9 research outputs found
Autoestima y estilos de afrontamiento: predictores de la calidad de vida en personas con hemofilia
- Author
- AGUIAR PALACIOS LUIS HORACIO
- AGUIAR PALACIOS LUIS HORACIO
- DOMINGUEZ ESPINOSA ALEJANDRA DEL CARMEN
- DOMINGUEZ ESPINOSA ALEJANDRA DEL CARMEN
- GONZALEZ ARRATIA LOPEZ FUENTES NORMA IVONNE
- GONZALEZ ARRATIA LOPEZ FUENTES NORMA IVONNE
- MARTINEZ ALVARADO JULIO ROMAN
- MARTINEZ ALVARADO JULIO ROMAN
- PADILLA BAUTISTA JOAQUIN ALBERTO
- PADILLA BAUTISTA JOAQUIN ALBERTO
- RUIZ MARTINEZ ANA OLIVIA
- RUIZ MARTINEZ ANA OLIVIA
- TORRES MUÑOZ MARTHA ADELINA
- TORRES MUÑOZ MARTHA ADELINA
- Publication venue
- Revista Cubana de Hematología, Inmunología y Hemoterapia
- Publication date
- 30/05/2022
- Field of study
Producto derivado de Tesis de Doctorado en Ciencias de la Salud con Registro DOCCSA-0119. directora de TesisIntroducción: La hemofilia es un trastorno hemorrágico que causa dolor y daños articulares graves. Las personas con esta condición de salud suelen presentar problemas psicosociales como baja autoestima y dificultad para enfrentar la enfermedad, lo cual puede impactar negativamente en su calidad de vida relacionada a la salud (CVRS). Objetivo: Analizar el efecto predictor de la autoestima y las estrategias de afrontamiento hacia la CVRS en personas con hemofilia. Métodos: Estudio cuantitativo, no experimental, de tipo correlacional, con muestra por conveniencia, realizado en 60 participantes con hemofilia, edades comprendidas entre 15 y 67 años (media = 27,43, desviación estándar = 11,32). Se utilizaron los cuestionarios: Calidad de Vida Específica para Hemofilia, Autoestima y Afrontamiento al Dolor Crónico. Se realizaron análisis descriptivos, correlación de Pearson y análisis de regresión lineal múltiple con el método por pasos. Resultados: Se obtuvo que el nivel de CVRS fue mayormente moderado; sin embargo, se observaron niveles bajos en las dimensiones Deporte y tiempo libre y Futuro. La dimensión Éxito de la escala de autoestima correlacionó positivamente con las dimensiones Deporte y tiempo libre (r(60)= 0,59), Salud física (r(60)=0,54) y Autopercepción (r(60)=0,48) de la escala calidad de vida; además de haber mostrado un nivel alto de predicción de la calidad de vida (R2= 0,35, p= 0,00). Conclusiones: Se comprobó que la autoestima resulta ser una variable predictora de la CVRS de los pacientes con hemofilia. Se requiere fortalecer la autoestima y la manera de enfrentarse ante el dolor crónico en personas con este padecimiento en pro de su calidad de vida y bienestar.Artículo producto de Tesis de Doctorado en Ciencias de la Salud, el estudiante fue becario CONACY
Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study
- Author
- Ababneh Hazim
- Abad Gurumeta Alfredo
- Abad-Motos Ane
- Abbo Olivier
- Abbott Tom
- Abd Elwahab Sami
- Abdelkabir Mohammed
- Abdelkhalek Mohamed
- Abdur-Rahman Lukman
- Abebe Metasebia
- Aboazamazem Hajir
- Abou Chaar Mohamad K.
- Abou Chaar Mohamad K.
- Abouelnagah Galal
- Abozied Hesham
- Abu Salhiyeh Ala'a
- Abu-Ismail Luai
- Abu-Mehsen Marah
- Abukhalaf Sadi A.
- Abuleil Amro
- Achalandabaso Boira Mar
- Ackermann Travis
- Acquah Daniel Kwesi
- Adam Mohammed Elmujtba Adam Essa
- Adamina Michel
- Ademuyiwa Adesoji
- Adesanya Opeoluwa
- Adisa Adewale
- Afolabi Akinwale
- Agarwal Arnav
- Agarwal Gaurav
- Agastra Ervis
- Agbadebo Mouhamed
- Agbonrofo Peter
- Aguiar Junior Samuel
- Aguilera-Arevalo Maria-Lorena
- Ahmad Amer
- Ahmad Siddique
- Ahmed Waheed-Ul-Rahman
- Aigner Felix
- Akhavizadegan Hamed
- Akhbari Melika
- Akililu Yemisirach Bizuneh
- Akinmade Akinola
- Al Ameer Ahmed
- Al Amri Abdulrahman
- Al Balushi Zainab
- Al Maadany Faraj
- Al-Manaseer Balqees Mahmoud
- Al-Naggar Hamza
- Aladawi Omar
- Alajalen Amer
- Alalawi Yousef
- Alameer Ehab
- Alansari Arowa Hassan Abdulrahman
- Alawami Mohammed
- Alawneh Yazan
- Alayan Mohammed
- Alberdi San Roman Igor
- Albertsmeier Markus
- Alcaraz Fuentes Marta
- Alderazi Amer
- Aldressi Wafa
- Alexander Philip
- AlFakhri Abdullah
- Alharthi Mohammed
- Alhefdhi Amal
- Alkadeeki Ghadah
- Alkaseek Akram
- Alkhatib Ahmad
- Almabayev Ydyrys
- Almeida-Reis Rui
- Almiqlash Bushray
- Almoguera Jorge
- Almugaddami Ayman
- Almulhim Abddulrahman Saleh
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- Stephens Matthew
- Stevens Sean
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- Stoleriu Mircea Gabriel
- Subbian Anbukkani
- Suliaman Taha
- Sultan Rizwan
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- Vijayakumar M. Vijayakumar
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- Xu William
- Yadev I.
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- Yaqoob Hassan Nawaz
- Yasin Seid Mohammed
- Yazbek Guilherme
- Yebes Alvaro
- Yeung Justin
- Zabaleta Jon
- Zahid Imdad Ahmad
- Zapardiel Ignacio
- Zapata Carlos Shiraishi
- Zarnescu Narcis Octavian
- Zarour Ahmad
- Zarour Ahmad
- Zegarra Sergio
- Zequi Stenio C.
- Zhou Xuanyu
- Zhussupov Baurzhan
- Zimmelman Natalie
- Zmora Oded
- Zmora Oded
- Publication venue
- Publication date
- 01/01/2021
- Field of study
Recommended from our members
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- Author
- Ababneh Hazim
- Abad-Motos Ane
- Abbas Ferial Mohamed Ali
- Abbo Olivier
- Abbott Tom
- Abbott Tom
- Abdelkabir Mohammed
- Abdelkhalek Mohamed
- Abdoun Meriem
- Abdur-Rahman Lukman
- Abdur-Rahman Lukman
- Abebe Metasebia
- Aboazamazem Hajir
- Abou Chaar Mohamad K.
- Abou Chaar Mohamad K.
- Abouelnagah Galal
- Abozied Hesham
- Abu Salhiyeh Ala A.
- Abu-Ismail Luai
- Abu-Mehsen Marah
- Abuawad Carla
- Abukhalaf Sadi A.
- Abuleil Amro
- Ackermann Travis
- Acquah Daniel Kwesi
- Adam Mohammed Elmujtba Adam Essa
- Adamina Michel
- Adamina Michel
- Ademuyiwa Adesoji
- Adesanya Opeoluwa
- Adisa Adewale
- Adisa Adewale
- Afolabi Akinwale
- Agarwal Arnav
- Agarwal Gaurav
- Agarwal Ketan
- Agastra Ervis
- Agastra Ervis
- Agbadebo Mouhamed
- Agbonrofo Peter
- Aguilera-Arevalo Maria-Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahmad Amer
- Ahmad Siddique
- Ahmadi Navid
- Ahmed Waheed-Ul-Rahman
- Aigner Felix
- Aiken Taylor
- Akhavizadegan Hamed
- Akhbari Melika
- Akililu Yemisirach Bizuneh
- Akinmade Akinola
- Al Ameer Ahmed
- Al Ameer Ahmed
- Al Amri Abdulrahman
- Al Balushi Zainab
- Al Islam Ben Jouira Rayet
- Al Maadany Faraj
- Al-Manaseer Balqees Mahmoud
- Al-Naggar Hamza
- Al-Naggar Hamza
- Al-Raimi Ibrahim
- Al-Sabbagh Yusra
- Al-Shehari Mohammed
- Aladawi Omar
- Alajalen Amer
- Alalawi Yousef
- AlAmeer Ehab
- Alameer Ehab
- Alansari Arowa Hassan Abdulrahman
- Alawami Mohammed
- Alawneh Yazan
- Alayan Mohammed
- Albared Sara Maa
- Albertsmeier Markus
- Albertsmeier Markus
- Alderazi Amer
- Aldlyami Ehab
- Aldressi Wafa
- Alecci Anna
- Alexander Philip
- AlFakhri Abdullah
- Alharthi Mohammed
- Alhassoun Turki
- Alhefdhi Amal
- Alkadeeki Ghadah
- Alkaseek Akram
- Alkhatib Ahmad
- Allemand Carola
- Almabayev Ydyrys
- Almeida-Reis Rui
- Almiqlash Bushray
- Almoguera Jorge
- Almugaddami Ayman
- Almulhim Abddulrahman Saleh
- Alnachoukati Omar
- Alnahr Hareth
- Alonso Jesús Aarón Martínez
- Alonso Manuel Diez
- Alonso Nestor Fabian Pedraza
- Alqudah Majdi Ali
- Alrayes Bourhan
- Alsaadi Hayder
- Alsaadi Hayder
- Alser Osaid
- Alshaar Muhammad
- Alshahrani Mushabab
- Alshareef Khayriyah
- Alshehri Ameen
- Alshryda Sattar
- Alshryda Sattar
- Alsibai Sareyah
- Alsunna Zaid
- Altaf Humera Naz
- Althumairi Azah
- Althumairi Azah
- Althumairi Azah
- Alvarado Carlos Eduardo Otiniano
- Alyami Mohammad
- Alzahrani Abdulrahman
- Alzaidi Turki M.
- Alzate Juan Pablo
- Alzerwi Nasser
- Amisi Nicolas
- Amnaina Mohamed
- Amor María Sol Crespi
- André Benoît
- Angeles Martina Aida
- Anwer Mariyah
- Anyanwu Lofty-John
- Aouabed Nesrine
- Aqeelah Ahmed
- Aqil Sabra
- Arancibia José Alfredo Calderón
- Arango Maria Clara Mendoza
- Arbane Gill
- Argus Leah
- Arias Claudia
- Arnalsteen Laurent
- Arnaud Alexis P.
- Arnaud Alexis P.
- Asif Muhammad
- Assefa Melatework
- Atnafu Bahru
- Aulerio Giuliana D.
- Aurora
- Awad Selmy
- Ayasra Faris
- Ayasra Faris
- Ayoub Abdu
- Ayub Bushra
- Ayub Khurram
- Azevedo José
- Azevedo José
- Azevedo Pedro
- Aziz Aliya
- Azzam Ahmed Y.
- Bacalbasa Nicolae
- Badareesh L.
- Badenes Rafael
- Badiani Sarit
- Baig Mariam
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- Baiocchi Glauco
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- Bergkvist David Julià
- Bernal-Sprekelsen Juan Carlos
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- Bescós Coro
- Bezabih Yoseph Solomon
- Bhanderi Shivam
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- Bhangu Aneel
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- Bianco Agustín
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- Blanco-Colino Ruth
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- Blasco Laura Sánchez
- Boccalatte Luis
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- Boccalatte Luis
- Boira Mar Achalandabaso
- Boisson Matthieu
- Bolatbekova Raikhan
- Bolger Jarlath
- Bollano Enton
- Bonci Eduard-Alexandru
- Bonci Eduard-Alexandru
- Borda-Luque Giuliano
- Boretto Jorge G.
- Borges Filipe Castro
- Bork Ulrich
- Borowski David W.
- Botero Marcela Velez
- Bouaoud Souad
- Bouche Pierre-Alban
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- C Ricci
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- Campana Juan Pablo
- Campos Heloisa Galvão do Amaral
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- Chaudhry Daoud
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- Choong Peter
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- Coonar Aman
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- Cunha Miguel F.
- Cunha Miguel F.
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- Dajti Irida
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- Das Rishi
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- Davis Niall
- Dawson Amanda Caroline
- Dawson Amanda Caroline
- Dawson Brett E.
- Dbeis Rachel
- De Andrés-Asenjo Beatriz
- De Cortazar Unai Garcia
- de Dieu Haragirimana Jean
- de León Laura Román García
- De Simone Belinda
- Dean Benjamin
- Degefa Eyueal
- Del Pilar Paucar Urbina Arazzelly
- Delibegovic Samir
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- Dell Angela
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- Demetrashvili Zaza
- Demetriades Andreas K.
- Derilo Habtamu
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- Earley Helen
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- Efetov Sergey
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- Eiras Miguel Angel Freiria
- Ekenze Sebastian
- El Helw Amin
- El Kafsi Jihène
- El-Boghdadly Kariem
- El-Boghdadly Kariem
- El-Hussuna Alaa
- Elhadi Muhammed
- Elhadi Muhammed
- Elhajdawe Fras
- Elliott Brodie
- Ellojli Ibrahim
- Elwahab Sami Abd
- Emerson Hannah
- Emile Sameh
- Emile Sameh
- Enjuto Diego
- Escartin Jorge
- Escudero Damián García
- Escudero Mario I.
