqvi SA; Wong CS; Chung SY; D'cruz R; Cahill R; Gosling SG; Mccarthy M; Rasendran A; Fahy C; Song J; Hanrahan M; Cadogan DD; Powell A; Gilbert R; Clifford C; Normile C; Driscoll A; Paul S; Lee C; Bowe R; Hutch W; Hanrahan M; Mohan H; O'neill M; Mealy K; Danelli P; Bondurri A; Maffioli A; Pasini M; Pata G; Roncali S; Silvani P; Carlucci M; Faccincani R; Bonavina L; Macchitella Y; Ceriani C; Tugnoli G; Di Saverio S; Khattab K; Paludi MA; Pata D; Cloro LM; Allegri A; Ansaloni L; Coccolini F; Veronese E; Bortolasi L; Hasheminia A; Nastri G; Dal Canto M; Cucumazzo S; Pata F; Benevento A; Tessera G; Grandinetti PP; Maniscalco A; Lamanna GL; Turati L; Sgroi G; Rausa E; Villa R; Monteleone M; Merlini D; Coccolini F; Ansaloni L; Allegri A; Grassi V; Cirocchi R; Cacurri A; Waleed H; Diab A; Elzowawi F; Jokubauskas M; Varkalys K; Venskutonis D; Pranevicius R; Ambrozeviciute V; Juciute S; Skardziukaite A; Venskutonis D; Bradulskis S; Urbanavicius L; Austraite A; Riauka R; Zilinskas J; Dambrauskas Z; Karumnas P; Urniezius Z; Zilinskiene R; Rudzenskaite A; Usaityte A; Montrimaite M; Kaselis N; Strazdas A; Jokubonis K; Maceviciute K; Beisa V; Poskus T; Strupas K; Laugzemys E; Kolosov A; Jotautas V; Rakita I; Mikalauskas S; Kazanavicius D; Rackauskas R; Strupas K; Poskus T; Beisa V; Rakauskas R; Preckailaite E; Coomber R; Johnson K; Nowers J; Periasammy D; Salleh A; Das A; Tze RGE; Kumar MN; Abdullah NAN; Kosai NR; Taher M; Rajan R; Chong HY; Roslani AC; Goh CC; Agius M; Borg E; Bezzina M; Bugeja R; Vella-Baldacchino M; Spina A; Psaila J; Francois-Coridon H; Tolg C; Colombani JF; Diaz-Zorrilla C; Ramos-De La Medina A; Gonzalez SCD; Jacobe M; Mapasse D; Snyder E; Oumer R; Osman M; Mohammad A; Anyanwu LJ; Sheshe A; Adesina A; Faturoti O; Taiwo O; Ibrahim MH; Nasir AA; Suleiman SI; Adeniyi A; Adesanya O; Adebanjo A; Osuoji R; Atobatele K; Ogunyemi A; Williams O; Oludara M; Oshodi O; Ademuyiwa A; Lawal AO; Alakaloko F; Elebute O; Osinowo A; Bode C; Adesuyi A; Tade A; Adekoya A; Nwokoro C; Ayandipo OO; Lawal TA; Ajao AE; Ali SS; Odeyemi B; Olori S; Popoola A; Adeyeye A; Adeniran J; Lossius WJ; Havemann I; Thorsen K; Narvestad JK; Soreide K; Wold TB; Nymo L; Elsiddig M; Dar M; Bhopal KF; Iftikhar Z; Furqan MM; Nighat B; Jawaid M; Khalique A; Zil-E-Ali A; Rashid A; Dharamshi HA; Naqvi T; Faraz A; Anwar AW; Yaseen TM; Shamsi GS; Shamsi G; Yaseen T; Anwer W; Decoud HP; Aguilera O; Alvarez IIZ; Delgado JM; Vega GMM; Lohse HAS; Aguilar WLM; Chiong JAC; Bautista ACM; Huaman E; Zegarra S; Camacho R; Celis JMV; Pozo DAR; Hamasaki J; Temoche