5 research outputs found
Comparative Efficacy of Insecticides against Cabbage Aphid Brevicoryne Brassicae, A Pest of Oilseed Rape, Brassica napus (L.) under Controlled Conditions
- Author
- Publication venue
- CORE Scholar
- Publication date
- 15/06/2022
- Field of study
Rapeseed and mustard is the same group of oilseed crops (Brassica sp.) as well as a significant source of edible oil in Pakistan. The cabbage aphid, Brevicoryne brassicae is considered a major insect pest of oilseed rape, Brassica napus L. and causes significant yield loss. An experiment was conducted in a completely randomized design (CRD) consisting of four insecticidal treatments i.e. Confidor 200 SL (imidacloprid), Mospilan 20 SP (acetamiprid), Arrivo (cypermethrin), Triazophos 40 EC (triazophos) at low to high concentrations along with control treatment to estimate the efficacy of canola leaves against aphid population. Among all insecticide applications of cypermethrin and acetamiprid were found highly effective applied at higher concentrations throughout the experiment as compared to imidacloprid and triazophos, indicating consistent mortality at high and medium concentrations. Taking together, insecticides cypermethrin and acetamiprid were recommended to control aphid infestation based on their residual activity, yield response, and rate of marginal return. This study gives directions to control aphid infestation on a quick basis at a larger scale
Efficacy of Botanical Plant Extracts on the Population Dynamics of Cotton Aphid, Aphis gossypii Glover (Hemiptera; Aphididae)
- Author
- Publication venue
- CORE Scholar
- Publication date
- 15/06/2022
- Field of study
Synthetic pesticides are excessively consumed to control crop pests but abundant use of chemicals may implicate the whole ecosystem badly in the end. Despite the growing concern, few natural products are commercialized for pest control whilst on-farm use of existing botanically-based pesticides remains a small, but growing, component of crop protection practice. The experiment was conducted to assess the potential trade-offs of using botanical extracts (Neem leaf extract, NLE, and Moringa leaf extract, MLE) along with synthetic insecticide, Confidor 200 SL, against Aphis gossypii Glover. Meanwhile, impact of these insecticides on natural enemies were also determined in the field experiment. Data were recorded 12h before, as well as 1, 3, and 7 days after the application (DPA) of insecticides. Results revealed that chemical insecticide after 1DPA were showed higher mortality (%) of aphidâs population at leaf (33%) and boll stage (41%), whereas, the botanical treated plots showed lower mortality used alone as well combined application but lower numbers were observed on the negative controls. The same trend of insecticidal activity was observed from all treatments after 3DPA, but interestingly, after 7DPA, the resurgence of beneficial insects were only recorded in botanical extract-treated plots. The Confidor presented an adverse effect on natural enemies whereas no or few natural enemies were observed compared to herbal extracts. Overall, for long-term control, the combined use of botanical insecticides is proved to be more efficient in the management of the aphids than Confidor and caused no or little adverse impact on the beneficial insects
Infected pancreatic necrosis: outcomes and clinical predictors of mortality. A post hoc analysis of the MANCTRA-1 international study
- Author
- Ababneh Hazim
- Abbas Kinan
- Abdalah Haidar M.
- Abdelsalam Wafaa
- Abdullaev Abakar
- Abid Izza
- Abradelo Manuel
- Acheimastos Vasileios
- Afzal Ameer
- Agarwal Rajendra
- Agnoletti Vanni
- Agresta Ferdinando
- Ahmed Salma
- Aiolfi Alberto
- Akalin Murat
- Akbar Ali
- Akin Emrah
- Aktimur Yunus Emre
- Al-Raimi Ibrahim
- Al-Shami Khayry
- Alawadhi Kamel
- Alconchel Felipe
- Alexandridou Eirini
- Ali Iyad
- Ali Syed Muhammad
- Aljaiuossi Osama
- Alla-Angelina Volovich
- Alshaikh Abdulrahman
- Alshargabi Haneen
- Altinel Yuksel
- Altintoprak Fatih
- Alvarez Fernando AndreÌs
- Ammendola Michele
- Anania Gabriele
- Andreotti Dario
- Andreuccetti Jacopo
- Anestiadou Elissavet
- Ani Mohd Firdaus Che
- Ansaloni Luca
- Anwaar Muhammad Hassan
- Aonzo Paolo
- Aparicio Antonio Carlos Maya
- Apollos Jeyakumar
- Argenio Giulio
- Arina Tsurbanova
- Armellino Mariano Fortunato
- Assenza Marco
- Atanasov Boyko
- Atici Semra Demirli
- Ausania Fabio
- Awad Ahmed
- Awadi Sajeda
- Azamat Ibrahim Fethi
- AÌlvarez-Torrado Andrea
- Badran Ali
- Bagaglini Giulia
- Baili Efstratia
- Bains Lovenish
- Balla Andrea
- Barone Mirko
- Bayhan HuÌseyin
- Bayo Jose Muros
- Beasley Daniel
- Belev Nikolay
- Bellato Vittoria
- Belloni Elena
- Benuzzi Laura
- Bergamini Carlo
- Beristain-Hernandez Jose-Luis
- Bianchi Valentina
- Bianchini Matteo
- Biffl Walter
- Biloslavo Alan
- Bilyak Andriy
- Bini Roberto
- Bogoni Selene
- Bombardini Cristina
- Bona Davide
- Bond-smith Giles
- Bono Dario
- Bottari Andrea
- Bozkurt Mehmet Abdussamet
- Bracale Umberto
- Brachet Contul Riccardo
- Brachini Gioia
- Bradley Alison
- Butturini Giovanni
- Buwaitel Mohammad Musallam Khalil
- Cabrera Vicente Herrera
- Cabrera Zamiara Solange Leon
- Cal Fernando Bonilla
- Calderan Thiago R. A.
