2 research outputs found
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
- Author
- A. Mohammed Kalakwa
- A. Nemer Ayoub
- Abantanga Francis A.
- Abatli Safa' Jamal
- Abbas Wisam
- Abbo Olivier
- Abdelbaqi Reem
- Abdelhady Dina Sobhy
- Abdelhafez Mohammad Omar Mohammad
- Abdelhamid Sultan S.
- Abdelmaksoud Sherif
- Abdelmoumen Roua
- Abdelmutalib Fakereldeen
- Abdul-Mumin Alhassan
- Abduljawad Fatima Mousa
- Abdullah Fizan
- Abdullah Mohd Yusof bin
- Abdulraheem Nurudeen
- Abdulrahman Alaa
- Abdulsalam Moruf Adekunle
- Abdunomonovich Dekhkonboev Avazjon
- Aboelela Ahmed
- Abouheba Mohamed
- Abrahamsson Kate
- Abrunhosa Matias Marcia
- Abu-Nejmah Fawzi
- Abuajaila Abdulsalam
- Abuattaya Adham Ashraf
- Abubakar Auwal M
- Abueideh Ahmad
- Abuhayyeh Husam Aldean
- Abuhlega Ma'aly A.
- Abukhalaf Sadi
- Abumunshar Ali Abdelhay
- Acuna Gaston
- Adams Stephen
- Adamu Sani
- Adanan Mohd Fitri Shukri bin Mohamed
- Adawi Ihda
- Adawi Samer
- Adawy Ahmad
- Ade-Ajayi Niyi
- Adegboyega Rilwan
- Ademuyiwa Adesoji
- Adesanya Opeoluwa
- Adhiwidjaja Cathline Freya
- Adofo-Ansong Nana
- Agboola Titiloye Hannah
- Agelebe Efeturi
- Aguilar Aguilar Faye
- Aguilar Gargurevich Prince Pamela
- Aguirre-Lopez Pastor
- Agulham Miguel Angelo
- Ahmad Hira
- Ahmad Zahidah Adlynee Haji
- Ahmed Hazem
- Ahmed Mahmoud Abdelfattah
- Ajai Olalekan Temitope
- Ajao Emmanuel Akinlabi
- Ajiboye Olalekan S.
- Ajrami Yara
- Ajwa Ahmad Elian Abu
- Akan M. Eren
- Akhbari Melika
- Akhter Nadeem
- Akova Fatih
- Al-Attar Hala M.
- Al-Halbouni Layana
- Al-Mamun Abdullah
- Al-Mayoof Ali Farooq
- Al-Momani Hashem M.
- Al-Mouakeh Ahmad
- Al-Rayyes Maisara
- Al-saleem Hasan Subhi Hasan Abu
- Al-Salhi Ashraf Ayman
- Al-Shwaikh Samar H.
- Al-Slaibi Ibrahim
- Al-Taher Raed Nael
- Al-Taher Raed Nael
- Al-Tammam Hiba
- Alakaloko Felix
- Alamrain Abdulwhhab Ayman Abu
- Alanguia Chipana Cathy Lee
- Alattas Khalid
- Alberto Carlos
- Albozidi Aya
- Alcántara Elvyn
- ALDIRAWI MOHAMMED A. M.
- Alebbini Mohanad Mutasem
- Alfoghi Mabroka
- Algabri Hayder Nadhim Obaid
- Alglaib Mohammed Meftah
- Alhamid Ahmad
- Alhamid Aos
- Alhassan Priscilla
- Ali Hassan
- Ali Karim Osamy
- Ali Liza
- Ali Mansour
- Alijla Sharif
- Alijla Sharif S.
- Aliwisat Ahmad Hasan
- Aljaboo Hajir
- Aljadidi Wesal Omar F. Saied
- Aljarad Ziad
- Alkareem Raghad mohammad abdu
- Almada Suad Ahmed
- Almadhoun Walaa
- Almasri Murad
- Almeida Aguiar Arthur
- Almeida Giovana
- Almengar Inas
- Almohamady Hisham
- Almosaibli Mohammad
- Almusleh Tasneem Fathi Hasan
- Alnaeri Ali
- Alnahhal Khaled
- Alonso VerĂłnica
- Alosta Hasan Mustafa
- Alqarajeh Firas
- Alqor Mohammad Omar Ibrahim
- Alsaadi Nijmeh Nasser
- Alsaggaf Ameen
- Alsaied Amer
- Alser Mohammed
- Alser Osaid H.
- Alshaikhkhalil Haya Abdulnasser Ali
- Alshehri Abdullah
- Altaweel Ahmed
- Altın Merve
- Altokhais Tariq
- Altomi Mohamed
- Alturki Fahad
- Alvarado Zelada Jackelyne
- Alves Dutra da Silva Érika
- Alwadia Soha Marwan Salem
- Alwaggaa Nouriyah Ali
- Alzamari Ainaa Ata Mohammad
- Alzate Gallego Edgar
- Alzeer Asmahan Mohammad Suliman
- Alzerei Sulaiman T.
- Alzraikat Sayel H.
- Alzubair Afnan
- Alzughayyar Tareq Z.