E; Herrera-Matta J; Torres CPG; Barreda LMA; Ojeda RRB; Garaycochea O; Mollo MC; Delgado MSDTL; Fujii F; Bautista ACM; Aguilar WLM; Chiong JAC; Durand SYA; Basto CAA; Rojas NMU; Yip SBS; Vergara ALC; Moran AER; Luque GB; Castro MR; Jaramillo RA; Sila GM; Lopez CE; De Leon MZP; Machaca M; Huaraya RC; Arenas A; Lopez C; Puma CMH; Pino W; Hinojosa C; De Leon MZP; Limache S; Sila GM; Rodriguez LAM; Melo R; Costa-Maia J; Muralha N; Sauvat F; Dan I; Hogea M; Eduard P; Bratu RM; Beuran M; Diaconescu IB; Martian BV; Iordache FM; Vartic M; Vida LC; Muntean LI; Mironescu AS; Nsengimana VJP; Niragire A; Ingabire JDA; Niyirera E; Zanini N; Jovine E; Landolfo G; Alomar IN; Alnuqaydan SA; Altwigry AM; Othman M; Osman N; Alqahtani E; Alzahrani M; Alyami R; Aljohani E; Alhabli I; Mikwar Z; Almuallem S; Aljohani E; Alyami R; Alzahrani M; Nawawi A; Bakhaidar M; Maghrabi AA; Alsaggaf M; Aljiffry M; Altaf A; Khoja A; Habeebullah A; Akeel N; Ghandora N; Almoflihi A; Huwait A; Al-Shammari A; Al-Mousa M; Alghamdi M; Adham W; Albeladi B; Alfarsi MA; Mahdi A; Al Awwad S; Altamimi A; Nouh T; Hassanain M; Aldhafeeri S; Sadig N; Algohary O; Aledrisy M; Gudal A; Alrifaie A; AlRowais M; Althwainy A; Shabkah A; Alamoudi U; Alrajraji M; Alghamdi B; Aljohani S; Daqeeq A; Al-Faifi JJ; Jennings V; Ngayu N; Moore R; Kong V; Kretzmann H; Connor K; Nel D; Sampson C; Spence R; Panieri E; Rayne S; Sishuba N; Tun M; 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Ebidy M; Elrazek AA; Zahran D; Adam N; Nazir M; Hassanein AB; Ismail A; Elsawy A; Mamdouh R; Mabrouk M; Ahmed LAM; Alnaby MH; Magdy E; Abd-Elmawla M; Fahim M; Mowafy B; Mahmoud MI; Allam M; Alkelani M; El Gendy NH; Aboul-Naga MS; El-Din RA; Elgendy AH; Ismail M; Shalaby M; Elsharkawy AA; Moghazy ME; Elbisomy KH; Shakshouk HAG; Hamed MF; Ebidy MM; Abdelkader M; Karkeet M; Ahmed H; Adel I; Omar ME; Ibrahim M; Ghoneim O; Hesham O; Gamal S; Hilal K; Arafa O; Awad SA; Salem M; Elsherif FA; Elsabbagh N; Aboelsoud MR; Rida AHEF; Hossameldin A; Hany E; Asar YH; Anwar N; Gadelkarim M; Abdelhady S; Morshedy EM; Saad R; Soliman N; Salama M; Ezzat E; Mohamed A; Ibrahim A; Fergany A; Mohammed S; Reda A; Allam Y; Saad HA; Abdelfatah A; Fathy AM; El-Sehily A; Kasem EA; Hassan ATA; Mohammed AR; Saad AG; Elfouly Y; Elfouly N; Ibrahim A; Hassaan A; Mohammed MM; Elhoseny G; Magdy M; Elkhalek EA; Zakaria Y; Ezzat T; El Dahab AA; Kelany M; Arafa S; Hassan OMM; Badwi NM; Sleem AS; Ahmed H; Abdelbadeai K; Abdullah MA; Lokman MAA; Bahar S; Abdelazeam AR; Adelshone A; Bin Hasnan M; Zulkifli A; Kamarulzamil SNA; Elhendawy