5 research outputs found
High-sensitivity microsatellite instability assessment for the detection of mismatch repair defects in normal tissue of biallelic germline mismatch repair mutation carriers
- Author
- Ayala Rosa
- Azizi Amedeo A.
- Balaguer Prunés Francesc
- Bonifaci Cano Núria
- Brunet Joan
- Capellá G. (Gabriel)
- Dahan Karin
- Demirsoy Ugur
- Fernández Anna
- Florkin Benoît
- González Acosta Maribel
- González Granado Luis Ignacio
- Grau Garces Elia
- Guerra García Pilar
- Iglesias Silvia
- Imschweiler thomas
- Januszkiewicz-Lewandowska Danuta
- Kratz Christian
- Lobitz Stephan
- Lázaro García Conxi
- Marín Fátima
- Moreno Aguado Víctor
- Nathrath Michaela
- Navarro Matilde
- Pander Hans-Jürgen
- Pineda Marta
- Puliafito Benjamin
- Ragab Iman
- Ripperger Tim
- Rosenbaum Thorsten
- Rueda Daniel
- Salvador Hector
- Suerink Manon
- Velasco Àngela
- Wimmer Katharina
- Publication venue
- 'BMJ'
- Publication date
- 01/01/2020
- Field of study
Introduction: Lynch syndrome (LS) and constitutional mismatch repair deficiency (CMMRD) are hereditary cancer syndromes associated with mismatch repair (MMR) deficiency. Tumours show microsatellite instability (MSI), also reported at low levels in non-neoplastic tissues. Our aim was to evaluate the performance of high-sensitivity MSI (hs-MSI) assessment for the identification of LS and CMMRD in non-neoplastic tissues. Materials and methods: Blood DNA samples from 131 individuals were grouped into three cohorts: baseline (22 controls), training (11 CMMRD, 48 LS and 15 controls) and validation (18 CMMRD and 18 controls). Custom next generation sequencing panel and bioinformatics pipeline were used to detect insertions and deletions in microsatellite markers. An hs-MSI score was calculated representing the percentage of unstable markers. Results: The hs-MSI score was significantly higher in CMMRD blood samples when compared with controls in the training cohort (p<0.001). This finding was confirmed in the validation set, reaching 100% specificity and sensitivity. Higher hs-MSI scores were detected in biallelic MSH2 carriers (n=5) compared with MSH6 carriers (n=15). The hs-MSI analysis did not detect a difference between LS and control blood samples (p=0.564). Conclusions: The hs-MSI approach is a valuable tool for CMMRD diagnosis, especially in suspected patients harbouring MMR variants of unknown significance or non-detected biallelic germline mutations. Keywords: constitutional mismatch repair deficiency; highly sensitive methodologies; lynch syndrome; microsatellite instability; next generation sequencing
High-sensitivity microsatellite instability assessment for the detection of mismatch repair defects in normal tissue of biallelic germline mismatch repair mutation carriers
- Author
- Ayala Rosa
- Azizi Amedeo A.
- Balaguer Francesc
- Bonifaci Nuria
- Brunet Joan
- Capella Gabriel
- Dahan Karin
- Demirsoy Ugur
- Fernandez Anna
- Florkin Benoit
- Garces Elia Grau
- Gonzalez-Acosta Maribel
- Gonzalez-Granado Luis Ignacio
- Guerra-Garcia Pilar
- Iglesias Silvia
- Imschweiler Thomas
- Januszkiewicz-Lewandowska Danuta
- Kratz Christian
- Lazaro Conxi
- Lobitz Stephan
- Marin Fatima
- Moreno Victor
- Nathrath Michaela
- Navarro Matilde
- Pander Hans-Juergen
- Pineda Marta
- Puliafito Benjamin
- Ragab Iman
- Ripperger Tim
- Rosenbaum Thorsten
- Rueda Daniel
- Salvador Hector
- Suerink Manon
- Velasco Angela
- Wimmer Katharina
- Publication venue
- 'BMJ'
- Publication date
- 01/01/2020
- Field of study
Introduction Lynch syndrome (LS) and constitutional mismatch repair deficiency (CMMRD) are hereditary cancer syndromes associated with mismatch repair (MMR) deficiency. Tumours show microsatellite instability (MSI), also reported at low levels in non-neoplastic tissues. Our aim was to evaluate the performance of high-sensitivity MSI (hs-MSI) assessment for the identification of LS and CMMRD in non-neoplastic tissues. Materials and methods Blood DNA samples from 131 individuals were grouped into three cohorts: baseline (22 controls), training (11 CMMRD, 48 LS and 15 controls) and validation (18 CMMRD and 18 controls). Custom next generation sequencing panel and bioinformatics pipeline were used to detect insertions and deletions in microsatellite markers. An hs-MSI score was calculated representing the percentage of unstable markers. Results The hs-MSI score was significantly higher in CMMRD blood samples when compared with controls in the training cohort (p<0.001). This finding was confirmed in the validation set, reaching 100% specificity and sensitivity. Higher hs-MSI scores were detected in biallelic MSH2 carriers (n=5) compared with MSH6 carriers (n=15). The hs-MSI analysis did not detect a difference between LS and control blood samples (p=0.564). Conclusions The hs-MSI approach is a valuable tool for CMMRD diagnosis, especially in suspected patients harbouring MMR variants of unknown significance or non-detected biallelic germline mutations
Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe
- Author
- Aantaa Riku
- Abdel-Hafiz Mostafa
- Abdelaal Amr
- Abou-Samra Mark
- Absalom Anthony
- Acevedo Bambaren Ismael
- Adam Christian
- Adriaens Veronique
- Afshari Arash
- Ahmed Samira
- Alanoglu Zekeriyya
- Albarello Raffaella
- Albokrinov Andrew
- Alders David
- Alderson Peter
- Alexandri Bogdan
- Ali Eissa Eid Mohamed
- Alkis Neslihan
- Allen Claire
- Allison Celia
- Almenrader Nicole
- Amaral Rosa
- Amory Catherine
- Ancupans Agris
- Anders Kroken Bjørn
- Anders Nicola
- Angadi Pradeep
- Angeles Sanz M.
- Anselmi Irene
- Anselmi Luciano
- Antonio Idone Francesco
- Anuncia Escontrela Rodríguez Blanca
- Armoniene Inesa
- Artes David
- Aslami Hamid
- Astuto Marinella
- Audren Noémie
- Aurilio Caterina
- Ayyash Reema
- Babici Remus
- Badarau Victoria
- Badeti Rodica
- Baethge Sabine
- Bakken Boerke Wenche
- Balamat Stefania
- Bandrabur Daniela
- Banerjee Indrani
- Banus Ester
- Bapat Smita
- Baraggia Paolo
- Barak Yuri
- Baranowski Artur
- Barber Nicola
- Barbera Cinzia
- Barbunc Danut
- Bari Francoise
- Baris Sibel
- Barlow Victoria
- Barr Katharine
- Bartholomew Karen
- Bartkowska-Sniatkowska Alicja
- Barzdina Arta
- Basiewicz Ewa
- Basov Mikhail
- Bassett Mike
- Batoz Hélène
- Bauer Annette
- Bauer Martin
- Bauer Michael
- Baujard Catherine
- Bauwman Arthur
- Beate Solas Anne
- Becke Karin
- Becke Karin
- Begec Zekine
- Bekavac Ivan
- Bell Graham
- Bell Sarah J
- Benito Pilar
- Berger Jelena
- Berghmans Johan
- Bergland Unni
- Bergsma Margot
- Bermede Onat
- Bernhard Eich Christoph
- Bernotiene Aurelija
- Berton Jerome
- Bevilacqua Michela
- Bew Stephanie
- Bird Victoria
- Birliba Mihaela-Petronela
- Biskupova Vera
- Bloomfield Tom
- Blythe Elizabeth
- Boda Krisztina
- Boda Krisztina B
- Boegli Yann
- Bollinger Matthias
- Book Malte
- Bordes Maryline
- Bortone Luciano
- Boryshkevych Ivanna
- Bourdaud Nathalie
- Boyd Matthew
- Boyle David
- Bracci Paolo
- Brackhahn Michael
- Bradbury Carol L.