- Calik Bulent
- CaliÌ Matteo
- Calleja-Lozano Rafael
- Calu Valentin
- Campanella Gaetano
- Candio Giulio
- Cannavera Alessandro
- Cantafio Stefano
- Caravaca Iban
- Caronna Roberto
- Casadei Massimiliano
- Catena Fausto
- Ceresoli Marco
- Cerioli Alessandra
- Cervellera Maurizio
- Chan Shannon Melissa
- Charalabopoulos Alexandros
- Chiara Osvaldo
- Chiarugi Massimo
- Chidumije Nnaemeka
- Chirletti Piero
- Chiuyari JoseÌ RiÌos
- Chooklin Serge
- Choudhary Hasham
- Chouillard Elie
- Chouliaras Christos
- Chuklin Serhii
- Ciabatti Giulia
- Cianci Pasquale
- Cicako Atea
- Cicuttin Enrico
- Cillara Nicola
- Cioffi Stefano
- Cioffi Stefano Piero Bernardo
- CiuroÌ Felipe Parej
- Clarizia Guglielmo
- Coccolini Federico
- Colak Elif
- Condoy Jefferson Nieves
- Conti Lorenzo
- Coretti Guido
- Cossa Alessandra
- Costea Radu Virgil
- Couto Gomes Felipe
- Cozzani Federico
- Cremonini Camilla
- Crespi Michele
- Cristaudi Alessandra
- CurroÌ Giuseppe
- Dakis Konstantinos
- Damaskos Dimitrios
- Danna Riccardo
- Dardanov Dragomir
- Das Koray
- Davies Brooke
- de Araujo Jorann
- De Francisco Mario
- De Manzini Nicoloâ
- De Nicola Enrico
- de SantibanÌes Martin
- de SaÌ Tiago Correia
- De Simone Belinda
- de Villar JoseÌ Manuel Perez
- del Alamo Yaiza GarciÌa
- del Pozo Eduardo Perea
- Delis Spiros
- Delogu Daniele
- Demetrashvili Zaza
- Deserra Antonello
- Devi Jalpa
- Di Bella Annamaria
- Di Carlo Isidoro
- Di Donato Luca
- Di Lascio Pierpaolo
- Di Lorenzo Nicola
- Di Martino Marcello
- Di Menno Stavron Juliana
- Di Nuzzo Maria Michela
- Di Saverio Salomone
- Dinuzzi Vincenza Paola
- Domenico Lacavalla
- Domingo-Gonzalez Marta
- DomiÌnguez Fabiana
- Doria Emanuele
- Doulias Triantafyllos
- Draghici Andreea Diana
- Drigo Davide
- DuraÌn Manuel
- Duval Jean-Luc
- DâAcapito Fabrizio
- DâAmbrosio Giancarlo
- Ebied Husam
- Elbadawy Merihan
- Elbahnasawy Mohamed
- Elfallal Ahmed
- Elfeki Hossam
- Elghadban Hosam
- Elmehrath Ahmed
- Elserafy Amr
- Elshami Mohamedraed
- Emile Sameh
- Ercolani Giorgio
- Estevez Sergio
- Estraviz-Mateos BegonÌa
- Fabbri NicoloÌ
- Farazi-Chongouki Christos
- Farguell Jordi
- Farid Ahmed
- Fathil Ida Nadiah Ahmed
- Favi Francesco
- FeijoÌo Eva Pont
- Feo Carlo Vittorio
- Ferrara Francesco
- Ferrari Luca
- Ferrario Luca
- First Necattin
- Fleres Francesco
- Fontana Tommaso
- Fortuna Laura
- Fox Katherine
- Fraga Gustavo
- Fransvea Pietro
- Fratini Geri
- Frontali Alice
- Gaber Mohannad
- Gachabayov Mahir
- Galleano Raffaele
- Garcia-Meza Alejandro
- GarciÌa Francisco C. Becerra
- GarciÌa HaydeÌe Calvo
- GarciÌa-Moreno-Nisa Francisca
- Garino Mauro
- Garzali Ibrahim-Umar
- Gendrikson George
- Genovese Valerio
- Gerardi Chiara
- Germani Paola
- Gerogiannis Ioannis
- Gessa Emanuela
- Ghazouani Omar
- Gianazza Simone
- Giannarakis Miltiadis
- Gioco Rossella
- Giordano Alessio
- Giraudo Giorgio
- Giuffrida Mario
- Giuliani Antonio
- Gomes Carlos Augusto
- GonzaÌlez-AboÌs Carolina
- Gourgiotis Stavros
- Grande Michele
- Grigorean Valentin Titus
- Grimaldi Sergio
- Guadagni Simone
- Guerci Claudio
- Guerci Claudio
- Guerrieri Mario
- Guida Anna
- Gumbs Andrew
- Gundara Justin
- Gupta Amit
- Hamdan Alaa
- Hamed Emad Fawzi
- Hamid Hytham K. S.
- Hanafy Asmaa
- Hasan Layla
- HernaÌndez Edgard Efren Lozada
- Hirano Elcio S.