A; Latif A; Bin Adnan A; Shaharuddin S; Majid AHHA; Amreia M; Al-Marakby D; Salma M; Bin Ismail MJ; Basir ERM; Ali CDM; Ata AY; Nasr M; Rezq A; Sheta A; Tariq S; Sallam AE; Darwish AK; Elmihy S; Elhadry S; Farag A; Hajeh H; Abdelaal A; Aglan A; Zohair A; Essam M; Moussa O; El-Gizawy E; Samy M; Ali S; Elhalawany E; Ata A; El Halawany M; Nashat M; Soliman S; Elazab A; Samy M; Abdelaziz MA; Ibrahim K; Ibrahim AM; Gado A; Hantour U; Eldeen EA; Loaloa MR; Abouzaid A; Eldin MAB; Hashad E; Sroor F; Gamil D; Abdulhakeem EM; Zakaria M; Mohamed F; Abubakr M; Ali E; Magdy H; Refaat A; Ramadan MT; Mohamed MA; Mansour S; Amin HAA; Mohamed AR; Saami M; Elsayed NAR; Tarek A; Mahmoud SME; El Sayed IM; Reda A; Shawky MY; Salem MM; El-Din SA; Soliman NA; Talaat M; Alaael-Dein S; Elhusseiny AAE; Abdullah N; Elshaar M; Ibraheem AAF; Abdulaziz H; Ismail MK; Madkor MH; Abdelaty M; Abdel-Kader SM; Salah OM; Eldafrawy M; Eldeeb AZ; Eid MM; Attia A; El-Dien KS; Shwky A; Badenjki MA; Soliman A; Al Attar SM; Sayed F; Sabour FA; Azizeldine MG; Shawqi M; Hashim A; Aamer A; Abdelraouf AM; Abdelshakour M; Ibrahim A; Mahmoud B; Mahmoud MA; Qenawy M; Rashed AM; Dahy A; Sayed M; Shamsedine AW; Mohamed B; Hasan A; Saad MM; Bassit KA; El-Latif NK; Elzahed N; El Kashash A; Bekhet NM; Hafez S; Gad A; Maher ME; Elsameea AA; Hafez M; Sabe A; Ahmed A; Shahine A; Dawood K; Gaafar S; Husseiny R; Aboelmagd O; Soliman A; Mesbah N; Emadeldin H; Al Meligy A; Bekhet AH; Hasan D; Alhady K; Sabe AK; Elnajjar MA; Aboelella M; Hamsho W; Hassan I; Saad H; Abdelazim G; Mahmoud H; Wael N; Kandil AM; Magdy A; Elkholy SS; Adel BE; Dabbour K; Elsherbiney S; Mattar O; Abdrabou AK; Aly MYM; Geuoshy A; Elnagar A; Ahmed S; Abdelmotaleb I; Saleh AA; Saeed M; Mahmoud S; Tawfik BA; Ismail SA; Zakaria E; Gad MO; Elhelbawy MS; Bassem M; Maraie N; Elhadary NM; Semeda N; Mohamed SR; Bakry HM; Essam A; Tarek D; Ashour K; Elhadad A; Abdel-Aty A; Rakha I; Matter SM; Abdelhamed R; Abdelkader O; Hassaan A; Soliman Y; Mohamed A; Ghanem S; Farouk SAM; Ibrahim EM; El-Taher E; Mostafa M; Badr MFM; Elsemelawy R; El-Sawy A; Bakr A; Al Rafati AAR; Saar S; Reinsoo A; Talving P; Seyoum N; Worku T; Fitsum A; Tolonen M; Leppaniemi A; Sallinen V; Parmentier B; Peycelon M; Irtan S; Dardenne S; Robert E; Maillot B; Courboin E; Arnaud AP; Hascoet J; Abbo O; Kaci AA; Prudhomme T; Ballouhey Q; Grosos C; Fourcade L; Cecilia T; Jean-Francois C; Helene FC; Delforge X; Haraux E; Dousset B; Schiavone R; Gaujoux S; Marret JB; Haffreingue A; Rod J; Renaux-Petel M; Lecompte JF; Breaud J; Gastaldi P; Taieb C; Claire