- Breschan Christian
- Brezac Gilles
- Briggs Sandra
- Brotatsch Philipp
- Browning Mike
- Budic Ivana
- Buhre Wolfgang
- Busche René
- Busi Ilaria
- Bussolin Leonardo
- Butkovic Diana
- Butler Patrick
- Byers Gordon
- Börjesson Glenda
- Bøttger Morten
- Cabanova Barbora
- Cagney Brid
- Cakar Turhan K. Sanem
- Calderini Edoardo
- Calvao Santos Carolina
- Camporesi Anna
- Camus Blandine
- Capusan Alin
- Carachi Peter
- Carre Anne-Charlotte
- Cartal Marielle
- Casaer Sari
- Castellheim Albert
- Casutt Mattias
- Catalina Ionescu Gabriela
- Cavalier Alison
- Cecini Mariateresa
- Cento Valeria
- Cerati Giorgia
- Cerne Uros
- Cerutti Elisabetta
- Cettler Maciej
- Ceuca Daniela
- Ceyda Meco Basak
- Chapotte Catherine
- Chazelet Chantal
- Checinska Magdalena
- Checuti Sarah
- Chee Lew-Chin
- Childs Sophie
- Chirichiello Luca
- Chizhov Dmitri
- Chlopin Mikhail
- Chloropoulou Pelagia
- Christian Nilsson Jens
- Chrysi Mpratzou
- Cigdem Tütüncü Ayse
- Cillis Annagrazia
- Cimpeanu Luminita
- Cindea Iulia
- Ciobanu Tudor
- Clausen Nicola G.
- Cloherty Marianne
- Cnudde Steven
- Cohen Marc
- Colbus Laurent
- Coppens Marc
- Corouge Julien
- Cortegiani Andrea
- Coucke Patricia
- Crawford Michael
- Cristina Mondardini Maria
- Cuciuc Veaceslav
- Cucui-Cozma Cosmina
- Cullen Julia
- Cullen Pauline
- Cumming Craig
- D'Alessandro Sandra
- Dadure Christophe
- Dahmani Souhayl
- Dalton Andrew
- Dalton Mark
- Damps Maria
- Darwin Leanne
- Daugelavicius Vidunas
- Davidescu Irina
- Davidson Sarah
- Davies Jack
- Davies Kay
- Davin Isabelle
- Davison Rachel
- Day Alexandra
- De Abreu Leidy
- de Graaff Jurgen C.
- De Groote Françoise
- De Hert Stefan
- De Josemaria Belen
- de la Brière Francois
- De La Cruz Benito Fausto
- De Lorenzo Brita
- De Melo Eric
- De Pooter Françoise
- De Smet Karen
- De Villé Andrée
- Debrabant Lise
- Dei Giudici Luigi
- Dekens Jacky
- Dekker Elsa
- del Río Cristina
- Delcuze Axelle
- Desjeux Luc
- Diacono Jacques
- Dickinson Matthew
- Didier Anne
- Diers Anja
- Dirckx Maaike
- Disma Nicola
- Disma Nicola
- Divák Jan
- Diwan Rishi
- Dix Philippa
- Djapic Dajana
- Dockiene Ilona
- Dogger Jaap
- Dolci Mirko
- Dolinaj Vladimir
- Domingas Patuleia M.
- Domínguez Fernando
- Dons-Sinke Ilse
- Dorman Teresa
- Draskovic Biljana
- Druot Emilie
- Duflo Frédéric
- Dumitru Rusu Florin
- Dupont Hervé
- Eberl Susanne
- Ecoffey Claude
- Ehm Birgit
- Eisner Christoph
- Eissa Ayman
- Elena Malos Anca
- Elizabeth Biercamp Claire
- Ellekvist Marguerite B.
- Ellerkmann Richard
- Ellwood James
- Engel Nicole
- Engelhardt Thomas
- Eniko Kovacs
- Ephraim Erik
- Erb Christian
- Erb Thomas
- Errass Loreen
- Fairgrieve Ross
- Faliszewski Isabella
- Farinelli Ivano
- Farquharson Pamela
- Feliu Montserrat
- Fiedler Fritz
- Fischer Thomas
- Fisher Haran
- Flewin Lisa
- Foster Brian
- Franco Teresa
- Fredrik Lund Ole
- Frelich Michal
- Frey Denise
- Fritzsche Katrin
- Funk Wolfgang
- Gabilondo Garcia Gustavo
- Gabriella Elena Clement Maria
- Gaebler Ralf
- Gagey Anne-Charlotte
- Gaidelyte Lina
- Galinescu Irena
- Galvin Deborah
- Gande Richard
- Gandhi Monica
- Garces Antonio
- García Irene
- Garrigue Delphine
- Garrioch Sweyn
- Gatt David
- Gaynor James
- Geary Tim
- Geil Dfominik
- Genco Daniele
- Gerin Marc
- Gerling Volker
- Germann Reinhard
- Gernoth Christian
- Gestautaite Dalia
- Ghent Robert
- Gillberg Lars
- Gillet Patricia
- Giuseppe Picardo Sergio
- Glasgow Russell
- Glazunov Anton
- Godsiff Leisha
- Goebel Ulrich
- Gomes Cristina
- Goncharenko Galyna
- Gonçalves Marta
- Gooch Ingrid
- Gordeeva Elena
- Grau Catharina
- Grazzini Maurizia
- Grein Elodie
- Grindheim Guro
- Grundmann Ulrich
- Grynyuk Andry
- Guarracino Fabio
- Guddo Annamaria
- Guedes Isabel
- Guericke Holger
- Guerin Christilynn
- Guido Locatelli Bruno
- Guillier Marion
- Gurita Adriana
- Gurita Adriana
- Guskov Igor
- Gutierrez Valcarcel Andrea
- Gutierrez Ignacio
- Gutmann Anton
- Guzman Ines
- Gymoese Berthelsen Kasper
- Habre Walid
- Habre Walid
- Hammerschlag Jacinda
- Hamonic Yann
- Hannie J.
- Hansen Tom G
- Hansen Tom G.
- Hanula Miloslav
- Happo Johanna
- Harden Alison
- Hare Alison
- Harlet Pierre
- Harmen Herrema Idse
- Harris Sarah
- Harrison Richard
- Hasani Antigona
- Hashimi Medita
- Hatipoglu Zehra
- Hawksworth Chris
- Hayem Catherine
- Hearn Robert
- Hedlund Lars
- Hein Maximilian
- Helena Gaitan M.
- Heli Litvic Dubravka
- Helm Emma
- Heyse Björn
- Himpe Dirk
- Hinz José
- Hivey Sarah
- Hizal Ayse
- Hobbs Amy
- Hochhold Christoph
- Hodgetts Vanessa
- Hoeft Andreas
- Hoehne Claudia
- Hofmann Ulrich
- Hogea Cristiana
- Holy Rolf
- Homer Rachel
- Hopman Geranne A. J.
- Horhota Lucian
- Huber Matthias
- Hullatt Laurence
- Hunter Catherine
- Hurni Thomas
- Hussain Nageena
- Hussey Joseph
- Hutchinson Adel
- Huygens Christel
- Hölzle Martin
- Ilie Luminita
- Ilksen Toprak Huseyin
- Ilmoja Mari-Liis
- Ingeborg Madsen Birgitte
- Ioannou Ioannis
- Iordanidou Despoina
- Ireland Nicholas
- Irwin Janice
- Isohanni Mika
- Isselhorst Carsten
- Ivani Giorgio
- Ivanov Alexander
- Ivascu Constantin
- Izzo Francesca
- Jack Ewan
- Jacomet Alfred
- Jacqmarcq Olivier
- Jamil Yosry
- jan Scheffer Gert
- Janjevic Dusanka
- Jeng Min Law Savio
- Jerome Kevin
- Jetzek-Zader Martin
- Jiménez Anabel
- Joao Susano Maria
- Johanne Lynch
- Johansen Mathias
- John Robert
- Johnston Graham
- Jokinen Johanna
- Jones Gareth
- Joukes Ellen
- Julien-Marsollier Florence
- Jureckova Lucie
- Juzwa Magdalena
- Jöhr Martin
- Jöhr Martin
- Kachko Ludmyla
- Kahn David
- Kalagac Fabris Lada
- Kalliardou Evagelia
- Kappen Teus H.