- Hudson Victoria
- Huei Jih
- Ielpo Benedetto
- Iiritano Elena
- Ilzarbe Lucas
- Inama Marco
- Ioannidis Argyrios
- Ioannidis Orestis
- Ioia Giovanna
- Ippoliti Massimo
- Isik Arda
- Jayant Kumar
- Jovine Elio
- Julianov Alexander
- Julianov Alexander
- Kadir Bushra
- Kalaitzakis Evangelos
- Kalaitzakis Evangelos
- Kaldarov Ayrat
- Kaldarov Ayrat
- Kamar Jubin
- Kapiris Stylianos
- Kara Yasin
- Karamarkovic Milovan
- Kaur Mandeep
- Kchaou Ali
- Kefili Despoina
- Khalil Usama Ahmed
- Khamees Almuâatasim
- Khan Mansoor
- Khutsishvili Kakhi
- Kocataş Ali
- Kokoropoulos Panagiotis
- Komaei Iman
- Konstantinidis Konstantinis
- Konstantinidou Sofia
- Kotecha Pinky
- Kovacevic Bojan
- Kovachev Nikola
- Kozadinos Alexandros
- Kruger Yoram
- Kunitsyna Maria
- Kurtenkov Mikhail
- Kwiatkowski Andrzej
- Kykalos Stylianos
- Lagouvardou Elpiniki
- Lal Pawan
- Lancellotti Francesco
- Landaluce-Olavarria Aitor
- Lapolla Pierfrancesco
- Lasithiotakis Konstantinos
- Leo Cosimo Alex
- Lepiane Pasquale
- Leppaniemi Ari
- Lesko Dusan
- Lezama Tamara
- Liakakos Theodore
- LianÌo Julian Ezequiel
- Licitra Edelweiss
- Litvin Andrey
- Lohse Helmut Segovia
- Lohse Herald Segovia
- Lok Hon-Ting
- Lombardo Francesca
- Lostoridis Eftychios
- Loutzidou Lydia
- Lui Rashid
- Lunghi Elia Giuseppe
- Luppi Davide
- Mabilia Andrea
- Machain Gustavo M
- Machairas Nikolaos
- Magee Conor
- Magnoli Matteo
- Manak Jan
- Manatakis Dimitrios
- Manca Roberto
- Manoochehri Farshad
- Marafante Chiara
- Marchese Tiziana Rita Lucia
- Mariani NicoloÌ Maria
- Marino Marco Vito
- Maroulis Ioannis
- Marra Ester
- Martellucci Jacopo
- Martines Gennaro
- MartiÌn BeleÌn
- Mastrangelo Laura
- Mastronardi Manuela
- Mathur Pawan
- MatiÌas-GarciÌa BeleÌn
- MawlichanoÌw Maciej
- Mazza Oscar
- McCormack Kieran
- Medappil Noushif
- Meead Abdullah
- MeleÌndez Blas DuraÌn
- Mendoza-Moreno Fernando
- Meric Serhat
- Metaxas Panagiotis
- Michalopoulos Nikolaos
- Miglietta Claudio
- Milentijevic Milica
- Millo Paolo
- Mingoli Andrea
- Moggia Elisabetta
- Mohamad Ikhwan Sani
- Mohamad Ikhwan Sani
- Mohamed Salem
- Mole Damian
- Molina ViÌctor
- Monti Marco
- MoraÌn Laura AÌlvarez
- Morelli Luca
- Moretto Gianluigi
- Morino Mario
- Morrison Tamsin
- Mouzakis Odysseas
- Mucilli Felice
- Mulita Francesk
- MunÌoz-Cruzado Virginia Duran
- Muratore Andrea
- Murgese Alessandra
- Murgia Raimondo
- Murzi Valentina
- Muthukrishnan Vijayanand
- Muttillo Edoardo Maria
- Muttillo Irnerio Angelo
- Nafea Ahmed
- Naffaâ Moâtaz Fawzat Naief
- Nagliati Carlo
- Nagorni Eleni-Aikaterini
- Navarra Giuseppe
- NicolaÌs-LoÌpez Tatiana
- Nicotera Antonella
- Nigri Giuseppe
- Noel Colin
- null null
- Occhionorelli Savino
- Olmi Stefano
- Omarov Nail
- Oms Luis
- Oppici Dario
- Orantia Abigail Cheska C.
- Orantia-Carlos Abigail Cheska C.
- Ordemar Jorge
- Ortenzi Monica
- Ozer Nazmi
- Pacella Daniela
- Pachajoa Diana Alejandra Pantoja
- Palacios Andrea MasiaÌ
- Palepa Anna
- Palmieri Francesco
- Palmisano Silvia
- Panyko ArpaÌd
- Papa Gennaro
- Papa Mario Virgilio
- Papadoliopoulou Maria
- Papadopoulos Aristeidis
- Papagni Vincenzo
- Pata Francesco
- Paul Michaela
- Pellino Gianluca
- Peltrini Roberto
- Penalba-PalmiÌ Rafael
- Perotti Bruno
- Perra Elena Sofia
- Perrone Gennaro
- Perrone Stefano
- Pesce Antonio
- Petra Giorgia
- Petracca Gabriele Luciano
- Petrakis George
- PeÌrez-Bru Susana
- Picardi Biagio
- Picariello Erika
- Picchetto Andrea
- Picciariello Arcangelo
- Pignata Giusto
- Pilia Tiziana
- Pimentel Samuel
- Pinto Margherita
- PinzoÌn Camilo Levi AcunÌa
- Piras Enrico
- Pisanu Adolfo
- Pizarro Sergio Olivares
- Podda Mauro
- Poillucci Gaetano
- Police Andrea
- Ponte Elisa
- Porfidia Raffaele
- Portale Giuseppe
- Prasanti Alekhya Kotta
- Prieto Calvo Mikel
- Prioriello Concetta
- Puccioni Caterina
- Quispe-Cruz Darwin Artidoro
- Quitoy Margie Antionette
- Radonak Jozef
- Radulescu Raluca Bievel
- Ralon Sergio
- RamiÌrez Pablo
- Rampini Alessia
- Riboni Cristiana
- Ricci Claudio
- Rizzi Andrea
- Robayo Diana
- Roccamatisi Linda
- Rocha MoÌnica
- RodriÌguez Martha
- Roesel Raffaello
- Rojas-Bonet Noel
- Rossi Stefano
- Rossini Matteo
- Rottoli Matteo
- Rubicondo Carolina
- Russo Iris Shari
- Saad Ahmed
- Sadik Mohammad
- Sahani Saaz
- Sahani Saaz
- Salah Alzhraa Abbas
- Salcedo Diego
- Salomone Sara
- Salvetti Francesco
- Samhouri Ahmad
- Sammartano Fabrizio
- Sandhar Pardip
- Santini Andrea
- Saroglu Azize
- Sarro Giuliano