- Amad Mohamed
- Amado Fernando
- Amaechi Chukwubinyelum
- Amah Christopher Chim
- Amarin Justin Z.
- Amarin Marzouq
- Ambriz-González Gabriela
- Ameh Emmanuel
- Amjad Muhammad Bin
- Amoabin Afua Amoabin
- Anatole Nzanzu
- Anatole Nzanzu Kipata
- Anaya Dominguez Marlene
- Anaya Firas
- Andrade Jerhy
- Andreussi Lorna
- Anicama Elias Rocio
- Annajjar Mohammad hasan
- Anntinea Jessmine
- Antunes Amanda
- Antunez-Mora Alexandra
- Anyomih Theophilus Teddy Kojo
- Anzelewicz Stefan
- Apaza Leon Jose Luis
- Appeadu-Mensah William
- Arabiat Esraa
- Arafa Mohamed Ahmed
- Arafat Hasan
- AragĂŁo Liliana
- Arancibia Gutiérrez Elsa
- Aranda Sánchez Cristian Irela
- Arar Ahmad Samih
- Arauco Jenny
- Arbab Hana
- Arboleda Jenny
- Aremo Anuoluwapo
- ArnadĂłttir Helena
- Arnaud Alexis P
- Arnold Marion
- Arnoletto Lucia Beatriz
- Arrmali Saddam
- Arrmalli Lina Ali
- Arshad Muhammad
- Arthur Felicity
- Arul Suren
- Ashour Dina Ayman
- Ashour Yara shareef
- Aslan Yakup
- Aspirot Ann
- Assi Ahmadfateh
- Assi Muath Abdelrahem Fuad
- Astudillo Miguel
- Atatri Yazid yousef mahmoud
- Atta Ahmed
- Attia Alaa Mobarak
- Avile Romina
- Avolio Luigi
- Awad Hadeel
- Aydin Emrah
- Aykut Merve
- Ayque Rosas Fernando
- Aziz Dayang Anita Abdul
- Ba'baa' Basheer
- Badr Helmy
- Baertschiger Reto
- Bagbio Dominic
- Bah Abdoulie
- Bai Qiang
- Bai Yu Zuo
- Baistrocchi Valentina
- Bakar Ainal Huda Abu
- Baker Wisam
- Ballouhey Quentin
- Balousha Abrar ghassan
- Bamanga Ahmed
- Baniowda Muath A. M.
- Bao Xiaozhou
- Barauskas Vidmantas
- Barbosa Patricia Reis
- Baseggio Natalia
- Bashir Fatma
- Bashir Muhammad Kashif
- Bassan Gonçalves Paulo César
- Bataineh Ziad A.
- Batal Mohammad Mohannad
- Bazozi Hana Milad
- Beasley Spencer
- Becker Karin
- Belmino Gadelha AluĂsio Augusto
- Benaskeur Yousra-Imane
- Beres Alana
- Berková Klára
- Bernaus Marianela
- Berrocal Anaya Waldo
- Berzanskis Mindaugas
- Beshtawi Doha mustafa saleh
- BeĹźir Ahmet
- Bianchin Ezequiel
- Bibas Fatma
- Biber Elna
- Bischoff Cristiano
- Bismarck Sylvester von
- Blain Otilia Eva
- Blanc Thomas
- Blazquez-Gomez Eva
- Bobadilla Morales Lucina
- Bode Christopher
- Bonnard Arnaud
- Boonthai Ampaipan
- Borbonet Daniel
- Bouhadiba Nordeen
- Bowder Alex
- Bracho Blanchet Eduardo
- Bradshaw Kate
- Bragagnini Paolo
- Brahmamdam Pavan
- Bravo Mauro Nicolas
- Bright Benedict Paul
- Brito Quevedo Luz Mery
- Broch Aline
- Brolin Santis Isolan Paola Maria
- Brunero Marco
- Bruxel Carla Luisa
- Bsisu Isam
- Bucaram Elena
- Bueno Mazzuca Rafael
- Bueno Motter Sarah
- Bujarimin Ahmad Shafiee bin
- Bulnes Mendizabal David
- Burks Stephen S.