- Karadeniz Meltem Savran
- Karjagin Juri
- Katz Jacob
- Kaufmann Nils
- Kazak Bengisun Zuleyha
- Keilhauer Julia
- Kelgeri Nivedita
- Kemal Arslantas Mustafa
- Kendigelen Pinar
- Kerovec Soric Ivana
- Kesic-Valpotic Gordana
- Khaffaf Ranj
- Khotcholava Magda
- Khrapak Maksym
- Kienbaum Peter
- Kikas Reet
- Kindermann Petra
- King Stephanie
- Kirilov Dmitry
- Kirton Christine
- Kiviluoma Kai
- Klimscha Walter
- Kloessing Jan
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- Knauss Kristina
- Knezevic Mirjana
- Kochkin Vladimir
- Koessler Herbert
- Konecny Regina
- Kopycinska Renata
- Kortgen Andreas
- Kotecha Ami
- Kotzeva Svetlana
- Kranke Peter
- Krikstaponiene Jolita
- Kroess Ruth
- Kuehhirt Thomas
- Kuppers Beate
- Kusnirikova Zuzana
- Kyselova Iryna
- Ladak Nadia
- Laffargue Anne
- Lagarde Sylvaine
- Lako Sandra
- Lalot Michaël
- Lambelin Veronique
- Lambotte Patricia
- Lang Colin
- Lapi Maria
- Larcher Claire
- Laschat Michael
- Lauweryns Julie
- Lazarev Vladimir
- Lazaro Juan J
- Le Freche Hélène
- Leal Teresa
- Lechat Jean-Paul
- Leclercq Mickeal
- Lee Clover-Ann
- Lee Corina
- Lee Juliette
- Legrand Aurélien
- Lehousse Thierry
- Lejus Corinne
- Lesmes Carlos
- Leva Brigitte
- Leva Brigitte
- Levinzon Michael
- Levitchi Roxana
- Levy David
- León Carsi Irene
- Lhubat Elizabeth
- Lindenskov Pal H H
- Lipczynski Dariusz
- Liyanage Ganga
- Locke Christie
- Lofino Giuseppe
- Lomas Bernadette
- Longobardo Annalisa
- Lonsdale Hannah
- Love David
- Loveniers Birgit
- Lucia Pinciroli Rosa
- Ludot Hugues
- Lugovoy Alexander
- Lukosiene Laura
- Luntzer Robert
- Lyly Anniina
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- Machotta Andreas
- Mackiewicz Tomasz
- Mackova Iveta
- Maddalena Schellino Maria
- Mader Thomas
- Magasich Natalia
- Magner Claire
- Mahadewsing Ravin
- Majid Saleem Mohammed
- Makin Andrew
- Malarkkan Nalini
- Malisiova Anna
- Mameli Leila
- Mandras Ana
- Manen Berga Ferran
- Manevich Yair
- Maniora Maud
- Manner Tuula
- Marchesini Laura
- Marchetti Giuliano
- Marco Valls Joan
- Marcucci Carine
- Marcus Ritchie
- Maretic Hrvoje
- Maria Gago Martinez Andrea
- Maria Nistor Alina
- Marie Drage Inger
- Marie Anais
- Marjanovic Vesna
- Marthe Ballovarre Kari
- Martikainen Kati
- Martinez Maldonado Ever
- Martínez Ruiz Alberto
- Mascarenhas Catia
- Masip Nuria
- Mauch Jacqueline
- Maupain Olivier
- Maurizio Raineri Santi
- Mausser Gerlinde
- Mawer Rebecca
- Mayell Antonia
- McClintock Joanna
- McKee Lesley
- Megens A. M.
- Meijer Patrick
- Melero Alicia
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- Merella Federica
- Mesbah Ahmed
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- Mifsud Stephanie
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- Mihaela Dubau
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- Mitchell John
- Miulescu Magdalena
- Mixa Vladimir
- Mocioiu Gabriel
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- Moncreiff Michael
- Moniz Antonio
- Monrigal Jean
- Montague James
- Montferrer Núria
- Montobbio Giovanni
- Moors Xavier
- Moraru-Draghici Lucia
- Morawk-Wintersperger Ulrike
- Morgan Judith
- Morton Neil
- Morton Neil S
- Moscaliuc Melania
- Moscatello Djurdjica
- Mossetti Valeria
- Muir Vimty
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- Munteanu Valentin
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- Najafi Nadia
- Nakhjavani Solmaz
- Nasser Leila
- Nastran Andraz
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- Neckebroek Martine
- Neiger Franz
- Nekrasov Konstantin
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- Neumann Claudia
- Nicoleta Daraban
- Nolte Claire
- Noriega Bryant
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- Ntavlis Merkourios
- Numan Sandra C.
- Nuño Rosario
- O'Donahue Lizanne
- O'Hare Brendan
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- Ochsenreiter Miriam
- Oeding Joachim
- Olaru Valentin
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- Oshan Vimmi
- Ostreikov Ivan
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- Ovezov Alexey
- Ozcengiz Dilek
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- Roth Jens
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- Rudewicz Iwona
- Rudio Olga
- Rushman Sarah
- Russell Susan
- Russell William
- Russo Sebastian G.
- Rustemeyer Lydia
- Rutherford John
- Rutherford William
- Rémond Charlotte
- Sa Angela
- Sabau Lucie
- Sabourdin Nada
- Sage Frederic
- Saha Rita
- Salgado Helena
- Salici Fabiana
- Salota Vishal
- Salvo Ida
- Samani Amee
- Sammartino Maria
- Sanchez Torres Cristel
- Sandström Kerstin
- Sanko Elena
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- Sansone Pasquale
- Santos Maria
- Saour Anne-Charlotte
- Saviciene Nijole
- Savu Anca
- Sawicki Piotr
- Sbaraglia Fabio
- Scalisi Rita
- Schaefer Maximilian S.
- Schierlinger Bettina
- Schindler Ehrenfried
- Schink Cornel
- Schmain Dmitri
- Schmucker Erika
- Schoeler Michael
- Scholten Harm
- Schorer Clemens
- Schousboe Birgitte MB
- Schouten Anton N. J.
- Schramm Michael
- Schwarzkopf Konrad
- Sciascia Angela
- Scordo Lucia
- Scott-Warren Victoria
- Seabra Manuel
- Seidel-Ahyai Natascha
- Semjen François
- Serrano Silvia
- Seyhan Ozkan Tulay
- Sharman Sarah-Jane
- Shaw Neil
- Sheinkin Olga
- Shepherd Elizabeth
- Short Judith
- Sidlovskaite-Baltake Dominika
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- Simpson Joanna
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- Singh Piyush
- Sinner Barbara
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- Skordou Natalia
- Slater Patricia
- Slavkovic Bojana
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- Spanjersberg Rob
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- Starita Giusi
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- Steel Simon
- Stefan Violeta
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- Steinmann Johannes
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- Stevens France
- Stevens Markus F
- Stevic Marija
- Steward Heather
- Stoegermüller Birgit
- Stoia Paolo
- Strachan Dominic
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- Sulen Nina
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- Surkov Denis
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- Sweeney Lorraine
- Tabacaru Radu
- Takala Annika
- Takil Arzu
- Talalaj Mariola
- Talbot Laura
- Tarabikin Alex
- Taright Hanna
- Taylor Christopher
- Taylor Matthew
- Taylor Matthew
- Teodora Nastase Alina
- Teresa Rocha Maria
- Tesoro Simonetta
- Thadsad Muthu
- Thil Elke
- Thomas Alun
- Thomas Deborah
- Thomson Wendy
- Tielens Luc
- Tognon Costanza
- Tolasov Konstantin
- Toller Wolfgang
- Tomlinson William
- Tonise Virge
- Tore Altun Gülbin
- Trabkin Evelina
- Trante Irinel
- Trieschmann Uwe
- Trifan Oana
- Trikash Nikolay
- Tsiotou Adelais
- Turner Nigel M.
- Uhrig Lynn
- Ullensvang Kyrre
- Ulrici Johanna
- Umuroglu Tumay
- Underhill Helen
- Urbanec René
- Vaidyanath Chandra
- Vail Hannah
- Vaitoskaite Agne
- Vallejo Tarrat Andrea
- Valzan Silvia
- van de Riet Yvette
- Van de Velde Anne
- Van Deenen Denise
- Van Den Eynde Nancy
- van der Knijff - van Dortmont Anouk
- van der Marel Caroline
- van der Schatte Olivier Roelof
- Van Der Werff Désirée B. M.
- van der Zwan Tim
- van Doorn Thea
- Van Hecke Rachel
- Van Limmen Jurgen
- Van Mossevelde Veerle
- van Osch Rob
- Van Reeth Veronique
- van Stijn Mireille F M
- Vanpeteghem Caroline
- Varyvoda Mykhailo
- Vason Milo
- Velcev Ana
- Veldhuizen Marianne
- Verchere-Montmayeur Juliette
- Vermeulen Petronella M
- Vermeulen Petronella M
- Veyckemans Francis
- Veyckemans Francis
- Viacava Rosanna
- Viken Oddbjorn
- Vilo Sanna
- Virag Katalin
- Vittinghoff Maria
- Vittori Alessandro
- Vodianytskyi Sergii
- Voet Marieke
- Volger Hauke
- Volkers Martin
- Volpe Claudia
- Vons Mark Hendriks Kristy
- Vossen Carine
- Wai Carolynn
- Wappler Frank
- Wasiluk Malgorzata
- Watson Karen
- Weber Stefan
- Weinlichova Stanislava
- Weiss Katja
- Wellesley Hugo
- Wensing Renee T. M.