- Sartarelli Lodovico
- Sartelli Massimo
- Sartori Alberto
- Sasia Diego
- Saullo Paolina
- Savino Grazia
- Sawalha Hatem
- SaÌnchez Lianet
- SaÌnchez-CabuÌs Santiago
- SaÌnchez-GuilleÌn Luis
- Scaravilli Luca
- Schizas Dimitrios
- Scifo Giovanna
- Sederino Mariagrazia
- Seerani Nandlal
- Segalini Edoardo
- Seker Ahmet
- Sensi Bruno
- Sepulveda-Rdriguez Rafael
- Sergi William
- Serventi Alberto
- Seth Shatadru
- Sethi Ananya
- Seto Gaby Susana Yamamoto
- Sganga Gabriele
- Sheikh Zara
- Sherief Ghozy
- Sheth Hemant
- Shetiwy Mohamed
- Shoma Ashraf
- Sica Giuseppe
- Siragusa Leandro
- Soares Carlos
- Soggiu Fiammetta
- Sohail-Asghar Mohammad
- Solaini Leonardo
- Soltes Marek
- Sotiropoulou Maria
- Spolini Alessandro
- Stamopoulos Paraskevas
- Stella Marco
- Stoian Alexandru Rares
- Syllaios Athanasios
- Synekidou Eirini
- Tartaglia Dario
- Tasis Nikolaos
- Tebala Giovanni
- Tefay Joan
- Tejedor-Tejada Javier
- Theodorou Dimitrios
- Tlili Ahmed
- Tomasi Ivan
- Tonello Alice Sabrina
- Tonini Valeria
- Tourountzi Paraskevi
- Triantafyllou Tania
- Trigiante Giuseppe
- Triguero-CaÌnovas Daniel
- TrivinÌo MariÌa Alejandra
- Troian Marina
- Troiano Raffaele
- Tsouknidas Ioannis
- Tur-MartiÌnez Jaume
- TuÌrkogÌlu Mehmet Akif
- Tvaladze Anano
- Uccelli Matteo
- Ullah Syed Osama Zohaib
- Uymaz Derya Salim
- Uzunoglu Mustafa Yener
- Vailas Michail
- Valenzuela JoseÌ Ignacio
- Vega Pilar SuaÌrez
- Veroux Gastone
- Veroux Massimiliano
- ViganoÌ Jacopo
- Villalabeitia Ibabe
- Vincenti Leonardo
- Virdis Francesco
- Visconti Diego
- WaleÌšdziak Maciej
- Wilson Michael
- Yusoff Ahmad Ramzi
- Zafar Noman
- Zago Marcello
- Zainab null
- Zarnescu Eugenia Claudia
- Zarnescu Narcis Octavian
- Zarnescu Narcis Octavian
- Zuin Matteo
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2023
- Field of study
: The identification of high-risk patients in the early stages of infected pancreatic necrosis (IPN) is critical, because it could help the clinicians to adopt more effective management strategies. We conducted a post hoc analysis of the MANCTRA-1 international study to assess the association between clinical risk factors and mortality among adult patients with IPN. Univariable and multivariable logistic regression models were used to identify prognostic factors of mortality. We identified 247 consecutive patients with IPN hospitalised between January 2019 and December 2020. History of uncontrolled arterial hypertension (pâ=â0.032; 95% CI 1.135-15.882; aOR 4.245), qSOFA (pâ=â0.005; 95% CI 1.359-5.879; aOR 2.828), renal failure (pâ=â0.022; 95% CI 1.138-5.442; aOR 2.489), and haemodynamic failure (pâ=â0.018; 95% CI 1.184-5.978; aOR 2.661), were identified as independent predictors of mortality in IPN patients. Cholangitis (pâ=â0.003; 95% CI 1.598-9.930; aOR 3.983), abdominal compartment syndrome (pâ=â0.032; 95% CI 1.090-6.967; aOR 2.735), and gastrointestinal/intra-abdominal bleeding (pâ=â0.009; 95% CI 1.286-5.712; aOR 2.710) were independently associated with the risk of mortality. Upfront open surgical necrosectomy was strongly associated with the risk of mortality (pâ<â0.001; 95% CI 1.912-7.442; aOR 3.772), whereas endoscopic drainage of pancreatic necrosis (pâ=â0.018; 95% CI 0.138-0.834; aOR 0.339) and enteral nutrition (pâ=â0.003; 95% CI 0.143-0.716; aOR 0.320) were found as protective factors. Organ failure, acute cholangitis, and upfront open surgical necrosectomy were the most significant predictors of mortality. Our study confirmed that, even in a subgroup of particularly ill patients such as those with IPN, upfront open surgery should be avoided as much as possible. Study protocol registered in ClinicalTrials.Gov (I.D. Number NCT04747990)
SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study
- Author
- Aamir Junaid
- Abaalkhail Muath
- Ababneh Adnan
- Ababneh Hazim
- Ababneh Laila
- Ababneh Roba
- Abad-Motos Ane
- Abaker Mussab
- Abary Ryan
- Abass Adam
- Abate Emmanuele
- Abayomi Olukayode
- Abazeed Alaa
- Abbad Bader
- Abbadessa Francesco
- Abbadi Osaid
- Abbakar Malaz
- Abbas Ahmed
- Abbas Alzhraa
- Abbas Asad
- Abbas Aya
- Abbas Jihad
- Abbas Manzar
- Abbas Mohammad
- Abbas Omer
- Abbasov Aykhan
- Abbo Olivier
- Abbott Daniel
- Abbott Tom
- Abboud Omar
- Abd Waleed
- Abd-Elkariem Ahmed
- Abd-Elsalam Sherief
- Abdalah Ahmad
- Abdalhadi Alya
- Abdalla Ahmed
- Abdalla Eman
- Abdalla Samir
- Abdalla Shimaa
- Abdalla Siddig
- Abdallah Emne
