11 research outputs found
UMA. Potrero de mulas. San Sebastián del Oeste, Jalisco
- Author
- Publication venue
- 'ITESO, A.C.'
- Publication date
- 01/11/2021
- Field of study
Las Unidades de Manejo para la Conservación de la Vida Silvestre (UMAs). El presente proyecto reside en el apoyo a la UMA “Potrero de Mulas”, ubicada en el municipio San Sebastián del Oeste del Estado de Jalisco. El objetivo principal de la visita realizada consistió en conocer las condiciones actuales en las que se encontraba la UMA, su funcionamiento, cómo se está manteniendo económicamente y cuáles son sus problemáticas.
La UMA anteriormente contaba con recursos económicos que el Gobierno Federal les otorgaba como subsidios que se destinaban para el mantenimiento de la UMA así como para el desarrollo de las actividades ecoturísticas; sin embargo, después de unos años, el Gobierno Federal optó por eliminar este tipo de apoyo, por consiguiente, se retiró el apoyo económica hacia las UMAs. En consecuencia, otro de los objetivos del proyecto es que a partir de la visita de
campo a la UMA, y conociendo sus problemáticas, sería enfocar el análisis respecto a la viabilidad de volver a solicitar al gobierno el apoyo económico para este tipo de proyectos.ITESO, A.C
Repositioning of the global epicentre of non-optimal cholesterol
- Author
- Aadahl Mette
- Abarca-Gómez Leandra
- Abu-Rmeileh Niveen M.
- Acosta-Cazares Benjamin
- Adams Robert J.
- Aekplakorn Wichai
- Agdeppa Imelda A.
- Aghazadeh-Attari Javad
- Aguilar-Salinas Carlos A.
- Agyemang Charles
- Ahluwalia Tarunveer S.
- Ahmad Noor Ani
- Ahmadi Ali
- Ahmadi Naser
- Ahmed Soheir H.
- Ahrens Wolfgang
- Ajlouni Kamel
- al-Safi Ismail Aziz
- Alarouj Monira
- AlBuhairan Fadia
- AlDhukair Shahla
- Ali Mohamed M.
- Alkandari Abdullah
- Alkerwi Ala’a
- Aly Eman
- Amarapurkar Deepak N.
- Amouyel Philippe
- Andersen Lars Bo
- Anderssen Sigmund A.
- Anjana Ranjit Mohan
- Ansari-Moghaddam Alireza
- Aounallah-Skhiri Hajer
- Araújo Joana
- Ariansen Inger
- Aris Tahir
- Arku Raphael E.
- Arlappa Nimmathota
- Aryal Krishna K.
- Asghari Golaleh
- Aspelund Thor
- Assunção Maria Cecília F.
- Auvinen Juha
- Avdicová Mária
- Azevedo Ana
- Azizi Fereidoun
- Azmin Mehrdad
- Balakrishna Nagalla
- Bamoshmoosh Mohamed
- Banach Maciej
- Bandosz Piotr
- Banegas José R.
- Bao Tran Quoc
- Barbagallo Carlo M.
- Barceló Alberto
- Barkat Amina
- Bata Iqbal
- Batieha Anwar M.
- Batyrbek Assembekov
- Baur Louise A.
- Beaglehole Robert
- Bebakar Wan Mohamad Wan
- Belavendra Antonisamy
- Ben Romdhane Habiba
- Benet Mikhail
- Benn Marianne
- Bennett James E.
- Berkinbayev Salim
- Bernabe-Ortiz Antonio
- Bernotiene Gailute
- Bettiol Heloisa
- Bhargava Santosh K.
- Bi Yufang
- Bienek Asako
- Bikbov Mukharram
- Bista Bihungum
- Bixby Honor
- Bjerregaard Peter
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- Björkelund Cecilia
- Bloch Katia V.
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- Boehm Bernhard O.
- Boggia Jose G.
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- Deepa Mohan
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- del Cristo Rodriguez-Perez María
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- Zhao Wenhua
- Zhen Shiqi
- Zheng Yingfeng
- Zholdin Bekbolat
- Zhou Bin
- Zhussupov Baurzhan
- Zoghlami Nada
- Publication venue
- Publication date
- 01/01/2020
- Field of study
High blood cholesterol is typically considered a feature of wealthy western countries(1,2). However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world(3) and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health(4,5). However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol-which is a marker of cardiovascular riskchanged from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million-4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world.Peer reviewe
Trabajo especial de grado de geología
- Author
- AGUILAR Iliana
- BECHARA V. Lourdes J.
- CARABALLO Enzo
- Guillén Walter
- KUM P. Liliana
- LÓPEZ R. Roigar L.
- MATOS Héctor J.
- OLIVAR B. Mijail U.
- PEDRIQUE L. Rossmar D.
- POLANCO FERRER Rosa Elena De La Cruz
- RONDÓN U. Ramón A.
- SOJO R. Freddy J.
- Toribio Enrique
- TORRES O. José G.
- VARELA G. Patricia Y.
- VELÁSQUEZ FERNÁNDEZ Wajari
- VIEIRA R. Cristian J.
- ÁLVAREZ P. Margaret C.