- Eskander Antoine
- Espin-Basany Eloy
- Espino Pablo Calvo
- Espinosa-Bravo Martin
- Esquivel Carlos
- Estruch Nuria Montferrer
- Etchill Eric
- Evans Jonathan
- Evelyn Nissi
- Ezanno Anne-Cecile
- Fahadullah Muhammad
- Fahmy Mohamed
- Fakhradiyev Ildar
- Fakhradiyev Ildar
- Farfus Anthony
- Farik Shebani
- Farooq Umer
- Faulkner Gemma
- Faustin Ntirenganya
- Fernandez Juan Delgado
- Fernandez Laura Gomez
- Fernandez Maria Sol
- Fernández Fátima Sánchez
- Fernández-López Antonio-José
- Ferrer Antonio Perez
- Ferry Jenny
- Figari Marcelo
- Figueroa Rodrigo
- Figueroa-Casanova Rafael
- Filipce Venko
- Filipescu Daniela
- Fiore Marco
- Fisseha Tigist
- Flamey Nicolas
- Fleming Christina
- Flexman Alana
- Fluegen Georg
- Flumignan Ronald
- Ford Samuel
- Forero-Torres Alexander
- Forneris Agustin Albani
- Fotopoulou Christina
- Fowler Alexander
- Fraidenraij Uriel
- Fredon Fabien
- Fuentes Marta Alcaraz
- Fuentes Tyare
- Fujimoto Yuki
- Futaba Kaori
- Gagnier Joel
- Gahwagi Milad
- Gallegos Diego
- Gallino Esteban Sebastian
- Gallo Gaetano
- Ganly Ian
- Garcia Manuel
- Garcia-Adamez Jorge
- García Lucia Diego
- García Pablo Martín
- García-Mansilla Agustín Maria
- García-Montoya Oscar-Julián
- Gaujoux Sebastien
- Gauna Guillermo Hernandez
- Gempt Jens
- Georgiades Fanourios
- Gerchunoff José Ignacio
- Ghani Muhammad Owais Abdul
- Ghazal Ahmad
- Ghazwani Salman
- Ghodke Rahul
- Ghosh Dhruva
- Ghosh Dhruva
- Ghosh Indranil
- Ghozy Sherief
- Ghunaim Mohammed
- Gialamas Eleftherios
- Gialamas Eleftherios
- Gigena Cecilia
- Gil-Sala Daniel
- Ginghina Octav
- Giorgakis Emmanouil
- Girard Edouard
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- Gishanthan Shanthamoorthy
- Gjata Arben
- Gjyli Kostandin
- Glasbey James C.
- Glasbey James C.
- Glass Nina
- Glowka Tim R.
- Gohar Muhammad
- Golet Marta Roldón
- Gomes Gustavo Mendonça Ataíde
- Gomez Jose Tomas Castell
- Gomez-Fernandez Hugo
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- Gonzalez Diana Samantha
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- González Javier Serrano
- González-Gimeno Maria Jose
- González-Suárez Susana
- Goransky Jeremias
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- Gouvas Nikolaos
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- Greenhalgh Michael
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- Gujjuri Rohan R.
- Gujjuri Rohan R.
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- Gunawansa Nalaka
- Gupta Anand
- Gupta Rahul
- Gurumeta Alfredo Abad
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- Gómez Mercedes Estaire
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- Hammed Ali
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- Harrison Ewen M.
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- Hecker Andreas
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- Höhn Philipp
- Iascano Fernando Martinez
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- Infante Antonio Rodriguez
- Ingabire Jc Allen
- Ionescu Sebastian
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- Isik Arda
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- Jimenez Raul
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- Jiménez Pablo Mijahil Avilés
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- Jisry Ghassan
- Jlassi Haithem
- Johnson David
- Jones Conor S.
- Jonker Pascal
- Jouffret Lionel
- Júnior Samuel Aguiar
- Kaafarani Haytham
- Kaafarani Haytham
- Kaafarani Haytham
- Kabir Syed Mohammad Umar
- Kabweru Wilberforce M.
- Kache Stephen
- Kacimi Salah Eddine Oussama
- Kaidarova Dilyara
- Kaiser Julia Christina
- Kakeeto Andrew
- Kaman Lileswar
- Kamarajah Sivesh K.
- Kamarajah Sivesh K.
- Kamphues Carsten
- Kandevani Naser Yousefzadeh
- Kannan Ravi
- Karout Lina
- Karthigeyan Madhivanan
- Kassir Radwan
- Kauppila Joonas H.
- Kauppila Joonas H.
- Kaups-Fresno Krista
- Kavalakat Alfie
- Keatley James M.
- Kembuan Gabriele
- Keppler Alexander M.
- Keppler Lena
- Kerawala Asad Ali
- Kerawala Cyrus
- Kerpaci Jola
- Khadidja Kouidri
- Khalifa Houda
- Khalil Kareem S.
- Khamees Almu'atasim
- Khan Tabassum
- Khatri Chetan
- Kherani Safeena
- Khokhar Muhammad Imran
- Khosravi Mohammad
- Khosravi Mohammad Hossein
- Kieser David
- King Jasmin
- Kirov Mikhail
- Kiweewa Ronald
- Klat Jaroslav
- Knight Stephen Richard
- Kochetkov Viktor
- Koh Cherry
- Koh Frederick
- Koh Frederick
- Kolias Angelos
- Komen Niels
- Konate Ibrahima
- Konrads Christian
- Kopetskyi Slava
- Kopjar Tomislav
- Kornblith Lucy
- Kowalski Luiz Paulo
- Košir Jurij Aleš
- Košir Jurij Aleš
- Kpangon Cyrille
- Kronberger Irmgard
- Kronberger Irmgard Elisabeth
- Kroon Hidde M.
- Kruijff Schelto
- Kudsk-Iversen Søren
- Kulimbet Mukhtar
- Kulkarni Amruta
- Kumar Aruna
- Kumar Ashwani
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- Kuroda Naoto
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- Königsrainer Alfred
- la Medina Antonio Ramos-De
- Laban Simon
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- Lalín Agustina Florencia Castro
- Lami Mariam
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- Lau Lorena Fuentes Rivera
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- Lawal Taiwo Akeem
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- Lawday Samuel
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- Lederhuber Hans
- Lekuya Hervé Monka
- Lekuya Hervé Monka
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- Leventoğlu Sezai
- Leventoğlu Sezai
- Lewis-Lloyd Christopher
- Lewis-Lloyd Christopher
- Li Elizabeth
- Li Elizabeth
- Lidder Surjit
- Lincango-Naranjo Eddy
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- Lindert Judith
- Linz Valerie Catherine
- Litvin Andrey
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- Liyo Juan
- Llano Lionel
- Lo Terence
- Loaloa Mohamed Reda
- Lobos Pablo
- Lohsiriwat Varut
- Losada Manuel
- Lott Natalie
- Lou Wenhui
- Lowey Megan
- Lozada Jorge Centeno
- Löffler Markus W.
- Lucchini Sergio Martin
- Lucchini Sergio Martin
- Lueckel Stephanie
- Lugones Ignacio
- Lule Herman
- Lule Herman
- Lule Herman
- Luna Joaquin
- Luzzi Emilia
- López Anna Sánchez
- López Cristina Barrena
- Mabood Waleed
- Macchiavello Roberto
- MacKenzie Shawn
- Madabhavi Irappa
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- Mahakalkar Chandrashekhar
- Maher Mark
- Maimbo Mayaba
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- Majid Haroon Javaid
- Major Piotr
- Major Piotr
- Makdissi Fabiana
- Makkai-Popa Silviu Tiberiu
- Maldonado-Marcos Eloy
- Maleki Esmaeil Rezghi
- Malik Muhammad Usman
- Mallén Victoria Duque
- Manceau Gilles
- Mann Harvinder
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- Mansour Ahmed
- Maricic Maximiliano
- Mariño Lucia Porteiro
- Marquez Lucila
- Marson Ella J.
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- Martinez Eneida Diaz
- Martinez Laura
- Martins Paulo
- Martín Maria Teresa Fernández
- Martín-Láez Rubén
- Martínez Daniel Fernández
- Martínez María José
- Martínez Mireia Riba
- Marçal André
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- Mashhour Mohamed
- Mashhour Mohamed
- Mashhour Mohamed
- Massoud John George
- Mastroianni Gustavo
- Mata-Suarez Santiago Miguel
- Matai Anil
- Mateo-Sierra Olga
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- Mazingi Dennis
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- Mclean Kenneth A.
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- Mengesha Mengistu G.
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- Novysedlák René
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- Perez Rivera Carlos J.
- Perez Rivera Carlos J.
- Perez-Chrzanowska Hanna
- Perinotti Roberto
- Pfister Karin
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- Picciochi Maria
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- Pockney Peter
- Pockney Peter
- Pockney Peter
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- Rice Henry E.
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- Saad Mahmoud M.
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- Sacdalan Marie Dione
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- Shaw Catherine
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- Silva Camilo Ortiz
- Silva Nelson
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- Simoes Joana Ff
- Simoes Joana Ff
- Simoes Joana Ff
- Sin MªPilar Canals
- Singh Harvinder
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- Slavchev Mihail
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- Stadler Josef
- Stang María Verona
- Stavridis Sotir
- Stavrou Gregor A.
- Steinkamp Pieter
- Steinkamp Pieter
- Stephens Matthew
- Stevens Sean
- Stewart Grant D.
- Stewart Grant D.
- Stijns Jasper
- Stoleriu Mircea Gabriel
- Suarez Marcelo Moreno
- Subbian Anbukkani
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- Tarrado Xavier
- Taylor Elliott H.
- Teague Rebecca
- Teasdale Ella
- Tefera Teshome
- Tejero-Pintor Francisco J.
- Tendeng Jacques
- Teo Nan Zun
- Teresa Gavaldà Pellicé M.
- Testelin Sylvie
- Thakar Sumit
- Thereska Dariel
- Thereska Dariel
- Thies Cristina Ojeda
- Thyavihally Yuvaraja
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- Toscano Marta Jimenez
- Totty Joshua
- Townend Philip
- Traeger Luke
- Traverso Rogelio
- Tripathi Manjul
- Trout Isobel M.
- Trujillo Lina María
- Tsegaye Bereket
- Tsoulfas Georgios
- Tudela Kiara
- Turinawe Gaston
- Turner Paul
- Turrado-Rodriguez Victor
- Uffelmann Constanza
- Ugarte-Sierra Bakarne
- Usang Usang
- Vaccaro Carlos
- Vagni Roberto
- Vaishnav Dhaivat
- Valcarcel Cristina Rey
- Valdez Pedro
- Valerio Ana Clara
- Vallam Karthik Chandra
- Vallve-Bernal Marc
- van Ramshorst Gabrielle
- van Ramshorst Gabrielle
- Vargas Lara
- Varghese Chris
- Varghese Chris
- Varghese Chris
- Varghese Chris
- Vartanian Jose Guilherme
- Vaughan-Shaw Peter
- Vayoth Sudheer Othiyil
- Vaysburg Dennis
- Vaysse Charlotte
- Velasco Jorge Caño
- Velasquez Enrique Jose Ruiz
- Venkatappa Sunil Kumar
- Venn Mary L.
- Verhaeghe Romain
- Verhaeghe Romain
- Vidal Rafael Perez
- Vidya Raghavan
- Vijayakumar Vijayakumar M.
- Villanueva Julio
- Vimalakanthan Thanusan
- Vita Diana Crego
- Vivancos Patricia Caja
- Viveiros Octavio
- Vives Inmaculada
- Vives Josep Maria Muñoz
- Vo Uyen Giao
- von Pusch Silke
- Vrapi Enxhi
- Vázquez Irene Ortega
- Wafi Omar
- Wagner Arthur
- Waissbluth Sofia
- Waqar Shahzad Hussain
- Watson David
- Watson Eleanor
- Watters David
- Weeraddana Prabuth Dulanjan
- Wells Cameron
- Welter Stefan
- Wettstein Dániel
- Wickramasinghe Dakshitha
- Wickramasinghe Dakshitha
- Wiegering Armin
- Wijeysundera Duminda
- Williams Emmanuel
- Williams Omolara
- Williams Omolara
- Wilson Michael
- Wolf Sebastian
- Wolfer Susanne
- Wong Enoch
- Wright Deborah
- Wright Deborah
- Wright Naomi
- Wuraola Funmilola
- Wuraola Funmilola
- Xaviour Okedi Francis
- Xu William
- Yadev I.
- Yagoub Ghozlan
- Yaqoob Eesha
- Yaqoob Hassan Nawaz
- Yasin Seid Mohammed
- Yazbek Guilherme
- Yebes Alvaro
- Yeung Justin
- Yip Sebastian Shu
- Youssef Mina
- Zabaleta Jon
- Zahid Imdad Ahmad
- Zanoni Gerardo
- Zapardiel Ignacio
- Zapata Carlos Shiraishi
- Zarnescu Narcis Octavian
- Zarour Ahmad
- Zarour Ahmad
- Zarour Ahmad
- Zarratea Celeste Soledad
- Zegarra Sergio
- Zequi Stenio C.