R; Anis E; Bustangi N; Lopez M; Scalabre A; Grella MG; Mariani A; Podevin G; Schmitt F; Hervieux E; Broch A; Muller C; Tabiri S; Kojo ATT; Bandoh D; Abantanga F; Kyereh M; Asumah H; Appiah EK; Wondoh P; Gyedu A; Dally C; Agbedinu K; Amoah M; Yifieyeh A; Owusu F; Amoako-Boateng M; Dayie M; Hagan R; Debrah S; Ohene-Yeboah M; Clegg-Lampety JN; Etwire V; Dakubo J; Essoun S; Bonney W; Glover-Addy H; Osei-Nketiah S; Amoako J; Adu-Aryee N; Appeadu-Mensah W; Bediako-Bowan A; Dedey F; Ekow M; Akatibo E; Yakubu M; Kordorwu HEK; Asare-Bediako K; Tackie E; Aaniana K; Acquah E; Opoku-Agyeman R; Avoka A; Kusi K; Maison K; Gyamfi FE; Barnabas GN; Abdul-Latif S; Amoako PT; Davor A; Dassah V; Dagoe E; Kwakyeafriyie P; Akoto E; Ackom E; Mensah E; Atkins ET; Coompson CL; Ivros N; Ferousis C; Kalles V; Agalianos C; Kyriazanos I; Barkolias C; Tselos A; Tzikos G; Voulgaris E; Lytras D; Bamicha A; Psarianos K; Stefanopoulos A; Patoulias I; Sfougaris D; Valioulis I; Balalis D; Korkolis D; Manatakis DK; Kyrou G; Karabelias G; Papaskarlatos IA; Konstantina K; Zampitis N; Germanos S; Papailia A; Theodosopoulos T; Gkiokas G; Mitroudi M; Panteli C; Feidantsis T; Farmakis K; Kyziridis D; Ioannidis O; Parpoudi S; Gemenetzis G; Parasyris S; Anthoulakis C; Nikoloudis N; Margaritis M; Aguilera-Arevalo ML; Coyoy-Gaitan O; Rosales J; Tale L; Soley R; Barrios E; Rodriguez STT; Galvez CP; Cruz DH; Rosenberg GS; Matheu A; Cohen DM; Paul M; Charles A; Lam JCY; Yeung MHA; Fok CYJ; Li KHG; Lai ACH; Cheung YHE; Wong HY; Leung KW; Lee TSB; Lam WH; Dao W; Kwok SHW; Chan TYK; Ng YK; Mak T; Liu Q; Foo CC; Yang J; Kumar B; Bhatnagar A; Upadhyaya V; Kumar S; Muddebihal U; Dar W; Janardha K; Alexander P; Aruldas N; Adella FJ; Rulie AS; Iskandar F; Setiawan J; Evajelista CV; Natalie H; Suyadi A; Gunawan R; Karismaningtyas H; Mata LPS; Andika FFA; Hasanah A; Widiastini TA; Purwaningsih NA; Mukin ADF; Rahmah DF; Nurqistan HD; Arsyad HM; Adhitama N; Jeo WS; Sutandi N; Clarissa A; Gultom PA; Billy M; Haloho A; Amandito R; Johanna N; Lee F; Dorani RMNR; Glynn M; Alherz M; Goh W; Shiwani HA; Sproule L; Conlon KC; Bala M; Kedar A; Turati L; Bianco F; Steccanella F; Gallo G ;Trompetto M; Clerico G; Papandrea M; Sammarco G; Sacco R; Benevento A; Pata F; Giavarini L; Giglio MC; Bucci L; Pagano G; Sollazzo V; Peltrini R; Luglio G; Birindelli A; Di Saverio S; Tugnoli G; Paludi MA; Mingrone P; Pata D; Selvaggi F; Selvaggi L; Pellino G; Di Martino N; Curletti G; Aonzo P; Galleano R; Berti S; Francone E; Boni S; Lorenzon L; lo Conte A; Balducci G; Confalonieri G; Pesenti G; Gavagna