- Weyland Andreas
- Whiteside Jeanette
- Whiteside Jonathan
- Whyte Emma
- Wieczorek Pawel
- Wiefelspütz Christina
- Wilkins Andrew
- Wilson Catharine
- Wilson Graham
- Wilson-Smith Elaine
- Wodey Eric
- Wojciechowski Dariusz
- Wolfe Barry Juliet
- Wolfler Andrea
- Woodward Tom
- Wossner Stephanie
- Wright Dave
- Wyffels Piet
- Yagudaev Irena
- Yamamoto Tomohiro
- Yildirim Guclu Cigdem
- Zadra Nicola
- Zaghet Brigitte
- Zalewska Dorota
- Zammit Simone
- Zanaboni Clelia
- Zang Aurélien
- Zangl Gregor
- Zani Gianluca
- Zederer Nicole
- Zeitlin Deborah
- Zeitlin Yelena
- Zettl Angelika
- Ziegler Bernhard
- Zielinska Marzena
- Zielinska Marzena
- Zoppellari Roberto
- Zundane Anda
- Zunser Igor
- Zurawska Magdalena
- Žurek Jirí
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2017
- Field of study
Background Little is known about the incidence of severe critical events in children undergoing general anaesthesia in Europe. We aimed to identify the incidence, nature, and outcome of severe critical events in children undergoing anaesthesia, and the associated potential risk factors. Methods The APRICOT study was a prospective observational multicentre cohort study of children from birth to 15 years of age undergoing elective or urgent anaesthesia for diagnostic or surgical procedures. Children were eligible for inclusion during a 2-week period determined prospectively by each centre. There were 261 participating centres across 33 European countries. The primary endpoint was the occurence of perioperative severe critical events requiring immediate intervention. A severe critical event was defined as the occurrence of respiratory, cardiac, allergic, or neurological complications requiring immediate intervention and that led (or could have led) to major disability or death. This study is registered with ClinicalTrials.gov, number NCT01878760. Findings Between April 1, 2014, and Jan 31, 2015, 31â127 anaesthetic procedures in 30â874 children with a mean age of 6·35 years (SD 4·50) were included. The incidence of perioperative severe critical events was 5·2% (95% CI 5·0â5·5) with an incidence of respiratory critical events of 3·1% (2·9â3·3). Cardiovascular instability occurred in 1·9% (1·7â2·1), with an immediate poor outcome in 5·4% (3·7â7·5) of these cases. The all-cause 30-day in-hospital mortality rate was 10 in 10â000. This was independent of type of anaesthesia. Age (relative risk 0·88, 95% CI 0·86â0·90; p<0·0001), medical history, and physical condition (1·60, 1·40â1·82; p<0·0001) were the major risk factors for a serious critical event. Multivariate analysis revealed evidence for the beneficial effect of years of experience of the most senior anaesthesia team member (0·99, 0·981â0·997; p<0·0048 for respiratory critical events, and 0·98, 0·97â0·99; p=0·0039 for cardiovascular critical events), rather than the type of health institution or providers. Interpretation This study highlights a relatively high rate of severe critical events during the anaesthesia management of children for surgical or diagnostic procedures in Europe, and a large variability in the practice of paediatric anaesthesia. These findings are substantial enough to warrant attention from national, regional, and specialist societies to target education of anaesthesiologists and their teams and implement strategies for quality improvement in paediatric anaesthesia. Funding European Society of Anaesthesiology
Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe
- Author
- Aantaa Riku
- Abdel-Hafiz Mostafa
- Abdelaal Amr
- Abou-Samra Mark
- Absalom Anthony
- Acevedo Bambaren Ismael
- Adam Christian
- Adriaens Veronique
- Afshari Arash
- Ahmed Samira
- Alanoglu Zekeriyya
- Albarello Raffaella
- Albokrinov Andrew
- Alders David
- Alderson Peter
- Alexandri Bogdan
- Ali Eissa Eid Mohamed
- Alkis Neslihan
- Allen Claire
- Allison Celia
- Almenrader Nicole
- Amaral Rosa
- Amory Catherine
- Ancupans Agris
- Anders Kroken Bjørn
- Anders Nicola
- Angadi Pradeep
- Angeles Sanz M.
- Anselmi Irene
- Anselmi Luciano
- Antonio Idone Francesco
- Anuncia Escontrela Rodríguez Blanca
- Armoniene Inesa
- Artes David
- Aslami Hamid
- Astuto Marinella
- Audren Noémie
- Aurilio Caterina
- Ayyash Reema
- Babici Remus
- Badarau Victoria
- Badeti Rodica
- Baethge Sabine
- Bakken Boerke Wenche
- Balamat Stefania
- Bandrabur Daniela
- Banerjee Indrani
- Banus Ester
- Bapat Smita
- Baraggia Paolo
- Barak Yuri
- Baranowski Artur
- Barber Nicola
- Barbera Cinzia
- Barbunc Danut
- Bari Francoise
- Baris Sibel
- Barlow Victoria
- Barr Katharine
- Bartholomew Karen
- Bartkowska-Sniatkowska Alicja
- Barzdina Arta
- Basiewicz Ewa
- Basov Mikhail
- Bassett Mike
- Batoz Hélène
- Bauer Annette
- Bauer Martin
- Bauer Michael
- Baujard Catherine
- Bauwman Arthur
- Beate Solas Anne
- Becke Karin
- Becke Karin
- Begec Zekine
- Bekavac Ivan
- Bell Graham
- Bell Sarah J.
- Benito Pilar
- Berger Jelena
- Berghmans Johan
- Bergland Unni
- Bergsma Margot
- Bermede Onat
- Bernotiene Aurelija
- Berton Jerome
- Bevilacqua Michela
- Bew Stephanie
- Bird Victoria
- Birliba Mihaela-Petronela
- Biskupova Vera
- Bloomfield Tom
- Blythe Elizabeth
- Boda Krisztina
- Boda Krisztina B.
- Boegli Yann
- Bollinger Matthias
- Book Malte
- Bordes Maryline
- Bortone Luciano
- Boryshkevych Ivanna
- Bourdaud Nathalie
- Boyd Matthew
- Boyle David
- Bracci Paolo
- Brackhahn Michael
- Bradbury Carol L.
- Breschan Christian
- Brezac Gilles
- Briggs Sandra
- Brotatsch Philipp
- Browning Mike
- Budic Ivana
- Buhre Wolfgang
- Busche René
- Busi Ilaria
- Bussolin Leonardo
- Butkovic Diana
- Butler Patrick
- Byers Gordon
- Börjesson Glenda
- Bøttger Morten
- Cabanova Barbora
- Cagney Brid
- Cakar Turhan K. Sanem
- Calderini Edoardo
- Calvao Santos Carolina
- Camporesi Anna
- Camus Blandine
- Capusan Alin
- Carachi Peter
- Carre Anne-Charlotte
- Cartal Marielle
- Casaer Sari
- Castellheim Albert
- Casutt Mattias
- Catalina Ionescu Gabriela
- Cavalier Alison
- Cecini Mariateresa
- Cento Valeria
- Cerati Giorgia
- Cerne Uros
- Cerutti Elisabetta
- Cettler Maciej
- Ceuca Daniela
- Ceyda Meco Basak
- Chapotte Catherine
- Chazelet Chantal
- Checinska Magdalena
- Checuti Sarah
- Chee Lew-Chin
- Childs Sophie
- Chirichiello Luca
- Chizhov Dmitri
- Chlopin Mikhail
- Chloropoulou Pelagia
- Christian Nilsson Jens
- Chrysi Mpratzou
- Cigdem Tütüncü Ayse
- Cillis Annagrazia
- Cimpeanu Luminita
- Cindea Iulia
- Ciobanu Tudor
- Clausen Nicola G.
- Clement Maria Gabriella Elena
- Cloherty Marianne
- Cnudde Steven
- Cohen Marc
- Colbus Laurent
- Coppens Marc
- Corouge Julien
- Cortegiani Andrea
- Coucke Patricia
- Crawford Michael
- Cristina Mondardini Maria
- Cuciuc Veaceslav
- Cucui-Cozma Cosmina
- Cullen Julia
- Cullen Pauline
- Cumming Craig
- D'Alessandro Sandra
- Dadure Christophe
- Dahmani Souhayl
- Dalton Andrew
- Dalton Mark
- Damps Maria
- Darwin Leanne
- Daugelavicius Vidunas
- Davidescu Irina
- Davidson Sarah
- Davies Jack
- Davies Kay
- Davin Isabelle
- Davison Rachel
- Day Alexandra
- De Abreu Leidy
- de Graaff Jurgen C.