- Zezular Damaris Idara Anabel
- Zhou Xuanyu
- Zhussupov Baurzhan
- Zijaj Lorena
- Zimmelman Natalie
- Zmora Oded
- Zmora Oded
- Zohra Belabbes Fatima
- Publication venue
- HAL CCSD
- Publication date
- 01/11/2021
- Field of study
We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care
Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study
- Author
- Adam Orengia
- Aditya Chowdary
- Aditya Kulkarni
- Adnan Kuvvetli
- Adolfo Navarro
- Adolfo Pisanu
- Adrian Smith
- Adriana Cavero Ibiricu
- Aeris Jane D Nacion
- Ahmad Alhazmi
- Ahmad Alsaleh
- Ahmad Elmabri
- Ahmet Rencuzogullari
- Aingeru Sarriugarte Lasarte
- Ainhoa Valle Rubio
- Ajaz Wani
- Akshay Bavikatte
- Akshay Kumar
- Al-Radjid Jamiri
- Alain Michel Alvarado Padilla
- Alban Cacurri
- Alberto de San Ildefonso
- Alberto Porcu
- Alberto Sartori
- Aldo Rocca
- Alejandro Becaria
- Alejandro Paz Yáñez
- Alejandro Solís-Peña
- Aleksandar Sretenović
- Alessandro De Luca
- Alex Boddy
- Alex Urbistondo
- Alexandros Charalabopoulos
- Alexios Tzivanakis
- Alfonso Amendola
- Alfonso Bandin
- Alfonso Najar
- Alfredo Ramirez-Gutierrez de Velasco
- Ali Cihat Yildirim
- Alice Frontali
- Alpha Oumar Toure
- Alvaro García-Granero
- Amaia Martínez Roldan
- Amaia Sanz Larrainzar
- Amila Sanjiva Ratnayake
- Ana Gonzales-Ganso
- Ana M Minaya-Bravo
- Ana María Gonzalez-Ganso
- Andre Das
- Andrea Bondurri
- Andrea Costanzi
- Andrea Lucchi
- Andrea Mazzari
- Andrea Musig
- Andrea Peloso
- Andrea Piano
- Andrea Police
- Andrei Mihailescu
- Andrés Pouy
- Angela Romano
- Angelo Iossa
- Anna Carmen Leonetti
- Anna Guariniello
- Anna Isaac
- Anna Pia Delli Bovi
- Antonella Chessa
- Antonella Tromba
- Antonino Tornambè
- Antonio Brillantino
- Antonio Caira
- Antonio Castaldi
- Antonio Ferronetti
- Antonio Giuliani
- Antonio Prestera
- Antonio Ramos-De la Medina
- Antonio Tarasconi
- Antonio Álvarez Martínez
- Arcangelo Picciariello
- Argyrios Ioannidis
- Ari Leppäniemi
- Arshad Khan
- Arshad Rashid
- Arteaga Luis Eduardo Pérez-Sánchez
- Ashok Mittal
- Ashrarur Rahman Mitul
- Asif Mehraj
- Asim Laharwal
- Asnel Dorismé
- Athanasios Marinis
- Atif Iqbal
- Augusto Moncada
- Bartolomeo Braccio
- Basim Alkhafaji
- Beatriz de Andrés Asenjo
- Beatriz Martin-Perez
- Belinda Sánchez Pérez
- Ben Creavin
- Benedetto Calì
- Benedetto Ielpo
- Beniamino Pascotto
- Benjamin Stubbs
- Benjamin Zavala Retes
- Branislav Jovanovic
- Brian K P Goh
- Brian Kp Goh
- Bruno Sensi
- Carlo Biddau
- Carlo Gazia
- Carlo Vallicelli
- Carlos Alberto Fagundes
- Carlos Cerdán Santacruz
- Carlos Chirico
- Carlos Javier Gómez
- Carlos Petrola
- Carlos Sánchez Rodriguez
- Carlos Yánez Benítez
- Carmelisa Dammaro
- Carmelo Lo Faro
- Caroline Reinke
- Casandra Dominguez Paez
- Catalina Oliva
- Charlotte Thomas
- Charudutt Paranjape
- Chi Fung Chia
- Chi Kwan Kong
- Chiara De Lucia
- Christian Ovalle Chao
- Claudio Arcudi
- Claudio Guerci
- Clement Chia
- Cristiano Parise
- Cristina Folliero
- Cristopher Varela
- Dalya M Ferguson
- Daniel Camacho
- Daniel Popowich
- Daniel Souza Lima
- Daniela Rega
- Daniele Delogu
- Daniele Zigiotto
- Danilo Vinci
- Dario D'Antonio
- Dario Parini
- David Alessio Merlini
- David DE Zimmerman
- David Moro-Valdezate
- Davide Pertile
- Deborah Maria Giusti
- Deborah S Keller
- Delko Tarik
- Denis Kalivaçi
- Dennis Mazingi
- Diana Gabriela Maldonado-Pintado
- Diego Sasia
- Dimitrios Linardoutsos
- Dixon Osilli
- Domenico Murrone
- Domenico Russello
- Edgar Rodas
- Edisson Alberto Acuña Roa
- Edoardo Ricciardi
- Edoardo Rosso
- Edoardo Saladino
- Eduardo Flores-Villalba
- Eduardo Ruiz Ajs
- Eduardo Smith-Singares
- Efstratia Baili
- Efstratios Kouroumpas
- Eirini Bourmpouteli
- Eleftheria Douka
- Elena Martin-Perez
- Eleonora Guaitoli
- Elgun Samadov
- Elisa Francone
- Elisa Vaterlini
- Emilio Morales
- Emilio Peña
- Eneko Del Pozo Andres
- Enhao Zhao
- Enrico Benzoni
- Enrico Erdas
- Enrico Pinotti
- Enrique Colás-Ruiz
- Erman Aytac
- Ernesto Laterza
- Ervis Agastra
- Esteban Foianini
- Esteban Moscoso
- Estefania Laviano
- Ester Marra
- Eugenia Cardamone
- Eugenio Licardie
- Eustratia Mpaili
- Eva Pinna
- Eva Pueyo
- Evaristo Varo
- Fabian Martín Navarro
- Fabio Marino
- Fabio Medas
- Fabio Romano
- Fatlum Maraska
- Fatmir Saliu
- Fausto Madrid
- Fausto Rosa
- Federica Mastella
- Federico Gheza
- Federico Luvisetto
- Felipe Alconchel
- Felipe Monge Vieira
- Felipe Pareja
- Ferdinando Agresta
- Fernanda Luna
- Fernando Bonilla
- Fernando Burdió
- Fernando Cordera
- Fernando Mendoza-Moreno
- Fernando Muñoz Flores
- Fernando Pardo Aranda
- Fiona Taylor
- Flavia L Ramos
- Flavio Fernandes
- Francesca Paola Tropeano
- Francesco Balestra
- Francesco Bianco
- Francesco Ceci
- Francesco Colombo
- Francesco Di Marzo
- Francesco Ferrara
- Francesco Lancellotti
- Francesco Lazzarin
- Francesco Litta
- Francesco Martini
- Francesco Palmieri
- Francesco Pata
- Francesco Pizza
- Francesco Roscio
- Francesco Virdis
- Francisco Blanco Antona
- Francisco Cervantes Ramírez
- Francisco Miguel Fernandez
- Francisco Oliver Llinares
- Francisco Quezada
- Francisco Schlottmann
- Gabriel Herrera-Almario
- Gabriel Massaferro
- Gabriele Bislenghi
- Gabrielle van Ramshorst
- Gaetano Gallo
- Gaetano Gallo
- Gaetano Luglio
- Georgios Bointas
- Georgios Kampouroglou
- Georgios Papadopoulos
- Gerardo Arredondo Manrique
- Giacomo Calini
- Giacomo Nastri
- Giampaolo Formisano
- Giampaolo Galiffa
- Gian Marco Palini
- Gianluca Colucci
- Gianluca Pagano
- Gianluca Pellino
- Gianluca Pellino
- Gianluca Vanni
- Gianmaria Casoni Pattacini
- Gianpiero Gravante
- Gianpiero Gravante
- Gilda De Paola
- Giorgio Lisi
- Giovanna Partida
- Giovanni Bellanova
- Giovanni De Nobili
- Giovanni Sammy Necchi
- Giovanni Sinibaldi
- Giovanni Tebala
- Giulia Bagaglini
- Giuliano Izzo
- Giulio Argenio
- Giuseppe Brisinda
- Giuseppe Candilio
- Giuseppe Di Grezia
- Giuseppe Esposito
- Giuseppe Faillace
- Giuseppe Frazzetta
- Giuseppe La Gumina
- Giuseppe Massimiliano de Luca
- Giuseppe Nigri
- Giuseppe Romeo
- Gloria Chocarro Amatriaín
- Gloria Ortega
- Gonzalo Martin-Martin
- Gregor A Stavrou
- Gunadi
- Gustavo Armand Ugon
- Gustavo Machain
- Gustavo Marcucci
- Gustavo Martínez-Mier
- Gustavo Miguel Machain
- Gustavo Nari
- Hamada Fathy
- Hamilto
- Haydée Calvo
- Hazem Ahmed
- Hazem Faraj
- Hector Nava
- Hector Ordas Macias
- Herald Nikaj
- Heriberto Solano
- Huma Ahmed Khan
- Humberto Sánchez Alarcón
- Husam Ebied
- Iacopo Giani
- Ibabe Villalabeitia Ateca
- Ignacio Neri
- Igor Alberdi San Roman
- Iliya Fidoshev
- Ionut Negoi
- Irene Ortega
- Irina Bernescu
- Iris Shari Russo
- Irune Vincente Rodríguez
- Irving Palomares
- Isaac Baltazar
- Isabel Jaén Torrejimeno
- Isabel María Cornejo Jurado
- Isabella Reccia
- Ishtiyaq Hussain
- Ismael Brito Toledo
- Ismael Mora-Guzmán
- Iulia Dogaru
- Ivan Romic
- Izaskun Balciscueta
- Iñaki Martinez Rodriguez
- J Cleo Kenington
- Jackison Sagolsem
- Jae Y Jang
- James Olivier
- Jan Lammel-Lindemann
- Jana Dziakova
- Javier Ismael Roldán Villavicencio
- Javier Salinas
- Jelena Pejanovic
- Jeny Rincón Pérez
- Jeryl AsReyes
- Jesus Antonio Medina Luque
- Jesus Silva
- Joanna Mak
- Joanne Salas Rodriguez
- Johnn Henry Herrera Kok
- Jon Krook
- Jose Antonio Diaz-Elizondo
- Jose Castell
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- José Eduardo García-Flores
- José María Jover Navalón
- José Pereira
- José Tomas Castell Gómez
- Jovanovic
- Juan Bellido Luque
- Juan Carlos Martín Del Olmo
- Juan Carlos Salamea
- Juan Francisco Coronel Olivier
- Juan Luis Blas Laina
- Juliana Maria Ordoñez
- Julieta Gutierrez
- Julio Abba
- Junaid Ahmad Sofi
- Kapil Sahnan
- Kashaf Sherafgan
- Katsuhiko Yanaga
- Ken Min Chin
- Kevin Beatson
- Laharwal Asim
- Laura Alvarez
- Leandro Siragusa
- Lee Farber
- Lester Ong
- Liarakos Athanasios
- Lorena García-Bruña
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- Lucia Moletta
- Luciano Curella
- Luciano Poggi
- Lucio Taglietti
- Luigi Bonavina
- Luigi Conti
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- Luis Angel Garcia Ruiz
- Luis Barrionuevo
- Luis Enrique Fregoso
- Luis F Cabrera
- Luis G Rodriguez
- Luis Grande
- Luis Gregorio Osoria
- Luis Javier Kantun Gonzalez
- Luis Sánchez-Guillén
- Luis Tallon-Aguilar
- Luis Tresierra
- Luisa Giavarini
- Mahmoud Hasabelnabi
- Maja Odovic
- Mamoru Uemura
- Mansoor Khan
- Manuel Artiles-Armas
- Mara David
- Marcello Di Martino
- Marcello Giuseppe Spampinato
- Marcelo A F Ribeiro
- Marcelo Viola
- Marco Angrisani
- Marco Calussi
- Marco Cannistrà
- Marco Catarci
- Marco Cereda
- Marco Conte
- Marco Giordano
- Marco Pellicciaro
- Marco Vito Marino
- Maria E Vaterlini
- Maria Irene Bellini
- Maria Lemma
- Maria Michela Chiarello
- Maria Nicola
- Maria Victoria Diago
- Mario Arrigo
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- Mario Rodriguez-Lopez
- Mario Serradilla-Martín
- Mario Zambrano Lara
- Marisa Martínez
- Mark Bagnall
- Mark Peter
- Marta Cañón Lara
- Marta Jimenez Gomez
- Marta Paniagua-Garcia-Señorans
- Marta Perez Gonzalez
- Martin Rutegård
- Martin Salö
- Marzia Franceschilli
- María F Jiménez
- María Giulia Lolli
- Massimiliano Silveri
- Massimiliano Veroux
- Massimo Pezzulo
- Matteo Nardi
- Matteo Rottoli
- Matti Tolonen
- Mauricio Pedraza Ciro
- Mauricio Zuluagua
- Maurizio Cannavò
- Maurizio Cervellera
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- Mauro Montuori
- Mauro Podda
- Mauro Podda
- Melody García Domínguez
- Meltem Bingol-Kologlu
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- Michael Sj Wilson