L; Vasquez G; Targa S; Occhionorelli S; Andreotti D; Pata G; Armellini A; Chiesa D; Aquilino F; Chetta N; Picciariello A; Abdelkhalek M; Belli A; De Franciscis S; Bigaran A; Favero A; Basso SM; Salusso P; Perino M; Mochet S; Sasia D; Riente F; Migliore M; Merlini D; Basilico S; Corbellini C; Lazzari V; Macchitella Y; Bonavina L; Angelieri D; Coletta D; Falaschi F; Catani M; Reali C; Malavenda M; Del Basso C; Ribaldi S; Coletti M; Natili A; Depalma N; Iannone I; Antoniozzi A; Rossi D; Gui D; Perrotta G; Ripa M; Giardino FR; Foco M; Vicario E; Coccolini F; Ansaloni L; Nita GE; Leone N; Bondurri A; Maffioli A; Simioni A; De Boni D; Pasquali S; Goldin E; Vendramin E; Ciccioli E; Tedeschi U; Bortolasi L; Violi P; Campagnaro T; Conci S; Lazzari G; Iacono C; Gulielmi A; Manfreda S; Rinaldi A; Ringressi MN; Brunoni B; Salamone G; Mangiapane M; De Marco P; La Brocca A; Tutino R; Silvestri V; Licari L; Fontana T; Falco N; Cocorullo G; Shalaby M; Sileri P ;Arcudi C; Bsisu I; Aljboor K; Abusalem L; Alnusairat A; Qaissieh A; Al-Dakka E; Ababneh A; Halhouli O; Yusufali T; Mohammed H; Lando J; Parker R; Ndegwa W; Jokubauskas M; Gribauskaite J; Venskutonis D; Kuliavas J; Dulskas A; Samalavicius NE; Jasaitis K; Parseliunas A; Nevieraite V; Montrimaite M; Slapelyte E; Dainius E; Riauka R; Dambrauskas Z; Subocius A; Venclauskas L; Gulbinas A; Bradulskis S; Kasputyte S; Mikuckyte D; Kiudelis M; Zilinskas J; Jankus T; Petrikenas S; Pazuskis M; UrniezIus Z; Vilcinskas M; Banaitis VJ; Gaizauskas V; Grisin E; Mazrimas P; Rackauskas R; Drungilas M; Lagunavicius K; Lipnickas V; Majauskyte D; Jotautas V; Abaliksta T; Uscinas L; Simutis G; Ladukas A; Danys D; Laugzemys E; Mikalauskas S; Poskus T; Sruogiene EZ; Visinskas P; Zilinskiene R; Dragatas D; Burmistrovas A; Tverskis Z; Vaicius A; Mazelyte R; Zadoroznas A; Kaselis N; Ziubryte G; Rahantasoa FCFP; Samison LH; Rasoaherinomenjanahary F; Tolotra TEC; Mukuzunga C; Msosa V; Kwatiwani C; Msiska N; Chai FY; Asilah SMD; Syibrah KZ; Chin PX; Salleh A; Riswan NZ; Roslani AC; Chong HY; Aziz NA; Poh KS; Chai CA; Kumar S; Taher MM; Kosai NR; Aziz DNA; Rajan R; Julaihi R; Jethwani DL; Yahaya MT; Abdullah NAN; Mathew SW; Chung KJ; Nirumal MK; Tze RGE; Ali SAWEW; Gan YY; Ting JRS; Sii SSY; Koay KL; Tan YK; Cheah AEZ; Wong CY; Mat TNT; Chow CYN; Har PA; Der Y; Tew YY; Henry F; Low X; Neo YT; Heng HE; Kong SN; Gan C; Mok YT; Tan YW; Palayan K; Tata MD; Cheong YJ; Gunaseelan K; Nasir WNWM; Yoganathan P; Lee EX; Saw JE; Yeang LJ; Koh PY; Lim SY; Teo SY; Grech N; Magri D; Cassar K; Mizzi C; Falzon M; Shaikh