- De Groote Françoise
- De Hert Stefan
- De Josemaria Belen
- de la Brière Francois
- De La Cruz Benito Fausto
- De Lorenzo Brita
- De Melo Eric
- De Pooter Françoise
- De Smet Karen
- De Villé Andrée
- Debrabant Lise
- Dei Giudici Luigi
- Dekens Jacky
- Dekker Elsa
- del Río Cristina
- Delcuze Axelle
- Desjeux Luc
- Diacono Jacques
- Dickinson Matthew
- Didier Anne
- Diers Anja
- Dirckx Maaike
- Disma Nicola
- Disma Nicola
- Divák Jan
- Diwan Rishi
- Dix Philippa
- Djapic Dajana
- Dockiene Ilona
- Dogger Jaap
- Dolci Mirko
- Dolinaj Vladimir
- Domingas Patuleia M.
- Domínguez Fernando
- Dons-Sinke Ilse
- Dorman Teresa
- Draskovic Biljana
- Druot Emilie
- Duflo Frédéric
- Dumitru Rusu Florin
- Dupont Hervé
- Eberl Susanne
- Ecoffey Claude
- Ehm Birgit
- Eich Christoph Bernhard
- Eisner Christoph
- Eissa Ayman
- Elena Malos Anca
- Elizabeth Biercamp Claire
- Ellekvist Marguerite B.
- Ellerkmann Richard
- Ellwood James
- Engel Nicole
- Engelhardt Thomas
- Eniko Kovacs
- Ephraim Erik
- Erb Christian
- Erb Thomas
- Errass Loreen
- Fairgrieve Ross
- Faliszewski Isabella
- Farinelli Ivano
- Farquharson Pamela
- Feliu Montserrat
- Fiedler Fritz
- Fischer Thomas
- Fisher Haran
- Flewin Lisa
- Foster Brian
- Franco Teresa
- Fredrik Lund Ole
- Frelich Michal
- Frey Denise
- Fritzsche Katrin
- Funk Wolfgang
- Gabilondo Garcia Gustavo
- Gaebler Ralf
- Gagey Anne-Charlotte
- Gaidelyte Lina
- Galinescu Irena
- Galvin Deborah
- Gande Richard
- Gandhi Monica
- Garces Antonio
- García Irene
- Garrigue Delphine
- Garrioch Sweyn
- Gatt David
- Gaynor James
- Geary Tim
- Geil Dominik
- Genco Daniele
- Gerin Marc
- Gerling Volker
- Germann Reinhard
- Gernoth Christian
- Gestautaite Dalia
- Ghent Robert
- Gillberg Lars
- Gillet Patricia
- Giuseppe Picardo Sergio
- Glasgow Russell
- Glazunov Anton
- Godsiff Leisha
- Goebel Ulrich
- Gomes Cristina
- Goncharenko Galyna
- Gonçalves Marta
- Gooch Ingrid
- Gordeeva Elena
- Grau Catharina
- Grazzini Maurizia
- Grein Elodie
- Grindheim Guro
- Grundmann Ulrich
- Grynyuk Andry
- Guarracino Fabio
- Guddo Annamaria
- Guedes Isabel
- Guericke Holger
- Guerin Christilynn
- Guido Locatelli Bruno
- Guillier Marion
- Gurita Adriana
- Gurita Adriana
- Guskov Igor
- Gutierrez Valcarcel Andrea
- Gutierrez Ignacio
- Gutmann Anton
- Guzman Ines
- Gymoese Berthelsen Kasper
- Habre Walid
- Habre Walid
- Hammerschlag Jacinda
- Hamonic Yann
- Hannie J.
- Hansen Tom G.
- Hansen Tom G.
- Hanula Miloslav
- Happo Johanna
- Harden Alison
- Hare Alison
- Harlet Pierre
- Harmen Herrema Idse
- Harris Sarah
- Harrison Richard
- Hasani Antigona
- Hashimi Medita
- Hatipoglu Zehra
- Hawksworth Chris
- Hayem Catherine
- Hearn Robert
- Hedlund Lars
- Hein Maximilian
- Helena Gaitan M.
- Heli Litvic Dubravka
- Helm Emma
- Heyse Björn
- Himpe Dirk
- Hinz José
- Hivey Sarah
- Hizal Ayse
- Hobbs Amy
- Hochhold Christoph
- Hodgetts Vanessa
- Hoeft Andreas
- Hoehne Claudia
- Hofmann Ulrich
- Hogea Cristiana
- Holy Rolf
- Homer Rachel
- Hopman Geranne A. J.
- Horhota Lucian
- Huber Matthias
- Hullatt Laurence
- Hunter Catherine
- Hurni Thomas
- Hussain Nageena
- Hussey Joseph
- Hutchinson Adel
- Huygens Christel
- Hölzle Martin
- Ilie Luminita
- Ilksen Toprak Huseyin
- Ilmoja Mari-Liis
- Ingeborg Madsen Birgitte
- Ioannou Ioannis
- Iordanidou Despoina
- Ireland Nicholas
- Irwin Janice
- Isohanni Mika
- Isselhorst Carsten
- Ivani Giorgio
- Ivanov Alexander
- Ivascu Constantin
- Izzo Francesca
- Jack Ewan
- Jacomet Alfred
- Jacqmarcq Olivier
- Jamil Yosry
- jan Scheffer Gert
- Janjevic Dusanka
- Jeng Min Law Savio
- Jerome Kevin
- Jetzek-Zader Martin
- Jiménez Anabel
- Joao Susano Maria
- Johansen Mathias
- John Robert
- Johnston Graham
- Jokinen Johanna
- Jones Gareth
- Joukes Ellen
- Julien-Marsollier Florence
- Jureckova Lucie
- Juzwa Magdalena
- Jöhr Martin
- Jöhr Martin
- Kachko Ludmyla
- Kahn David
- Kalagac Fabris Lada
- Kalliardou Evagelia
- Kappen Teus H.
- Karadeniz Meltem Savran
- Karjagin Juri
- Katz Jacob
- Kaufmann Nils
- Kazak Bengisun Zuleyha
- Keilhauer Julia
- Kelgeri Nivedita
- Kemal Arslantas Mustafa
- Kendigelen Pinar
- Kerovec Soric Ivana
- Kesic-Valpotic Gordana
- Khaffaf Ranj
- Khotcholava Magda
- Khrapak Maksym
- Kienbaum Peter
- Kikas Reet
- Kindermann Petra
- King Stephanie
- Kirilov Dmitry
- Kirton Christine
- Kiviluoma Kai
- Klimscha Walter
- Kloessing Jan
- Klymenko Tetyana
- Knauss Kristina
- Knezevic Mirjana
- Kochkin Vladimir
- Koessler Herbert
- Konecny Regina
- Kopycinska Renata
- Kortgen Andreas
- Kotecha Ami
- Kotzeva Svetlana
- Kranke Peter
- Krikstaponiene Jolita
- Kroess Ruth
- Kuehhirt Thomas
- Kuppers Beate
- Kusnirikova Zuzana
- Kyselova Iryna
- Ladak Nadia
- Laffargue Anne
- Lagarde Sylvaine
- Lako Sandra
- Lalot Michaël
- Lambelin Veronique
- Lambotte Patricia
- Lang Colin
- Lapi Maria
- Larcher Claire
- Laschat Michael
- Lauweryns Julie
- Lazarev Vladimir
- Lazaro Juan J.
- Le Freche Hélène
- Leal Teresa
- Lechat Jean-Paul
- Leclercq Mickeal
- Lee Clover-Ann
- Lee Corina
- Lee Juliette
- Legrand Aurélien
- Lehousse Thierry
- Lejus Corinne
- Lesmes Carlos
- Leva Brigitte
- Leva Brigitte
- Levinzon Michael
- Levitchi Roxana
- Levy David
- León Carsi Irene
- Lhubat Elizabeth
- Lindenskov Pal H. H.
