4 research outputs found
Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)
- Author
- Abora Rial-Villavecchia
- Adriana SĂĄnchez Serrano
- AdriĂĄn Sousa
- Aina Gomila Grange
- Ainhoa Sanjuan LĂłpez
- Ainhoa Urrutia Losada
- Alberto Gato DĂez
- Alberto Romero-Palacios
- Alberto Serrano MartĂnez
- Alejandra Duarte Borges
- Alejandro Araujo
- Alexander Rombauts
- Alexandra de la Vega
- Alexandre PĂ©rez GonzĂĄlez
- Alfonso Cabello Ăbeda
- Alfonso Lluna Carrascosa
- Alicia HernĂĄndez Torres
- Almudena HernĂĄndez Milian
- Ana Alberich Conesa
- Ana Correa Ruiz
- Ana Escoresca
- Ana Ferrer Ribera
- Ana Isabel Mariño Callejo
- Ana Isabel PelĂĄez Ballesta
- Ana Such Diaz
- Andrea MartĂn Plata
- André Barbosa Ventura
- Andrés Ruiz Sancho
- Ane Andrés Eisenhofer
- Anonymous
- Antonia Alcaraz
- Antonia SepĂșlveda Berrocal
- Antonio José Ruiz Reina
- Antonio Plata Ciezar
- Araceli GonzĂĄlez-Cuevas
- Arantzazu Mera Fidalgo
- Ariadna De Genover Gil
- Aroa Villoslada Gelabert
- Aychel Elena Roura Piloto
- Beatriz Diaz Pollan
- Beatriz Dietl
- Beatriz PĂ©rez-Monte MĂnguez
- Beatriz Sobrino Diaz
- Beigel
- BelĂ©n Loeches YagĂŒe
- Berenguer
- Bhimraj
- Blanca Alonso MartĂnez
- Blanca MartĂnez Cifre
- Blanca Pinilla
- Borja Gracia-Tello
- Campochiaro
- Capra
- Carlos Bea Serrano
- Carlos Dueñas Gutiérrez
- Carlos Enrique Sabbagh Fajardo
- Carlota Gudiol
- Carmen Aguayo Jiménez
- Carmen Herrero RodrĂguez
- Carmen Infante
- Carmen Yllera
- Carolina RoldĂĄn Fontana
- Channappanavar
- Chen
- Chen
- Chiara Fanciulli
- Clara MartĂnez Montes
- Clara Muñoz Aguirre
- Claudia GonzĂĄlez Rico
- Claudia Ălvarez-Pouso
- Claudio Bueno
- ConcepciĂłn GarcĂa-GarcĂa
- ConcepciĂłn Gonzalo
- Cristina BadĂa
- Cristina Cervera Acedo
- Cristina DĂez
- Cristina Lojo Cruz
- Cristina PelĂĄez Ballesta
- Cristina PĂ©rez GarcĂa
- Daniel Molina Morant
- Daniel Podzamczer
- Daniel Roger Zapata
- David Roa Alonso
- David Vinuesa GarcĂa
- Diana Piñar Cabezos
- Efrén Sånchez Vidal
- Elena Aranda Rife
- Elena Bereciartua Bastarrica
- Elena HellĂn-Valiente
- Elena MarĂn
- Elena Morcillo RodrĂguez
- Elena Salamanca-Rivera
- Elena Trigo Esteban
- Elena Ălvaro Alonso
- Eleni Patera
- Elisa Cordero-MatĂa
- Elisa GarcĂa VĂĄzquez
- Elizabet Petkova-Saiz
- EncarnaciĂłn Moral Escudero
- Enrique Bernal Morell
- Enrique MĂguez Rey
- Ester Saez de Adana Arroniz
- Esther Aznar Muñoz
- Esther Calbo
- Esther MartĂnez Birlanga
- Eva Jiménez Gonzålez de Buitrago
- Eva León Jiménez
- Eva Pilar GarcĂa Villalba
- Eva Talavera GarcĂa
- Evangelia Anna MarĂa Zioga
- Fadel
- Fernando de la Calle Prieto
- Fernando FernĂĄndez SĂĄnchez
- Francesc Escrihuela
- Francesca Gioia
- Francisco Anguita Santos
- Francisco Arnaiz de las Revillas
- Francisco Javier De la Hera FernĂĄndez