- Michael Wilson
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- Michele Maruccia
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- Michele Zuolo
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- Miguel Farina
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- Milagros Sotelo
- Min Myat Thway
- Mohamed Hassan
- Mohamed Salah Eldin Hassan
- Mohammad Azfar
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- Mohammad Taha
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- Mohammed Korkoman
- Montserrat Guraieb
- Mostafa Shalaby
- Muhammad Asif Raza
- Muhammad Umar Younis
- Muhammed Elhadi
- Mujahid Zulfiqar Ali
- Nadeem Quazi
- Nagendra N Dudi-Venkata
- Nahar Alselaim
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- Nicanor Pinto
- Niccolo Petrucciani
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- Nicolás Nicolás
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- Nikolaos Machairas
- Noelia Brito
- Nura Ahmed Fieturi
- Nuria Ortega
- Octavio AvilaMercado
- Oktay Irkorucu
- Omar Alsherif
- Orestes Valles
- Orestis Ioannidis
- Oscar Hernández Palmas
- Oscar Isaac Hernandez Palmas
- Oscar Sanz Guadarrama
- Osman Bozbiyik
- Pablo Omelanczuk
- Pablo Ottolino
- Pablo Rodrigues
- Pablo Ruiz
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- Paola Chiarade
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- Paolo Baroffio
- Paolo Baroffio
- Pascal Wintringer
- Pasquale Di Fronzo
- Pasquale Talento
- Pasqualino Favoriti
- Patricia Mifsut
- Patricia Sendino
- Patrizia Marsanic
- Pawel Ajawin
- Paúl Andrade
- Pedro Abadía-Barnó
- Pedro Alfonso Najar Castañeda
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- Pedro Palazón Bellver
- Peng Soon Koh
- Petry Souza
- Piotr Major
- Rajandeep Singh Bali
- Rakesh Mohan Khattar
- Rashid Lui
- Renato Bessa Melo
- Reza Ebrahiminia
- Ricardo Azar
- Ricardo López Murga
- Riccardo Caruso
- Riccardo Pirolo
- Richard Brady
- Richard Justin Davies
- Rishi Dholakia
- Rishi Rattan
- Rishi Singhal
- Robert Lim
- Roberta Angelico
- Roberta Maria Isernia
- Roberta Tutino
- Roberto Faccincani
- Roberto Peltrini
- Rocío Carrera-Ceron
- Rodrigo Tejos
- Rohit Kashyap
- Roosevelt Fajardo
- Rosa Lozito
- Royer Madariaga Pareja
- Sabrina Garbarino
- Salomone Di Saverio
- Salomone Di Saverio
- Salvador Morales-Conde
- Sami Benli
- Sami Mansour
- Samir Flores
- Samuel Limon Suarez
- Santiago Lopez Ben
- Sara Fuentes
- Sara Ingallinella
- Sara Napetti
- Sara Ortiz de Guzmán
- Selmy Awad
- Sergio A Weckmann Luján
- Sergio Gentilli
- Sergio Grimaldi
- Sergio Olivares Pizarro
- Serkan Tayar
- Shakeeb Nabi
- Shannon M Chan
- Sheikh Junaid
- Sidney Rojas
- Silvana Monetti
- Silvia García
- Silvia Salvans
- Silvia Tenconi
- Simon Shaw
- Simone Santoni
- Sofia Andrea Parra
- Sofía Cárdenas
- Sonia Pérez-Bertólez
- Sonja Chiappetta
- Sophie Dessureault
- Spiros Delis
- Stefano Amore Bonapasta
- Stefano Rausei
- Stefano Scaringi
- Sundeep Keswani
- Syed Muhammad Ali
- Süleyman Cetinkunar
- Tak Lit Derek Fung
- Tariq Rawashdeh
- Tatiana Nicolás López
- Tercio De Campos
- Teresa Calderon Duque
- Teresa Perra
- Theodore Liakakos
- Theodoros Daskalakis
- Theodoros Liakakos
- Thomas Barnes
- Tijmen Koëter
- Tiku Zalla
- Tommaso Campagnaro
- Tommy Brown
- Tomás E González
- Tomás Elosua
- Topi Luoto
- Touré Alpha Oumar
- Ugo Giustizieri
- Ugo Grossi
- Umberto Bracale
- Uriel Rivas
- Valentina Ferri
- Valentina Sosa
- Valentina Testa
- Valeria Andriola
- Valeria Tonini
- Valeria Tonini
- Valerio Balassone
- Valerio Celentano
- Valerio Progno
- Vanessa Carroni
- Varun Raju
- Venera Cavallaro
- Venkateswara Rao Katta
- Veronica De Simone
- Vicent Primo Romaguera
- Vicente Simó
- Victor Hugo García Orozco
- Victor Luraschi
- Victor Rachkov
- Victor Turrado-L
- Victor Visag-Castillo
- Victoria Dowling
- Victoria Graham
- Vincenzo Papagni
- Vincenzo Vigorita
- Vinicius Cordeiro Fonseca
- Virginia Jimenez Carneros
- Vittoria Bellato
- Walyson Gonçalves
- William F Powers
- William Grigg
- Wolf O Bechstein
- Ye Xin Koh
- Yu Bing Lim
- Yuksel Altinel
- Zoran Golubović
- Zutoia Balciscueta
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2020
- Field of study
Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis.
Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic.
Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe.
Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2
Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study
- Author
- Abe Toshikazu
- Aboshady Abdelrhman
- Abrough Fekri
- Acampo-de Jong Melanie
- Acharya Subhash
- Acharya Subhash P
- Adderley Jane
- Adiguzel Nalan
- Agrawal Vijay Kumar
- Aguilar Gerardo
- Aguirre Gaston
- Aguirre-Bermeo Hernan
- Ahlström Björn
- Akbas Türkay
- Akker Mustafa
- Al Sadeh Ghamdan
- Alamri Sultan
- Algaba Angela
- Ali Muneeb
- Aliberti Anna
- Allegue Jose Manuel
- Alvarez Diana
- Amador Joaquin
- Amin Pravin
- Andersen Finn H
- Ansari Sharique
- Apichatbutr Yutthana
- Apostolopoulou Olympia
- Arabi Yaseen
- Arabi Yaseen
- Aragao Irene
- Aragao Irene
- Arellano Daniel
- Arica Mestanza
- Arikan Huseyin
- Arinaga Koichi
- Arnal Jean-Michel
- Asano Kengo
- Asín-Corrochano Marta
- Avalos Cabrera Jesus Milagrito
- Avila Fuentes Silvia
- Aydemir Semih
- Aygencel Gulbin
- Azevedo Luciano
- Bacakoglu Feza
- Badie Julio
- Baedorf Kassis Elias
- Bai Gabriela
- Balaraj Govindan
- Ballico Bruno
- Banner-Goodspeed Valerie
- Banwarie Preveen
- Barbieri Rosella
- Baronia Arvind
- Barrett Jonathan
- Barrot Loïc
- Barrueco-Francioni Jesus Emilio
- Barry Jeffrey
- Bauer Philippe
- Bauer Philippe
- Bawangade Harshal
- Beavis Sarah
- Beck Eduardo
- Beduneau Gaëtan
- Beduneau Gaëtan
- Beehre Nina
- Beitler Jeremy
- Belenguer Muncharaz Alberto
- Bellani Giacomo
- Bellani Giacomo
- Belliato Mirko
- Bellissima Agrippino
- Beltramelli Rodrigo
- Ben Souissi Asma
- Benitez-Cano Adela
- Benlamin Mohamed
- Benslama Abdellatif
- Bento Luis
- Benvenuti Daniela
- Berkius Johan
- Berkius Johan
- Bernabe Laura
- Bersten Andrew
- Berta Giacomo
- Bertini Pietro
- Bertram-Ralph Elliot
- Besbes Mohamed
- Bettini Lisandro Roberto
- Beuret Pascal
- Bewley Jeremy
- Bezzi Marco
- Bhakhtiani Lakshay
- Bhandary Rakesh
- Bhowmick Kaushik
- Bihari Shailesh
- Bissett Bernie
- Blythe David
- Bocher Simon
- Boedjawan Narain
- Bojanowski Christine M
- Boni Elisa
- Boraso Sabrina
- Borelli Massimo
- Borello Silvina
- Borislavova Margarita
- Bosma Karen J
- Bottiroli Maurizio
- Boyd Owen
- Bozbay Suha
- Briva Arturo
- Brochard Laurent
- Brochard Laurent
- Bruel Cédric
- Bruni Andrea
- Buehner Ulrike
- Bugedo Guillermo
- Bugedo Guillermo
- Bulpa Pierre
- Burt Karen
- Buscot Mathieu
- Buttera Stefania
- Cabrera Jorge
- Caccese Roberta
- Caironi Pietro
- Camporota Luigi
- Canchos Gutierrez Ivan
- Canedo Nancy
- Cani Alma
- Cappellini Iacopo
- Carazo Jesus
- Cardonnet Luis Pablo
- Carpio David
- Carriedo Demetrio
- Carrillo Ramón
- Carvalho João
- Caser Eliana
- Castelli Antonio
- Castillo Quintero Manuel
- Castro Heloisa
- Catorze Nuno
- Cengiz Melike
- Cereijo Enrique
- Cerny Vladimir
- Ceunen Helga
- Chaintoutis Christos
- Chang Youjin
- Chaparro Gustavogcha
- Chapman Carmel
- Chau Simon
- Chavez Cecilia Eugenia
- Chelazzi Cosimo
- Chelly Jonathan
- Chemouni Frank
- Chen Kai
- Chena Ariel
- Chiarandini Paolo
- Chilton Phil
- Chiumello Davide
- Cho Young-Jae
- Cho Young-Jae
- Chou-Lie Yvette
- Chudeau Nicolas
- Cinel Ismail
- Cinnella Gilda
- Clark Michele
- Clark Thomas
- Clarkson Kevin
- Clarkson Kevin
- Clementi Stefano
- Coaguila Luis
- Codecido Alexis Jaspe
- Collins Amy
- Colombo Riccardo
- Conde Juan
- Consales Guglielmo
- Cook Tim
- Coppadoro Andrea
- Cornejo Rodrigo
- Cortegiani Andrea
- Coxo Cristina
- Cracchiolo Andrea Neville
- Crespo Ramirez Mónica
- Crova Philippe
- Cruz José
- Cubattoli Lucia
- Curto Francesco
- Czempik Piotr
- D'Andrea Rocco
- da Silva Ramos Fernando
- Dangers Laurence
- Danguy des Déserts Marc
- Danin Pierre-Eric
- Dantas Fabianne
- Daubin Cédric
- Dawei Wu
- de Haro Candelaria
- de Jesus Montelongo Felipe
- De Mendoza Diego
- de Pablo Raúl
- De Pascale Gennaro
- De Rosa Silvia
- Decavèle Maxens
- Declercq Pierre-Louis
- Deicas Alberto
- del Carmen Campos Moreno María
- Dellamonica Jean
- Delmas Benjamin
- Demirkiran Hilmi
- Demirkiran Oktay
- Dendane Tarek
- di Mussi Rossella
- Diakaki Chrysi
- Diaz Anatilde
- Diaz Willy
- Dikmen Yalim
- Dimoula Aikaterini
- Doble Patricia
- Doha Nagwa
- Domingos Guilherme
- Dres Martin
- Dries David
- Duggal Abhijit
- Duke Graeme
- Dunts Pavel
- Dybwik Knut
- Dykyy Maksym
- Eckert Philippe
- Efe Serdar
- Elatrous Souheil
- Elay Gülseren
- Elmaryul Abubaker S
- Elsaadany Mohamed
- Elsayed Hany
- Elsayed Samar
- Emery Malo
- Ena Sébastien
- Eng Kevin
- Englert Joshua A
- Erdogan Elif
- Ergin Ozcan Perihan
- Eroglu Ege
- Escobar Miguel
- Esen Tekeli Arzu
- Esen Figen
- Esquivel Gallegos Helbert
- Esquivel Alejandro
- Estenssoro Elisa
- Ezzouine Hanane
- Facchini Alberto
- Faheem Mohammad
- Fanelli Vito
- Farina Maria Fernanda
- Fartoukh Muriel
- Fehrle Lutz
- Feng Feng
- Feng Yufeng
- Fernandez Borja
- Fernandez Irene
- Fernandez-Rodriguez Maria Lorena
- Ferrando Carlos
- Ferreira da Silva Maria João
- Ferreruela Mireia
- Ferrier Janet
- Flamm Zamorano Matias Jesús
- Flood Laura
- Floris Leda
- Fluckiger Martin
- Forteza Catalina
- Fortunato Antonella
- Frans Eric
- Frattari Antonella
- Fredes Sebastian
- Frenzel Tim
- Fumagalli Roberto
- Furche Mariano Andres
- Fusari Maurizio
- Fysh Edward