- Lipczynski Dariusz
- Liyanage Ganga
- Locke Christie
- Lofino Giuseppe
- Lomas Bernadette
- Longobardo Annalisa
- Lonsdale Hannah
- Love David
- Loveniers Birgit
- Lucia Pinciroli Rosa
- Ludot Hugues
- Lugovoy Alexander
- Lukosiene Laura
- Luntzer Robert
- Lyly Anniina
- Lynch Johanne
- López Galera Sílvia
- Machado Elvira
- Machotta Andreas
- Mackiewicz Tomasz
- Mackova Iveta
- Mader Thomas
- Magasich Natalia
- Magner Claire
- Mahadewsing Ravin
- Majid Saleem Mohammed
- Makin Andrew
- Malarkkan Nalini
- Malisiova Anna
- Mameli Leila
- Mandras Ana
- Manen Berga Ferran
- Manevich Yair
- Maniora Maud
- Manner Tuula
- Marchesini Laura
- Marchetti Giuliano
- Marco Valls Joan
- Marcucci Carine
- Marcus Ritchie
- Maretic Hrvoje
- Maria Gago Martinez Andrea
- Maria Nistor Alina
- Marie Drage Inger
- Marie Anais
- Marjanovic Vesna
- Marthe Ballovarre Kari
- Martikainen Kati
- Martinez Maldonado Ever
- Martínez Ruiz Alberto
- Mascarenhas Catia
- Masip Nuria
- Mauch Jacqueline
- Maupain Olivier
- Maurizio Raineri Santi
- Mausser Gerlinde
- Mawer Rebecca
- Mayell Antonia
- McClintock Joanna
- McKee Lesley
- Megens A. M.
- Meijer Patrick
- Melero Alicia
- Meneghini Luisa
- Merella Federica
- Mesbah Ahmed
- Messerer Brigitte
- Metrangolo Salvatore
- Meybohm Patrick
- Meyer-Treschan Tanja
- Michelon Stefania
- Micici Slobodan
- Mielke Golo
- Mierzewska-Schmidt Magdalena
- Mifsud Mark
- Mifsud Stephanie
- Migeon Anne
- Mihaela Gheorghe Ligia
- Mihaela Dubau
- Milde Alexander
- Milojevic Irina
- Minardi Carmelo
- Mircetic Maja
- Mitchell John
- Miulescu Magdalena
- Mixa Vladimir
- Mocioiu Gabriel
- Molies Dolors
- Monclus Enric
- Moncreiff Michael
- Moniz Antonio
- Monrigal Jean
- Montague James
- Montferrer Núria
- Montobbio Giovanni
- Moors Xavier
- Moraru-Draghici Lucia
- Morawk-Wintersperger Ulrike
- Morgan Judith
- Morton Neil
- Morton Neil S.
- Moscaliuc Melania
- Moscatello Djurdjica
- Mossetti Valeria
- Muir Vimty
- Munar Francisca
- Munteanu Valentin
- Muro Cristina
- Najafi Nadia
- Nakhjavani Solmaz
- Nasser Leila
- Nastran Andraz
- Navaro Montserrat
- Nechaev Vladislav
- Neckebroek Martine
- Neiger Franz
- Nekrasov Konstantin
- Neri Simona
- Neumann Claudia
- Nicoleta Daraban
- Nolte Claire
- Noriega Bryant
- Nouette-Gaulain Karine
- Ntavlis Merkourios
- Numan Sandra C.
- Nuño Rosario
- O'Donahue Lizanne
- O'Hare Brendan
- Oberhauser Markus
- Ochsenreiter Miriam
- Oeding Joachim
- Olaru Valentin
- Oller Duque Lara
- Olmos Mendez Alberto
- Olteanu Dana
- Oppenrieder Karin
- Orliaguet Gilles
- Oshan Vimmi
- Ostreikov Ivan
- Ottolina Davide
- Ovezov Alexey
- Ozcengiz Dilek
- Ozer Yetkin
- Paal Peter
- Paiu Corneliu
- Paliokaite Evelina
- Pamies Carmen
- Pandurov Marina
- Parashchanka Aliaksandra
- Parasuraman Tamaraichelvi
- Pasini Lorena
- Passariello Leandro
- Patel Pradip
- Patel Shivali
- Pattar Alexander
- Paul Mission Jean
- Pauling Mark
- Pavlenko Vitaliy
- Pavlickova Jana
- Pearson Karen
- Pedro Pina António
- Pedrotti Dino
- Pegg Rachel
- Peiris Kawshala
- Peled Elia
- Pellegrini Michel
- Pereira Ricardo
- Perelló Marina
- Perera Remel
- Peresbota Daliana
- Perez Garcia Anibal
- Perez- Ferrer Antonio
- Perova-Sharonova Valentina
- Perry Nicole
- Peter Laura
- Petrescu Luxita
- Petrovic Sladjana
- Phaff Steen Nick
- Phillips Trudie
- Pick Darina
- Picker Olaf
- Pilla Clotaire
- Pino Gema
- Pirat Philippe
- Pirc Dejan
- Pirotte Thierry
- Pistidda Laura
- Pitino Sofia
- Plant Nina
- Platzer Manuela
- Plichon Benoit
- Plumb James
- Poduskov Evgeny
- Podvin Alexandre
- Poelaert Jan
- Popescu Barbura
- Popic Rok
- Popov Alexander
- Popovic Ljiljana
- Powell Alex
- Prat Mar
- Pratt Thomas
- Pregardien Caroline
- Preussler Niels-Peter
- Pribul Vicky
- Prysiazhniuk Dmytro
- Pryzmont Miroslaw
- Punt Kees
- Punzo Cinzia
- Puric Selena
- Pé d'Arca Sandra
- Quintel Michael
- Qureshi Arif
- Raber Manfred
- Rad Mandana
- Raffoflandreur Celine
- Raistrick Christopher
- Rajamani Balaji
- Ramminger Axel
- Ravi Radha
- Rawlinson Ellen
- Razlevice Ilona
- Reali Simone
- Rebac Vlatka
- Reikvam Tore
- Reindl Doris
- Reinert Jennifer
- Reinoso Barbero Francisco
- Retka Wlodzimierz
- Ribo Laura
- Richart Pierre
- Riche Jean-Claude
- Ricol Lainez Laura
- Riggenbach Christine
- Rizzo Giuliana
- Robert Philippe
- Roberts Steve
- Rodrigues Sara
- Rogerson David
- Roofthooft Eva
- Roos Torbjörn
- Rosada-Kurasinska Jowita
- Ross Mark
- Rossetti Francesca
- Rosu Lilica
- Roth Benjamin
- Roth Jens
- Roth Winfried
- Roulleau Philippe
- Roxo Helena
- Rubio Paloma
- Rudewicz Iwona
- Rudio Olga
- Rushman Sarah
- Russell Susan
- Russell William
- Russo Sebastian G.
- Rustemeyer Lydia
- Rutherford John
- Rutherford William
- Rémond Charlotte
- Sa Angela
- Sabau Lucie
- Sabourdin Nada
- Sage Frederic
- Saha Rita
- Salgado Helena
- Salici Fabiana
- Salota Vishal
- Salvo Ida
- Samani Amee
- Sammartino Maria
- Sanchez Torres Cristel
- Sandström Kerstin
- Sanko Elena
- Sanna Andrea
- Sansone Pasquale
- Santos Maria
- Saour Anne-Charlotte
- Saviciene Nijole
- Savu Anca
- Sawicki Piotr
- Sbaraglia Fabio
- Scalisi Rita
- Schaefer Maximilian S.
- Schellino Maria Maddalena
- Schierlinger Bettina
- Schindler Ehrenfried
- Schink Cornel
- Schmain Dmitri
- Schmucker Erika
- Schoeler Michael
- Scholten Harm
- Schorer Clemens
- Schousboe Birgitte M. B.
- Schouten Anton N. J.
- Schramm Michael
- Schwarzkopf Konrad
- Sciascia Angela
- Scordo Lucia
- Scott-Warren Victoria
- Seabra Manuel
- Seidel-Ahyai Natascha
- Semjen François
- Serrano Silvia
- Seyhan Ozkan Tulay
- Sharman Sarah-Jane
- Shaw Neil
- Sheinkin Olga
- Shepherd Elizabeth
- Short Judith
- Sidlovskaite-Baltake Dominika
- Sieben Anne
- Siemek-Mitela Jadzia
- Sileo Rosanna
- Simhi Eliahu
- Simic Dusica
- Simic Irena
- Simin Jovana
- Simitzes Helena
- Simon Dominique
- Simpson Joanna
- Simurina Tatjana
- Sinclair John
- Singh Piyush
- Sinner Barbara
- Sirghie Rodica
- Sivrikoz Nuket
- Skaaden Lene
- Skacel Monika
- Sketcher Jonathan
- Sklyar Vitaliy
- Skordou Natalia
- Slater Patricia
- Slavkovic Bojana
- Smith Carolyn
- Smith Fiona
- Smith Natalie
- Smitz Carine
- Snoek Aarjan
- Sobczyk Jaek
- Sodhi Puja
- Sola Ruiz Eva
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- Stefan Violeta
- Steiner Maria
- Steinmann Johannes
- Stevanovic Vesna
- Stevens France
- Stevens Markus F.