- Publication venue
- GEOS Revista Venezolana de Ciencias de la Tierra
- Publication date
- 11/07/2013
- Field of study
First Report of Aedes aegypti Transmission of Chikungunya Virus in the Americas
- Author
- Alicia Dorantes-Delgado
- Biggerstaff
- Braks
- Caglioti
- Dawn I. Auguste
- Edgar
- Esteban E. Díaz-González
- Ildefonso Fernández-Salas
- Iliana R. Malo-García
- Kautz
- Leparc-Goffart
- Lindsey
- Maricela Laguna-Aguilar
- Posada
- Powers
- Rogelio Danis-Lozano
- Rosa M. Sánchez-Casas
- Rose M. Langsjoen
- Rubing Chen
- Sang
- Scott C. Weaver
- Swofford
- Tiffany F. Kautz
- Tsetsarkin
- Tsetsarkin
- Tsetsarkin
- Tsetsarkin
- Vazeille
- Vega-Rúa
- Weaver
- Weaver
- Publication venue
- 'American Society of Tropical Medicine and Hygiene'
- Publication date
- Field of study
II Jornadas de Geología
- Author
- AGUILAR R. Iliana
- AGUILAR Iliana
- ALEZONES Ricardo
- AZANCOT Manuel
- BARRIENTOS Carlos
- BARRY T.
- BEZADA M.
- CABRERA Claudia
- CARABALLO Enzo
- CARABALLO Enzo
- CASTILLO Adrián
- CHANNER DER DOMINIC M.
- DE ABRISQUETA Ander
- DUGARTE N. José H.
- FELIZIANI Piero
- FIRST E.
- GARCÍA CASCO A.
- GONZÁLEZ Patricia
- GRANDE Sebastián
- HASTIE A. R.
- ITURRALDE VINENT M. A.
- KERR Andrew C.
- KRÖNER A.
- LEVANDER A.
- LIU D. Y.
- LORD E.
- LOZANO G. Fernando
- MARTÍNEZ G. Gladys J.
- MARTÍNEZ PROSPERINI Eleazar
- MARTÍNEZ J.
- MENDI David
- MENDI David
- MUSSARI C. Arturo
- NIU F.
- NOGUERA Mariela
- OCHOA LINDE Elisa
- PARRINELLO A.
- PIÑERO L.
- QUINTEROS C.
- RADA F.
- REATEGUI Walter
- RENDÓN H.
- RODRÍGUEZ Luz M.
- ROJAS AGRAMONTE Yamirka
- SCHMITZ M.
- SIFONTES G. Ramón
- SIFONTES Ramón
- SINGER André
- SPIKINGS R.
- STEDMAN C.
- TARNEY J.
- URBANI F.
- URBANI F.
- URBANI F.
- URBANI Franco
- VALLETTA A. Graziana
- VELÁSQUEZ Germán
- VISCARRET Patxi
- WINGATE M. T. D.
- WRIGHT J.
- WRIGHT J. E.
- Publication venue
- GEOS Revista Venezolana de Ciencias de la Tierra
- Publication date
- 11/06/2013
- Field of study
Time-dependent analysis of extra length of stay and mortality due to ventilator-associated pneumonia in intensive-care units of ten limited-resources countries: findings of the International Nosocomial Infection Control Consortium (INICC)
- Author
- Abidi K.
- Abouqal Redouane
- Akan Ozay Arikan
- Akgun Nur
- Alp Emine
- Alvarez Moreno Carlos
- Angelieri Daniela Bicudo
- Ansari Reshma
- Arda Bilgin
- Arman Dilek
- Armas Ruiz Alberto
- Arrieta Patrick
- Arrieta Patrick
- Arroyo Sanchez Abel
- Atencio Espinoza Teodora
- Aygen Bilgehan
- Aygun Canan
- Aygun Gokhan
- Bacakoglu Feza
- Bampalis Dimitris
- Barahona Guzman Nayide
- Barkat Amina
- Barnett A. G.
- Barolin Clarisa
- Beltran Humberto
- Benchetrit Guillermo
- Bhakta Arpita
- Bhandarkar Lata
- Bhattacharjee Mahuya
- Binu Sheena
- Biswas Sanjay
- Blanquet Doris
- Blasco Marta
- Blecher Sergio
- Bonaventura Claudio
- Bouazzaoui Naima Lamdouar
- Campuzano Roberto
- Castaneda Sabogal Alex
- Castillo Bravo Luis Isidro
- Cechinel Raquel Bauer
- Cengiz Mustafa
- Chakravarthy Murali
- Chaniotaki Kalliopi
- Chavez Gomez Amalia
- Churruarin Griselda
- Cuellar Luis
- Dajud Luis
- de Jesus Silva Clelia Heloisa
- de los Angeles Caridi Maria
- Dendane Tarek
- Di Nubila Beatriz Marta Alicia
- Dikmen Yalim
- Dilek Ahmet
- Divatia J. V.
- Dursun Oguz
- Dwivedy Arpita
- Echenique Liliana
- Erben N.
- Erdogan Selvi
- Ersoz Gulden
- Esen Saban
- Ferla Shaline
- Fernandez Maldonado E.
- Fernandez Leonardo J.
- Ferreira Iselde Buchner
- Flynn Luis Pedro
- Forciniti Silvia
- Frias Maria Laura
- Gama Elaine
- Garcia Ventura Jorge
- Garzon Agudelo Julio
- Gikas A.
- Gokul B. N.
- Gopinath Ramachadran
- Graves N.
- Grinberg Gorki
- Grinberg Gorki
- Guclu Ertugrul
- Gumus Eylul
- Guzman Sandra
- Hegd Ashit
- Higuera F.
- Hizel Kenan
- INICC
- Jadhav Shital
- Jurdi Lamia Alamaddni
- Kanafani Zeina
- Kandemir Ozlem
- Kanj S. S.
- Kapadia Farahad
- Karlekar Anil
- Kaya Ali
- Kelkar Rohini
- Keskin Sevim
- Kobylarz Alicia
- Koksal Iftihar
- Koppikar Geeta
- Kucukoduk Sukru
- Kumar R. Krishna
- Kumar Rishi
- Lagares Guzman Alfredo
- Lanzetta Diana
- Lastra Carlos Esteban
- Leblebicioglu Hakan
- Lezcano Carmen B.