- Francisco Javier MartĂnez Marcos
- Francisco Javier RodrĂguez GĂłmez
- Francisco Muñoz Beamud
- Francisco Tejerina
- Fåtima Brañas Baztån
- Gabriela Abelenda-Alonso
- Gabriela Escudero LĂłpez
- Galadriel Pellejero
- Gaspar Duro Ruiz
- Gemma Mut Ramon
- Gemma Muñiz Nicolås
- Guan
- Guaraldi
- Guillem Policarpo Torres
- Guillermo Cuevas Tascon
- Gurutz Orbe NarvĂĄez
- GĂłmez LucĂa
- Harris
- Helem HaydeĂ© VĂlchez Rueda
- Helena AlbendĂn Iglesias
- HoffmannâLa Roche
- Horby
- Hortensia Ălvarez DĂaz
- Ignacio Pina
- Ignacio PĂ©rez Valero
- Ignacio Ălvarez RodrĂguez
- Inmaculada GonzĂĄlez-Cuello
- Inmaculada JarrĂn
- Inmaculada LĂłpez-Montesinos
- Inés Fernåndez Jiménez
- Inés Pérez Zapata
- Irene MartĂn Rubio
- Isabel A. PĂ©rez HernĂĄndez
- Isabel Asschert AgĂŒero
- Isabel Gutiérrez
- Isabel GutiĂ©rrez MartĂn
- Isabel RĂĄbago Lorite
- Isidoro FernĂĄndez Romero
- Israel Sevilla Moreno
- Itziar Arrieta-Aldea
- IvĂĄn PelegrĂn Senent
- Ivån Piñero
- Jara Llenas-GarcĂa
- Javier De la Torre Lima
- Javier Garrido
- Javier Martin Guerra
- JerĂłnimo PachĂłn
- Jessica Souto Higueras
- JesĂșs FortĂșn Abete
- JesĂșs RodrĂguez-Baño
- JesĂșs Ruiz AragĂłn
- Joan GĂłmez-Junyent
- Joel ElĂas Chara Cervantes
- Jon Ugalde Espiñeira
- Jordi CarratalĂ
- Jordi NiubĂł
- Jorge CalderĂłn Parra
- Jorge Calvo
- Jorge Parra Ruiz
- Jorge Valencia de la Rosa
- Josefina GarcĂa GarcĂa
- Josune Goikoetxea Agirre
- José A. Oteo Revuelta
- José Antonio Iribarren Loyarte
- José Javier Castrodeza Sanz
- José Joaquin Portu Zapirain
- José Luis Sierra-Monzón
- José M. Azcona Gutiérrez
- JosĂ© M. GarcĂa de Lomas Guerrero
- José Manuel Tafalla Torres
- JosĂ© MarĂa Reguera Iglesias
- JosĂ© MarĂa Robaina BordĂłn
- José Miguel Cisneros
- José Ramón Arribas
- Juan Berenguer
- Juan Berenguer
- Juan Carlos Gainzarain Arana
- Juan Carlos LĂłpez
- Juan Carlos Ramos Ramos
- Juan Diego Ruiz Mesa
- Juan GonzĂĄlez GarcĂa
- Juan GonzĂĄlez-Moreno
- Juan Mora Delgado
- Juan Pablo Avilés Parra
- Juan RamĂłn DomĂnguez Vicent
- Juan Salillas Hernando
- Juan Torres Macho
- Judit Villar-GarcĂa
- Julen Cadiñaños Loidi
- Julio GarcĂa RodrĂguez
- Justo Lajusticia Aisa
- JĂșlia Pareja Coca
- Karim Mohamed RamĂrez
- Laia Lorenzo-Esteller
- Laia Raich Montiu
- Laura Castelo Corral
- Laura GarcĂa Escudero
- Laura GarcĂa Pereña
- Laura Guio CarriĂłn
- Laura Parra GĂłmez
- Laura RodrĂguez FernĂĄndez
- Le
- Leire PĂ©rez-Latorre
- Lluis Planas Bibiloni
- Lorea Arteche Eguizabal
- Lourdes Bladé Vidal
- Lucia Boix Palop
- Lucia SuĂĄrez
- Lucia Valiente de Santis
- LucĂa Ramos Merino
- Luisa GonzĂĄlez-Iglesias
- Luz MartĂn Carbonero
- Ma del Carmen Liébana Martos
- Ma JesĂșs del Amor EspĂn
- Ma Luisa FernĂĄndez Ăvila
- Ma Teresa PĂ©rez RodrĂguez