- Burns Kate
- Butler Marilyn
- Bvulani Bruce
- C. Nwosu David
- Caamal Lorenzo Juvencio
- Calancea Calin
- Calderon Moore Antonio
- Calderón Arancibia José Alfredo
- Calistus Nwachukwu
- Cama Jitoko
- Camamra Kajali
- Cameron Fraser
- Camp Lauren
- Canözer Ali
- Caouette-Laberge Louise
- Cardenas Alva Loreley Raquel
- Cardenas Ruiz Velasco Juan Jose
- Carrasco Ana Lucia
- Carrasco-Ortega Cesar
- Carrillo Isabel
- Casado Francis Tanise
- Casal Beloy Isabel
- Caseb Paloma
- Casquero Victor
- Castañeda Espinosa Sergio
- Castaño Avila Daniela
- Castedo Camacho Fabiola Ruth
- Cavaiuolo Silvia
- Cañapataña Sahuanay Veronica Raquel
- Cepeda Rodrigo
- Cesur İlknur Banlı
- Chan Jonathan
- Chang Jeremy
- Charras Maria Delia
- Chaudary Ali Raza
- Chaudhry Muhammad Amjad
- Chauhan Nirav
- Chavez Galvez Patricia
- Chen Lulu
- Chen Rui
- Cheung Maija
- Chipalavela Rossana Francisco
- Chiriboga Elena
- Chitiavi Soita Wycliffe
- Chitnis Milind
- Cho Seok Hyeon
- Choo Candy SC
- Chukwu Isaac
- Chukwuemeka Anyanwu Lofty-John
- Chung Jae Hee
- Cletus Cyril
- Coghill Griffin
- Collins Nwokoro
- Colombo de Holanda Felipe
- Contreras Carla Sofia
- Coon John
- Cordonnier Annelien
- Cornelli Fabio
- Cornwall Hannah
- Corona C. Rivera Jorge Román
- Corona Rivera Alfredo
- Correa Leite Mila Torii
- Correa Armandou
- Correa Catalina
- CorrĂŞa Costa Eduardo
- Cosoreanu Vlad
- Costas-Chavarri Ainhoa
- Cripovich Alejandrina
- Cunningham Aaron
- Czauderna Piotr
- Cáceres Aucatoma Freud
- Cárdenas Barón José de Jesús
- Cömert Hatice Sonay Yalçın
- da Silva Augusto Maria Lucia
- DagilytÄ— RĹ«ta
- Dahman Nesrine Ben Hadj
- Dajia Wang
- Dalek Noor Fa'izatul Rahil Ambok
- Dallegre Maria Belen
- Dalloul Hisham
- Damiani Andrea
- Dammagh Nagham Mohammed Al
- Dania Bouguermouh
- Darras Osama Majed
- Darwish Ahmed S
- Darwish Ammar
- Dass Anthony
- Dassonville Martine
- Davenport Kate
- David Kuria
- Davies Justine
- Davis Jenna Kylene
- de Assis Silva Murilo
- de Azevedo Belesa Flavia
- de Campos Vieira Abib Simone
- de Deus Passos Leles Kamila
- de Guzman Johann
- de Souza Santos Ferreira Mariana
- Dedeke Florence
- Defago Victor Hugo
- Defert Coralie
- Delefortrie Thomas
- Delforge Xavier
- Delft Dirk von
- Delgado Malaga Florangel Patricia
- Delgado Quinteros Edgar Fernando
- Dellenmark Blom Michaela
- Dendusic Nejra
- Derbew Miliard
- Derks Terry
- Deya Corazone
- Deyab Abdelaziz
- Di Siervi Oscar
- Diaz Castañeda Flor de Maria
- Diaz Echegaray Marlene
- Diaz Gomez Jose Manuel
- Diaz Leon Cesar
- Dieudonné Lemfuka
- Dimatatac Doris Mae
- Djordjevic Ivona
- Dogar Sohail
- Doheim Mohamed Fahmy
- Dominguez Danny
- Donglai Hu
- Dornellas do Nascimento Suely
- dos Santos Dias André Iván Bradley
- Dosselman Luke J.
- Douiri Abdel
- Drah Weam
- Dube Andile Maqhawe
- Duchesne Camille
- Duggan Eileen
- Duote Cai
- Dure Carolina
- Dávila Perez Roberto
- Ebeido Annan
- Egbuchulem Ifeanyichukwu Kelvin
- Ejinkeonye Eze Chukwuemeka
- Ekenze Sebastian Okwuchukwu
- Ekwunife Okechukwu Hyginus
- El-Ghazaly Mohammed
- Elassall Gena Mohamed Hamed
- Elayeb Abdallah
- Elebute Olumide Abiodun
- Elewaily Mohamed
- Elfiky Mahmoud
- Elgammudi Mala
- Elghazaly Shrouk Mahmoud
- Elhadi Ahmed
- Elhadi Muhammed
- Elhajjaji Yasmine Ali
- Elhattab Ahmad
- Elisante Joseph
- Elkaloush Abdullahn Abdousalam
- Elkhazmi Ebtesam Othman Abdulsalam
- Elmenam Mohamed Abd
- Elmzyyen Aya Mahmoud
- Elrais Safa Abdal
- Elsadek Menan Ahmed
- Elsaied Adham
- Elshaer Omar Adly
- Elsherbiny Mohamed
- Elsiraffy Omar Ossama
- Elstad Maria
- Elzohiri Mohamed
- Elzowawi Fathi
- Emam Omar Sameh
- Emil Sherif
- Enbaya Manal Ben
- Ensar Nicholas
- Erdem Melisa
- Eren Elif
- Ergenekon Ebru
- EroÄźlu Egemen
- Erturk Nazile
- Erçin Seçil
- Eshkabilov Shukurali
- Espineda Beda
- Essa Tarek Mohamed
- Essamilghi Kamila Almabrouk Mohammed
- Ezidiegwu Ugochukwu S
- Ezomike Uchechukwu Obiora
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- Fadhle Muhamed Jassim
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- Fourcade Laurent
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- Fox Sarah
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- Furtado Mariana
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- Galdeano Marcelo
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- GarcĂa Miriam
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- Ghaly Khaled Abd elrahman
- Ghanem Waleed H.
