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Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Ademuyiwa, Adesoji O ; Medina, Antonio Ramos‐De ; Nawara, Clemens ; Chong, Chean Leung ; Kim, Stella Binna ; De Freitas, Ana Vega Carreiro ; Stock, Simon ; D'aguzan, Nicole ; Zheng, Fei ; Hache‐Marliere, Manuel ; Fattah, Ahmad Abdel ; Nasr, Mohammed ; Hammad, Ali Mohamed ; Abdelshafy, Mahmoud ; Gamaly, Elsayed ; Hegazy, Yasmin ; Alrahawy, Mahmoud ; Alwafai, Mohammad Ghassan ; Al‐Nahrawi, Safwat ; Mouttalib, Sofia ; Martin, Amandine ; Guevara, Romeo ; Rahmawati, Fitriana Nur ; Sabeeh, Lubna ; Song, Jiheon ; Khattab, Khaled ; Pozo, Diego Alonso Romani ; Niragire, Alice ; Alnuqaydan, Saleh A. ; Aljohani, Emad ; Jennings, Vicky ; Wagener, Mark ; Pacheco, Rubén Darío Arias ; Herrera, Norberto ; Ali, Hussein ; Thorarinsdottir, Hildur ; Skelly, Brendan ; Gadhvi, Vijay ; White, Timothy ; Gasteratos, Konstantinos ; Hewage, Kalon ; De Bono, Phoebe ; Richards, James ; Attard, Myranda ; Richardson, Liam ; Das, Suparna ; Fouad, Dina ; Howells, Lara ; Ramzi, Saed ; Lewis, Jason ; Harrison, Nicola ; Torrance, Hew Dt ; Parker, Jody ; Weinstein, Michael S. ; Kesinger, Matthew ; Haines, Morgan ; Karim, Sabbir ; Haque, Muhtarima ; Shubianok, Maryna ; Elsharkawy, Aya Adel ; Darwish, Abdelrhman KZ ; Essam, Mahitab ; Reda, Amira ; Matter, Sara Mamdouh ; Mohamed, Amna ; Tabiri, Stephen ; Opoku‐Agyeman, Richard ; Ackom, Eric ; Cohen, David Monterroso ; Glynn, Martha ; Occhionorelli, Savino ; De Franciscis, Silvia ; Ababneh, Ali ; Chin, Pui Xin ; Chung, Kuet Jun ; Ayandipo, Omobolaji ; Popoola, Ademola ; Amole, Isaac ; Shaheen, Alaa ; El Jamassi, Alaa ; Firwana, Aya ; Adawi, Mohammad ; Mutabazi, Alphonse Zeta ; Aljiffry, Murad ; Alghamdi, Mohammed Saleh A. ; Lieske, Bettina ; Koh, Sharon ; Nashidengo, Puyearashid ; Van Straten, Stephanie ; Segura‐Sampedro, Juan Jose ; Tan, Charlene ; Urbonas, Tomas ; Wilson, Michael ; Rajmohan, Shivanchan ; Tyler, Robert ; Caliman, Celeste ; Buisson, Philippe ; Guglielmo, Vania ; Wilson, Ling ; Chibuye, Chali

British journal of surgery, 2019-01, Vol.106 (2), p.e103-e112 [Periódico revisado por pares]