- Maialen Ibarguren Pinilla
- Manuel Alejandro GĂĄlvez Bobadilla
- Manuela Aguilar-Guisado
- Margarita RamĂrez
- Mario Pérez Butragueño
- Mariona Tasias Pitarch
- Marta Arsuaga Vicente
- Marta AsĂn-Corrochano
- Marta DĂaz MenĂ©ndez
- Marta FernĂĄndez Morales
- Marta Ibarrola Hierro
- Marta Jiménez Escrig
- Marta Lamata Subero
- Marta Navarro VilasarĂł
- Marta Santos Peña
- MartĂn Guillermo
- MarĂa Antonia Ribot Sanso
- MarĂa Carmen Fariñas Ălvarez
- MarĂa D. del Toro
- MarĂa Erostarbe Gallardo
- MarĂa HernĂĄndez-Bonaga
- MarĂa Isabel Guirado Torrecillas
- MarĂa JesĂșs Bustinduy Odriozola
- MarĂa JosĂ© RĂos-Villegas
- MarĂa Lorena MarĂa Valle Feijoo Begoña RodrĂguez Ferreira
- MarĂa Luisa Machado Sicilia
- MarĂa Paz GarcĂa Butenegro
- MarĂa Pilar Toledano Sierra
- MarĂa Rivas-Carmenado
- MarĂa RodrĂguez Mayo
- MarĂa RuĂz Campuzano
- MarĂa Soledad GarcĂa de Carlos
- MarĂa Victoria FernĂĄndez-Baca
- MarĂa Yllescas
- MarĂa Ăngeles Garcinuño
- Mehta
- Melchor Riera Jaume
- Mercedes Clemente Presas
- Meritxell Gavalda Manso
- Meritxell Ortega Montoliu
- Miguel GĂłrgolas HernĂĄndez-Mora
- Miguel Pedromingo Kus
- Miguel Salvert LletĂ
- Miguel Torralba GonzĂĄlez de Suso
- Miguel Ăngel MorĂĄn RodrĂguez
- Mikel Temprano Gogenola
- Miquel Hortos Alsina
- Miquel Pujol
- Mohamed Kallouchi
- Montserrat Sanmarti Vilamala
- Montserrat Viqueira GonzĂĄlez
- MĂČnica Angerri Nadal
- Mónica Liébana Gómez
- Nerea Carrasco AntĂłn
- NicolĂĄs JimĂ©nez-GarcĂa
- Nicolås Merchante Gutiérrez
- Nieves de la Cruz Felipe
- Nieves Valcarce Pardeiro
- Olga Meca Birlanga
- Olga SĂĄnchez-Pernaute
- Onofre MartĂnez Madrid
- Oscar Sanz PelĂĄez
- Pablo Ryan
- Paloma Albiol Viñals
- Patricia Gonzålez Muñiz
- Patricia GonzĂĄlez-Ruano PĂ©rez
- Patricia Jiménez Aguilar
- Patricia MartĂnez MartĂn
- Paula Mendoza Roy
- Paula Santibañez Såenz
- Pedro Gil Divasson
- Pedro MartĂnez PĂ©rez-Crespo
- Pedro Ăngel Cuadros Tito
- Pere Comas Casanova
- Pilar MartĂn DĂĄvila
- Pilar Vizcarra
- Rafae Silvariño Fernåndez
- Raquel Ălvarez Franco
- Rebeca Longueira
- Regino RodrĂguez Ălvarez
- Reinaldo EspĂndola GĂłmez
- Ricardo Gil SĂĄnchez
- Rita Godoy Lorenzo
- RocĂo Montejano SĂĄnchez
- Rojas-Marte
- Rosa de Miguel Buckley
- Rosa Oltra Sempere
- Rosana Rouco Esteves Marques
- Rosario Castilla Ortiz
- Sabela SĂĄnchez Trigo
- Saioa Domingo Echaburu
- Salvador PĂ©rez-Galera
- Santiago Moreno Guillén
- Santiago PĂ©rez Parra
- Sara Lidia Kamel Rey
- Sara Vela Bernal
- Sara Velasco Fuentes
- Sergio España Cueto
- Sergio Gilaberte ReyzĂĄbal
- Sergio Manuel Santana BĂĄez
- Sergio PĂ©rez Pinto
- Sergio RomĂĄn Soto
- Silvana Fiorante
- Silvia GarcĂa MartĂnez
- Silvia SuĂĄrez
- Sonia Calzado Isbert
- Sonia GarcĂa Prieto
- Sonsoles Salto
- Tamara CaĂnzos Romero