- Ghayth Sumayyah
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- Gohil Hetal
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- Gomez Oscar
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- Gonzalez Cortez Luis Fernando
- Gonzalez Daniel Emilio
- Gonzalez Joann
- González Ojeda Alejandro
- Gonçalves Borges Carolina
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- Gonçalves Victor
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- Granéli Christina
- Greenberg Jodie
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- Guerin Florent
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- Guinsburg Ruth
- Guisse Carmen
- Gurgel do Amaral Antonio Cipriano
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- Gutarra Palomino Andrea
- Gutierrez Maldonado Joan Elizabeth
- Habiba Alouani
- Hagander Lars
- Hagander Lars
- Haidari Sayed Aman
- Haider Naveed
- Hajajreh Ma'alem sameer
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- Halabi Yasmeen Adly
- Hall Nigel
- Hall Timothy
- Hameed Soban
- Hamidi Nadia
- Hamidovic Ajla
- Hamill James
- Hamilton April
- Hammato Abdalkarim Yhya
- Hammond Philip
- Hammouri Ahmad G.
- Hamzah Siti Nur Aien binti Hamid
- Han Yijiang
- Hanifah Nur Atiqah binti Mohd
- Haraux Elodie
- Harilal Shamaman
- Harper Luke
- Hasan Samiul
- Hasan Samiul
- Hasanain Doaa Khalil
- Hashim Hidayah Hayati binti
- Hashim Imran
- Hashim Sophia
- Hassan Majd Yousef Mohammed
- Hassan Mohamed Abada
- Hassan Mohd Razin bin
- Hassan Zulfitri bin Md
- Herappe Mellado Dorihela
- Herdan Mohamed Omar
- Hernández Córdova Karina
- Herrera Pesara Luciana Martina
- Herrera Carina
- Herrera Laura
- Hery GĂ©raldine
- Hinostroza Daniel
- Hisham Intisar
- Hodgman Erica
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- Huang Liuming
- Huang Shungen
- Huang Ting
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- Hussein Omar Ghazi
- Hussein Sara Al
- Hussien Muaad
- Hwang In ji
- Hyeon Cho Seok
- Hyman Gabriella
- Ibarra Daniel
- Ibrahim Eman Abouzeid Abouzeid
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- Ibrahim Mahmoud abdelshakour
- Ibukunolu Ogundele
- Igoche Matthias
- Ihediwa George
- Ä°mamoÄźlu Mustafa
- Ionescu Sebastian
- Iracelay Susana
- Iriondo MartĂ
- Ishak Shareena
- Ismail Enas Musa
- Ismavel Vijay Anand
- Itangishaka Innocent
- Ivanov Monica
- Jabaiti Mohammad S.
- Jabang John N.
- Jaber Dania
- Jacobson Jillian
- Jain Sunil
- Jaiteh Musa
- Jallow Cherno S.
- Jalo Iliya
- Jamal Muhammad Umer
- Jamie Najlaa Abu
- Jamie Yasmin Mohammed Khalil Abu
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- Jones Brendan
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- Karim Sabbir
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- Khalid Hazlina Mohd.
- Khamag Omar
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- Khlevner Julie
- Khodor Cury Edson
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- Layas Tesneem
- Laymouna Moustafa A.
- Leal Paola Osses
- Leather Andrew J. M.
- Lechmiannandan Abhirrami
- Ledesma Peraza Jesmarina
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- Leech Mary
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- Li Haijing
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- Liang Liang
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- Liu Yang
- Liubsys Arunas
- Liukitithara Sirima
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- Lodhia Jay
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- Lopes Teixeira Ferdinando Danielle
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- Lu Jinjing
- Lubbad Walaa
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- Lui Yang
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- Lule Joseph
- Luo Wenjuan
- Lv Junying
- Lv Zhibao
- Lyttle Bailey D.
- Løfberg Katrine
- M. Ballah Abubakar
- M. Qabaja Mahmoud
- Mac Carlos
- Macdonald Alex
- Machemedze Solomon
- Madieh Jomana
- Madziba Sanele
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- Mahmud Khalid
- Mahmud Refoyez
- Mairami Amsa B.
- Maistry Niveshni
- Makhmud Aliev
- Malcius Dalius
- Malik Janan
- Malik Sawazen
- Mancera Juliana
- Mangray Hansraj
- Manirambona Emery
- Manjira Emmanuel
- Manni Francesco
- Mansfield Sara
- Mansour Islam
- Mansour Mohamed Awad
- Marcos Dolores
- Marianella Depetrini
- Marmol Monica
- Marta Osowicka
- Martin Aranda Diego
- Martin Benjamin
- Martinez-Leo Bruno
- Martins Bianca M. R.
- MartĂnez Hernández Magro Nestor
- Mary Koshy Roshine
- Massry Nasrallah Ashraf Al
- Matour Bashar M.