- Galeas-Lopez Juan Luis
- Galerneau Louis-Marie
- Garcia Olivares Pablo
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- Garcia María Fernanda
- Garlicki Jaroslaw
- Garnero Aude
- Garofalo Eugenio
- Gautam Prabha
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- Gelinotte Stéphanie
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- Goligher Ewan C
- Gollo Yari
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- Gomes Rui
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- Gomez Oscar
- Gomez Raúl Alejandro
- Gondim Louise
- Gonzalez Isabel
- Gonzalez Manuel
- Gonzalez-Castro Alejandro
- Gordillo Romero Orlando
- Gordo Federico
- Gouin Philippe
- Graf Santos Jerónimo
- Grainne Rooney
- Grando Matilde
- Granov Grabovica Sanja
- Grasselli Giacomo
- Grasselli Giacomo
- Grasselli Giacomo
- Grasso Rinaldo
- Grasso Salvatore
- Grimmer Lisa
- Grissom Colin
- Gritsan Alexey
- Gritsan Alexey
- Gu Qing
- Guan Xiang-Dong
- Guarracino Fabio
- Guasch Neus
- Guatteri Luca
- Gueret Renaud
- Guerot Emmanuel
- Guitard Pierre-Gildas
- Gumus Ayca
- Gurjar Mohan
- Gutierrez Patricia
- Guérin Claude
- Gül Fethi
- Hachimi Abdelhamid
- Hadzibegovic Adi
- Hagan Samantha
- Hammel Clare
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- Hanlon Gabrielle
- Hashemian Seyed Mohammadreza
- Hashemian Seyed Mohammadreza
- Heines Serge
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- Herbrecht Jean-Etienne
- Heredia Orbegoso Gabriel Omar
- Hermans Greet
- Hermans Greet
- Hermon Andrew
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- Hernandez Rosana
- Herrera Luis
- Herrera-Gutierrez Manuel
- Heunks Leo
- Heunks Leo
- Heunks Leo M
- Hidalgo Juan
- Hill Dianne
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- Homez Marcela
- Hongtao Xia
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- Horner Daniel
- Hornos M Carmen
- Hou Meihong
- House Stacy
- Housni Brahim
- Hugill Keith
- Humbert Louis
- Humphreys Sally
- Hunter Stephanie
- Hwa Young Lee
- Iezzi Nicolas
- Ilutovich Santiago
- Inal Volkan
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- Iotti Giorgio Antonio
- Ippolito Mariachiara
- Irie Hiromasa
- Iriyama Hiroki
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- Izza Santiago
- Jabeen Rakhshanda
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- Jamoussi Amira
- Jankowski Milosz
- Jaramillo Luis Alberto
- Jeon Kyeongman
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- Jeswani Deepak
- Jha Simant
- Jiang Liangyan
- Jing Chen
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- Johnstad Bror Anders
- Jongmin Lee
- Joret Aurélie
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- Jovanovic Bojan
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- Kara Iskender
- Karakurt Sait
- Karnjanarachata Cherdkiat
- Kataoka Jun
- Katayama Shinshu
- Kaushik Shuchi
- Kelebek Girgin Nermin
- Kerr Kathryn
- Kerslake Ian
- Khairnar Prakash
- Khalid Abidi
- Khan Akram
- Khanna Ashish K
- Khorasanee Reza
- Kienhorst Dieneke
- Kirakli Cenk
- Knafelj Rihard
- Kol Mark Kol
- Kongpolprom Napplika
- Kopitko Csaba
- Korkmaz Ekren Pervin
- Kubisz-Pudelko Agnieszka
- Kulcsar Zoltan
- Kumasawa Junji
- Kurahashi Kiyoyasu
- Kurahashi Kiyoyasu
- Kuriyama Akira
- Kutchak Fernanda
- Laake Jon Henrik
- Laake Jon Henrik
- Laake Jon Henrik
- Labarca Eduardo
- Labat Françoise
- Laborda César
- Laca Barrera Manuel Alberto
- Laffey John G
- Lagache Laurie
- Landaverde Lopez Antonio
- Lanspa Michael
- Lascari Valeria
- Le Meur Matthieu
- Lee Jarone
- Lee Jinwoo
- Lee Su Hwan
- Lee Won-Yeon
- Lee Young Ju
- Legernaes Terje
- Leiner Tamaas
- Lemiale Virginie
- Leonor Tiago
- Lepper Philipp M
- Li Dahuan
- Li Hongbin
- Li Oleg
- Lima Ana Raquel
- Lind Dan
- Litton Edward
- Liu Jialin
- Liu Ling
- Liu Ning
- Llitjos Jean-François
- Llorente Beatriz
- Lopez Nava Claudia
- Lopez Claudia Elizabeth
- Lopez Rodolfo
- Lovazzano Pablo
- Lu Min
- Lucchese Francesca
- Lugano Manuela
- Lugo Goytia Gustavo
- Luo Hua
- Lynch Ceri
- Macheda Sebastiano
- Madotto Fabiana
- Madrigal Robles Victor Hugo
- Maggiore Salvatore Maurizio
- Magret Iglesias Mònica
- Malaga Peter
- Mallapura Maheswarappa Harish
- Malpartida Guillermo
- Malyarchikov Andrey
- Mancebo Jordi
- Mansson Helena
- Manzano Anaid
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- Marin Nathalie
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- Nseir Saad
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- Obata Yukako
- Oeckler Richard
- Oguchi Moe
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- Williams Karen
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- Wojtas Jadwiga
- Won Huh Jin
- Wrathall David
- Wright Christopher
- Wu Jian-Feng
- Wunsch Hannah
- Xi Guo
- Xing Zheng-Jiang
- Xu Hongyang
- Yamamoto Kotaro
- Yan Jie
- Yang Xiaobo
- Yates Elliot
- Yazicioglu Mocin Ozlem
- Ye Zhenglong
- Yildirim Fatma
- Yoshida Norifumi
- Yoshido Hector Higo Leon
- Young Lee Bo
- Yu Gong
- Yu Rongguo
- Yu Tao
- Yuan Boyun
- Yuangtrakul Nadwipa
- Yumoto Tetsuya
- Yun Xie
- Yáñez Julio
- Zakalik Graciela
- Zaki Ahmad
- Zalba-Etayo Begoña
- Zambon Massimo
- Zang Bin
- Zani Gianluca
- Zarka Jonathan
- Zeggwagh Amine Ali
- Zerbi Simone Maria
- Zerman Avsar
- Zetterquist Harald
- Zhang Guoxiu
- Zhang Hongwen
- Zhang Jiuzhi
- Zhang Wei
- Zhang Weixin
- Zhao Hongsheng
- Zheng Jia
- Zhu Bin
- Zumaran Ronald
- Çukurova Zafer
- Öveges Nándo
- Özyilmaz Ezgi
- Publication venue
- 'Elsevier BV'
- Publication date
- 21/01/2023
- Field of study
Background
Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation.
Methods
WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109.
Findings
Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital.
Interpretation
In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates
Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study
- Author
- Abdelhamid Hachimi
- Abdellatif Benslama
- Abdelrhman Aboshady
- Abhijit Duggal
- Abidi Khalid
- Abubaker S Elmaryul
- Adela Benitez-Cano
- Adi Hadzibegovic
- Adrian Regli
- Agnes Sarkany
- Agnieszka Kubisz-Pudelko
- Agrippino Bellissima
- Agueda Ojados
- Ahmad Zaki
- Ahmed Rabie
- Aikaterini Dimoula
- Aiman Tulaimat
- Aitor Olmos
- Akihiro Takaba
- Akira Kuriyama
- Akram Khan
- Alastair Rose
- Alberto Belenguer Muncharaz
- Alberto Deicas
- Alberto Facchini
- Aldana Ruiz Robledo
- Alejandro Esquivel
- Alejandro Gonzalez-Castro
- Alejandro Risso Vazquez
- Alejandro Ubeda
- Alessandra Nasi
- Alex Martin
- Alexandre Molin
- Alexandre Tonnelier
- Alexey Gritsan
- Alexey Gritsan
- Alexis Jaspe Codecido
- Alfred Papali
- Alisha Van Axel
- Alistair Nichol
- Alma Cani
- Ameet Parekh
- Amine Ali Zeggwagh
- Amira Jamoussi
- Amy Collins
- Ana Raquel Lima
- Ana Vaz
- Ana Villagra
- Ana Vochin
- Anahita Rouze
- Anaid Manzano
- Analía Garcia
- Anand Thakur
- Anatilde Diaz
- Andrea Bruni
- Andrea Coppadoro
- Andrea Cortegiani
- Andrea Gabriela Peña Padilla
- Andrea Gigante
- Andrea Neville Cracchiolo
- Andrew Bersten
- Andrew Hermon
- Andrew McKown
- Andrew Seely
- Andrew Stapleton
- Andrey Gazenkampf
- Andrey Malyarchikov
- Angela Algaba
- Angela Rogers
- Angelo Giacomucci
- Angus Richardson
- Anil Hormis
- Anna Aliberti
- Anna Mattsson
- Antoinette Wilson
- Antonella Fortunato
- Antonella Frattari
- Antonia Vazquez-Sanchez
- Antonio Castelli
- Antonio Landaverde Lopez
- Antonio Luis Ruiz-Aguilar
- Anxela Vidal
- Aragao Irene
- Arantxa Mas
- Ariel Chena
- Arif Moghal
- Arnaud W Thille
- Aroa Gomez
- Arturo Briva
- Arvind Baronia
- Ary Serpa Neto
- Ary Serpa Neto
- Arzu Esen Tekeli
- Ashish K Khanna
- Ashish Rai
- Asim Shah
- Asisclo Villagomez
- Asisclo Villagomez
- Asma Ben Souissi
- Assem Abdel Razek
- Aude Garnero
- Aurélie Joret
- Avsar Zerman
- Ayca Gumus
- Ayse Nur Soyturk
- Banambar Ray
- Basanta Kumar Pati
- Beatriz Llorente
- Beduneau Gaëtan
- Begoña Zalba-Etayo
- Bellani Giacomo
- Benjamin Delmas
- Bernardo Panka
- Bernardo Panka
- Bernie Bissett
- Bertrand Sauneuf
- Betania Silva Sales
- Betty Tsuei
- Bhagyesh Shah
- Bi-Lin Wei
- Bin Zang
- Bin Zhu
- Björn Ahlström
- Bo Young Lee
- Bojan Jovanovic
- Bojan Jovanovic
- Borja Fernandez
- Boyun Yuan
- Brahim Housni
- Branislava Stefanovic
- Brit Ågot Sjøbø
- Brochard Laurent
- Bror Anders Johnstad
- Bruno Ballico
- Bruno Vilela Costa Pinto
- Candelaria de Haro
- Carla Santos
- Carlo Alberto Volta
- Carlo Oliveri
- Carlos Ferrando
- Carlos Munoz de Cabo
- Carlos Pellegrini
- Carmel Chapman
- Carmen Hernandez
- Caroline Kane
- Catalina Forteza
- Catherine Motherway
- Cecilia Eugenia Chavez
- Cenk Kirakli
- Ceri Lynch
- Cesar Perez Calvo
- Chen Jing
- Chen Shuhua
- Chengqing Mei
- Chenliang Sun
- Cherdkiat Karnjanarachata
- Christian Tomaszewski
- Christine M Bojanowski
- Christopher Tainter
- Christopher Wright
- Christos Chaintoutis
- Chrysi Diakaki
- Chuanyun Qian
- Clare Hammel
- Claude Guérin
- Claudia Elizabeth Lopez
- Claudia Lopez Nava
- Claudio Piras
- Colin Grissom
- Conchita Martínez-Fidalgo
- Cosimo Chelazzi
- Covadonga Rodriguez
- Cristina Coxo
- Cristina Martin Dal Gesso
- Cristina Villegas Succar
- Csaba Kopitko
- Cédric Bruel
- Cédric Daubin
- César Laborda
- Dagmar Holmquist
- Dahuan Li
- Daisuke Taniguchi
- Damien Roux
- Dan Lind
- Dana Tomescu
- Daniel Arellano
- Daniel Horner
- Daniel Moreno Torres
- Daniel Paul
- Daniel Rodriguez Gonzalez
- Daniel Silva
- Daniel Talmor
- Daniela Benvenuti
- Darshana Rathod
- David Blythe
- David Carpio
- David Dries
- David Perez-Torres
- David Slessor
- David Wrathall
- Davide Chiumello