- Linares Caceres Maria
- Linares Claudia
- Machado Ana Lucia
- Madani Naoufel
- Maretti da Silva Maria Angela
- Martinez Soto Jose
- Martinez Estela
- Mayorga Espichan Manuel Jesus
- Medeiros E. A.
- Mena Brito Jorge
- Mendoza Mariela
- Meryem Kabiri
- Messina Adriana
- Migazzi Claudia
- Mojica Beatriz Eugenia
- Morales Jaime Rivera
- Munoz H. J.
- Myatra Sheila Nainan
- Nouer Simone
- Olarte Narda
- Oral Mehmet
- Osorio Laline
- Ozdemir Davut
- Ozdemir Kesver
- Ozgultekin Asu
- Ozgunes Ilhan
- Ozturk Recep
- Paez Jerson
- Paredes Goicochea Iliana
- Pasini Ricardo Scopel
- Poojary Aruna
- Pushparaj Leema
- Radhakrishnan Kavitha
- Ramrez Aguilar Miguel
- Rausch Diego
- Raut Sandhya
- Ravindra Nallagonda
- Regalin Marcos
- Ricci Beatriz
- Rios Alva Guillermo
- Rodrigues Camilla
- Rodriguez Calderon Maria Eugenia
- Rodriguez Ferrer Marena
- Rodriguez Teofilo
- Rohnkohl Carolina
- Rojas Catherine
- Romani Adriana
- Rosales Rosa
- Rosenthal V. D.
- Rossetti Maria Adelaida
- Ruiz Vergara Guillermo
- Sacar Suzan
- Sahu Samir
- Salomao Reinaldo
- Sampat Sulochana
- Sanchez Lopez Martha
- Sardan Yesim Cetinkaya
- Sarmiento Lopez Favio
- Sarmiento Villa Guillermo
- Segura Plasencia Niler
- Sen Nagamani
- Senel A. C.
- Shetty Suvin
- Sidani Nisreen
- Sigfrido Rangel-Frausto Manuel
- Sirmatel Fatma
- Sobreyra Oropeza Martha
- Soroka Luisa C.
- Sozen Ebru Emel
- Spagnolo Alejandro
- Spessatto Jamile Leda
- Subramani Kandasamy
- Sukanya R.
- Sungurtekin Hulya
- Sussmann Otto
- Sussmann Otto
- Sztokhamer Daniel
- Todi Subhash Kumar
- Topeli Arzu
- Torres Hernandez Hector
- Torres Navarrete Maria del Pilar
- Tsioutis Constantinos
- Tulunay Melek
- Turan Guldem
- Turgut Huseyin
- Turhan Ozge
- Udwadia F. E.
- Ugurcan Dogac
- Ulger Fatma
- Ulusoy Sercan
- Unal Necmettin
- Usluer Gaye
- Uzun Cengiz
- Valderrama Alberto
- Valero Rodriguez Julian Enrique
- Vianna Rosa
- Viegas Monica
- Vilins Margarete
- Villamil Gomez Wilmer
- Yalcin A. Nevzat
- Yildirim Gonul
- Yilmaz Leyla
- Yylmaz Gurdal
- Zahreddine Nada
- Zanandrea Bruna Boaria
- Zeggwagh Amine Ali
- Publication venue
- 'Cambridge University Press (CUP)'
- Publication date
- 01/01/2011
- Field of study
Ventilator-associated pneumonias (VAPs) are a worldwide problem that significantly increases patient morbidity, mortality, and length of stay (LoS), and their effects should be estimated to account for the timing of infection. The purpose of the study was to estimate extra LoS and mortality in an intensive-care unit (ICU) due to a VAP in a cohort of 69 248 admissions followed for 283 069 days in ICUs from 10 countries. Data were arranged according to the multi-state format. Extra LoS and increased risk of death were estimated independently in each country, and their results were combined using a random-effects meta-analysis. VAP prolonged LoS by an average of 2.03 days (95% CI 1.52-2.54 days), and increased the risk of death by 14% (95% CI 2-27). The increased risk of death due to VAP was explained by confounding with patient morbidity
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis
- Author
- Ab Majid Mohd Azuan
- Ab Rahman Ahmad Sufian
- Ab Rahman Rusnah
- Abayasinghe Chamika
- Abbas Muntadhar
- Abbott T. E. F.
- Abbott Tom
- Abd Ghafar Fara Nur Idayu
- Abd Hadi Husni Zaeem
- Abdel Goad Ehab Helmy
- Abdullah Noor Hairiza
- Abdur-Rahman Lukman
- Abeloos Jacques
- Abernethy Caroline
- Abidin Ucu Nurhadiat
- Abrunhosa Alexandra
- Absar Mohammed
- Adam Suwayba
- Adams David
- Adams George
- Adamson Michael
- Adekola Oyebola
- Adelaja Yemi
- Ademola Adeyinka
- Adenekan Anthony
- Adenike Odewabi
- Adeolu Augustine A.
- Adetoye Adedapo
- Adewale Badru
- Adigun Tinuola
- Adolfsson Anne
- Africander Cucu
- Afshari Arash
- Agarwal Vandana
- Agodirin Olayide
- Aguzzoli Crisitiano
- Ahamed khader null
- Ahmad Azam Ummi Azmira
- Ahmad Abdurrahman
- Ahmad Norfaizan
- Ahmad T.