- Mayaleh Abdelrazzaq Abu
- Mbonicura Jean Claude
- Mbonisweni Akhona
- Mccluney Simon
- McColl Makepeace Lydia
- Medard Pablo
- Meftah Asma
- Melo Gallindo Rodrigo
- Meloche-Dumas LĂ©amarie
- Mena Adriana
- Mendez Benavente Carolina
- Mendoza Chiroque Carlos
- Mendoza Leon Nancy Rossana
- Mendoza Oviedo Juan Jose
- Menin Flavio Augusto
- Mercado Pedro
- Mert Mustafa Kurthan
- Merwe Elmarie vd
- Mesas Burgos Carmen
- Mesic Amira
- Michael Vishal
- Middlesworth William
- Middleton Thomas
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- Mikneviciute Agne
- Milisic Emir
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- Miriam Ann
- Mironescu Aurel
- Mirza Muhammad Bilal
- Misk Rami Anwar
- Mitul Ashrarur
- Mitul Ashrarur Rahman
- Modekwe Victor
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- Mohammad Mohammad Aminu
- Mohammed Abobaker
- Mohammed Azhar Arabi
- Mohammed Hanan Mahmoud
- Mohammed Mansour Mkayed
- Mohammed Ola Ahmed Abdulmjeed
- Moitt Natalie
- Molina Vazquez Maria Elena
- Molina Marcelo
- Molinelli Matilde
- Monawar Abdul Baqi
- Montalvo Marin Arturo
- Montoya Debora
- Mora Maria
- Moraes Mario
- Morales Adriana
- Morales Otto
- Moreno Maria Eugenia
- Moriya Eliane
- Morjan Mohammed
- Mose Moraa
- Motee Jethishka
- Motter Sarah Bueno
- Mounira Baghdadi Nour el islam
- Mouti Mohamad Bassel
- Mouttalib Sofia
- Mshelbwala Philip Mari
- Msuya David
- Mugambi Stanley
- Mugo Robert
- Muhic Amila
- Mulu Jack
- Mumtaz Uzma
- Muntean Liviu
- Murad Amir M. I.
- Muradi Teymursha
- Muragijimana Jean De Dieu
- Muraveji Qais
- Murillo Ericka
- Murshidi Raghad M.
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- Tumi Mohamed
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- Vierboom Liam
- Villalba Villalba Araceli
- Villegas Silva RaĂşl
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- Vosoughi Armin
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- Wang Peng
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- Wishah Bisan D. M.
- Wishah Nidal
- Wissanji Hussein
- Wolak Przemyslaw
- Wolny Agnieszka
- Wong Janice
- Wong Marilyn
- Wright Naomi Jane
- Wu Guowei
- Wyrzykowski Dariusz
- Xiaodong Guo
- Xie Hua
- Yacoub Mina A.
- Yaghi Bashar
- Yaghi Dua Hasan
- Yalcinkaya Ali
- Yang Hee-Beom
- Yanis Ahmad H.
- Yanowsky Reyes Guillermo
- Yao Yang
- Yapo Benjamin
- Yarza Fernández Jessica
- Yeniay Aslı Öztürk
- Yola Mariya Mukhtar
- Yong Feng
- Youn Joong Kee
- Yousuf Hina
- Yu Mengnan
- Yu Raisa
- Yuen Quah Soong
- Yuldashev Rustam Z.
- Yunus Aayenah
- Za'nouneh Faris J. Abu
- Zaghlol Louay Y.
- Zahari Dato' Dr Zakaria bin
- Zain Mostafa
- Zaman Azrina SK
- Zanellato Josiane Bernartt
- Zarwawi Ahmad Zulhisyam bin
- Zea-Salazar Luis Enrique
- Zeinelabdeen Ali
- Zhao Xiaoxia
- Zhu Jianming
- Zhu Libin
- Zidan Mazen
- Zivanovic Dragoljub
- Zottis Barcelos Fabricio
- Zreeg Dafer abdulhakim . S.
- Zurikat Rajai O.