N; Scicluna R; Zammit S; Borg E; Mizzi S; Brincat SD; Tembo T; Le VTH; Grima T; Sammut K; Carabott K; Farrugia A; Zarb C; Navarro A; Dimech T; Camilleri GM; Bertuello I; Dalli J; Bonavia K; Corro-Diaz S; Manriquez-Reyes M; la Medina ARD; Abdelhamid A; Hrora A; Benammi S; Bachri H; Abbouch M; Boukhal K; Bennai RM; Belkouchi A; Jabal MS; Benyaiche C; Vermaas M; Duinhouwer L; Pastora J; Wood G; Merlo MS; Ajao A; Ayandipo O; Lawal T; Abdurrazzaaq A; Alada M; Nasir A; Adeniran J; Habeeb O; Popoola A; Adeyeye A; Adebanjo A; Adesanya O; Adeniyi A; Mendel H; Bello B; Muktar U; Osinowo A; Olajide TO; Oshati O; Ihediwa G; Adenekan B; Nwinee V; Alakaloko F; Ademuyiwa A; Elebute O; Lawal A; Bode C; Olugbemi M; Adesina A; Faturoti O; Odutola O; Adebola O; Onuoha C; Taiwo O; Williams O; Balogun F; Ajai O; Oludara M; Njokanma I; Osuoji R; Kache S; Ajah J; Makama J; Adamu A; Baba S; Aliyu M; Aliyu S; Ukwenya Y; Aliyu H; Sholadoye T; Daniyan M; Ogunsua O; Anyanwu LJ; Sheshe A; Mohammad A; Olori S; Mshelbwala P; Odeyemi B; Samson G; Timothy OK; Samuel SA; Ajiboye A; Adeyeye A; Amole I; Abiola O; Olaolorun A; Soreide K; Veen T; Kanani A; Styles K; Herikstad R; Larsen JW; Soreide JA; Jensen E; Gran M; Aahlin EK; Gaarder T; Monrad-Hansen PW; Naess PA; Lauzikas G; Wiborg J; Holte S; Augestad KM; Banipal GS; Monteleone M; Moe TT; Schultz JK; Al-Taher T; Hamdan A; Salman A; Saadeh R; Musleh A; Jaradat D; Abushamleh S; Hanoun S; Abu Qumbos A; Hamarshi A; Taher AA; Qawasmi I; Qurie K; Altarayra M; Ghannam M; Shaheen A; Herebat A; Abdelhaq A; Shalabi A; Abu-Toyour M; Asi F; Shamasneh A; Atiyeh A; Mustafa M; Zaa'treh R; Dabboor M; Alaloul E; Baraka H; Meqbil J; Al-Buhaisi A; Elshami M; Afana S; Jaber S; Alyacoubi S; Abuowda Y; Idress T; Abuqwaider E; Al-Saqqa S; Bowabsak A; El Jamassi A; Hasanain D; Al-Farram H; Salah M; Firwana A; Hamdan M; Awad I; Ashour A; Al Barrawi FE; Al-Khatib A; Al-Faqawi M; Fares M; Elmashala A; Adawi M; Adawi I; Khreishi R; Khreishi R; Ashour A; Ghaben A; Nadeem N; Saqlain M; Abbasy J; Alvi AR; Gala T; Shahzad N; Bhopal KF; Iftikhar Z; Butt MT; Razi SAU; Ahmed A; Niazi AK; Raza I; Baluch F; Raza A; Bani-Sadar A; Qureshi AU; Adil M; Raza A; Javaid M; Waqar M; Khan MA; Arshad MM; Amjad M; Vega GMM; Cardozo JT; Roche MO; Servin GRP; Lohse HAS; Lopez LIP; Cardozo RAM; Espinoza F; Rojas ADP; Sanchez D; Samaniego CS; Torres SG; Calua AC; Razuri C; Ortiz N; Rodriguez X; Carrasco N; Saravia F; Miyasato HS; Valcarcel-Saldana M; Bermudez YEA; Carpio J; Panez WR; Orbegozo PAT; Duenas CG; Espinoza KT; Barrantes AMS; ChunguiBravo