- Abdallah Ghaida
- Abdallah Lubna
- Abdallah Munir
- Abdallah Murad Al
- Abdallah Rasha
- Abdalnour Hani
- Abdeen Bashar
- Abdeewi Saedah
- Abdeh Louai
- Abdel-Aleem Mahmoud
- Abdel-Elsalam Wafaa
- Abdel-Fattah Areej
- Abdel-Fattah Nour
- Abdel-Hafez Ibrahim
- Abdelaal Abdelrahman
- Abdelaty Ahmed Adel
- Abdelazeem Khaled
- Abdelaziz Areej
- Abdelaziz Mohammed
- Abdelbagi Mohamad
- Abdelbaset Abouelnour
- Abdeldayem Hesham
- Abdelfattah Mahmoud
- Abdelgadir Alwaleed
- Abdelgalel Khaled
- Abdelghafar Moslem
- Abdelhafez Mohammed
- Abdeljalil Abdelkarim
- Abdelkabir Mohammed
- Abdelkareem Mohamed
- Abdelkarem Mohamed
- Abdelkarim Mostafa
- Abdelkhalek Mohamed
- Abdellah Fatima
- Abdelmajeed Ahmed
- Abdelmalik Abubaker
- Abdelmawla Ahmed
- Abdelrahman Abdelrahman
- Abdelrahman Haneen
- Abdelraouf Ali
- Abdelsamed Ahmed
- Abdelwahab Omar
- Abderrazaq Hafni
- Abdissa Desalegn
- Abdo Adnan Sayid
- Abdou Hossam
- Abdou Mostafa
- Abdoun Meriem
- Abdow Mohammad
- Abdrabou Ahmed
- Abdualqader Mahmmoud
- Abdul-Jabar Hani
- Abdul-Mumin Alhassan
- Abdulaal Safaa
- Abdulateef Omar
- Abdulfattah Ammar Yasser
- Abdulkareem Amal
- Abdull Mohammed
- Abdullaev Abakar
- Abdullah Abdullah
- Abdullah Bahiyah
- Abdullah Duha Milad
- Abdullah Muhammad Tariq
- Abdullah Nabila
- Abdullah Saleha
- Abdullah Shahbaz
- Abdullaha Lamess
- Abdullahi Alhassan
- Abdullahi Habiba
- Abdullahi Lawal
- Abdullahi Mohammed Kabir
- Abdullahi Sani
- Abdullahi Yasir Younis
- Abdulmalek Abdulmalek
- Abdulmalik Abdulmuez
- Abdulmohsen Ahmed
- Abdulqawi Nabil
- Abdulrahem Abdullah
- Abdulrahman Mamuda
- Abdulrahman Mohamed
- Abdulrahman Taha
- Abdulsalam Albaraa
- Abdulsalam Fareed
- Abdulsalam Khalifa
- Abdulsalam Moruf
- Abdulwahab Taiceer
- Abdulwahed Eman
- Abdunabi Murad
- Abdur-Rahman Lukman
- Abdurab Ebrahim
- Abdurehman Oumer
- Abdurrazzaaq Abdussemee
- Abdus-Salam Rukiyat
- Abdussalam Hameedat Opeyemi
- Abe Anthonia
- Abe Nobutsugu
- Abe Tatsuro
- Abebe Engida
- Abebe Kirubel
- Abebe Metasebia
- Abebe Nebyou
- Abebrese John Tabiri
- Abed Arsan Abu
- Abed Francisco
- Abed Haneen
- Abed Laith Abu
- Abedalqader Lina
- Abedin Yasmin
- Abel Joel Reuben
- Abel Livingston
- Abel Mary Kathryn
- Abelevich Alexander
- Abella Andrei Cesar
- Abichou Wijden
- Abid Rubaba
- Abiodun Adekunle
- Abiola Olajide
- Abiola Paul
- Abiyere Henry
- Aboalsamh Ghaleb
- Aboazamazem Hajir
- Abodeeb Aya
- Aboelkhel Roger
- Abojeila Farah
- Abosamak Nour Eldin
- Abosnaina Yahya
- Abostate Ahmed
- Abou-Abbass Hussein
- Abou-Khalil Jad
- Abouassi Layth
- Abouassi Majd
- Aboubakr Samar
- Aboubeirah Mohammed
- Abouelazayem Mohamed
- Abouelnagah Galal
- Abouelnagah Yossof
- Aboutaleb Shereen
- Aboutrab Ayham
- Abouzid Amr
- Abozied Hesham
- Abraham Bejoy
- Abrahams Jenevive
- Abramowicz Shelly
- Abrate Alberto
- Abreha Tassew
- Abrha Teklebirhan
- Abu-Arish Hamdoon
- Abu-Eisheh Basil
- Abu-Ishkerih Nizar
- Abu-Ismail Luai
- Abu-Libdeh Tareq
- Abu-Mehsen Marah
- Abu-Zaid Ahmed
- Abualteen Faisal
- Abuawad Carla
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- GarcĂa Fernando Acebes
- GarcĂa Miguel Adeba
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- Glasbey James
- Gohary Rawda Al
- GonzĂĄlez Francisco Andrade
- Gujjuri Rohan
- Gurumeta Alfredo
- Habes Hessa Al
- Hameed Jumana Abdul
- Hameed Najat Abdul
- Haq Zainab Ahmad
- Harthi Abdulaziz Al
- Hasan Ziad Aboharp
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- Hosni Mohammed Al
- Humaid Lama Al
- Imaz Ainhoa Andres
- Ingabire Jc Allen
- Jamahir Mohammed Al
- Jarad Ziad Al
- Jarmozi Buthina Al
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- Juarranz Miguel Alonso
- Junior Joel
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- Kalbani Moza Al
- Kamarajah Sivesh
- Kharusi Lamya Al
- Kharusi Safiya Al
- Khassawneh Ahmad Al
- Koculen
- KöylĂŒ Zehra Alan
- Lahham Salim Al
- Lara IvĂĄn AndĂșjar
- Lara MarĂa Adrien
- Li Elizabeth
- Lucas Miriam Abellan
- Maadany Faraj Al
- Mahdawi Leyla Al
- Mahdy Hossam Al
- Makari Reem Al
- Manji Adil Al-Karim
- Maqtari Siham Al
- Mariño Mauricio AgĂŒero
- Martinez Yicel Alvarez
- Maryam A
- Matas Fernando Alcaide
- Mendoza Veronica Alonso
- Mensah Kwasi Agyen
- Mintah Dominic Annor
- Moagal Rehab Al
- Moawad Karim Abdelraouf
- Mohamed Mohamed Ali
- Mohsen Mustafa Abo
- Momani Tareg Al
- Muhfouz Dima Abu
- Muhtadi Fadhl Al
- Mulke Rahaf Al
- Murgueitio Natalia Cortes
- Mutani Mohammed Al
- Nafesa Aminah Al