- Zvizdic Nada
- Zvizdic Zlatan
- Çekiç Bahanur
- Çelik Müge
- Özçelik Zerrin
- Şeref Kıvanç
- Ĺ afus AntonĂn
- Škvařil Jan
- Ĺ tichhauer Radek
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2021
- Field of study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
Age and frailty are independently associated with increased COVID-19 mortality and increased care needs in survivors: results of an international multi-centre study
- Author
- Aaliya Mohammed (12499327)
- Abdulkader Mohammad (12499324)
- Abdulmalek Aljafari (12498697)
- Abdulmoiz Aljafari (12498700)
- Abigail Hobill (12499126)
- Abigail Reynolds (9119102)
- Adam Budzikoski (12498805)
- Adam Gordon (825422)
- Adam H Dyer (12498967)
- Adam Seed (2367799)
- Agnieszka Felska (12499003)
- Ahmad Bouhuwaish (9757988)
- Ahmed A Momen (12499330)
- Ahmed Cordie (12498865)
- Ahmed KM Hadreiez (12499093)
- Ahmed O Elmehrath (12498979)
- Ahmed SA Taher (12499558)
- Ahmed Y Azzam (12229460)
- Aidan Haslam (12499108)
- Aimee Leadbetter (12499234)
- Aina Ibukunoluwakitan (12499159)
- Aine McGovern (10174331)
- Akhil Kanzaria (12499198)
- Alberto Porcu (5473763)
- Aldo Rocca (10650326)
- Alexander Emery (12498988)
- Alexander Hickman (12499123)
- Alexander Noar (12499387)
- Alexandra Richardson (12499465)
- Alexandros Charalabopoulos (12498838)
- Alexis Carr (12498829)
- Ali Ali (3510386)
- Ali Muhtaroglu (12499357)
- Aliae AR Mohamed Hussein (12499321)
- Alice Devaney (12498922)
- Alice O'Docherty (12499393)
- Alison Eastaugh (12498970)
- Almontacer EB Masood (12499279)
- Alodia Gabre-Kidan (12499027)
- Alshaimaa M Saad (12499483)
- Amalia Karapanou (12499201)
- Amanda Stafford (12499537)
- Ambreen Sadiq (12499489)
- Amelia Roberts (12499468)
- Amir Abdelmalak (12498673)
- Amy Birchenough (12498781)
- Amy Gray (4541533)
- Amybel Taylor (12499564)
- Andra Caracostea (12498823)
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- Andrew Crowe (450839)
- Andrew Ghobrial (12499045)
- Aneliya Kuzeva (12499228)
- Angeline Price (10174343)
- Anna Barnard (1987999)
- Anna Fleck (12499021)
- Anne Karunatilleke (12499210)
- Anthony Grubb (12499081)
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- Antia Fernandez (12499006)
- Antonella Ferraiolo (696685)
- Antonio Buondonno (12498811)
- Arjun Desai (12498919)
- Asad J Choudhry (12498850)
- Asma Khan (8140407)
- Avinash Aujayeb (12229442)
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- Bruno Cirillo (9503960)
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- Cassandra Fairhead (12498997)
- Caterina Cattel (12498835)
- Catherine Atkin (12498733)
- Catherine Bryant (5072462)
- Catherine Dotchin (5983973)
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- Chee Soo (12498658)
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- Chloe Warner (12499618)
- Christina Page (12499414)
- Christopher N Osuafor (12498634)
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- Claire Morris (2019940)
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- Claudio Gustavino (12499087)
- Cliona Ni Cheallaigh (9617430)
- Corrina Bentley (12498778)
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- Daniel Curley (12498886)
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- Deevia Hanji (12499099)
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- Dina Radenkovic (4676860)
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- Enrico Pinotti (12499438)
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- Esther Medina-Manuel (12499300)
- Evelyn Charsley (12498841)
- Fabio Barra (12229463)
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- Favour Nwolu (12499390)
- Fawsiya Mohamed (12499315)
- Felicity Evison (12498994)
- Flavia Ciccarone (12498853)
- Francesco Alessandri (6787682)
- Francesco Pugliese (792375)
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- Gavriella Levinson (12499237)
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- Harnish Patel (3532901)
- Harsha Malapati (11091047)
- Hayley Jarvis (12499177)
- Hayley R Boden (12498787)
- Hazel Sanghvi (12499495)
- Hazem Ahmed (2734090)
- Hedra Ghobrial (12499048)
- Heena Khiroya (12498616)
- Hein Zaw (5772269)
- Hejab Butt (12498817)
- Helal F Hetta (12499120)
- Helena Lee (7481552)
- Henry Maynard (12499294)
- Hesham Khalid (12499213)
- Hiren Dusara (12498961)
- Hope Elrick (12498982)
- Hossam Aldein S Abd Elazeem (12498667)
- Hrisheekesh Vaidya (4241539)
- Humza Yusuf (12499666)
- Iain Wilkinson (11210310)