- Teresa AldabĂł
- Teresa AldĂĄmiz-EchevarrĂa
- Teresa Giménez
- Vanesa Alende Castro
- Vicens DĂaz de Brito FernĂĄndez
- Vicente de la Rosa
- Violeta Ramos Sesma
- Virginia Almadana
- Virginia FernĂĄndez Espinilla
- Virginia Isern FernĂĄndez
- Virginia Naranjo Velasco
- VĂctor Asensi
- Xabier Kortajarena Urkola
- Xavier Sanz Salvador
- Ye
- Yolanda Meije Castillo
- Yuan
- Zaira R. Palacios Baena
- Zhang
- Zuriñe Ortiz de Zårate Ibarra
- Ăngel DomĂnguez-Castellano
- Ăngeles GarcĂa Flores
- Ăngeles Muñoz
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/08/2020
- Field of study
Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters.
Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs).
Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001).
Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
- Author
- Abad-Motos Ane
- Abbas Ahmed M.
- Abbas Mostafa
- Abbasi Mujeeb
- Abbott Tom
- Abd Karim Muhammad Fairuz Shah
- Abdalaal Ibrahim
- Abdel-Galil Khalid
- Abdelemam Rania
- Abdelgawad Abdalrahman
- Abdelkarim Maryam
- Abdelkhalek Mohamed
- Abdelmageed Abdelfatah
- Abdelmawgoud Sherif
- Abdelmohsen Sarah
- Abdelrahman Ahmed Saber
- Abdelrahman Mostafa
- Abdelwahab Khaled
- Abdou Hossam
- Abdulai Darling Ramatu
- Abdulkhaleq Marwa
- Abdullah Bahiyah
- Abdulsalam Khalifa
- Abdulsalam Shuaib
- Abdur-Rahman Lukman
- Abdus-Salam Rukiyat
- Abdussalam Hameedat Opeyemi
- Abebrese John Tabiri
- Abeldaño Ariel
- Abou-Khalil Jad
- Abou-Taleb Hisham
- Abozid Anwaar
- Abozied Hesham
- Abrate Alberto
- Abu-Zaid Ahmed
- Abubakar Mohammed Kabir
- Abud Burçin
- Abuzaid Mohammed
- Adam Albushra Altayeb
- Adamina Michel
- Adamou Harissou
- Adamu Auwal
- Adamu Kabir Musa
- Adanu Kekeli
- Adebara Idowu
- Adebola Oluwaseyi
- Ademuyiwa Adesoji
- Adeniran Abiodun
- Adepiti Akinfolarin
- Aderogba Adeleke Akeem
- Adesunkanmi Abdulhafiz
- Adeyeye Ademola
- Adisa Adewale
- Adjeso Theophilus Justus Kofi
- Ads Adel Mohamed
- Ads Alaa Mohamed
- Adu-Aryee Nii Armah
- Adumah Collins
- Afzal Irrum
- Agapov Mikhail
- Agarwal Gaurav
- Agarwal Ravi
- Agbeko Anita Eseenam
- Agbeno Evans Kofi
- Agbonrofo Peter
- Agboola Oluseyi
- Aggarwal Gaurav
- Aghadi Ifeanyi
- Aghtarafi Natasha
- Agrawal Amit
- Agresta Ferdinando
- Aguado HĂ©ctor J.
- Aguilera-Arevalo Maria-Lorena
- Aherne Thomas
- Ahmad Aline
- Ahmad Maleeha
- Ahmad Misbahu
- Ahmad Sarwat
- Ahmad Shahzaib
- Ahmad Shoaib
- Ahmed Hayat Tarig Abdelhafiz
- Ahmed Khalid
- Ahmed Sharwany
- Ahmed Shima
- Ahmed Usama
- Aisuodionoe-Shadrach Oseremen
- Aitken Sarah
- Ajenifuja Kayode
- Ajiya Abdulrazak
- Akeel Nouf
- Akin Emrah
- Akinajo Opeyemi
- Akinyemi Tosin
- Akrida Ioanna
- Aktokmakyan Talar Vartanoglu
- Akwaisah Ayoub
- Al Bettar Osama
- Al-Badawi Ismail A.
