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@article{Thomas:2019:10.1002/bjs.11051,
author = {Thomas, HS and Weiser, TG and Drake, TM and Knight, SR and Fairfield, C and Ademuyiwa, AO and Aguilera, ML and Alexander, P and Al-Saqqa, SW and Borda-Luque, G and Costas-Chavarri, A and Ntirenganya, F and Fitzgerald, JE and Fergusson, SJ and Glasbey, J and Ingabire, JCA and Ismail, L and Salem, HK and Kojo, ATT and Lapitan, MC and Lilford, R and Mihaljevic, AL and Morton, D and Mutabazi, AZ and Nepogodiev, D and Adisa, AO and Ots, R and Pata, F and Pinkney, T and Poskus, T and Qureshi, AU and Ramos-De, la Medina A and Rayne, S and Shaw, CA and Shu, S and Spence, R and Smart, N and Tabiri, S and Bhangu, A and Harrison, EM and Verjee, A and Runigamugabo, E and Ademuyiwa, AO and Adisa, AO and Aguilera, ML and Altamini, A and Alexander, P and Al-Saqqa, SW and Borda-Luque, G and Cornick, J and Costas-Chavarri, A and Drake, TM and Fergusson, SJ and Fitzgerald, JE and Glasbey, J and Ingabire, JCA and Ismail, L and Jaffry, Z and Salem, HK and Khatri, C and Kirby, A and Kojo, ATT and Lapitan, },
doi = {10.1002/bjs.11051},
journal = {British Journal of Surgery},
pages = {E103--E112},
title = {Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy},
url = {http://dx.doi.org/10.1002/bjs.11051},
volume = {106},
year = {2019}
}

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TY  - JOUR
AB  - Background: The World Health Organization (WHO) Surgical Safety Checklist has fostered safepractice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aimof this study was to evaluate reported checklist use in emergency settings and examine the relationshipwith perioperative mortality in patients who had emergency laparotomy.Methods: In two multinational cohort studies, adults undergoing emergency laparotomy were comparedwith those having elective gastrointestinal surgery. Relationships between reported checklist use andmortality were determined using multivariable logistic regression and bootstrapped simulation.Results: Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. Afteradjusting for patient and disease factors, checklist use before emergency laparotomy was more commonin countries with a high Human Development Index (HDI) (2455 of 2741, 89⋅6 per cent) comparedwith that in countries with a middle (753 of 1242, 60⋅6 per cent; odds ratio (OR) 0⋅17, 95 per cent c.i. 0⋅14to 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. Checklistuse was less common in elective surgery than for emergency laparotomy in high-HDI countries (riskdifference −9⋅4 (95 per cent c.i. −11⋅9 to −6⋅9) per cent; P < 0⋅001), but the relationship was reversed inlow-HDI countries (+12⋅1 (+7⋅0 to +17⋅3) per cent; P < 0⋅001). In multivariable models, checklist use wasassociated with a lower 30-day perioperative mortality (OR 0⋅60, 0⋅50 to 0⋅73; P < 0⋅001). The greatestabsolute 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.
AU  - Thomas,HS
AU  - Weiser,TG
AU  - Drake,TM
AU  - Knight,SR
AU  - Fairfield,C
AU  - Ademuyiwa,AO
AU  - Aguilera,ML
AU  - Alexander,P
AU  - Al-Saqqa,SW
AU  - Borda-Luque,G