- Ioan M Draghita (12498952)
- Ioannis Baloyiannis (12498760)
- Irem Ishlek (12499162)
- Ishmam Ibtida (9849214)
- Islam A Ahmed (12498688)
- Ismael Mora-Guzman (12499336)
- Ismini Panayotidis (4778079)
- Isobel Sleeman (12498655)
- Jack Cullen (12498877)
- Jack Stewart (11781983)
- Jade Man (12499261)
- Jake Gibbon (12499054)
- James Belcher (12498772)
- James M Dundas (12498955)
- Jamie Mawhinney (12499285)
- Jane Masoli (3540020)
- Jarita Sivam (12499528)
- Jason Kalloo (12499195)
- Jay Darley (12498895)
- Jean Cummings (12498880)
- Jenni K Burton (12498592)
- Jennifer Pigott (12498649)
- Jennifer Smith (172056)
- Jessica Parkin (12499420)
- Jiannis Hajiioannou (12499096)
- Joanne Taylor (49271)
- Joanne Wagland (12499612)
- Jocelyn Amer (12498712)
- John Millwood-Hargrave (12499309)
- Jolene Atia (3172896)
- Jonathan Sheldrake (12499519)
- Jordan Mayer (12499291)
- Joshua H Gray (12499066)
- Jugdeep Dhesi (12498928)
- Julie Whitney (12499633)
- Kar Yee Law (12499231)
- Karl Jackson (12499168)
- Karla Griffith (12499078)
- Katharine Hood (12499138)
- Katharine Stambollouian (12499540)
- Katherine Hopkinson (12499141)
- Katherine Patterson (12498637)
- Kathleen T Shakespeare (12499510)
- Kathryn Toppley (12499585)
- Katie Honney (7799858)
- Katie Thin (12499570)
- Katy Madden (12498622)
- Kelli Torsney (12498664)
- Kelvin Miu (12499312)
- Kelvin Okoth (10307754)
- Kent A Stevens (12499543)
- Kingsley Appiah (12498730)
- Konstantinos Perivoliotis (12499432)
- Krishnarajah Nirantharakumar (154539)
- Lara Howells (12499144)
- Lara Reilly (12499462)
- Laura Babb (12498748)
- Laura Bremner (12498793)
- Laura Magill (4399846)
- Laura Winter (12499651)
- Lauren C Passby (12499423)
- Lauren McCluskey (12498625)
- Laurenny Guzman (12499090)
- Laxmi Babar (12498745)
- Li Kok (12499222)
- Lia Orlando (12499408)
- Liam Townsend (9617403)
- Lily Lowes (12499249)
- Lindsay Hennah (12499117)
- Lindsey Dew (12498925)
- Lizzie Moriarty (12499339)
- Lobna Al-Sodani (12498706)
- Luca Scott (12499501)
- Lucy Beishon (7298981)
- Luigi Simonelli (12499525)
- Madeleine Daly (12498892)
- Madeleine Garner (12499033)
- Madiha Virk (12499606)
- Mahmoud M Saad (12499486)
- Mairead Kelly (346537)
- Manpreet Badh (12498751)
- Marc Osterdahl (12499411)
- Margherita Faulkner (12499000)
- Maria Dias (12498931)
- Maria Mpoura (12499351)
- Maria Qurashi (12499450)
- Maria Valero-Soriano (12499594)
- Mariam Albatoul Nageh (12499375)
- Marie Giles (12499060)
- Marie Goujon (12498604)
- Mark Vettasseri (12499603)
- Mark Whitsey (12499636)
- Martha Pinkney (12499435)
- Martina Zambon (12499669)
- Mary Ni Lochlainn (11419458)
- Matthew Hale (9045264)
- Matthew King (782718)
- Megan Williamson (11996525)
- Melanie Dani (6397982)
- Mertcan Akcay (12498691)
- Merve Yigit (12499660)
- Mettha Wimalasundera (12499645)
- Michael Sen (12499504)
- Michael Surtees (12499552)
- Michail A Sampanis (12499492)
- Michala Pettitt (12498646)
- Michelle Metcalf (12499306)
- Miguel Ruiz-Marin (12499477)
- Milagros Carrasco-Prats (12498832)
- Miles Witham (4355218)
- Miriam Thake (12499567)
- Mohamed Eltaher AA Ibrahim (12499156)
- Mohamed M Moustafa (12499348)
- Mohammad T Azam (12498739)
- Mohammed A Azab (12229448)
- Mohammed Ahmad (9120880)
- Mohammed Al-Sadawi (12498703)
- Mohammed H Abdelhafez (12498670)
- Mohammed Mubin (12499354)
- Monica Bawor (516749)
- Mosab AA Shaban (12499507)
- Mostafa El-Shazly (12498985)
- Moulinath Bannerjee (12498763)
- Muhammad S Khan (12499216)
- Muhammed Elhadi (9689965)
- Muhammed H Ansari (12498727)
- Mustafa Alsahab (12498583)
- Natalie Cox (12498595)
- Natalie McNeela (12498628)
- Natalie Yeo (12499657)
- Nathan Jenko (12499183)
- Necattin Firat (12499015)
- Niamh Cunningham (12498883)
- Nicholas Moss (12499345)
- Nick Coulthard (12498871)
- Nicola Kelly (9194178)
- Nicole Burden (12498814)
- Nicole Hrouda (12499147)
- Nik Sanyal (12498652)
- Nikhita Dattani (12498898)
- Nikolaos Georgiou (12499036)
- Nikolaos Sipsas (8687409)
- Nirali Desai (10956418)
- Nourhan AA Ghannam (12499042)
- Nuha Kardaman (12499204)
- Nuria Martinez-Sanz (12499273)
- Olebu Ogochukwu (12499402)
- Olubayode Adewole (12498682)
- Omar A Abdelwahab (12498676)
- Omar Zein Elabedeen (12499672)
- Omoteniola Odutola (12499396)
- Osama MAS Abdulhadi (12498679)
- Paolo Sapienza (11397021)
- Parveen Doddamani (12498937)
- Patricia Pastor-Perez (12499426)
- Patrick CP Hogan (12499129)
- Patrick Harrison (11805810)