- Nahian Syed Al
- Najjar Majed Al
- Najjar Tasneem Al
- Nami Awaji Al
- Nassar Saleh Al
- Nepogodiev Dmitri
- Neto Alfeu Accorsi
- Noval Patricia Corriols
- Nwijy Khaled Ai
- Obead Hamza Abu
- Oliver Renato Aguera
- Omair Shehanah Al
- Otaibi Faisal Al
- Picciochi Maria
- Pinto JoĂŁo Almeida
- Polo Miriam Abdulkarim
- Qadhi Hani Al
- Qudhaya Rashed Al
- Qureshi Talha Ahmed
- Rahim Norazila
- Rahman Noorneza Abdul
- Rahman Norhafiza
- Raisi Amani Al
- Rashed Asmaa Al
- Rego Juliana Almeida
- Riaz Shujat Ahmed
- Riobello Eva Andreu
- Riyami Nihal Al
- Riyami Salim Al
- Ros Conrado Andrés
- RosellĂł Irene Vives
- Rubio Eva Corral
- Rueda Ignacio AlcalĂĄ
- Saad Sarah Ahmed
- Sabti Hilal Al
- Saez Iago Alvarez
- Saied Ghiath Al
- Salam Omar Abdul
- Salama Ibrahim Abdelkader
- Sanany Ghadeer Al
- Santos Daniel Costa
- Sayed Mohamed Al
- Sebastian Isabel Alonso
- Shaalah Ahmed Abdullah
- Shaibi Maha Al
- Shaikh Shafqat Ali
- Shanab Ahmed Abo
- Sharie Ahmed Al
- Shukri Asmaa Al
- Simoes Joana
- Smadi Omar Al
- Soares Rui Costa
- Soucheiron Maria Coronas
- Subaie Saud Al
- Suyyagh Kais Al
- Tarieh Ammar Abu
- Torres Eva Alvarez
- Victoria Czarlo Dela
- Villamayor VerĂłnica Alen
- Vinayagam Raman
- Vincenti Cara
- Vincenzi Matteo
- Vinz Franziska
- Violante Tommaso
- Violas Philippe
- Violette Mukanyange
- Viotti Fabio
- Virdi Amrita
- Virgilio Edoardo
- Virgincar Ashwini
- Virta Ville P
- Viscido German
- Vishnoi Jeewan Ram
- Vishwakarma Sunil Kumar
- Vishwani Vartika
- Vissapragada Ravi
- Viste Claire
- Viswanath Yks
- Vitowanu Julius
- Viveiros Octavio
- Viveros-Carreño David
- Vives Inmaculada
- Vives-Barquiel Marian
- Vivian-Taylor Josephine
- Vix Michel
- Vlad Ioan Catalin
- Vlad Schitcu
- Vladimir Novgorodskii
- Vleminckx Nils
- Vo Uyen Giao
- Vogel Jon
- Vogel Keianna
- Vogel Rachel
- Vogelsang Holger
- Vogler Thomas
- Vogt Kelly
- Vohra Ravinder
- Vokshi Ismail
- Volkova Olga
- Volpe Gustavo Jardim
- Volpin Enrico
- Volpin Francesco
- von Ehrlich-TreuenstÀtt Viktor H
- von Renesse Janusz
- von Rundstedt Friedrich-Carl
- Voonna Murali Krishna
- Voppuru Saiesh Reddy
- Vora Sameer
- Voros Peter
- Vosoughi Fardis
- Vossler Kristen
- Vounckx Manon
- Vourganti Srinivas
- Vovola Fernanda
- Vozian Marin
- Vrakopoulou Gavriella Zoi
- Vömel Jacob
- Wadei Hajr Al
- Yahya Zakaria Al
- Zahran Mohammed
- Zahrani Attiya Al
- Zahrani Turki Ai
- Zaid Muna
- Zein Zeina Al
- Ălvarez Sofia
- ĂlgĂ„ Andreas
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2021
- Field of study
Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling.
Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty.
Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year.
Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population
Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
- Author
- Aarts Frits
- Ababneh Hazim
- Abad-Motos Ane
- Abaidalla Ahmed
- Abbakar Malaz
- Abd El Aal Ahmed
- Abd-Errazik Mohammad Ahmad
- Abdalradiy Abdalrahmman G
- Abdelkhalek Mohamed
- Abdelkhalek Mostafa
- Abdellatif Ahmed
- Abdellatif Mohamed
- Abdelsaid Kirolas
- Abdou Khaled
- Abdulfatah Mustapha
- Abdullah Mohammad Amer
- Abdullahi Mustapha Miko Mohammed
- AbellĂĄn Antonio Melero
- Abeysinghe Nayana
- Abiyere Henry
- Achimas-Cadariu Patriciu Andrei
- Adakaya Sıla
- Adam Nicolas
- Adams Benita
- Adams Ferdinand
- Adegboye Kazeem
- Adeyeye Ademola
- Adra Lama
- Adu-Poku Patricia
- Afuwape Oludolapo
- Afzal Ameer
- Afzal Muhammad Farooq
- Agapov Mihail
- Agara Daniel
- Aggarwal Manisha
- Agger Erika
- Aghadi Ifeanyi Kene
- Ahmed Amjed Yassir
- Ahmed Haleemasahdia
- Ahmed Khalil
- Ahmed Manar
- Ahmed Masood
- Ahmed Safia
- Ahn Hong Min
- Aibe Raquel
- Aigner Felix
- Aissat Abdenour
- Aitbaeva Arai
- Akay Omer
- Akbar Ali
- Akbas Ahmet
- Akere Abidemi
- Akesen Selcan
- Akgun Erhan
- Akhtar Naseem
- Akın Emrah
- Akova Elif
- Aktas Serhat
- Akçay Ăzlem
- Al Masri Mahmoud
- Al-Alnsi Ahmed
- Al-Hutheifi Roqia'A
- Al-Jarrah Amar
- Al-Naggar Hamza
- Al-Shehari Mohammed
- Alamin Nadeen
- Alawi Raneen
- Alawlaqi Dina
- Alawneh Fade
- Alberola Maria José
- Albers Michael
- Alcolea Natalia GonzĂĄlez
- Aleem Muhammad
- Alegre InĂȘs
- Alegre Javier Martinez
- Alexandre Flavia
- Alexandrescu Corina
- Alexnder Abelevich
- Alexopoulou Kalliopi
- Alfonso Beatriz AmorĂłs
- Ali Ahmed
- Ali Che Saniati Che
- Ali Danish
- Ali Madeeha
- Ali Mahmoud Abdelwahab
- Ali Manhal Hashim
- Ali Noura Al
- Alikhanli Jhale