AU  - Costas-Chavarri,A
AU  - Ntirenganya,F
AU  - Fitzgerald,JE
AU  - Fergusson,SJ
AU  - Glasbey,J
AU  - Ingabire,JCA
AU  - Ismail,L
AU  - Salem,HK
AU  - Kojo,ATT
AU  - Lapitan,MC
AU  - Lilford,R
AU  - Mihaljevic,AL
AU  - Morton,D
AU  - Mutabazi,AZ
AU  - Nepogodiev,D
AU  - Adisa,AO
AU  - Ots,R
AU  - Pata,F
AU  - Pinkney,T
AU  - Poskus,T
AU  - Qureshi,AU
AU  - Ramos-De,la Medina A
AU  - Rayne,S
AU  - Shaw,CA
AU  - Shu,S
AU  - Spence,R
AU  - Smart,N
AU  - Tabiri,S
AU  - Bhangu,A
AU  - Harrison,EM
AU  - Verjee,A
AU  - Runigamugabo,E
AU  - Ademuyiwa,AO
AU  - Adisa,AO
AU  - Aguilera,ML
AU  - Altamini,A
AU  - Alexander,P
AU  - Al-Saqqa,SW
AU  - Borda-Luque,G
AU  - Cornick,J
AU  - Costas-Chavarri,A
AU  - Drake,TM
AU  - Fergusson,SJ
AU  - Fitzgerald,JE
AU  - Glasbey,J
AU  - Ingabire,JCA
AU  - Ismail,L
AU  - Jaffry,Z
AU  - Salem,HK
AU  - Khatri,C
AU  - Kirby,A
AU  - Kojo,ATT
AU  - Lapitan,MC
AU  - Lilford,R
AU  - Mihaljevic,AL
AU  - Mohan,M
AU  - Morton,D
AU  - Mutabazi,AZ
AU  - Nepogodiev,D
AU  - Ntirenganya,F
AU  - Ots,R
AU  - Pata,F
AU  - Pinkney,T
AU  - Poskus,T
AU  - Qureshi,AU
AU  - Ramos-De,la Medina A
AU  - Rayne,S
AU  - Recinos,G
AU  - Soreide,K
AU  - Shaw,CA
AU  - Shu,S
AU  - Spence,R
AU  - Smart,N
AU  - Tabiri,S
AU  - Harrison,EM
AU  - Bhang,A
AU  - Khatri,C
AU  - Gobin,N
AU  - Freitas,AV
AU  - Hall,N
AU  - Kim,S-H
AU  - Negida,A
AU  - Khairy,H
AU  - Jaffry,Z
AU  - Chapman,SJ
AU  - Arnaud,AP
AU  - Tabiri,S
AU  - Recinos,G
AU  - Manipal,CE
AU  - Mohan,M
AU  - Amandito,R
AU  - Shawki,M
AU  - Hanrahan,M
AU  - Pata,F
AU  - Zilinskas,J
AU  - Roslani,AC
AU  - Goh,CC
AU  - Ademuyiwa,AO
AU  - Irwin,G
AU  - Shu,S
AU  - Luque,L
AU  - Shiwani,H
AU  - Altamimi,A
AU  - Alsaggaf,MU
AU  - Fergusson,SJ
AU  - Spence,R
AU  - Rayne,S
AU  - Jeyakumar,J
AU  - Cengiz,Y
AU  - Raptis,DA
AU  - Glasbey,JC
AU  - Modolo,MM
AU  - Iyer,D
AU  - King,S
AU  - Arthur,T
AU  - Nahar,SN
AU  - Waterman,A
AU  - Ismail,L
AU  - Walsh,M
AU  - Agarwal,A
AU  - Zani,A
AU  - Firdouse,M
AU  - Rouse,T
AU  - Liu,Q
AU  - Camilo,Correa J
AU  - Salem,HK
AU  - Talving,P
AU  - Worku,M
AU  - Arnaud,A
AU  - Tabiri,S
AU  - Kalles,V
AU  - Aguilera,ML
AU  - Recinos,G
AU  - Kumar,B
AU  - Kumar,S
AU  - Amandito,R
AU  - Quek,R
AU  - Pata,F
AU  - Ansaloni,L
AU  - Altibi,A
AU  - Venskutonis,D
AU  - Zilinskas,J
AU  - Poskus,T
AU  - Whitaker,J
AU  - Msosa,V
AU  - Tew,YY
AU  - Farrugia,A
AU  - Borg,E
AU  - Ramos-De,la Medina A
AU  - Bentounsi,Z
AU  - Ademuyiwa,AO
AU  - Soreide,K
AU  - Gala,T
AU  - Al-Slaibi,I
AU  - Tahboub,H
AU  - Alser,OH
AU  - Romani,D
AU  - Shu,S
AU  - Major,P
AU  - Mironescu,A
AU  - Bratu,M
AU  - Kourdouli,A
AU  - Ndajiwo,A
AU  - Altwijri,A
AU  - Alsaggaf,MU
AU  - Gudal,A
AU  - Jubran,AF
AU  - Seisay,S
AU  - Lieske,B
DO  - 10.1002/bjs.11051
EP  - 112
PY  - 2019///
SN  - 1365-2168
SP  - 103
TI  - Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy
T2  - British Journal of Surgery
UR  - http://dx.doi.org/10.1002/bjs.11051
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000455102200014&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/70234
VL  - 106
ER  -

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