- Al-Juaifari Maytham
- Al-Khyatt Waleed
- Al-Mallah Abdullah
- Al-Nusairi Ahmed
- Al-Saadi Nina
- Al-Sayaghi Khaled
- Al-Shaiji Tariq
- Al-Shehari Mohammed
- Al-Touny Aiman
- Al-Touny Shimaa A.
- Aladawi Omar
- Aladna Abdallah
- Alali Mahmoud
- Alam Mahmood
- Alam Mohammed Shadrul
- Alarabi Rehab
- Alawneh Yazan
- Alayande Barnabas
- Albanese Erminia
- Albayadi Eslam
- Albdour Maram
- Alconchel Felipe
- Alderazi Amer
- Alegbeleye Bamidele
- Alekberli Tural
- Alemu Misganaw Alemu Adimass
- Alexander Philip
- Alfieri Alex
- Algahtany Khaled
- Algarni Kamal
- Alhamad Ameen
- Alhamid Mohammad
- Alharmi Rawan A. Rahman
- Alharthi Mohammed
- Alhazmi Barrag
- Ali Mohamed Shafi Mahboob
- Ali Stephen
- Alibrahim Hidar
- Aljaaly Hattan
- Aljaiuossi Anas
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- Almiqlash Bushray
- Almoshantaf Mohammad Badr
- Almutairi Abdulmjeed
- Alnsour Abed Alfattah Mahmoud
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- BÄ°ĆGÄ°N TAYFUN
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- Tellez Karla Susana Martin
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- Vaughan-Shaw Peter G.
- Vaysburg Dennis
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- Velten Markus
- VelĂĄzquez Maria Jose Martinez
- Venkatappa Sunil Kumar
- Venketeswaran Meenakshi
- Venskutonis Donatas
- Verbic Milena Senica
- Verdi Daunia
- Vergara-Fernandez Omar
- Verhoeff Kevin
- Veroux Massimiliano
- Verras Georgios-Ioannis
- Verre Luigi
- Vida Lucian
- Vidya Raghavan
- Viglietta Edoardo
- Vijay Vardhini
- Vijgen Guy
- VilarĂł Blanca Capdevila
- Villanueva Julio
- Vilz Tim O.
- Vincent Elizabeth
- Vinci Danilo
- Viola Simona
- Violante Tommaso
- Vishnoi Jeewan Ram
- Vissapragada Ravi
- Vivancos Laura Guillamon
- Vives Josep Maria Muñoz
- Vizzielli Giuseppe
- Vohra Lubna
- Vokshi Ismail
- Vosinakis Christos
- Våsquez Javier Alberto Gutiérrez
- VĂĄzquez Gil
- VĂĄzquez Irene Ortega
- VÇcÇraĆu Andrei Bogdan
- Wade Ryckie
- Wafi Omar
- Wagner Gabriela
- Wallis Christopher
- Wanjara Samuel
- Waqar Shahzad Hussain
- Warden Claire
- Warner Christian
- Wasim D.
- Wason Shaun
- Wasserman Isaac
- Watcyn-Jones Tom
- Waterson Ben
- Watson David
- Watson Matthew
- Weber Clemens
- Wheatstone P.
- Wheeler James
- Wheldon Luke
- White Michelle
- White Stuart
- White William
- Wickramasinghe Dakshitha
- Widmer Lukas Werner
- Wiedemann Dominik
- Wiesinger Clemens Georg
- Wijekoon Naveen
- Wijenayake Wasantha
- Wijeyaratne Manuk
- Wijeysundera Duminda
- Wiles Matthew
- Wilkin Richard
- Wilkins Alex
- Wilkins James
- William Tinka George
- Williams Omolara Modupe
- Williams Shekinah
- Windsor John
- Winnand Philipp
- Wittmann Maria
- Wolde Amanuel
- Wolfenden John W. D.
- Wong Benjamin Ngie Xiong
- Wong Enoch
- Wong Evan G.