- Aliyeva Zumrud
- Aliyu Mohammed
- Aljawder Hasan
- Allen Kate
- Almahmeed Ebrahim
- Alonso Alfredo
- Alonso Javier Etreros
- Alsamneh Muneer
- Alsayadi Ramzi
- Altinel Yuksel
- Altintoprak Fatih
- Altomare Donato F
- Alvarenga Isabella
- Alvarez Laura Jimenez
- Alvarez-Bautista Francisco Emmanuel
- Alvarez-DĂez Marcos
- Alves Brenda Chayanny
- Amadigwe Rita
- Amado Andreia
- Amado FabĂola
- Amador Cristina GarcĂa
- Amanullah Nazli
- Amaral HĂ©lida Aline Tomacheski
- Amaral Luis
- Amin-Tai Hizami
- Aminu Bashiru
- Amir Ahmad Suhaimi
- Ammar Ahmed Siddique
- Ammar Mona Ahmed
- Ammendola Michele
- Ammerata Giorgio
- Amorim Edgar
- Ancans Guntis
- Anderson Tom
- Andrade Diogo
- Andrejevic Predrag
- AndrĂ©s Beatriz DĂaz San
- Anestiadou Elissavet
- Ang Chin Wee
- Angelo Franceschi
- Anokhin Evgeny
- Anoldo Pietro
- Antakia Ramez
- Anton Majd
- Antonelli Serena
- Antropoli Carmine
- Anula Rocio
- Anwar Jamal
- Anyadike Florence
- Apostolakidou Magda
- Apostolidi Eirini
- Aprea Giovanni
- Arabadzhiev Angel
- Arakawa Satoshi
- Arauz Jazmin
- Aravindan U
- Aremu Abdurrahman
- Aremu Isiaka
- Argawy Osama
- Arican Can
- Arida Zahed Abu
- Armellin Claudia
- Arnaoutoglou Eleni
- Arreguy-Borges Kanthya
- Artigot Mariano
- Arturi Alessandro
- Arulappan Nirupama
- Arya Shobhit
- Arynov Ardak
- Asaad Peter
- Asano Yukio
- Ascari Francesca
- Asgarov Mohsum
- Ashmawy Soad
- Aslam Muhammad Imran
- Assimakopoulou Elena
- Assis Ana
- Astilleta Romina
- Atanasov Boyko
- Atendido Tiffany
- Athanasakis Elias
- Atici Semra Demirli
- Avellaneda Nicholas
- Avellaneda Nicolas
- Avseren Goksu
- Awead Marwa
- Ayandipo Omobolaji
- Aybar Engin
- Aydin Funda
- Aydin Gaye
- Ayoub Kusay
- Aytac Erman
- Aytaç Erman
- Azevedo Jose
- Azevedo Patricia
- Azhar Najia
- Aziz Gowhar
- Azman Zairul Azwan Mohd
- AĆkar Ahmet
- Babatunde Olanrewaju
- Badawi Marwa
- Baek Jeong-Heum
- Baez Noelia FernĂĄndez
- Baeza-Murcia Melody
- Bagnardi Francesco
- Baharom Salahudin
- Baik Seung Hyuk
- Baimakhanov Abylai
- Bains Lovenish
- Baker Aleksandra
- Bakmaz Bernarda
- Bala Abubakar Muhammad
- Balaban Vladimir
- Balalis Dimitrios
- Balasubramaniam Dinesh
- Balathayalan Yathev
- Baldi Claudio
- Balestri Riccardo
- Balfour James
- Ballah Abubakar
- Ballian Nikiforos
- Balooshi Iman Al
- Baloyiannis Ioannis
- Bamford Richard
- Bandar Mahdi Al
- Banham Gail
- Bannoud Mohammad Hassan
- Baptista Victor
- Baral Jörg
- Barbalace Nicolas
- Barbato Giuseppe
- Barbosa Anderson
- Bareka Metaxia
- Baris Baver
- Barradas Renato
- Barreda Sara Castillo
- Barrena-Blazquez Silvestra
- Barton Jess
- Bartosiak Katarzyna
- Bashilkina Olga
- Bashir Mohammed
- Basile Raffaele
- Basnyat Pradeep
- Batool Sana
- Bautista Wilson Manuel SĂĄnchez
- Bayhan ZĂŒlfĂŒ
- Bayo José Manuel Muros
- BayĂłn Raquel Ălvaro
- Baños Pedro Antonio Parra
- Beard David
- Bedzhanyan Arkady
- Behilil Chakib
- Bekele Kebebe
- Belarmino Armin
- Belay Million
- Belev Nikolay
- Bellato Vittoria
- BeltrĂĄn de Heredia Juan
- Belvedere Angela
- Benetti Emilio
- Benetti Sara
- Bengueddach Aicha
- Benjelloun El Bachir
- Benkabbou Amine
- Bennett James
- Bensafir Salim
- Bergamini Carlo
- Bernotaite Vlada
- Beron Reinaldo Isaacs
- Bethune Robert
- Bezede Cosmin
- Beznosenko Andriy
- Bhangu Aneel
- Bhargava Aman
- Bhat Rama Rani Krishna
- Bianchi Romina
- Bianco Francesco
- Bigoni Irene
- Binetti Margherita
- Bintintan Vasile
- Biondi Alberto
- Biondo Santino Antonio
- Bisgin Tayfun
- Bisheet George
- Bissett Ian
- Biswas Jyotirmoy
- Blackwell Sue
- Blanco Pablo
- Blanco Raquel RĂos
- Blanco-Colino Ruth
- Blasco Laura Fraile
- Blazquez-Martin Alma
- Bobadilla Billy Jimenez
- Bocancia Raluca
- Boccia Giuseppe
- Bogatikov Alexander
- Bolanle Olajide Edward
- Bomfa-Barbosa Alysson
- Bompou Effrosyni
- Bonardello Michela
- Bonci Eduard-Alexandru
- Bordom Daniel Osei
- Borges Filipe
- Borghi Felice
- Boschiero Matheus Negri
- Bose Bodhisattva
- Bouchagier Konstantinos
- Boudjenan-Serradj Nabil
- Boudoux Sabrina
- Bourazani Maria
- Boyce Stephen
- Bozbiyik Osman
- Bracale Umberto
- Brachini Gioia
- Bradulskis Saulius
- Brainsa Eneida
- Brandström Gustav
- Braumille Markus
- Bravo Ana Minaya
- Bravo Raquel
- Bredikhin Mikhail
- Brito Noelia
- Bruni Andrea
- Buccianti Piero
- Buchs Nicolas
- Buchwald Pamela
- Budnikova Ina
- BudrikienÄ Rima
- Buey Lourdes
- Buijs Louis
- Buleje Jorge Alejandro Benavides
- Burlov Nikita
- Butt Anam
- Byshetty Rajendar