- Ahmad Tahania
- Ahmad Yousra
- Ahmed Ahmed
- Ahmed Jamil
- Ahmed Tahania
- Ai Yanqiu
- Aignatoaie Mariana
- Aimoniotou-Georgiou Eleni
- Akanmu Olanrewaju
- Akerman Nik
- Akinwale Mukaila
- Al Anizi Mashel
- Al hussaini Sabah
- Al'Amri Khalid
- Al-Soudaine Yassr
- Aladin Hafiz
- Alagbe-Briggs Olubusola
- Albaj Safauldeensalem
- Alberto Lisi Zaheer Moolla
- AlbertoVolta Carlo
- Alcock David
- Alcock Liam
- Aldecoa Cesar
- Aleixo Fábia Berganton
- Alexander Hazel
- Alexander Maini
- Alexander-Sefre Farhad
- Alherz Fadhel
- Ali Hani
- Ali Marlynn
- Ali Sarah
- Alias Abdul Hafiz
- Alias Anita
- Alit Mahaalit Aribawa
- Allen Samantha
- Allen Sara Jane
- Allison Joanna
- Alloj Chiara
- Allorto Nikki Leigh
- Allsop Joanne
- Almeida William
- Alonso Eduardo
- Alonso José Ignacio
- Alphonsus Christella
- Alvares Danielle
- Alves Maria Joao
- Amador Juan Carlos Bravo
- Ameer Yusuf
- Amendola Cristina Prata
- Ami Noam
- Amstrup-Hansen Louise
- Anagnou Athina
- Andersen Cheme
- Anderson Charlotte
- Anderson Colette
- Anderson Frank
- Anderson Philip
- Andreadaki Evangelia
- Andreou Alexandros
- Andreou Prematie
- Andrew Alyson
- Andrews Emma
- Angermair Stefan
- Angus Kirsty
- Anillo Victor
- Antal Oana
- Antill Philip
- Antoniadou Eleni
- Antonina Webombesa
- Apagaki Eymorfia
- Apostolou Konstantinos
- Applewhaite Christopher
- Aquino Laura Patricia González
- Ar Praburaj
- Arawwawala Dilshan
- Ardern Diane
- Argue Ruth
- Arkalaki Eleni
- Arlo whitehouse null
- Armaganidis Apostolos
- Armstrong John
- Armstrong Richard
- Arnaoutoglou Christina
- Arnaoutoglou Elena
- Arnold Glenn
- Arrandale Lindsay
- Arrich James
- Arrigo Mario
- Arshad Homa
- Arshad Mohammed Asif
- Artiles Tania Socorro
- Arumugam Swarna
- Arustei Mirela
- Arvaniti Kostoula
- Arya Aryabiantara
- Arya Shobhit
- Asimakos Andreas
- Aslam F Noorbhai M.
- Asudo Felicia
- Athanasakis Elias
- Atiku Mamuda
- Attrill Elizabeth
- Attwood Clare
- Auer Patrick
- Avidan Michael
- Avila Erendira Jocelin Dominguez
- Avis Joanne
- Awad Hadi
- Axioti Elena
- Azambuja Pedro
- Azevedo Caroline
- Aziz Faizal Zuhri
- Baas Peter
- Baghirzada Leyla
- Bai Hui-Ping
- Bai Yun
- Baillie Shelley
- Baines Duncan
- Baio Thalissa Hermínia
- Bairaktari Aggeliki
- Baker Gerard
- Baker Katie-Anne
- Baker Paul
- Balain Birender
- Balaji Packianathaswamy
- Balajonda Naraida
- Balanescu Andreea
- Balasubramaniam Madhu
- Baldisserotto Sérgio
- Baldwin Jacqueline
- Baldwin Matthew
- Balfoussia Danai
- Bali Christina
- Bandeira Maria Expedito
- Banerjee Robin
- Bankewitz Carla
- Banner-Goodspeed Valerie
- Bao Qi
- Barcraft-Barnes Helena
- Barneto Lisa
- Barnett Andrew
- Baroselli Antonio
- Barraclough James
- Barras Jean-Pierre
- Barrett Stephen
- Barrett Wendy Joan
- Basanth Sujith
- Batchelor Nick
- Bateman Brian
- Bates Alexander
- Bates Sarah
- Batista Hugo Dias
- Bauchmuller Kris
- Bauer Marlene
- Baumgarten Georg
- Baxter Linden
- Beaton Ceri
- Beattie Scott
- Beavis Vanessa
- Beavis Vanessa
- Bechan Sudha
- Bejia Tarek
- Belciu Ioana
- Belda Margarita Tormo
- Bell Gillian
- Bell Rachel
- Bell Stephanie
- Bellandi Mattia
- Bello Jibril
- Beloeil Helene
- Belskiy Vladislav
- Beltran Anna Valle
- Ben-Menachem Erez
- Benavent Pau
- Benedikt Preckel Osne Kirzner
- Benevento Angelo
- Bengeri Sheshagiri
- Bennett Cambell
- Bennett Michael
- Bennett Rachael
- Bennett Victoria
- Bentley Conor
- Beretta Luigi
- Berg Andrew
- Bergin Colin
- Bernard Andre
- Bernat Maria Jose
- Berntsen Emer
- Bertram Wendy
- Bester Delia
- Bester Marlet
- Bettega Fernanda
- Bettinelli Alessandra
- Bhardwaj Neeraj
- Bhatia Kailash
- Bhula Chettan
- Bi Yanbing
- Biais Matthieu
- Biccard B. M.
- Biccard Bruce
- Biccard Bruce M.