Chichester, UK: John Wiley & Sons, Ltd

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Título:
Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy
Autor: Ademuyiwa, Adesoji O ; Medina, Antonio Ramos‐De ; Nawara, Clemens ; Chong, Chean Leung ; Kim, Stella Binna ; De Freitas, Ana Vega Carreiro ; Stock, Simon ; D'aguzan, Nicole ; Zheng, Fei ; Hache‐Marliere, Manuel ; Fattah, Ahmad Abdel ; Nasr, Mohammed ; Hammad, Ali Mohamed ; Abdelshafy, Mahmoud ; Gamaly, Elsayed ; Hegazy, Yasmin ; Alrahawy, Mahmoud ; Alwafai, Mohammad Ghassan ; Al‐Nahrawi, Safwat ; Mouttalib, Sofia ; Martin, Amandine ; Guevara, Romeo ; Rahmawati, Fitriana Nur ; Sabeeh, Lubna ; Song, Jiheon ; Khattab, Khaled ; Pozo, Diego Alonso Romani ; Niragire, Alice ; Alnuqaydan, Saleh A. ; Aljohani, Emad ; Jennings, Vicky ; Wagener, Mark ; Pacheco, Rubén Darío Arias ; Herrera, Norberto ; Ali, Hussein ; Thorarinsdottir, Hildur ; Skelly, Brendan ; Gadhvi, Vijay ; White, Timothy ; Gasteratos, Konstantinos ; Hewage, Kalon ; De Bono, Phoebe ; Richards, James ; Attard, Myranda ; Richardson, Liam ; Das, Suparna ; Fouad, Dina ; Howells, Lara ; Ramzi, Saed ; Lewis, Jason ; Harrison, Nicola ; Torrance, Hew Dt ; Parker, Jody ; Weinstein, Michael S. ; Kesinger, Matthew ; Haines, Morgan ; Karim, Sabbir ; Haque, Muhtarima ; Shubianok, Maryna ; Elsharkawy, Aya Adel ; Darwish, Abdelrhman KZ ; Essam, Mahitab ; Reda, Amira ; Matter, Sara Mamdouh ; Mohamed, Amna ; Tabiri, Stephen ; Opoku‐Agyeman, Richard ; Ackom, Eric ; Cohen, David Monterroso ; Glynn, Martha ; Occhionorelli, Savino ; De Franciscis, Silvia ; Ababneh, Ali ; Chin, Pui Xin ; Chung, Kuet Jun ; Ayandipo, Omobolaji ; Popoola, Ademola ; Amole, Isaac ; Shaheen, Alaa ; El Jamassi, Alaa ; Firwana, Aya ; Adawi, Mohammad ; Mutabazi, Alphonse Zeta ; Aljiffry, Murad ; Alghamdi, Mohammed Saleh A. ; Lieske, Bettina ; Koh, Sharon ; Nashidengo, Puyearashid ; Van Straten, Stephanie ; Segura‐Sampedro, Juan Jose ; Tan, Charlene ; Urbonas, Tomas ; Wilson, Michael ; Rajmohan, Shivanchan ; Tyler, Robert ; Caliman, Celeste ; Buisson, Philippe ; Guglielmo, Vania ; Wilson, Ling ; Chibuye, Chali
Assuntos: Adult ; Aged ; Checklist - statistics & numerical data ; Cohort Studies ; Digestive System Surgical Procedures - mortality ; Digestive System Surgical Procedures - statistics & numerical data ; Elective Surgical Procedures - mortality ; Elective Surgical Procedures - statistics & numerical data ; Emergency medical care ; Emergency Treatment - mortality ; Emergency Treatment - statistics & numerical data ; Female ; Gastrointestinal surgery ; Humans ; Laparotomy - mortality ; Laparotomy - statistics & numerical data ; Male ; Middle Aged ; Mortality ; Original ; Patient safety ; Patient Safety - statistics & numerical data ; Prospective Studies ; Surgical outcomes ; Survival Rate ; World Health Organization
É parte de: British journal of surgery, 2019-01, Vol.106 (2), p.e103-e112
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
ObjectType-Undefined-3
Members of the GlobalSurg Collaborative are listed in Appendix S1 (supporting information)
Descrição: 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 < 0·001) or low (363 of 860, 42·2 per cent; OR 0·08, 0·07 to 0·10, P < 0·001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high‐HDI countries (risk difference −9·4 (95 per cent c.i. −11·9 to −6·9) per cent; P < 0·001), but the relationship was reversed in low‐HDI countries (+12·1 (+7·0 to +17·3) per cent; P < 0·001). In multivariable models, checklist use was associated with a lower 30‐day perioperative mortality (OR 0·60, 0·50 to 0·73; 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. WHO Surgical Safety checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality, yet its use in low‐HDI countries was half that of high‐HDI countries. The greatest absolute gains may be made by focusing patient safety programmes in emergency settings in low‐ and middle‐HDI countries. Should be used in emergency laparotomy
Editor: Chichester, UK: John Wiley & Sons, Ltd
Idioma: Inglês;Norueguês

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Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Chichester, UK: John Wiley & Sons, Ltd

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