- Wong George Kwok Chu
- Wong Ho Ying Flora
- Wong Kai Yuen
- Wormald Justin
- Wright Deborah
- Wright Joshua
- Wu Fiona
- Wurm Markus
- Xenaki Sofia
- Yadev Ip
- Yahaya Ahmad Shuib
- Yakubu Mustapha
- Yang Wah
- Yanik Ăzge
- Yanowsky-Reyes Guillermo
- Yassin Abubaker
- Yates Elizabeth
- Yebes Alvaro
- Yenli Edwin Mwintiereh Ta-Ang
- Yeoh Tien
- Yeung Justin
- Yiallourou Anneza
- Yigit Banu
- Yildirim Asif
- Yim Guang
- Yiu Andrew
- Yonekura Hiroshi
- Yotsov Tsanko
- Younis Muhammad Umar
- Yunus Alif
- Yusefi Hossein
- Zabaleta Jon
- Zabkiewicz Catheriner
- Zaccaria Giulia
- Zacharia Bincy
- Zafar Syed Nabeel
- Zago Mauro
- Zaheen Zakia
- Zahid Zahra
- Zaimis Tilemachos
- Zakaria Andee Dzulkarnaen
- Zambon Martina
- Zamora Lindsey
- Zampogna Biagio
- Zancana Giuseppa
- Zani Augusto
- Zanin Luca
- Zanini Nicola
- Zapardiel Ignacio
- Zapata Carlos Shiraishi
- Zarif Pierre
- ZarĂĄnd Attila
- Zehnder Philipp
- Zenger Serkan
- Zenha HorĂĄcio
- Zhu Michael Z. L.
- Ziemann Sebastian
- Zimak Danijela Mrazovac
- Zimak Zoran
- Zivkovic Dragana
- Zizzo Maurizio
- Zucker Benjamin
- Zwain Yasir
- Zyskowski Michael
- Ăvila Clara Castro
- ĂlgĂ„ Andreas
- Ăakici Mehmet Ăaǧlar
- Ăelik Enes
- Ăelik Meryem Nur
- Ăzçay Necdet
- Ćevik HĂŒsnĂŒ
- Ć antak Goran
- Ć imko KristiĂĄn
- ĆœateckĂœ Jan
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2023
- Field of study
Abstract
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and lowâmiddle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of âsingle-useâ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for lowâmiddle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both highâ and lowâmiddleâincome countries
Proyecto de investigaciĂłn en el ĂĄrea de Medicina Interna de Galicia. Cribado de displasia anal en pacientes infectados por VIH
- Author
- Publication venue
- Publication date
- 01/01/2011
- Field of study
Biodiversity - Confronting amphibian declines and extinctions
- Author
- Alex Hyatt
- Andrew R. Blaustein
- Andy Dobson
- Brad Lock
- Christopher J. Raxworthy
- Ché Weldon
- Claude Gascon
- Darrel R. Frost
- David B. Wake
- Dwight P. Lawson
- Edmund D. Brodie
- Enrique La Marca
- Federico Bolaños
- Gabriela Parra-Olea
- George B. Rabb
- Hayes
- Helen Robertson
- HĂ©lio R. da Silva
- James B. Murphy
- James E. Diffendorfer
- James P. Collins
- Jonathan A. Campbell
- Joseph R. Mendelson
- José Joaquin Calvo Domingo
- José Vicente Rodriguez-Mahecha
- Karen R. Lips
- Kevin C. Zippel
- Kevin M. Wright
- Kim M. Howell
- Louis H. du Preez
- Luis A. Coloma
- Mark Stanley Price
- Martha L. Crump
- Marvalee H. Wake
- Michael J. Lannoo
- Michael Lau
- Michelle Boone
- Patricia A. Burrowes
- Peter Daszak
- Rafael L. Joglar
- Richard A. Griffiths
- Robert C. Lacy
- Roberto Ibåñez D.
- Rohan Pethiyagoda
- Ronald W. Gagliardo
- Ross A. Alford
- Sergius L. Kuzmin
- Simon N. Stuart
- Stefan Lötters
- Susan Hunt
- Tim Halliday
- Zippel
- Publication venue
- 'American Association for the Advancement of Science (AAAS)'
- Publication date
- 07/07/2006
- Field of study
Stopping further global losses of amphibian populations and species requires an unprecedented conservation response