- Bidd Heena
- Bidgoli Jawad
- Biffen Andrew
- Bignami Elena
- Bilolikar Anjali
- Bin Mustapha Mohd Tarmimi
- Birch Julie
- Bishop David Gray
- Biyase Thuli
- Bizios Christol
- Blackwell Clare
- Blackwood Douglas
- Blaj Mihaela
- Blakemore Stephen P.
- Bland Martin
- Blunt Mark
- Blyth Katharine
- Bocchino Speranza
- Bodansky Daniella
- Bodger Phoebe
- Boer Christa
- Boereboom Catherine
- Boggiano Victoria
- Bogner Gerhard
- Bokkel-Andela Janneke ten
- Bolaji Benjamin
- Bolton David
- Boone Myles
- Boschi Luca
- Boshier Piers
- Botes Marisa
- Botis Ioannis
- Bottini Corrado
- Bottrill Fiona
- Bouchez Stefaan
- Boulton Kerenza
- Bouris Vasilios
- Bourner Lynsey
- Boutsikos Georgios
- Bouwman Arthur
- Bowrey Sarah
- Boxall Leigh
- Boyd Christine
- Bradburn Mike
- Bradley Jacqueline
- Branagan Graham
- Branco Teresa
- Brand Bastiaan
- Brandsborg Birgitte
- Breitenstein Stefan
- Brennan Andrew
- Brennan Emma
- Brenner Laura
- Brincat Maximilian
- Briscoe Richard
- Bristogiannis Sotirios
- Brooke Jenny
- Brookes Jamie
- Brookes Morag
- Brooks Carolyn
- Broomby Rupert
- Brotto Ana Flavia
- Brown Andrew
- Brown Caroline Wrey
- Brown Gemma
- Brown Jamie
- Brown Janette
- Brown Lynne
- Brown Richard
- Brown Robyn
- Browning Julie
- Bruma Dana
- Brunete Tamara
- Brunswicker Annemarie
- Bryant Helen
- Bua Emmanuel
- Buccimazza Ines
- Buckley Sarah
- Buerkle Christian
- Buhre Wolfgang
- Builu Pierre Monji
- Buise Marc
- Bullock Clare
- Bunwarie Bimalshakth
- Burns Karen
- Burrows Lorna
- Burrows Tom
- Burston Ben
- Burtenshaw Andrew
- Burton Megan
- Busuioc Mihai
- Butryn Izabella
- Butt Georgina
- Byrne Kelly
- Bührer Thomas
- Cabezuelo Estefania
- Cabral Raquel
- Cabral Tiago do Nascimento
- Cabrini Luca
- Cacala Sharon
- Cai Fang
- Cai Yunfei
- Cain Helen
- Cairns Carel
- Cakova Veronika
- Calderwood Claire
- Callaghan Mark
- Campbell Debbie
- Campbell Doug
- Campbell Douglas
- Campbell Gill
- Campbell Graham
- Campbell Kathleen
- Campbell Marta
- Campbell Tara
- Campey Lorraine
- Camsooksai Julie
- Cancho David
- Candido Keulle
- Cang Jing
- Cannavo' Maurizio
- Cao Jianqiao
- Cao Ying
- Cao Zhongming
- Cardellino Silvano
- Cardosa Jorge
- Cardoso Gutemberg
- Cardy Jon
- CarmenVaida Laura Aflori
- Carmino Livio
- Carp Cristina Paula
- Carr Adrienne
- Carrera Ronald
- Carroll Christine
- Carroll Jo
- Caser Eliana
- Castaño Beatriz
- Castle Gail
- Cavanagh Sarah
- Cawthorn Louise
- Cernea Daniela Denisa
- Chaddock Mark
- Chaloulis Panagiotis
- Chan Alexander
- Chan Mathew
- Chan Matthew
- Chan Peter
- Chan Vincent
- Chan Wai Kit Jacky
- Chan Weng Ken
- Chan Yik Lam
- Chande Shiv
- Chandler Ben
- Chandra Susilo
- Chandrasekharan Shardha
- Chang Yuan Hsuan
- Chaniotaki Fotini
- Charitos Efthimios
- Charlalampidoy Alexandra
- Charles Rob
- Chatterjee Devnandan
- Chatterjee Jayanta
- Chatzimichali Chatzimichali Aikaterini
- Chau Simon
- Chazova Elena
- Cheah Clarissa
- Cheah Seleen
- Cheeseman Michelle
- Cheing Yushio
- Chen Chao
- Chen Chen
- Chen Feifei
- Chen Fumei
- Chen Hong
- Chen James
- Chen Junping
- Chen Lee-lynn
- Chen Linbi
- Chen Liyong
- Chen Pushan
- Chen Qiang
- Chen Rong
- Chen Shasha
- Chen Shiyu
- Chen Sijia
- Chen Yaqiu
- Chen Yijiao
- Chen Yijun
- Chen Yongjie
- Chen Zhang
- Cheng Baoli
- Cheng Ka Ho
- Cheng Zhonggui
- Cheong Edward
- Cherian Ritchie
- Cherrett Veronica
- Chetty Rubendraj R.
- Chew M. S.