- Paul Reynolds (382180)
- Pedro Fernandez-Fernandez (12499009)
- Pedro Lopez-Morales (12499246)
- Pierfrancesco Lapolla (10232340)
- Pierfranco M Cicerchia (12498856)
- Prabhleen Puri (12499441)
- Rachael Anders (12498724)
- Rachael Webb (12499624)
- Rajesh Dwivedi (12498964)
- Rajni Lal (12498619)
- Rand A Hussein (12499153)
- Ratnam Gandhi (12499030)
- Ravindra Belgamwar (12498775)
- Rebecca Lau (3664084)
- Rebecca Ryall (12499480)
- Rebecca Wright (12339118)
- Recayi Capoglu (12498820)
- Reem Bulla (12498808)
- Rifa Cardoso (12498826)
- Rishi Iyer (12499165)
- Rita Perry (12498643)
- Rosanna Varden (12499597)
- Rose Penfold (7537139)
- Rosie Jackson (12499171)
- Ross Sayers (12499498)
- Rowan Davies (12498904)
- Rupini Perinpanathan (12499429)
- Ruth H Willott (12499642)
- Ruth West (8003159)
- Sally Aziz (12498742)
- Samiullah Dost (12498946)
- Samuel North (4070647)
- Sandeep Karthikeyan (12499207)
- Sarah Baldwin (12498757)
- Sarah Evans (270764)
- Sarah F Rapaport (12499456)
- Sarah Freshwater (12498598)
- Sarah H Manning (12499267)
- Sarah H Welsh (12499627)
- Sarah Richardson (698187)
- Sasha Jeyakumar (12499186)
- Sergio Del Valle-Ruiz (12498913)
- Shahriar Kabir (12499189)
- Sharon Budd (12498802)
- Shefali Patel (11154648)
- Shivam Pancholi (12499417)
- Shrouk M Elghazaly (12498976)
- Simona Meneghini (12499303)
- Simone Ferrero (4614157)
- Sinead O'Dwyer (12499399)
- Sing Yang Sim (12499522)
- Siobhan Coulter (12498868)
- Soha M Mohamed (12499318)
- Sophie Jeffs (12499180)
- Sophie Mclachlan (12499297)
- Spyridon Davakis (12498901)
- Sri Sivarajan (12499531)
- Stephanie Mulhern (12499363)
- Stephanie Wallis (12499615)
- Stephanie Worrall (12499654)
- Stephen Lim (149062)
- Suvira Madan (12499258)
- Sylvia Amini (12498715)
- Sylvia Pytraczyk (12499444)
- Taha Amir (12498718)
- Tahir Masud (804313)
- Tahmina Razzak (12499459)
- Tanya Robinson (11016672)
- Terence Quinn (3717607)
- Teresa Perra (12258519)
- Terry Hughes (12498607)
- Theodore Chevallier (12498847)
- Theodore Liakakos (3475031)
- Thomas A Jackson (12498610)
- Thomas Kneen (12499219)
- Thomas Pinkney (467511)
- Thurkka Rajeswaran (12499453)
- Thyn Thyn (12499576)
- Tina Doll (12498943)
- Tom Maughan (12499282)
- Torben Heinsohn (12499114)
- Vaishali Vyas (12499609)
- Varun Nadkarni (12499372)
- Vesna Hogan (12499132)
- Victoria Comerford (12498862)
- Victoria Cox (325585)
- Victoria Gaunt (12498601)
- Victoria Haunton (7755344)
- Vittoria Vergani (4846690)
- W David Strain (12498661)
- Wasim Nawaz (12499381)
- William Hurst (4229008)
- William Marx (12499276)
- Yasin A Yildiz (12499663)
- Yasmin K NasrEldin (12499378)
- Yen Nee J Bo (12498784)
- Yu Lelt Win (12499648)
- Yue Guan (2178228)
- Yusra Qaiser (12499447)
- Zaynub Ghufoor (12499051)
- Zeinab Majid (9957176)
- Zulfu Bayhan (12498769)
- Publication venue
- Publication date
- 05/02/2021
- Field of study
Introduction: Increased mortality has been demonstrated in older adults with coronavirus disease 2019 (COVID-19), but the effect of frailty has been unclear.
Methods: This multi-centre cohort study involved patients aged 18 years and older hospitalised with COVID-19, using routinely collected data. We used Cox regression analysis to assess the impact of age, frailty and delirium on the risk of inpatient mortality, adjusting for sex, illness severity, inflammation and co-morbidities. We used ordinal logistic regression analysis to assess the impact of age, Clinical Frailty Scale (CFS) and delirium on risk of increased care requirements on discharge, adjusting for the same variables.
Results: Data from 5,711 patients from 55 hospitals in 12 countries were included (median age 74, interquartile range [IQR] 54–83; 55.2% male). The risk of death increased independently with increasing age (>80 versus 18–49: hazard ratio [HR] 3.57, confidence interval [CI] 2.54–5.02), frailty (CFS 8 versus 1–3: HR 3.03, CI 2.29–4.00) inflammation, renal disease, cardiovascular disease and cancer, but not delirium. Age, frailty (CFS 7 versus 1–3: odds ratio 7.00, CI 5.27–9.32), delirium, dementia and mental health diagnoses were all associated with increased risk of higher care needs on discharge. The likelihood of adverse outcomes increased across all grades of CFS from 4 to 9.
Conclusion: Age and frailty are independently associated with adverse outcomes in COVID-19. Risk of increased care needs was also increased in survivors of COVID-19 with frailty or older age.</p