- Bywater Edward
- Bzikha Ilham
- BĂĄnky BalĂĄzs
- BĂŠlum Jens Kristian
- Caballero-Delgado Javier
- Cabrera Claudia
- Cafranga EstĂbaliz GutiĂ©rrez
- Cagnazzo Federica
- Calabria Mariangela
- Calabro' Marcello
- Caliendo Domenico
- Calin Camelia
- Caliskan Cemil
- Callan Rory
- Callari Cosimo
- Caltea Mihaela
- Calvo Almudena Castro
- Camacho Amparo
- Cammarata Francesco
- Campanati Renato
- Campanelli Michela
- Campbell Marion
- Canals LucĂa Otazu
- Canda Aras Emre
- Cano-Matias Auxiliadora
- Cao Victor Hugo Bruno
- Capolupo Gabriella Teresa
- Cappiello Antonio
- Capuano Marianna
- Capusan Alina
- Carannante Filippo
- Carbone Ludovico
- Cardelli Stefano
- Carden Claire
- Cardoso Diogo
- Caricato Marco
- Carlin Patricia Saez
- Carlini Massimo
- Carlos Sandra
- Carneros Virginia Jimenez
- Carosso Fabio
- Caroço Teresa Vieira
- Carpelan Anu
- Carpenter Holly
- Carrascosa-Morales Irene
- Carrie Augusto
- Carrizo Claudia
- Carta Giuseppina
- Carvalho Alexandre
- Carvello Michele
- Casanova Daniel
- Cascais Raquel
- Cassia Gabriela
- Castaldi Antonio
- Castaño Renata
- Castiglioni Simone
- Castillo Enrique Roca
- Castro Marta Cuartero
- Catalano Pablo
- Cato Liam
- Caz Esra
- Cebolla Elena Sagarra
- Cecchini Ilaria
- CeldrĂĄn Rebeca GonzĂĄlez
- Celik Hale Kefeli
- Ceretti Andrea Pisani
- Ceron Silvia Ferrer
- Cervellera Maurizio
- Cervone Carmela
- Chacko Anil
- Chandrasinghe Pramodh
- Charakopoulou Alexandra
- Chardalias Leonidas
- Chaturvedi Arun
- Chatzikomnitsa Paraskevi
- Chaudhari Abhishek
- Chaudhry Sanjay
- Chawla Tabish
- Chee Corissa
- Chen Nevin
- Cheng Kuang I
- Chiarugi Massimo
- Chisthi Meer
- Chitnis Abhishek
- Chitul Andrei
- Chmielewski Gaspard
- Cholewa Hanna
- Chornet Marta RosellĂł
- Chowdhary Manish
- Chowdhury Sharfuddin
- Chowdhury Sharfuddin M
- Chowdri Nisar
- Christensen Peter
- Christodoulidis Grigorios
- Chrysos Emmanuel
- Chua Lorna
- Chubukova Natlia
- Chung Jun Seong
- Church Robert
- Chwat Carina
- Ciabattari Paula
- Cianchi Fabio
- Cianci Pasquale
- Ciccarese Angelo Antonio
- Ciftci Ahmet Burak
- Cigagna Luca
- Cini Charles
- Ciotarla Danut Constantin
- Cirocchi Nicholas
- Ciubotaru Cezar
- Ciulli Cristina
- Ck Harikumar
- Clark Thomas
- Clarke Nicola
- Coccolini Federico
- Codes Lina
- Coelho Ana Margarida
- Cois Alessandro
- Coladonato Massimiliano
- Colak Elif
- Coldwell Chris
- Collins Jen
- Colombo Francesco
- ColĂĄs-Ruiz Enrique
- Conceição Luis
- Conde Juan Guillermo Ais
- Connolly Lewis
- Conversano Ivana
- Convertini Ornella
- Cook Esther
- Cooke Fiachra
- Coppolino Francesco
- Coratti Francesco
- Cordeiro Lisbete
- Correia Angela
- Correia DĂ©bora
- Cortes Bruno Giusti Werneck
- Cortés Guillermo Felipe Valderas
- Coskun Nurcan
- Costa Breno Xaia Martins
- Costa Susana
- Costa SĂlvia
- Cour Kenn La
- Crabtree Nicholas
- Creavin Ben
- Cremonini Camilla
- Crescentini Giacomo
- CricrĂŹ Michele
- Crisan Dana
- Cristian Daniel
- Croce Gianni Di
- Cruz Isabela
- Cucinotta Eugenio
- Cuichan Marco Vinicio Yugsi
- Cullinane Carolyn
- Cuneo Davide
- Cunha Miguel
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- Oggianu Silvia
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- Yew Chor Kuan
- Yılmaz GĂŒlseren
- Yilmazlar Tuncay
- YiÄit Direnç
- Yoldas Tayfun
- Yonekura Hiroshi
- Yorkmui Liu
- Yoshino Kenji
- Younes Lina
- Young Trudi
- Yule Michael
- Yusoff Zakiah Mohd
- Zaari Fatimazahraa
- Zabiyaka Mikhail
- ZadroĆŒna Monika
- Zafar Madiha
- Zagaynov Eugeny
- Zaidi Syed-Nadeem
- Zaimis Tilemachos
- Zain Wan Zainira Wan
- Zainy Rhendra Hardy Mohamad
- Zakaria Andee Dzulkarnaen
- Zakaria Maheen
- Zakaria Zaidi
- Zamudio-Bautista Jorge Luis
- Zanc Loredana
- Zanoni Andrea
- Zanus Giacomo
- Zapparoli Alessandro
- Zappone Anna
- Zarzava Eirini
- Zatari Dirar
- Zawadzki Marek
- Zayakov Georgi
- Zaycev Andrey
- Zazo Aya
- Zazo Rama
- Zdravkovic Maja
- Zengin Abdullah KaÄan
- Zeringa Georgia
- Zimmerman David D E
- Zuhdy Mohammad
- Zvirych Vitalii
- Zywicka Ewa
- Ălvarez-Llano Laura
- Ăngelo Miguel Duarte
- ĂSullivan Sara Nuñez
- Ăzçelik Mehmet Faik
- Äoza Ivo
- Ćanlı Ahmet Necati
- Publication venue
- Publication date
- 01/01/2023
- Field of study
Background
Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks.
Methods
The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned.
Results
A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31).
Conclusion
Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)