- Stevic Marija
- Steward Heather
- Stoegermüller Birgit
- Stoia Paolo
- Strachan Dominic
- Stranjanac Vladimir
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- Talbot Laura
- Tarabikin Alex
- Taright Hanna
- Taylor Christopher
- Taylor Matthew
- Taylor Matthew
- Teodora Nastase Alina
- Teresa Rocha Maria
- Tesoro Simonetta
- Thadsad Muthu
- Thil Elke
- Thomas Alun
- Thomas Deborah
- Thomson Wendy
- Tielens Luc
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- Tolasov Konstantin
- Toller Wolfgang
- Tomlinson William
- Tonise Virge
- Tore Altun Gülbin
- Trabkin Evelina
- Trante Irinel
- Trieschmann Uwe
- Trifan Oana
- Trikash Nikolay
- Tsiotou Adelais
- Turner Nigel M.
- Uhrig Lynn
- Ullensvang Kyrre
- Ulrici Johanna
- Umuroglu Tumay
- Underhill Helen
- Urbanec René
- Vaidyanath Chandra
- Vail Hannah
- Vaitoskaite Agne
- Vallejo Tarrat Andrea
- Valzan Silvia
- van de Riet Yvette
- Van de Velde Anne
- Van Deenen Denise
- Van Den Eynde Nancy
- van der Knijff - van Dortmont Anouk
- van der Marel Caroline
- van der Schatte Olivier Roelof
- Van Der Werff Désirée B. M.
- van der Zwan Tim
- van Doorn Thea
- Van Hecke Rachel
- Van Limmen Jurgen
- Van Mossevelde Veerle
- van Osch Rob
- Van Reeth Veronique
- van Stijn Mireille F. M.
- Vanpeteghem Caroline
- Varyvoda Mykhailo
- Vason Milo
- Velcev Ana
- Veldhuizen Marianne
- Verchere-Montmayeur Juliette
- Vermeulen Petronella M.
- Vermeulen Petronella M.
- Veyckemans Francis
- Veyckemans Francis
- Viacava Rosanna
- Viken Oddbjorn
- Vilo Sanna
- Virag Katalin
- Vittinghoff Maria
- Vittori Alessandro
- Vodianytskyi Sergii
- Voet Marieke
- Volger Hauke
- Volkers Martin
- Volpe Claudia
- Vons Mark Hendriks Kristy
- Vossen Carine
- Wai Carolynn
- Wappler Frank
- Wasiluk Malgorzata
- Watson Karen
- Weber Stefan
- Weinlichova Stanislava
- Weiss Katja
- Wellesley Hugo
- Wensing Renee T. M.
- Weyland Andreas
- Whiteside Jeanette
- Whiteside Jonathan
- Whyte Emma
- Wieczorek Pawel
- Wiefelspütz Christina
- Wilkins Andrew
- Wilson Catharine
- Wilson Graham
- Wilson-Smith Elaine
- Wodey Eric
- Wojciechowski Dariusz
- Wolfe Barry Juliet
- Wolfler Andrea
- Woodward Tom
- Wossner Stephanie
- Wright Dave
- Wyffels Piet
- Yagudaev Irena
- Yamamoto Tomohiro
- Yildirim Guclu Cigdem
- Zadra Nicola
- Zaghet Brigitte
- Zalewska Dorota
- Zammit Simone
- Zanaboni Clelia
- Zang Aurélien
- Zangl Gregor
- Zani Gianluca
- Zederer Nicole
- Zeitlin Deborah
- Zeitlin Yelena
- Zettl Angelika
- Ziegler Bernhard
- Zielinska Marzena
- Zielinska Marzena
- Zoppellari Roberto
- Zundane Anda
- Zunser Igor
- Zurawska Magdalena
- Žurek Jirí
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2017
- Field of study
Background Little is known about the incidence of severe critical events in children undergoing general anaesthesia in Europe. We aimed to identify the incidence, nature, and outcome of severe critical events in children undergoing anaesthesia, and the associated potential risk factors. Methods The APRICOT study was a prospective observational multicentre cohort study of children from birth to 15 years of age undergoing elective or urgent anaesthesia for diagnostic or surgical procedures. Children were eligible for inclusion during a 2-week period determined prospectively by each centre. There were 261 participating centres across 33 European countries. The primary endpoint was the occurence of perioperative severe critical events requiring immediate intervention. A severe critical event was defined as the occurrence of respiratory, cardiac, allergic, or neurological complications requiring immediate intervention and that led (or could have led) to major disability or death. This study is registered with ClinicalTrials.gov, number NCT01878760. Findings Between April 1, 2014, and Jan 31, 2015, 31 127 anaesthetic procedures in 30 874 children with a mean age of 6.35 years (SD 4.50) were included. The incidence of perioperative severe critical events was 5.2% (95% CI 5.0-5.5) with an incidence of respiratory critical events of 3.1% (2.9-3.3). Cardiovascular instability occurred in 1.9% (1.7-2.1), with an immediate poor outcome in 5.4% (3.7-7.5) of these cases. The all-cause 30-day in-hospital mortality rate was 10 in 10 000. This was independent of type of anaesthesia. Age (relative risk 0.88, 95% CI 0.86-0.90; p<0.0001), medical history, and physical condition (1.60, 1.40-1.82; p<0.0001) were the major risk factors for a serious critical event. Multivariate analysis revealed evidence for the beneficial effect of years of experience of the most senior anaesthesia team member (0.99, 0.981-0.997; p<0.0048 for respiratory critical events, and 0.98, 0.97-0.99; p=0.0039 for cardiovascular critical events), rather than the type of health institution or providers. Interpretation This study highlights a relatively high rate of severe critical events during the anaesthesia management of children for surgical or diagnostic procedures in Europe, and a large variability in the practice of paediatric anaesthesia. These findings are substantial enough to warrant attention from national, regional, and specialist societies to target education of anaesthesiologists and their teams and implement strategies for quality improvement in paediatric anaesthesia
Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries
- Author
- A Nizarudeen
- Aalem Hajer Abd Alhamed
- Ababneh Hazim
- Abbas Ahmed
- Abbas Aram
- Abbas Hussain
- Abbasi Arezou
- Abbassi Fariba
- Abbasy Jibran
- Abbood Ali H
- Abboud Kirellos
- Abdallah Ahmed
- Abdalsalam Sabriya Juma Ali
- Abdelaal Abdelrahman
- Abdelalemm Mohamed
- Abdelhafez Mohammed Hisham Zayan
- Abdelhalim Karim
- Abdeljalil Mahmoud
- Abdelkarem Mohamed
- Abdelmageed Abdelfatah
- Abdelmageed Abdelfatah
- Abdelmaksoud Mohamed
- Abdelmawgoud Sherif
- Abdelmawla Mohamed
- Abdelmawla Mohamed Osama Mohammed Kamel
- Abdelmoneim Noha
- Abdelnoor Ahmad
- Abdelrahman Fatma
- Abdelrazek Hussein A
- Abdelrhman Reham
- Abdelzaher Abdurrahman
- Abdelzaher Abdurrahman Taha
- Abdou Khaled
- Abdoun Meriem
- Abdualqader Mahmmoud
- Abdualqader Mahmmoud Yehia Mohammed
- Abdulhaq Aram
- Abduljawad Heba
- Abdullaev Abakar
- Abdullah Nik Azim Nik
- Abdulmonem Aya
- Abdulwahed Eman
- Abebrese John
- Abiyere Henry
- Abobakr Abobakr Mahfoz
- Aboelfath Shiamaa
- Abosamak Nour Eldin
- Abu-Elfatth Ahmed Mohammed
- Abu-Ghazal Sara
- Abu-Ghazal Sara Yassir
- Abuali Ahmed S A M E
- Abuelazm Mohamed
- Abuelnaga Yasmeen
- Abuelnaga Yasmeen
- Abughazal Sara Yasser
- Abuleil Amro
- Abusannuga Malek
- Abuzaina Khalil
- Adam Islam
- Aday Ulaş
- Adeyeye Ademola
- Adeyeye Nigeria Ademola
- Adham Mustapha
- Adhikari Krishna Mohan
- Affary Anter Al
- Afzal Ameer
- Afzal Iqraa
- Aghdassi Ali
- Ahmed Emad Ali
- Ahmed Mohamed Bahaa Eldin
- Ahmed Randa
- Ahmeed Sultan
- Ajayi Peter
- Akahoshi Keiichi
- Akbar Ali
- Akhtar Naseem
- Al-Abdi Radfan
- Al-Abed Omar
- Al-Ameri Saba
- Al-Ameri Saba Ahmed Ahmed Saleh
- Al-Asadi Mohammed Abdulkhaleq Mohammed Mohsen
- Al-Dowsh Nagra Are
- Al-Eryani Fatima
- Al-Faiq Siham
- Al-Haj Ahmad
- Al-Hyari Abdelkareem
- Al-Isawi Ali
- Al-juaifari Maytham Aqeel
- Al-Khawlani Qaeid