- Deborah Welsh
- Deepak Jeswani
- Demetrio Carriedo
- Detajin Junhasavasdikul
- Diana Alvarez
- Dianne Hill
- Dick Nahar
- Didem Sozutek
- Diego De Mendoza
- Diego Rolando Morocho Tutillo
- Dieneke Kienhorst
- Dimitrios Matamis
- Dina Gomaa
- Dolf Weller
- Domenico Gelormini
- Don Walsh
- Doumiri Mouhssine
- Dácil Parrilla
- Edoardo Picetti
- Edoardo Piervincenzi
- Eduardo Beck
- Eduardo Labarca
- Edward Fysh
- Edward Litton
- Ege Eroglu
- Elena Nikolic
- Eleni Massa
- Eleni Mouloudi
- Eliana Caser
- Eliana Markman
- Elias Baedorf Kassis
- Elif Erdogan
- Elisa Boni
- Elisa Estenssoro
- Elisa Kam
- Elisabet Garcia
- Elisabeth Surlemont
- Elisabetta Pecci
- Elisabetta Pierucci
- Elizabeth Ramey
- Elizabeth Stevenson
- Elizabeth Wilby
- Elliot Bertram-Ralph
- Elliot Yates
- Elsa Sousa
- Eman Shebl
- Emanuele Sani
- Emilio Maseda
- Emmanuel Guerot
- Enrique Cereijo
- Enrique Paz
- Enrique Platas
- Eric Frans
- Erin Williams
- Estefania Prol-Silva
- Etienne Ghrenassia
- Ettore Vascotto
- Eugenio Garofalo
- Eugenio Luis Palazon Sanchez
- Ewan Goligher
- Ezgi Ozyilmaz
- Ezgi Özyilmaz
- Fabianne Dantas
- Fabio Guarracino
- Fabio Tarantino
- Faruk Seçkin Yücesoy
- Fatma Yildirim
- Faustine Reynaud
- Federica Vagginelli
- Federico Gordo
- Fekri Abrough
- Felipe de Jesus Montelongo
- Felipe Martinez
- Felix Martin
- Feng Feng
- Fernanda Kutchak
- Fernando da Silva Ramos
- Fernando Pachas Alvarado
- Fernando Rios
- Fernando Rios
- Ferran Roche-Campo
- Fethi Gül
- Feza Bacakoglu
- Figen Esen
- Filiep Soetens
- Finn H Andersen
- Francesca Lucchese
- Francesca Orsenigo
- Francesco Curto
- Francesco Mojoli
- Francis Schneider
- Francisco J Parrilla
- Frank Chemouni
- Frank Van Haren
- Frank Van Haren
- François Philippart
- Françoise Labat
- Frederik Seiler
- Frédérique Schortgen
- Gabriel Omar Heredia Orbegoso
- Gabriel Preda
- Gabriel Rodriguez
- Gabriel Wardi
- Gabriela Bai
- Gabriele Leonie Schwarz
- Gabriele Sales
- Gabrielle Hanlon
- Gaetano Perchiazzi
- Gaston Aguirre
- Gavin Perkins
- Gaëtan Beduneau
- Gemma Rialp
- Gennaro De Pascale
- Gerardo Aguilar
- Ghamdan Al Sadeh
- Giacomo Bellani
- Giacomo Berta
- Giacomo Grasselli
- Giacomo Grasselli
- Gianluca Zani
- Gianmario Monza
- Gilda Cinnella
- Giorgio Antonio Iotti
- Giovanna Soto
- Giovanni Mistraletti
- Giovanni Vitale
- Goligher Ewan C
- Gong Yu
- Gonzalo Pagella
- Govindan Balaraj
- Graciela Paz
- Graciela Zakalik
- Graeme Duke
- Grasselli Giacomo
- Greet Hermans
- Greet Hermans
- Grisma Patel
- Guglielmo Consales
- Guilherme Domingos
- Guillaume Voiriot
- Guillermo Bugedo
- Guillermo Bugedo
- Guillermo Malpartida
- Gulbin Aygencel
- Guo Xi
- Guojun Pan
- Guoxiu Zhang
- Gustavo Lugo Goytia
- Gustavo Plotnikow
- Gustavogcha Chaparro
- Gwenael Prat
- Gülseren Elay
- Haibo Qiu
- Haibo Qiu
- Hamidreza Jamaati
- Hanane Ezzouine
- Hans van der Hoeven
- Hany Elsayed
- Harald Zetterquist
- Harish Mallapura Maheswarappa
- Harshal Bawangade
- Hector Higo Leon Yoshido
- Helbert Esquivel Gallegos
- Helena Mansson
- Helga Ceunen
- Heloisa Castro
- Hernan Aguirre-Bermeo
- Heunks Leo
- Hidenobu Kamohara
- Hilal Sazak
- Hilmi Demirkiran
- Hiroki Iriyama
- Hiromasa Irie
- Hongbin Li
- Hongping Qu
- Hongsheng Zhao
- Hongwen Zhang
- Hongyang Xu
- Hua Luo
- Huseyin Arikan
- Iacopo Cappellini
- Ian Kerslake
- Ignacio Martin-Loeches
- Ignacio Saez
- Igor Milet
- Imma Vallverdu
- Ingeborg Welters
- Ingrid van den Hul
- Irene Aragao
- Irene Fernandez
- Isabel Gonzalez
- Isabelle Michaux
- Isao Nagata
- Isidro Prieto
- Iskender Kara
- Ismael Marey
- Ismail Cinel
- Ivan Canchos Gutierrez
- Ivano Riva
- Izumi Nakayama
- Jack Short
- Jadwiga Wojtas
- Jakub Smiechowicz
- James McCullough
- Jan Wytze Vermeijden
- Jane Adderley
- Janet Ferrier
- Jarone Lee
- Jaroslaw Garlicki
- Javier Izura
- Jayaprakash Patil
- Jean Dellamonica
- Jean-Etienne Herbrecht
- Jean-François Llitjos
- Jean-Michel Arnal
- Jeffrey Barry
- Jeremy Beitler
- Jeremy Bewley
- Jerónimo Graf Santos
- Jessica Maugeri
- Jesus Carazo
- Jesus Emilio Barrueco-Francioni
- Jesus Milagrito Avalos Cabrera
- Jesus Sanchez-Ballesteros
- Jia Zheng
- Jialin Liu
- Jian-Feng Wu
- Jie Yan
- Jin Won Huh
- Jinwoo Lee
- Jiuzhi Zhang
- Joaquin Amador
- Jocyelle Vieira
- Johan Berkius
- Johan Berkius
- Johanna Henriksson
- John Trinder
- Jon Henrik Laake
- Jon Henrik Laake
- Jonathan Barrett
- Jonathan Chelly
- Jonathan Zarka
- Jonathon Truwit
- Joo Han Song
- Jorge Cabrera
- Jose Manuel Allegue
- Joshua A Englert
- José Cruz
- José Portugal
- João Carvalho
- Juan Conde
- Juan Hidalgo
- Juan Ignacio Silesky Jimenez
- Juan Luis Galeas-Lopez
- Judith Sagardia
- Julio Badie
- Julio Yáñez
- Jun Kataoka
- Juna Tirapu
- Junji Kumasawa
- Kai Chen
- Kamal Nasir
- Karen Burt
- Karen J Bosma
- Karen Williams
- Karina Timenetsky
- Kathryn Kerr
- Katsunori Mochizuki
- Kaushik Bhowmick
- Kazuya Omura
- Kei Ota
- Keith Hugill
- Kengo Asano
- Kenichi Nitta
- Kevin Clarkson
- Kevin Clarkson
- Kevin Eng
- Kim Seok Chan
- Kiyoyasu Kurahashi
- Kiyoyasu Kurahashi
- Knut Dybwik
- Koen Simons
- Koichi Arinaga
- Konlawij Trongtrakul
- Konstantin Shapovalov
- Konstanty Szuldrzynski
- Konstanty Szuldrzynski
- Kotaro Yamamoto
- Kristian Strand
- Krittika Teerapuncharoen
- Kyeongman Jeon
- Kyung Sook Hong
- Laake Jon Henrik
- Laffey John G
- Lakshay Bhakhtiani
- Lakshmikanthcharan Saravanabavan
- Laura Bernabe
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- Laura Pasin
- Laurence Dangers
- Laurent Brochard
- Laurie Lagache
- Leandro Taniguchi
- Leda Floris
- Lee Hwa Young
- Lee Jongmin
- Leo Heunks
- Leo M Heunks
- Liangyan Jiang
- Linda Rørtveit
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- Line Samuelsson
- Ling Liu
- Lisa Grimmer
- Lisandro Roberto Bettini
- Lise Piquilloud
- Lise Piquilloud
- Lorraine Stephenson
- Louis Humbert
- Louis-Marie Galerneau
- Louise Gondim
- Loïc Barrot
- Luca Guatteri
- Luca Montini (ORCID:0000-0003-4602-5134)
- Luca Serano
- Lucia Cubattoli
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- Luigi Camporota
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- Luis Bento
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- Luis Patão
- Lutz Fehrle
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- Marco Spagnoli
- Marcus J Schultz
- Margarita Borislavova
- Maria Augusta Rahe Pereira
- Maria Cristina Orlandi
- Maria Del Carmen Marin
- Maria Fernanda Farina
- Maria João Ferreira da Silva
- Maria Lorena Fernandez-Rodriguez
- Maria Mora Aznar
- Maria Morales
- Maria Teresa Jurado
- Maria Teresa Millan
- Maria Teresa Oliveira
- Maria Teresa Strano
- Maria Vatsik
- Maria-Consuelo Pintado
- Mariachiara Ippolito
- Mariana Portilla
- Mariano Andres Furche
- Mariano Setten
- Marina Oikonomou
- Marina Petrova
- Mark Kol Kol
- Mark Smith
- Marko Noc
- Marta Asín-Corrochano
- Martial Thyrault
- Martin Dres
- Martin Fluckiger
- Martin Rinket
- Martin Santos
- Martin Spångfors
- María Del Carmen Campos Moreno
- María Elena Romano
- María Fernanda Garcia
- María Florencia Valenti
- Masamitsu Sanui
- Massimo Borelli
- Massimo Zambon
- Mathieu Buscot
- Matias Jesús Flamm Zamorano
- Matilde Grando
- Matt Thomas
- Matthieu Le Meur
- Maurizio Bottiroli
- Maurizio Fusari
- Maurizio Pavesi
- Maxens Decavèle
- Mayur Patel
- Meihong Hou
- Meisy Perez Cheng
- Melanie Acampo-de Jong
- Melda Turkoglu
- Melike Cengiz
- Mestanza Arica
- Metaxia Papanikolaou
- Mhamed Sami Mebazaa
- Michael Lanspa
- Michael Mikhaeil
- Michael Wert
- Michele Clark
- Miguel Escobar
- Miguel Ángel Sosa Medellin
- Mike Spivey
- Milosz Jankowski
- Min Lu
- Mireia Ferreruela
- Mirko Belliato
- Misuzu Nakanishi
- Moe Oguchi
- Mohamed Benlamin
- Mohamed Besbes
- Mohamed Elsaadany
- Mohamed Khalaf Ebraheim Mervat
- Mohamed Mustafa
- Mohamed Rabee
- Mohammad Faheem
- Mohan Gurjar
- Monaly Rivette
- Monica Savioli
- Mostafa Rajab
- Muneeb Ali
- Muraleekrishnan Muthukrishnan
- Muriel Fartoukh
- Mustafa Akker
- Mònica Magret Iglesias
- Mónica Crespo Ramirez
- Mónica Vargas-Ordoñez
- Nadwipa Yuangtrakul
- Nagwa Doha
- Nalan Adiguzel
- Nancy Canedo
- Nancy Glober
- Nandyelly San Juan Roman
- Napplika Kongpolprom
- Narain Boedjawan
- Nardo Van Der Meer
- Narongkorn Saiphoklang
- Natalia Resano Sarmiento
- Nathalie Marin
- Nathan Smischney
- Navin Ramdhani
- Nejla Tilouch
- Nermin Kelebek Girgin
- Neus Guasch
- Nick Spittle
- Nicolas Chudeau
- Nicolas Iezzi
- Nicolas Terzi
- Nils Christian Ween-Velken
- Nina Beehre
- Ning Liu
- Nobuaki Shime
- Norifumi Yoshida
- Nuno Catorze
- Nuttapol Rittayamai
- Nuttapol Rittayamai
- Nándo Öveges
- Oktay Demirkiran
- Ole Georg Vinorum
- Oleg Li
- Olga Milagros
- Olympia Apostolopoulou
- Onnen Moerer
- Onnen Moerer
- Oriol Roca
- Orlando Gordillo Romero
- Oscar Gomez
- Owen Boyd
- Ozlem Ozkan Kuscu
- Ozlem Yazicioglu Mocin
- Pablo Garcia Olivares
- Pablo Lovazzano
- Panagiotis Ioannides
- Paolo Chiarandini
- Paolo Gnesin
- Paolo Nahuel Rubatto Birri
- Paolo Navalesi
- Paolo Persona
- Pascal Beuret
- Patricia Doble
- Patricia Gutierrez
- Patricia Salgado
- Patricia Sanchez
- Pattarin Pirompanich
- Paul Smith
- Pavel Dunts
- Pedro Povoa
- Perihan Ergin Ozcan
- Pervin Korkmaz Ekren
- Pesenti Antonio
- Peter Malaga
- Peter Oziemski
- Peñuelas Oscar
- Pham Tài
- Phil Chilton
- Phil Shin
- Philipp M Lepper
- Philippe Bauer
- Philippe Bauer
- Philippe Crova
- Philippe Eckert
- Philippe Gouin
- Pierpaolo Terragni
- Pierre Bulpa
- Pierre-Eric Danin
- Pierre-Gildas Guitard
- Pierre-Louis Declercq
- Pietro Bertini
- Pietro Caironi
- Pilar Ricart
- Piotr Czempik