JA; Shu S; Fuentes-Rivera L; Fernandez C; Romani D; Malaga B; Ye J; Velasquez R; Salcedo J; Contreras-Vergara AL; Mejia AGV; Montejo MSG; Salas MDE; Ticona WA; Vargas M; Sila GCM; Mas R; Paucar AD; Velasquez AJR; Robledo-Rabanal A; Solis LAZ; Espinoza KT; Hamaguchi JLH; Farfan ESF; Barrientos LAM; Matta JJH; Mora JJV; Redota MAP; Roxas MF; Mano MJB; Parreno-Sacdalan MD; Lapitan MC; Almanon CL; Waledziak M; Roszkowski R; Janik M; Lasek A; Major P; Radkowiak D; Rubinkiewicz M; Fernandes C; Costa-Maia J; Melo R; Muntean L; Mironescu AS; Vida LC; Kourdouli A; Popa M; Mircea H; Vartic M; Diaconescu B; Bratu MR; Negoi I; Beuran M; Ciubotaru C; Ingabire JA; Mutabazi A; Uzabumwana N; Duhoranenayo D; Jovine E; Zanini N; Landolfo G; Aljiffry M; Idris F; Alghamdi MSA; Maghrabi A; Altaf A; Alkaaki A; Khoja A; Nawawi A; Turkustani S; Khalifah E; Gudal A; Albiety A; Sahel S; Alshareef R; Najjar M; Alzahrani A; Alghamdi A; Alhazmi W; Al Saied G; Alamoudi M; Riaz MM; Hassanain M; Alhassan B; Altamimi A; Alyahya R; Al Subaie N; Al Bastawis F; Altamimi A; Nouh T; Khan R; Radojkovic M; Jeremic L; Nestorovic M; Law JH; Tan KSK; Tan RCK; Tan JK; Joel LWL; Lieske B; Chan XW; Leong FQH; Chong CS; Koh S; Lee KY; Lee KC; Pluke K; Dedekind B; Nashidengo P; Hampton MI; Joosten J; Sobnach S; Roodt L; Sander A; Pape J; Spence R; Maistry N; Ndwambi P; Kinandu K; Tun M; Du Toit F; Ellison Q; Burger S; Grobler D; Khulu LB; Moore R; Jennings V; Leusink A; Kariem N; Gouws J; Chu K; Bougard H; Noor F; Dell A; Rayne S; Van Straten S; Khamajeet A; Tshisola SK; Kabongo K; Kong V; Moodley Y; Anderson F; Madiba T; du Plooy F; Hartford L; Chilton G; Karjiker P; Mabitsela ME; Ndlovu SR; Badicel M; Jaich R; Ruiz-Tovar J; Garcia-Florez L; 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2019-01-01
Abstract
Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P < 0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P < 0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P < 0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P < 0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P < 0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.
Citazione
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[10.1002/bjs.11051]
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Il report seguente simula gli indicatori relativi alla propria produzione scientifica in relazione alle soglie ASN 2023-2025 del proprio SC/SSD. Si ricorda che il superamento dei valori soglia (almeno 2 su 3) è requisito necessario ma non sufficiente al conseguimento dell'abilitazione.