- Al-Kubati Waheeb
- Al-Maadani Basma
- Al-Mallah Rozana
- Al-Markiz Eman
- Al-Mekhlafi Ayat
- Al-Melhani Watheeq
- Al-Naggar Hamza
- Al-Naggar Hamza
- Al-Ogaili Mustafa
- Al-Qasrawi Shahd
- Al-Saban Rafat
- Al-saban Rafat Ameen Mohammed
- Al-Sader Maytham Al-Juaifari
- Al-Samawi Abdulaziz
- Al-Samawi Hytham
- Al-Sarireh Bilal
- Al-Shami Khayry
- Al-shami Manar
- Al-sharabi Ebrahim Ahmed Esmail
- Al-Shehari Mohammed
- Al-Tekreeti Sarah
- Alahmed Farouq
- Alahmed Hoor
- Alaimo Laura
- Alali Mahmoud Bilal
- Alannaz Omar
- Alansary Marwa Nasrelden
- Alatise Olusegun
- Alattas Zainab
- Alawna Reem
- Alazab Emad
- Albaba Safa'
- Albakry Rudaina
- Albar Aisha
- Albaraesi Mohammed N
- Albarouni Sofian
- Albishti Ahmed
- Alboridy Muneera
- Aldoescu Sorin
- AlDowsh Nagran Aref
- Aldressi Wafa
- Aldumaini Hamdan
- Alegria Cesar Rodriguez
- Alfano Marie Sophie
- Alfatah Maryam Abd
- Alfonso Cenon
- Alfurais Sarah
- Alghazo Heyam
- Alhaboob Nassir
- Alharthi Mohammed
- Alhashemi Mais
- Alhmaidi Riad
- Alhouri Ahmad
- Alhouri Ahmad Nabil
- Ali Ahmed Youssef Mohamed
- Ali Dina
- Ali Ramzi Abdullah Yahya
- Ali Ramzi Ali Abdullah Yahya
- Ali Suhil Ben
- Alissawi Subhi
- Alissawi Subhi Zahi
- Aliwy Marwan Al
- Aljaber Ahmad
- Aljamal Sarah
- Aljiffry Murad
- Alkhadem Maeen Ali
- Alkhaleel Wael
- Alkhateb Hossain
- Allah Mohamed Abd
- Allam Ahmed
- Allam Mohamed
- Allam Shrouq
- Allisiardi Fabrizio
- Alloush Ali
- Almarashi Hassan
- Almarkiz Eman
- Almasri Tabarak Abedlnaser
- Almassaudi Ali
- Almekhlafi Tofik
- Almiani Sari
- Almjersah Abdulrahman
- Alnammourah Walaa Mohammed
- Alnammourah Walaa Mohammed
- Alnimr Ahmed
- Aloulou Marwa
- Alowjali Fatoom
- Alsabah Mohamed
- Alsabbagh Feras
- AlSaffaf Mohamed
- Alsanany Ghadeer Mohammed
- Alsayadi Ramzi
- Alshaghel Mohammed
- Alsharabi Ebrahim
- Alshareea Entisar
- Alsharif Doaa
- Alsharif Doaa Sabry
- Alsharif Doaa Sabry
- Alsharif Doaa Sabry
- Alshatshat Abdulhadi
- Alsori Mohamed
- Alsoudani Ali
- Altatari Abdulrahman
- Altatari Ahmad Mohammad
- Alwafy Khaled
- Alwan Hussein Mohammed
- Alyasin Ismaeil
- Alzabadiah Asmaa Hasan Mohammad
- Alzghoul Mohammad W
- Alzoubi Mohammed
- Amarin Zouhair
- Amic Fedor
- Amina Houmada
- Ammar Khaled
- Amrani Laila
- Amro Sarah
- Amro Sarah
- Anas Omar
- Anas Omar
- Anastasi Alessandro
- Anatolievna Li Natalya
- Andersson Bodil
- Andersson Roland
- Andrade Juan Camilo Barreto
- Andreou Andreas
- Andreuccetti Jacopo
- Andriola Valeria
- Andujar Rafael López
- Ang Dr Dante
- Angelico Roberta
- Anghinoni Marciano
- Aniukstyte Laura
- Anthoni Christoph
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- Anyla Morgan
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- Aydin Husnu
- Aydoğan Serdar
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- Azab Mohammed A
- Azaman Nur Sabrina Binti Babe
- Azizeh Oula
- Azizian Azadeh
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- Azzam Ahmed
- álvarez Pablo Muriel
- Babor Richard
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- boumzebra yassmine
- Boumzebra Yassmine
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- Bourazani Maria
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- Bowne Wilbur
- Bozhkov Vasil Markov
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- Braicu Vlad
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- Brañes Alejandro
- Brañes Alejandro
- Bratlie Svein Olav
- Brebu Dan
- Bredikhin Mikhail
- Brennfleck Frank W
- Brezean Iulian
- Brizzolari Marco
- Brizzolari Marco
- Brolese Alberto
- Brown Kai
- Brown Lisa
- Brum Sarah L
- Brunner Maximilian
- Brunner Stefan
- Brustia Raffaele
- Buarque Igor Lima
- Bubalo Tomislav
- Buckel Erwin
- Bulian Dirk
- Bull Nicholas
- Burda Lukas
- Burgan Dania
- Burnett David
- Burridge Isobel
- Bursics Attila
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- Busch Olivier
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- Busset Michele Droz dit
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- Butt Usman
- Butt Usman Ismat
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- Butturini Giovanni
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- Caccamo Lucio
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- El Ahmadi Brahim
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- El Gohary Mohamed
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- El-Najjar Amro
- El-Sayes Islam
- Elabd Mohamed
- Elareibi Hajer Ehab
- Elazeem Hossam Aldein Abd
- Elbadawy Merihan A
- Elbalka Saleh S
- Elbassyiouny Ahmed
- Elboraei Rahma
- Eldabour Ahmed
- Eldaly Abdullah
- Eldaly Abdullah Sami
- Eleisawy Mahmoud
- Eleisawy Mahmoud Fares
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- Elgharably Ahmed Abdelfattah
- Elhadi Muhammed
- Elhadi Muhammed
- Elhadi Muhammed
- Elhajdawe Fras
- Elhamamsy Mohamed
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- Ellibady Mohamed
- Elmalah Merna
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- Elnabi Mahmoud Hasab
- Elnagar Mohamed
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- Eminesariipek N
- Emral Ahmet Cihangir
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- Enriquez Juan Carlos Marcos
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- Erdene Sarnai
- Ertekin Suleyman
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- Martinsone Katrina Deja
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- Oldani Graziano
- Oldhafer Karl J
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- Ramamurthy Anand
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- Yadav Kaushal
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- Yadev Induprabha
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- Yassin Raya
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- Younes Eman
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- Yousef Amal
- Youssef Amal
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- Zacharakis Emmanouil
- Zacharoulis Dimitrios
- Zachiotis Marinos
- Zagainov Vladimir
- Zaharie Florin
- Zahed Mohamed
- Zahed Mohamed Samir Mohamed
- Zakaria Andee Dzulkarnaen
- Zamri Fatimah Mardhiyyah Binti
- Zanatta Michela
- Zanello Matteo
- Zanini Nicola
- Zanus Giacomo
- Zanus Giacomo
- Zaruba Pavel
- Zawia Ali
- Zayed Ahmed
- Zdujic Predrag
- Zedelj Jurica
- Zeh Herbert J
- Zentar Aziz
- Zerbi Alessandro
- Zidan Taha
- Zidan Taha
- Zironda Andrea
- Zitawi Abdullah
- Zivanovic Marko
- Zogopoulos George
- Zonta Sandro
- Zonta Sandro
- Zorrilla Carlos Florez
- Zozaya Gabriel
- Zreqat Qusai
- Zuhdi Zamri
- Zuhdy Mohammad
- Zygomalas Apollon
- Publication venue
- Publication date
- 01/01/2024
- Field of study
Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide.Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters.Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 percent of patients (2901 of 4223). Major complication rates (Clavien-Dindo grade at least IIIa) were 24, 18, and 27 percent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 percent; however, it was 41 per cent in low-to-middle-compared with 19 per cent in very high-HDI countries.Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761)