- Piquilloud Lise
- Pongdhep Theerawit
- Poungrat Thungtitigul
- Prabha Gautam
- Pradeep Shanmugasundaram
- Prakash Khairnar
- Pravin Amin
- Preveen Banwarie
- Purificación Perez-Teran
- Qing Gu
- Rachael Parke
- Radhakrishnan Muthuchellappan
- Rahul Nanchal
- Raihan Rabbani
- Rainier Ovalle Olmos
- Rajnish Saha
- Rakesh Bhandary
- Rakhshanda Jabeen
- Ramesh Vj
- Ramón Carrillo
- Raquel Montiel
- Raúl Alejandro Gomez
- Raúl de Pablo
- Renaud Gueret
- Reza Khorasanee
- Ricard Mellado Artigas
- Riccardo Colombo
- Riccardo Pinciroli
- Riccardo Scano
- Richard Innes
- Richard Oeckler
- Richard Pugh
- Rihard Knafelj
- Rinaldo Grasso
- Robert Giannoni
- Roberta Caccese
- Roberto Fumagalli
- Rocco D'Andrea
- Rocio Quispe Soto
- Rodolfo Lopez
- Rodrigo Beltramelli
- Rodrigo Cornejo
- Rodrigo Pérez-Araos
- Rohit Saha
- Rollin Roldan
- Romina Pratto
- Ronald Perez Maita
- Ronald Zumaran
- Rongguo Yu
- Rongqing Sun
- Rooney Grainne
- Rosa Reina
- Rosana Hernandez
- Rosanna Vaschetto
- Rosari Quispe Sierra
- Rosella Barbieri
- Roser Tomas
- Rosita Gomero Paredes
- Rossella di Mussi
- Rui Gomes
- Saad Nseir
- Sabrina Boraso
- Sait Karakurt
- Sakuraya Masaaki
- Sally Humphreys
- Salvatore Grasso
- Salvatore Maurizio Maggiore
- Salvatore Palmese
- Samantha Hagan
- Samar Elsayed
- Sanghamitra Mishra
- Sanja Granov Grabovica
- Sanjeev Tyagi
- Santiago Ilutovich
- Santiago Izza
- Sara Ventura
- Sarah Beavis
- Sarah Snape
- Saroj Pattnaik
- Savino Spadaro
- Sebastian Fredes
- Sebastiano Macheda
- Sema Sari
- Sema Turan
- Semih Aydemir
- Seok Jeong Lee
- Serdar Efe
- Serge Heines
- Seyed Mohammadreza Hashemian
- Seyed Mohammadreza Hashemian
- Shailesh Bihari
- Sharique Ansari
- Shay McGuinness
- Shigeki Saito
- Shihan Mahmud Redwanul Huq
- Shinichiro Ohshimo
- Shinshu Katayama
- Shouhong Wang
- Shuchi Kaushik
- Shuhei Niiyama
- Silvia Avila Fuentes
- Silvia De Rosa
- Silvina Borello
- Silvio Antonio Namendys-Silva
- Simant Jha
- Simon Bocher
- Simon Chau
- Simon Whiteley
- Simone Maria Zerbi
- Sivakumar Nandakumar
- Slavenka Straus
- Sofia Nikolakopoulou
- Souheil Elatrous
- Srinivas Samavedam
- Stacy House
- Stefania Buttera
- Stefania Sovatzis
- Stefano Clementi
- Stefano Muttini
- Stephanie Hunter
- Stephanie Nonas
- Stephanie Piras
- Stéphanie Gelinotte
- Su Hwan Lee
- Subhash Acharya
- Subhash P Acharya
- Sughrat Siddiqui
- Suha Bozbay
- Sultan Alamri
- Sundar Raj Ashok
- Sunil Jamadarkhana
- Sunthiti Morakul
- Susana Temprano
- Sébastien Ena
- Sébastien Jochmans
- Sébastien Perbet
- Taha Pasha
- Tai Pham
- Tai SunPark
- Taiga Itagaki
- Takuya Shiga
- Tamaas Leiner
- Tamasato Tamasato
- Tananchai Petnak
- Tao Yu
- Tapia Muñoz
- Tarek Dendane
- Tayyba Naz Aslam
- Teobaldo Quintana
- Terje Legernaes
- Tetsuya Yumoto
- Theonymfi Papavasilopoulou
- Thomas Clark
- Thomas Piraino
- Thuy Nga Phan
- Tiago Leonor
- Tiago Pereira
- Tiehe Qin
- Tim Cook
- Tim Frenzel
- Tim Smith
- Todd Rice
- Tommaso Tonetti
- Tomohito Sadahiro
- Toshikazu Abe
- Türkay Akbas
- Ulrike Buehner
- Valeria Lascari
- Valerie Banner-Goodspeed
- van Haren Frank
- Vanesa Alejandra Pavlotsky
- Venkat Sundaram
- Vera Pereira
- Victor Hugo Madrigal Robles
- Victoria McCredie
- Vijay Kumar Agrawal
- Vijayanand Palaniswamy
- Viratch Tangsujaritvijit
- Virginia Porta
- Virginie Lemiale
- Vito Fanelli
- Vitor Mendes
- Vladimir Cerny
- Volkan Inal
- Wang Ruilan
- Wei Zhang
- Weixin Zhang
- Wensen Pan
- Willy Diaz
- Willy Porras
- Wilson Oliveira Filho
- Wojciech Serednicki
- Won-Yeon Lee
- Wu Dawei
- Wunsch Hannah
- Xandra Yanina Rodriguez Tucto
- Xavier Souloy
- Xia Hongtao
- Xiang-Dong Guan
- Xiaobo Yang
- Xie Yun
- Yalim Dikmen
- Yari Gollo
- Yaseen Arabi
- Yaseen Arabi
- Yasemin Seker Tekdos
- Yazcitk Sandoval
- You Shang
- Youjin Chang
- Young Ju Lee
- Young-Jae Cho
- Young-Jae Cho
- Yuda Sutherasan
- Yufeng Feng
- Yukako Obata
- Yupeng Qi
- Yutthana Apichatbutr
- Yvette Chou-Lie
- Zafer Çukurova
- Zhang Minwei
- Zhanhong Tang
- Zheng-Jiang Xing
- Zhenglong Ye
- Zoltan Kulcsar
- Zsolt Molnar
- Zsolt Molnar
- Zsuzsanna Szabo
- Óscar Peñuelas
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2023
- Field of study
Background: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0-4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2-6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society
Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
- Author
- Aarts Frits
- Ababneh Hazim
- Abad-Motos Ane
- Abaidalla Ahmed
- Abbakar Malaz
- Abd El Aal Ahmed
- Abd-Errazik Mohammad Ahmad
- Abdalradiy Abdalrahmman G
- Abdelkhalek Mohamed
- Abdelkhalek Mostafa
- Abdellatif Ahmed
- Abdellatif Mohamed
- Abdelsaid Kirolas
- Abdou Khaled
- Abdulfatah Mustapha
- Abdullah Mohammad Amer
- Abdullahi Mustapha Miko Mohammed
- Abellán Antonio Melero
- Abeysinghe Nayana
- Abiyere Henry
- Achimas-Cadariu Patriciu Andrei
- Adakaya Sıla
- Adam Nicolas
- Adams Benita
- Adams Ferdinand
- Adegboye Kazeem
- Adeyeye Ademola
- Adra Lama
- Adu-Poku Patricia
- Afuwape Oludolapo
- Afzal Ameer
- Afzal Muhammad Farooq
- Agapov Mihail
- Agara Daniel
- Aggarwal Manisha
- Agger Erika
- Aghadi Ifeanyi Kene
- Ahmed Amjed Yassir
- Ahmed Haleemasahdia
- Ahmed Khalil
- Ahmed Manar
- Ahmed Masood
- Ahmed Safia
- Ahn Hong Min
- Aibe Raquel
- Aigner Felix
- Aissat Abdenour
- Aitbaeva Arai
- Akay Omer
- Akbar Ali
- Akbas Ahmet
- Akere Abidemi
- Akesen Selcan
- Akgun Erhan
- Akhtar Naseem
- Akın Emrah
- Akova Elif
- Aktas Serhat
- Akçay Özlem
- Al Masri Mahmoud
- Al-Alnsi Ahmed
- Al-Hutheifi Roqia'A
- Al-Jarrah Amar
- Al-Naggar Hamza
- Al-Shehari Mohammed
- Alamin Nadeen
- Alawi Raneen
- Alawlaqi Dina
- Alawneh Fade
- Alberola Maria José
- Albers Michael
- Alcolea Natalia González
- Aleem Muhammad
- Alegre Inês
- Alegre Javier Martinez
- Alexandre Flavia
- Alexandrescu Corina
- Alexnder Abelevich
- Alexopoulou Kalliopi
- Alfonso Beatriz Amorós
- Ali Ahmed
- Ali Che Saniati Che
- Ali Danish
- Ali Madeeha
- Ali Mahmoud Abdelwahab
- Ali Manhal Hashim
- Ali Noura Al
- Alikhanli Jhale
- Aliyeva Zumrud
- Aliyu Mohammed
- Aljawder Hasan
- Allen Kate
- Almahmeed Ebrahim
- Alonso Alfredo
- Alonso Javier Etreros
- Alsamneh Muneer
- Alsayadi Ramzi
- Altinel Yuksel
- Altintoprak Fatih
- Altomare Donato F
- Alvarenga Isabella
- Alvarez Laura Jimenez
- Alvarez-Bautista Francisco Emmanuel
- Alvarez-Díez Marcos
- Alves Brenda Chayanny
- Amadigwe Rita
- Amado Andreia
- Amado Fabíola
- Amador Cristina García
- Amanullah Nazli
- Amaral Hélida Aline Tomacheski
- Amaral Luis
- Amin-Tai Hizami
- Aminu Bashiru
- Amir Ahmad Suhaimi
- Ammar Ahmed Siddique
- Ammar Mona Ahmed
- Ammendola Michele
- Ammerata Giorgio
- Amorim Edgar
- Ancans Guntis
- Anderson Tom
- Andrade Diogo
- Andrejevic Predrag
- Andrés Beatriz Díaz San
- Anestiadou Elissavet
- Ang Chin Wee
- Angelo Franceschi
- Anokhin Evgeny
- Anoldo Pietro
- Antakia Ramez
- Anton Majd
- Antonelli Serena
- Antropoli Carmine
- Anula Rocio
- Anwar Jamal
- Anyadike Florence
- Apostolakidou Magda
- Apostolidi Eirini
- Aprea Giovanni
- Arabadzhiev Angel
- Arakawa Satoshi
- Arauz Jazmin
- Aravindan U
- Aremu Abdurrahman
- Aremu Isiaka
- Argawy Osama
- Arican Can
- Arida Zahed Abu
- Armellin Claudia
- Arnaoutoglou Eleni
- Arreguy-Borges Kanthya
- Artigot Mariano
- Arturi Alessandro
- Arulappan Nirupama
- Arya Shobhit
- Arynov Ardak
- Asaad Peter
- Asano Yukio
- Ascari Francesca
- Asgarov Mohsum
- Ashmawy Soad
- Aslam Muhammad Imran
- Assimakopoulou Elena
- Assis Ana
- Astilleta Romina
- Atanasov Boyko
- Atendido Tiffany
- Athanasakis Elias
- Atici Semra Demirli
- Avellaneda Nicholas
- Avellaneda Nicolas
- Avseren Goksu
- Awead Marwa
- Ayandipo Omobolaji
- Aybar Engin
- Aydin Funda
- Aydin Gaye
- Ayoub Kusay
- Aytac Erman
- Aytaç Erman
- Azevedo Jose
- Azevedo Patricia
- Azhar Najia
- Aziz Gowhar
- Azman Zairul Azwan Mohd
- Aşkar Ahmet
- Babatunde Olanrewaju
- Badawi Marwa
- Baek Jeong-Heum
- Baez Noelia Fernández
- Baeza-Murcia Melody
- Bagnardi Francesco
- Baharom Salahudin
- Baik Seung Hyuk
- Baimakhanov Abylai
- Bains Lovenish
- Baker Aleksandra
- Bakmaz Bernarda
- Bala Abubakar Muhammad
- Balaban Vladimir
- Balalis Dimitrios
- Balasubramaniam Dinesh
- Balathayalan Yathev
- Baldi Claudio
- Balestri Riccardo
- Balfour James
- Ballah Abubakar
- Ballian Nikiforos
- Balooshi Iman Al
- Baloyiannis Ioannis
- Bamford Richard
- Bandar Mahdi Al
- Banham Gail
- Bannoud Mohammad Hassan
- Baptista Victor
- Baral Jörg
- Barbalace Nicolas
- Barbato Giuseppe
- Barbosa Anderson
- Bareka Metaxia
- Baris Baver
- Barradas Renato
- Barreda Sara Castillo
- Barrena-Blazquez Silvestra
- Barton Jess
- Bartosiak Katarzyna
- Bashilkina Olga
- Bashir Mohammed
- Basile Raffaele
- Basnyat Pradeep
- Batool Sana
- Bautista Wilson Manuel Sánchez
- Bayhan Zülfü
- Bayo José Manuel Muros
- Bayón Raquel Álvaro
- Baños Pedro Antonio Parra
- Beard David
- Bedzhanyan Arkady
- Behilil Chakib
- Bekele Kebebe
- Belarmino Armin
- Belay Million
- Belev Nikolay
- Bellato Vittoria
- Beltrán de Heredia Juan
- Belvedere Angela
- Benetti Emilio
- Benetti Sara
- Bengueddach Aicha
- Benjelloun El Bachir
- Benkabbou Amine
- Bennett James
- Bensafir Salim
- Bergamini Carlo
- Bernotaite Vlada
- Beron Reinaldo Isaacs
- Bethune Robert
- Bezede Cosmin
- Beznosenko Andriy
- Bhangu Aneel
- Bhargava Aman
- Bhat Rama Rani Krishna
- Bianchi Romina
- Bianco Francesco
- Bigoni Irene
- Binetti Margherita
- Bintintan Vasile
- Biondi Alberto
- Biondo Santino Antonio
- Bisgin Tayfun
- Bisheet George
- Bissett Ian
- Biswas Jyotirmoy
- Blackwell Sue