- Chew Michelle
- Chhabra Ashok
- Chicken Dennis-Wayne
- Chilinciuc Ion
- Chin Im Im
- Chirkut Subash
- Chlorou Dimitra
- Choi Hyun-min David
- Choi Stephen
- Chow Lorraine
- Christian Rachel
- Christiansen Ida Cecilie
- Christmas Natasha
- Christodoulidis Gregory
- Christodoulopoulou Theodora
- Christofaki Maria
- Christoforidis Dimitri
- Chronis Christos
- Chu Hiu Man
- Chu Susanna
- Chua Pandora
- Chukkambotla Srikanth
- Chung Chun Kwong Eric
- Cifra Elna
- Ciobanu Cristina
- Ciobotaru Oana Roxana
- Cirstea Emanuel
- Clark Richard
- Clarkson Aisling
- Clarkson Rachel
- Clavien Pierre-Alain
- Claxton Andrew
- Clemmons Karen
- Cloro Luigi Maria
- Clyde Antony
- Cobzaru Isabelle
- Codita Anisoara
- Colangelo Antonio
- Colangelo Chiara
- Colling Kerry
- Collins Hannah
- Collins Michelle
- Collins Nwokoro
- Colvin Carolyn
- Commey Thelma
- Comptaer Nicolas
- Conde Carlos
- Conradie Alae
- Constantin Kathryn
- Cook Tim
- Cooper Lauren
- Cooper Lucy
- Cooper Mariese
- Cooper Richard
- Cooper Sarah
- Copaciu Elena
- Cope Jennifer
- Copetti Elisa
- Copley Edward
- Copotoiu Sanda Maria
- Coppens Marc
- Corneci Dan
- Cornell Jonathan
- Cornish Julie
- Correia da Silva Rui Freitas Mendonça
- Corti Daniele
- Costa Ana Cristina Miranda Martins
- Costanzo Eleonora
- Costelloe Hannah
- Cotter Rochelle
- Cotterell Sharon
- Cotterill Donna
- Coughlan Elaine
- Coulter Ian
- Coulter Suzanne
- Coutinho Francisco
- Cowton Amanda
- Cox Hannah
- Cozar Octavian Ionut
- Craig Jayne
- Craven Rachael
- Craw Nicholas
- Craw Sarah
- Creary Thais
- Cripps Heather
- Critchley Rebecca
- Cronje Larissa
- Cruickshank Ross
- Cruikshanks Andrew
- Cruz Salome
- Cuenca Vicente Chisbert
- Cueva Andreu
- Cunha Pedro
- Curley Gerard
- Currow Helen
- Czepanski Carolyn
- Czeslick Elke
- D'Andrea Rocco
- Dafnios Nikolaos
- Dai Hanying
- Dai Qingqing
- Dai Qinxue
- Dai Si Yuan
- Daikou Panagoula
- Dalamagka Maria
- Dalampini Eleftheria
- Dali-Kemmery Lola
- Dalton Emma
- Damant Rose
- Daniel Conway
- Daniel Gayatri Daniel
- Daniel Harvey
- Daniel Hull
- Daniel Sonya
- Dankl Daniel
- Darko Julia
- Darwish Sharif
- Das Suparna
- Dasrath Ashish
- Datson Amanda
- Daubeny Thomas
- Daugaard Morten
- Davari Maria
- Dave Tejal
- Davies Charlotte
- Davies Helen
- Davies Keith
- Davies Kirsty
- Davies Leigh
- Davies Zoe
- Davis Edward
- Davis Fiona
- Davis Simon
- Daya Bhavika
- De Andrés Ibanez José Antonio
- De Baerdemaeker Luc
- de Beer Johan
- de Boer Hans Donald
- De Bruyne Ann
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- Zhang Ye
- Zhang Yuan
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- Zhao Bo
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- Zhao Jinning
- Zhao Lei
- Zhao Lili
- Zhao Shuna
- Zhao Ting
- Zhao Weihong
- Zhao Weilu
- Zhao Xiaoying
- Zhen Jungang
- Zheng Kang
- Zheng Lina
- Zheng Tianzhao
- Zhong Yi
- Zhou Ce
- Zhou Dachun
- Zhou Haidong
- Zhou Haiyan
- Zhou Jiali
- Zhou Jialong
- Zhou Jing
- Zhou Xian-jin
- Zhu Xiaomao
- Zhu Xiaoping
- Zhu Yi
- Zhu Zhipeng
- Zhuang Xiuxiu
- Zilis Georgios
- Zingerle Nicolette
- Zingg Urs
- Zoerner Frank
- Zonneveldt Harry
- Zou Xiaohua
- Zoulamoglou Menelaos
- Zsisku Lajos
- Åkring Irene
- Ögren Katrin
- Publication venue
- Health Sciences Research Commons
- Publication date
- 30/10/2017
- Field of study
© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine
Prospective observational cohort study on grading the severity of postoperative complications in global surgery research
- Author
- Abayasinghe Chamika
- Abbas Muntadhar
- Abbott T. E. F.
- Abbott Tom
- Abdullah Noor Hairiza
- Abdur-Rahman Lukman
- Abeloos Jacques
- Abernethy Caroline
- Abidin Ucu Nurhadiat
- Abrunhosa Alexandra
- Absar Mohammed
- Adam Suwayba
- Adams George
- Adamson Michael
- Adekola Oyebola
- Adelaja Yemi
- Ademola Adeyinka
- Adenekan Anthony
- Adenike Odewabi
- Adeolu Augustine A
- Adetoye Adedapo
- Adewale Badru
- Adigun Tinuola
- Adolfsson Anne
- Aflori Laura
- Africander Cucu
- Afshari Arash
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- Biccard Bruce
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- Chetty Rubendraj R
- Chew Michelle
- Chew Michelle
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- Daya Bhavika
- De Andres Jose
- De Baerdemaeker Luc
- De Bruyne Ann
- De Hert Stefan
- De Jongh Karen
- De Kegel Dirk
- De Meyer Jenine N
- De Oliveira Mirella Cristine
- Deacon Matthew
- Deblaere Isabel
- Dedemadi Georgia
- Deen Tariq
- Deepak Shantal
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- Deja Maria
- Del Valle Santiago Garcia
- Delgado García David R
- Demartines Nicolas
- Dempsey Ged
- Dempster Angie
- Denham Samuel
- Dent Kathy
- Dermitzaki Despina
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- Diaconescu Ciresica
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- Dragoescu Nicoleta Alice
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- Du Fang
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- Duarte Célia
- Dube Nokukhanya Z
- Duca Alejandro
- Dudgeon Lucy
- Dudson Rosie
- Duivenvoorde Yoni
- Dumitrascu Clementina Oana
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- Dunk Nigel
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- Durodola Adekunle
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- Echem Richard
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- Egan Thomas
- Eggleston Christopher
- Eichwalder Andreas
- Eikman Johan
- Ekelund Kim
- El-Sayed Ahmed
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- Elferink-Vonk Renske
- Ellis Jessica
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- Elna Cifra
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- Eneje Philip
- Eng Kristen
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- Evans Adam
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- Ewe Renee
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- Faina Lais
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- Faulds Matthew
- Fei Yue
- Fellinger Paul
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- Filipescu Daniela
- Filippopoulos Andreas
- Finch Amanda
- Fiorentza Klara
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- Fleisher Lee
- Fleisher Lee
- Fleisher Lee A.
- Flores Armando Adolfo Alvarez
- Flores Kathrina
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- Foers William
- Foglia Julena
- Foley Julia
- Foley Julia
- Fonck Kristine
- Foord Denise
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- Ford David
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- Forstner Karin
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- Fowler Alexander
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- Freeman David
- Freeman Victoria
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- Freschini Angela
- Freschini David
- Fretes Jennifer
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- Fritsch Gerhard
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- Fu Kaiwen
- Fu Shuying
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- Fulton Graham
- Funk Bonita
- Funk Duane
- Furrer Markus
- Futier E.
- Futier Emmanuel
- Futier Emmanuel
- Gaitanakis Stylianos
- Gall Lewis
- Gallacher Pete
- Gallard Sian
- Gallego Laura
- Gama N Sibusiso
- Gambhir Rajiv
- Ganter Donna Louise
- Ganter Michael T
- Gao Hong
- Garcia Carolina Soledad Romero
- Garcia Juliana
- Garcia-Saiz Irene
- García-Pérez Maria Luisa
- Gardikou Varvara Vanessa
- Gardiner Matthew
- Garg Atul
- Garg Sameer
- Garg Sanjeev
- Garrett Emily
- Gasperi Julia
- Gastaldi Christian
- Gatta Alessandro
- Gaudin Christophe
- Gavril Laura
- Gbolahan Olalere
- Ge Xiaodong
- Geddoa Burair
- Geddoa Emad
- Geddoa Emad
- Geisen Martin
- Geldenhuys Jacques
- Gemert Ankie Koopman-van
- Geng Wujun
- Georgakakis Georgios
- George Ronald
- George Ronald
- George Ronald
- Georgiou Georgios
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- Gercek Yuksel
- Germann Reinhard
- Geromarkaki Elisavet
- Ghafar Fara Nur Idayu Abd
- Ghignone Federico
- Ghosh Alison
- Ghushe Neil
- Giancarlo Luigi
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- Gibson-Lapsley Hannah
- Giles Julian
- Gill James
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- Gille Jochen
- Gillespie David
- Gillies Michael
- Gilmore Jemma
- Gilmour Fiona
- Gkini Konstantia-Paraskevi
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- Gkioni Panagiota
- Gkonezou Elena
- Glasbey James
- Glasgow Emma
- Glister Georgina
- Glover Lyn
- Goad Ehab Helmy Abdel
- Goebel Ulrich
- Goga Ismail E
- Goga Riaz
- Goldberg Olivia
- Golder Kim
- Gondo Prisca
- Gonzalez Alba Perez
- Gordon Paul
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- Govender Komalan
- Govindasamy Vishendran
- Grace Anuforo
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- Granum Simon Nørgaard
- Graterol Juan
- Gratrix Karen
- Graves Lynne
- Gray Carol
- Gray Catherine
- Gray Sophie
- Greaves K. E.
- Greaves Rosanna
- Green Garyth M
- Green-Thompson Randolph
- Greene Michael
- Gregory Peter
- Grey Ben
- Griffiths Ewen
- Grigoras Ioana
- Grigoryev Evgeny
- Grintescu Ioana
- Grishkowez Elena
- Grocott Mike
- Grosu Ramona-Mihaela
- Grubmueller Karl Gernot
- Gudaca Mariethel
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- Guizeline Jaqueline
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- Guok Eng Ching
- Gupta Ajay
- Guttenthaler Vera
- Guy Kramer
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- Habicher Marit
- Hack Yvonne
- Haddow J.