- Blanco Pablo
- Blanco Raquel Ríos
- Blanco-Colino Ruth
- Blasco Laura Fraile
- Blazquez-Martin Alma
- Bobadilla Billy Jimenez
- Bocancia Raluca
- Boccia Giuseppe
- Bogatikov Alexander
- Bolanle Olajide Edward
- Bomfa-Barbosa Alysson
- Bompou Effrosyni
- Bonardello Michela
- Bonci Eduard-Alexandru
- Bordom Daniel Osei
- Borges Filipe
- Borghi Felice
- Boschiero Matheus Negri
- Bose Bodhisattva
- Bouchagier Konstantinos
- Boudjenan-Serradj Nabil
- Boudoux Sabrina
- Bourazani Maria
- Boyce Stephen
- Bozbiyik Osman
- Bracale Umberto
- Brachini Gioia
- Bradulskis Saulius
- Brainsa Eneida
- Brandström Gustav
- Braumille Markus
- Bravo Ana Minaya
- Bravo Raquel
- Bredikhin Mikhail
- Brito Noelia
- Bruni Andrea
- Buccianti Piero
- Buchs Nicolas
- Buchwald Pamela
- Budnikova Ina
- Budrikienė Rima
- Buey Lourdes
- Buijs Louis
- Buleje Jorge Alejandro Benavides
- Burlov Nikita
- Butt Anam
- Byshetty Rajendar
- Bywater Edward
- Bzikha Ilham
- Bánky Balázs
- Bælum Jens Kristian
- Caballero-Delgado Javier
- Cabrera Claudia
- Cafranga Estíbaliz Gutiérrez
- Cagnazzo Federica
- Calabria Mariangela
- Calabro' Marcello
- Caliendo Domenico
- Calin Camelia
- Caliskan Cemil
- Callan Rory
- Callari Cosimo
- Caltea Mihaela
- Calvo Almudena Castro
- Camacho Amparo
- Cammarata Francesco
- Campanati Renato
- Campanelli Michela
- Campbell Marion
- Canals Lucía Otazu
- Canda Aras Emre
- Cano-Matias Auxiliadora
- Cao Victor Hugo Bruno
- Capolupo Gabriella Teresa
- Cappiello Antonio
- Capuano Marianna
- Capusan Alina
- Carannante Filippo
- Carbone Ludovico
- Cardelli Stefano
- Carden Claire
- Cardoso Diogo
- Caricato Marco
- Carlin Patricia Saez
- Carlini Massimo
- Carlos Sandra
- Carneros Virginia Jimenez
- Carosso Fabio
- Caroço Teresa Vieira
- Carpelan Anu
- Carpenter Holly
- Carrascosa-Morales Irene
- Carrie Augusto
- Carrizo Claudia
- Carta Giuseppina
- Carvalho Alexandre
- Carvello Michele
- Casanova Daniel
- Cascais Raquel
- Cassia Gabriela
- Castaldi Antonio
- Castaño Renata
- Castiglioni Simone
- Castillo Enrique Roca
- Castro Marta Cuartero
- Catalano Pablo
- Cato Liam
- Caz Esra
- Cebolla Elena Sagarra
- Cecchini Ilaria
- Celdrán Rebeca González
- Celik Hale Kefeli
- Ceretti Andrea Pisani
- Ceron Silvia Ferrer
- Cervellera Maurizio
- Cervone Carmela
- Chacko Anil
- Chandrasinghe Pramodh
- Charakopoulou Alexandra
- Chardalias Leonidas
- Chaturvedi Arun
- Chatzikomnitsa Paraskevi
- Chaudhari Abhishek
- Chaudhry Sanjay
- Chawla Tabish
- Chee Corissa
- Chen Nevin
- Cheng Kuang I
- Chiarugi Massimo
- Chisthi Meer
- Chitnis Abhishek
- Chitul Andrei
- Chmielewski Gaspard
- Cholewa Hanna
- Chornet Marta Roselló
- Chowdhary Manish
- Chowdhury Sharfuddin
- Chowdhury Sharfuddin M
- Chowdri Nisar
- Christensen Peter
- Christodoulidis Grigorios
- Chrysos Emmanuel
- Chua Lorna
- Chubukova Natlia
- Chung Jun Seong
- Church Robert
- Chwat Carina
- Ciabattari Paula
- Cianchi Fabio
- Cianci Pasquale
- Ciccarese Angelo Antonio
- Ciftci Ahmet Burak
- Cigagna Luca
- Cini Charles
- Ciotarla Danut Constantin
- Cirocchi Nicholas
- Ciubotaru Cezar
- Ciulli Cristina
- Ck Harikumar
- Clark Thomas
- Clarke Nicola
- Coccolini Federico
- Codes Lina
- Coelho Ana Margarida
- Cois Alessandro
- Coladonato Massimiliano
- Colak Elif
- Coldwell Chris
- Collins Jen
- Colombo Francesco
- Colás-Ruiz Enrique
- Conceição Luis
- Conde Juan Guillermo Ais
- Connolly Lewis
- Conversano Ivana
- Convertini Ornella
- Cook Esther
- Cooke Fiachra
- Coppolino Francesco
- Coratti Francesco
- Cordeiro Lisbete
- Correia Angela
- Correia Débora
- Cortes Bruno Giusti Werneck
- Cortés Guillermo Felipe Valderas
- Coskun Nurcan
- Costa Breno Xaia Martins
- Costa Susana
- Costa Sílvia
- Cour Kenn La
- Crabtree Nicholas
- Creavin Ben
- Cremonini Camilla
- Crescentini Giacomo
- Cricrì Michele
- Crisan Dana
- Cristian Daniel
- Croce Gianni Di
- Cruz Isabela
- Cucinotta Eugenio
- Cuichan Marco Vinicio Yugsi
- Cullinane Carolyn
- Cuneo Davide
- Cunha Miguel
- Curbelo Jacqueline
- Curcio Silvia
- Curro Giuseppe
- Currà Maria Cristina
- Currás Rosana Pérez
- Custódio Pedro
- Cutellè Clelia
- Czarnecki Roman
- D'Angelo Salvatore
- D'Ugo Stefano
- da Luz Magda
- da Silveira Sete Alexandre
- Dainius Edvinas
- Dalton Richard
- Damieta Marta Pascual
- Danassi Despoina
- Danelli Piergiorgio
- Danial Aghyad Kudra
- Daniels Ian R
- Daniyan Muhammad
- Danna Riccardo
- Danys Donatas
- Dardanov Dragomir
- Daryanani Deepu
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- Mohamed Mohamed
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- Wang Jaw Yuan
- Wani Rauf
- Wanshantha Dinamulla
- Waqar Usama
- Ward Nicholas
- Watanabe Jun
- Wells Johanna
- Westzaan Natalia
- Wickramarathne Rasika
- Wickramasinghe Dakshitha
- Widatalla Abu Bakr H
- Widyaningsih Rizky
- Wijenayake Wasantha
- Wilson Jeremy
- Wilson Kasmira
- Windels An
- Witjes Caroline
- Wong Siew Ching
- Woodward Andrew
- Wright Deborah
- Wright Jonathan
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- Wątroba Anna
- Xanthis Athanasios
- Xavier Ruben
- Xenaki Sofia
- Xynos Evangelos
- Yadav Ram Kishan
- Yadev I P
- Yague Julio
- Yakout Nadia
- Yakunina Natalia
- Yalkin Ömer
- Yanishev Alexey
- Yao Hongwei
- Yazici Pinar
- Yemez Kursat
- Yew Chor Kuan
- Yılmaz Gülseren
- Yilmazlar Tuncay
- Yiğit Direnç
- Yoldas Tayfun
- Yonekura Hiroshi
- Yorkmui Liu
- Yoshino Kenji
- Younes Lina
- Young Trudi
- Yule Michael
- Yusoff Zakiah Mohd
- Zaari Fatimazahraa
- Zabiyaka Mikhail
- Zadrożna Monika
- Zafar Madiha
- Zagaynov Eugeny
- Zaidi Syed-Nadeem
- Zaimis Tilemachos
- Zain Wan Zainira Wan
- Zainy Rhendra Hardy Mohamad
- Zakaria Andee Dzulkarnaen
- Zakaria Maheen
- Zakaria Zaidi
- Zamudio-Bautista Jorge Luis
- Zanc Loredana
- Zanoni Andrea
- Zanus Giacomo
- Zapparoli Alessandro
- Zappone Anna
- Zarzava Eirini
- Zatari Dirar
- Zawadzki Marek
- Zayakov Georgi
- Zaycev Andrey
- Zazo Aya
- Zazo Rama
- Zdravkovic Maja
- Zengin Abdullah Kağan
- Zeringa Georgia
- Zimmerman David D E
- Zuhdy Mohammad
- Zvirych Vitalii
- Zywicka Ewa
- Álvarez-Llano Laura
- Ângelo Miguel Duarte
- ÓSullivan Sara Nuñez
- Özçelik Mehmet Faik
- Ćoza Ivo
- Şanlı Ahmet Necati
- Publication venue
- Publication date
- 01/01/2023
- Field of study
Background
Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks.
Methods
The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned.
Results
A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31).
Conclusion
Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)
Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study
- Author
- Abe T.
- Aboshady Abdelrhman
- Abrough Fekri
- Acampo-de Jong Melanie J.
- Acharya S.
- Acharya Subhash P.
- Adderley Jane
- Adiguzel N.
- Agrawal V.K.
- Aguilar G.
- Aguirre Gaston
- Aguirre-Bermeo Hernán
- Ahlström B.
- Akbas Türkay
- Akker M.
- Al Sadeh G.
- Alamri S.
- Algaba Ángela
- Ali M.
- Aliberti A.
- Allegue J.M.
- Alvarez Diana
- Amador J.
- Amin P.
- Andersen F.H.
- Ansari S.
- Apichatbutr Yutthana
- Apostolopoulou Olympia
- Arabi Y.
- Aragao Irene César
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- Arica Mestanza
- Arikan Huseyin
- Arinaga K.
- Arnal J.-M.
- Asano Kengo
- Asín-Corrochano M.
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- Avila Fuentes S.
- Aydemir Semih
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- Declercq P.-L.
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- Zheng Jia
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- Zumaran R.
- Çukurova Z.
- Öveges Nándo
- Publication venue
- Elsevier
- Publication date
- 01/01/2023
- Field of study
International audienceBackground: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society
B. Sprachwissenschaft
- Author
- Abb
- Abb 0
- Abb S
- Abercrombie D.
- Abschluß II.
- Academia Espanola
- Academia Espanola
- Academia Rep
- Accardi Lauro A.
- AcSc Fenn S
- Acta Univ
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- Ades R.
- Aebischer P.
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- Vossler K.
- Vossler K.
- Vranckx W.
- Vries J.
- Vulgärlateinisches
- Vuolo E.
- Vx
- Wagner
- Wagner
- Wagner H.
- Wagner M. L.
- Wagner M. L.
- Wagner M. L.
- Wagner M. L.
- Wagner M. L.
- Wagner M.L.
- Wagner M.L.
- Wagner M.L.
- Walde A.
- Wallon
- Wandruszka M.
- Wanscher V.
- Ward R. L.
- Warnach V.
- Wartburg W. v.
- Wartburg W. v.
- Wartburg W. v.
- Wartburg W. v.
- Wartburg W. v.
- Wasserzieher E.
- Weinreich M.
- Weis H.
- Weise G.
- Weisgerber L.
- Weisgerber L.
- Wells J. C.
- Werner H.
- Werner S. R.
- Wexler P. J.
- Whatmough J.
- Wib
- Wicher A.
- Wildhaber R.
- Wilhelm-Hoojbergh A. E.
- Williams J.D.
- Windekens A. J.
- Wirth P.
- Wis Marjatta
- Wiss
- Wissemann H.
- Wolff K. F.
- Wonder J.P.
- Woodbridge H. C.
- Woodbridge H.C.
- Word
- Wright L. O.
- Wright L. O.
- Wurm Ilse
- Wycichl W.
- Wörter
- Yinfinitivo
- Yndurain F.
- Yndurain F.
- Yvon H.
- Yvon H.
- Yvon H.
- Yvon H.
- Zahnow E.
- Zambetti P.
- Zamora Vicente A.
- Zamora Vicente A.
- Zdrenghea M.
- Zdrenghea M.
- Zehrer J.
- Zellmer E.
- Zilio G. M.
- Zilio G. M.
- Zimmermann H.
- Zinno D.
- Zola
- Zoni C.
- Zopf F.
- Zorzi D.
- Zorzi E.
- Zueinzelnenillyrischen Eigennamen
- Zum Stand
- Zum XIII
- Zur
- Zur
- Zur
- Zur
- Zur Kritik
- Zur Lesung
- Zwei
- Zwirner E.
- ZÖ
- ßvrard Johanna
- ägäische Pflanzennamen
- Öerech Y.
- öes
- Öhmann E.
- Öihar V.
- Über
- Über
- Über den Begriff
- Über Ortsnamen
- Über Ortsnamen
- ΑνβΓςό Luis
- ΡοΙοΓηέΕ
- Publication venue
- 'Walter de Gruyter GmbH'
- Publication date
- 01/01/1961
- Field of study