- Haddow James
- Hadebe Bernard
- Hadfield Daniel
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- Hagau Natalia
- Haigh Kathryn
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- Hall Kathryn
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- Halliwell Richard
- Hambidge Oliver
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- Hamilton Caroline
- Hamzah Zulkarnain
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- Harden Catherine
- Hare Gregory
- Hariharan Vimal
- Harrichandparsad R
- Harries Rhiannon
- Harris Benjamin
- Harris Clair
- Harris James
- Harris Meredyth
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- Harsan Cristian Remus
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- Haselberger Simone
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- Haunch Kirsty
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- He Jie
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- Hedin Annika
- Heintzelmann Simon Bisgaard
- Helen Bryant
- Hellewell Alistair
- Helliwell Laurence
- Hellstrom Johanna
- Helmy Naeder
- Hennings Charles
- Hering Jens Peter
- Hernandez Carlos B
- Hernandez Miguel
- Hert Stefan
- Hesketh Sue
- Hewson Russ
- Hewson Russell
- Heyse Bjorn
- Hicks Catherine
- Hidayatullah Rahmat
- Hiesmayr Michael
- Higgie Kushlin
- Hill Gillian
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- Hinther Ashley
- Hinther Ashley
- Hinxman Honor
- Hitchcock Rachael
- Hoare Siobhan
- Hobrok Maria
- Hodgkiss Tracey
- Hodgson Richard E
- Hodzovic Emil
- Hoedt Marielle
- Hoeft Andreas
- Hoeft Andreas
- Hofer Christoph
- Hofer Christoph
- Hoffer Franz
- Hoffmann João
- Holaubek Caroline
- Holden Douglas
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- Holliger Stephan
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- Holmes Kerry
- Holmström Sandra
- Holt Peter
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- Hopkins Luke
- Hopkins Thomas
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- Hosdurga Gurunath
- Hou Benchao
- Hou Jiabao
- Houston Kendra
- Houweling Peter
- Hove Mazvangu Onie
- Hovendal Claus
- Hu Liu
- Hu Na
- Hu Nianqiang
- Hu Rong
- Hu Shuangfei
- Hu Tingju
- Hu Xianwen
- Hu Xiaolan
- Hu Xuming
- Huang Changshun
- Huang Ledan
- Huang Lixia
- Huang Luping
- Huang Song
- Huang Wenhui
- Huang Yanming
- Hubner Martin
- Hughes Thomas
- Hugill Keith
- Hulme Jonathan
- Hulst Abraham
- Humphreys Sally
- Humphries Ryan
- Hung Ching Yue Janice
- Hunt Jane
- Husain Tauqeer
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- Hussain Nabilah
- Hutchings Melanie
- Hutchins David
- Hutton Monica
- Huygens Christel
- Huynh Wilson Binh Quan
- Hwan Haifang
- Härtl Christine
- Hübner Martin
- Hüppe Michael
- Iasonidou Christina
- Idowu Olusola
- Ijuo Eke
- Iloabachie Ikechukwu
- Ilyina Yana
- Incertis Raul
- Indra Imai
- Ioannidis Orestis
- Ionescu Daniela
- Ionita Victor
- Iosep Gabriel Florin
- Ip Peter
- Irshad Mariam
- Ischaki Eleni
- Ishimaru Alexander
- Iurin Aleksandr
- Jacobs Tom
- Jaffray David
- Jain Megha
- James Kathryn
- James Lynne
- James Sarah
- Jammer Ib
- Jansen Tracy-Lee
- Janssen Bruno
- Januszewska Marta
- Januszewska Marta
- Jaquet Yves
- Jardim Jaquelline
- Jawad Monir
- Jee Chiun Chen
- Jeeraz Mohammud A
- Jeffery Holly
- Jeffs Carol
- Jehosua Brillyan
- Jelschen Florian
- Jemmett Kim
- Jemna Ramona
- Jenkins Nia
- Jenkins Nicole
- Jensen-Gadegaard Peter
- Jesus Joana Sofia Teixeira
- Jeyanthan Somasundaram
- Ji Binbin
- Ji Zhenrong
- Jia Danyun
- Jiang Linghui
- Jiang Ning
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- Jin Lin
- Jin Lin
- Jin Shenhui
- Jing Liang
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- Johnson Lyndsay
- Johnson Robert
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- Jones Dawn
- Jones Eleanor
- Jones Philip
- Jones Stephanie
- Jones Timothy
- Joory Kavita
- Jordaan J
- Joseph James
- Jowitt Tom
- Juj Joanne
- Julian Howes
- Jumbe Sandra
- Junge Marina
- Júnior La Hore Correa Rodrigues
- Kabagenyi Fiona
- Kafkalaki Kalliopi
- Kahn David
- Kakembo Nasser
- Kalafatis Nicky
- Kalaitzopoulos Ioannis
- Kalashetty Gunasheela
- Kalles Vasileios
- Kalliafa Elli
- Kalogridaki Marina
- Kamali Nelson
- Kampagiannis Nikolaos
- Kampik Christian
- Kanathiban Kathirgamanathan
- Kantsedikas Ilya
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- Karadia Sunny
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- Karelov Alexey
- Karen Markwell
- Karlakki Sudheer
- Karmarkar Swati
- Karpate Shilpaja
- Karthikeyan Arvind
- Karydakis Periclis
- Karydi Konstyllia
- Kassavetis George
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- Zhang Yuan
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- Zhao Shuna
- Zhao Ting
- Zhao Weihong
- Zhao Weilu
- Zhao Xiaoying
- Zhen Jungang
- Zheng Kang
- Zheng Lina
- Zheng Tianzhao
- Zhong Yi
- Zhou Ce
- Zhou Dachun
- Zhou Haidong
- Zhou Haiyan
- Zhou Jiali
- Zhou Jialong
- Zhou Jing
- Zhou Xian-jin
- Zhu Xiaomao
- Zhu Yi
- Zhu Zhipeng
- Zhuang Xiuxiu
- Zilis Georgios
- Zin Nor Hafizah Mohd
- Zingerle Nicolette
- Zingg Urs
- Zoerner Frank
- Zonneveldt Harry
- Zou Xiaohua
- Zoulamoglou Menelaos
- Zsisku Lajos
- Zundert Tom
- Zyl Rebekka
- åkring Irene
- Ögren Katrin
- Publication venue
- 'Wiley'
- Publication date
- 22/10/2018
- Field of study
Background
The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs).
Methods
This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs.
Results
A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59).
Conclusion
Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally