7 research outputs found
Neurological disease in adults with Zika and chikungunya virus infection in Northeast Brazil: a prospective observational study
- Author
- Antunes de Brito Carlos Alexandre
- Bhojak Maneesh
- Brito Ferreira Maria Lucia
- Brown David WG
- Burnside Girvan
- Cordeiro Marli Tenorio
- de Morais Machado Maria Iris
- de Oliveira Franca Rafael Freitas
- Ellul Mark
- Griffiths Michael J
- Jacobs Bart C
- Lant Suzannah
- Leonhard Sonja E
- Medialdea-Carrera Raquel
- Mehta Ravi
- Melo Roberta Paz
- Mesquita Solange Dornelas
- Pardo Carlos A
- Pena Lindomar Jose
- Pessoa Militao de Albuquerque Maria de Fatima
- Porto Moreira Alvaro Jose
- Ramos e Silva Rafael
- Rosala-Hallas Anna
- Santos Marcela Lopes
- Solomon Tom
- Turchi Martelli Celina Maria
- Turtle Lance
- Willison Hugh J
- Ximenes Ricardo AA
- Publication venue
- Publication date
- 01/10/2020
- Field of study
Background:
Since 2015, the arthropod-borne viruses (arboviruses) Zika and chikungunya have spread across the Americas causing outbreaks, accompanied by increases in immune-mediated and infectious neurological disease. The spectrum of neurological manifestations linked to these viruses, and the importance of dual infection, are not known fully. We aimed to investigate whether neurological presentations differed according to the infecting arbovirus, and whether patients with dual infection had a different disease spectrum or severity.
Methods:
We report a prospective observational study done during epidemics of Zika and chikungunya viruses in Recife, Pernambuco, a dengue-endemic area of Brazil. We recruited adults aged 18 years or older referred to Hospital da Restauração, a secondary-level and tertiary-level hospital, with suspected acute neurological disease and a history of suspected arboviral infection. We looked for evidence of Zika, chikungunya, or dengue infection by viral RNA or specific IgM antibodies in serum or CSF. We grouped patients according to their arbovirus laboratory diagnosis and then compared demographic and clinical characteristics.
Findings:
Between Dec 4, 2014, and Dec 4, 2016, 1410 patients were admitted to the hospital neurology service; 201 (14%) had symptoms consistent with arbovirus infection and sufficient samples for diagnostic testing and were included in the study. The median age was 48 years (IQR 34–60), and 106 (53%) were women. 148 (74%) of 201 patients had laboratory evidence of arboviral infection. 98 (49%) of them had a single viral infection (41 [20%] had Zika, 55 [27%] had chikungunya, and two [1%] had dengue infection), whereas 50 (25%) had evidence of dual infection, mostly with Zika and chikungunya viruses (46 [23%] patients). Patients positive for arbovirus infection presented with a broad range of CNS and peripheral nervous system (PNS) disease. Chikungunya infection was more often associated with CNS disease (26 [47%] of 55 patients with chikungunya infection vs six [15%] of 41 with Zika infection; p=0·0008), especially myelitis (12 [22%] patients). Zika infection was more often associated with PNS disease (26 [63%] of 41 patients with Zika infection vs nine [16%] of 55 with chikungunya infection; p≤0·0001), particularly Guillain-Barré syndrome (25 [61%] patients). Patients with Guillain-Barré syndrome who had Zika and chikungunya dual infection had more aggressive disease, requiring intensive care support and longer hospital stays, than those with mono-infection (median 24 days [IQR 20–30] vs 17 days [10–20]; p=0·0028). Eight (17%) of 46 patients with Zika and chikungunya dual infection had a stroke or transient ischaemic attack, compared with five (6%) of 96 patients with Zika or chikungunya mono-infection (p=0·047).
Interpretation:
There is a wide and overlapping spectrum of neurological manifestations caused by Zika or chikungunya mono-infection and by dual infections. The possible increased risk of acute cerebrovascular disease in patients with dual infection merits further investigation.
Funding:
Fundação do Amparo a Ciência e Tecnologia de Pernambuco (FACEPE), EU's Horizon 2020 research and innovation programme, National Institute for Health Research.
Translations:
For the Portuguese and Spanish translations of the abstract see Supplementary Materials section
Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial
- Author
- Abreu Matheus O.
- Acerbi Paulo S. C.
- Albuquerque Regis B.
- Aldrighi Jose R.
- Alencastro Andre
- Almeida Marilia S.
- Almeida Patricia S.
- Almeida Samara D.
- Almeida Samara D.
- Alves Janine D.
- Amaral Karine A. E. H.
- Amaro Andreson F.
- Amato Marcelo B. P.
- Amato Marcelo B. P.
- Amorim Denise S.
- Amorim Fabio F.
- Andrade Ana H. V.
- Andrade Isaac G.
- Andrade Lucia C.
- Andrade Luciana A. S.
- Andrade Wandalvo
- Apoena Pablo
- Araujo Neto Jose A.
- Araujo Arthur C.
- Araujo Jose F.
- Araujo Marcelo E. U.
- Araujo Mario F. A.
- Arduini Rodrigo G.
- Assef Maria G. P. L.
- Azevedo Luciano C. P.
- Azevedo Luciano C. P.
- Backes Fabiane
- Bainy Marina P.
- Baptista Filho Mario L. A.
- Barbosa Pierry O.
- Barra Williams F.
- Barros Dalton
- Baruzzi Claudio
- Bastos Ana C. A. G.
- Bastos Rafael S.
- Batista Roseane A.
- Becker Daniel A.
- Bergo Ricardo R.
- Berto Paula
- Berwanger Otavio
- Berwanger Otavio
- Bigolin Rodrigo
- Bitencourt Wesley S.
- Bitencourt Wesley S.
- Blattner Clarissa
- Boldo Rodrigo
- Boniatti Marcio M.
- Borges Marcos C.
- Bozi Giovana G.
- Brandao Andre L. S. B.
- Brilenger Caroline O.
- Brilhante Yuzeth Nobrega
- Broilo Fabiano P.
- Burigo Ana C.
- Cacau Lucas A. P.
- Caixeta Carlos R.
- Caldeira Milton
- Caldeira Milton
- Canavessi Hugo Schlebinger
- Canzi Regina A.
- Cappi Sylas B.
- Carbonell Roberto C. C.
- Cardoso Lucienne T. Q.
- Carmona Cesar V.
- Carneiro Mauricio
- Carneiro Saul R.
- Carvalho Alexandre G. R.
- Carvalho Carlos R. R.
- Carvalho Carlos R. R.
- Carvalho Fabricio R. T.
- Carvalho Fernanda L. G.
- Carvalho Frederico B.
- Carvalho Frederico B.
- Carvalho Ivana L. V.
- Carvalho Vitor O.
- Carvalho Waneska L. N.
- Caser Eliana
- Castanelo Carlos
- Cavalcante Eulalia
- Cavalcanti Alexandre B.
- Cavalcanti Alexandre B.
- Cavalcanti Raphael Ali
- Cerantola Rodrigo B.
- Chagas Filho Aldir
- Chamy Gauco
- Chaves Filho Francisco G.
- Chiasso Tatiana M.
- Coelho Adalberto M.
- Coelho Edward, Jr.
- Coelho Milena P. P. M.
- Conde Katia A. P.
- Cordeiro Rodrigo B.
- Correa Fabiano G.
- Correa Tiago A.
- Correa Viviane M.
- Correia Emmanuel I. S.
- Cortegiani Andrea
- Costa Andre F.
- Costa Maristela C.
- Costa Ramon T.
- Couto Wivian A. D.
- Cramer Amanda S.
- Cunha Adenard F. C.
- Dadam Michelli M.
- Damasceno Bruna
- de Oliveira Filho Wilson
- de Oliveira Filho Wilson
- Decio Janaina C.
- Demarzo Sergio E.
- Dias Alysson P.
- Dias Fernando S.
- Dias Polyana P. L. C.
- Diaz S. Edgard
- Diaz-Quijano Fredi A.
- Diaz-Quijano Fredi A.
- Domingues Sergio M., Jr.
- Dragosavak Desanka
- Duarte Juliana N.
- Duarte Pericles A. D.
- Duarte Robson
- Dutra Victor G.
- Eberhart Neto Ervin
- Falcao Antonio
- Falcao Jansen G.
- Farran Jorge
- Felizardo Livia R. S. M.
- Ferguson Niall
- Ferraz Iris L.
- Ferreira Neto Fleury
- Ferreira Ana P.
- Ferreira Cassia M.
- Ferreira Claiton S.
- Ferreira Denise M.
- Ferreira Edgard V.
- Ferreira Elaine M.
- Ferreira Firmino H., Jr.
- Ferreira Reinaldo
- Festti Josiane
- Fialkow Lea
- Figueiredo Adelaide C.
- Figueiredo Luciana C.
- Filgueira Feto Jose E.
- Flores Dimitri G.
- Flores Dimitri G.
- Foernges Rafael B.
- Franca Gustavo G. P.
- Francisco Renata S.
- Franke Cristiano
- Galassi Marcela S.
- Gallego Raquel C. N.
- Galvao Endi L.
- Garcez Melissa C. M.
- Garcia L. Sandra M. C.
- Gatti Ciro
- Geha Nadia N.
- Germano Almir
- Germiniani Bruno C.
- Giacomassi Ivens W. S.
- Giancursi Thiago S.
- Giannini Fabio
- Gil Fernando S. U.
- Gimenez Francielli M. P.
- Giuberti Adriana F. T.
- Giuberti Jonas, Jr.
- Gois Aecio
- Gomes Bruno C.
- Gomes Tania M.
- Goncalves Neto Graciliano J. L.
- Goncalves Fernanda A. F.
- Goncalves Iran, Jr.
- Gonzalez C. Octavio
- Gorski Anthony G.
- Grion Cintia M. C.
- Grion Cintia M. C.
- Guadalupe Erika G. L.
- Guerra Andre
- Guerreiro Marcio O.
- Guimaraes Daniela M. Q. S.
- Guimaraes Helio P.
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- Guimaraes Helio P.
- Gurgel Sanderland J. T.
- Guyatt Gordon
- Hajjar Ludhmila A.
- Heirel Debora C. B.
- Henriques Lilian A.
- Herek Andrea
- Hinestrosa Alfredo
- Hirota Adriana S.
- Holanda Marcelo A.
- Hopf Joao L. S.
- Horner Marina B. W.
- Inagaki Alexandre S.
- Infantini Rodrigo M.
- Isola Alexandre
- Jesus Karinne R.
- Kauss Ivanil A. M.
- Kawaguchi Ines A. L.
- Kazue Priscila
- Kleber Wladimy
- Kleber Wladmy
- Kodama Alessandra A.
- Kretzer Lara
- Kuroda Cristina M.
- Lago Roberto
- Laprovita Maria P.
- Larangeira Alexandre S.
- Laube Gilberto, Jr.
- Leao Rosangela M.
- Leite Petronio A.
- Lima Cyntia M. L. S.
- Lima Fernando B.
- Lima Maria H. B. S.
- Lima Zildamara B.
- Lira Jose A.
- Lopes Renato D.
- Lovato Wilson
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- Lunardi Maria C.
- Luzzi Sergio
- Maccari Juara G.
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- Machado Fernando O.
- Machado Flavia R.
- Machado Luis A. M. W.
- Machado Nelma J. N.
- Magalhaes Nascimento Francine J.
- Maia Israel S.
- Maia Marcelo O.
- Malbouison Luiz M.
- Marcilino Antonielen
- Margalho Silviano B.
- Margarida Kathia
- Marino Nathalia F.
- Marques Leonardo S.
- Marraccini Thiago
- Martinez Amadeu
- Martins Edna T. J.
- Martins Eliauria R.
- Martins Eliauria R.
- Martins Gloria A.
- Martins Marcele F.
- Martins Marcio A.
- Martins Marcio A.
- Martins Mariana L.
- Matsubara Rosely R.
- Matsui Mirna
- Mazza Bruno F.
- Mecatti Giovana C.
- Medeiros Luciana G.
- Mendez Vanessa M. F.
- Mendonca Angela
- Menescal Brena
- Merluzzi Thalita
- Mezzaroba Ana L.
- Miranda Whiniton
- Miura Claudia
- Monteiro Livia L.
- Moraes Ana P. P.
- Moraes Rafael B.
- Morais Jussara E. P.
- Morais Mirene O.
- Morales Daniela
- Moreira Cora L. C. B.
- Moreira Fabiana B. R.
- Moreira Monique A.
- Moreno Marcelo S.
- Morong Aline S.
- Morsch Rafaela D.
- Nassar Antonio P., Jr.
- Naves Sergio A.
- Nedel Wagner
- Neto Jeronimo C. B.
- Nienstedt Esteban C.
- Nobrega Marciano S.
- Nogueira Filho Wilson
- Nogueira Eduardo E. F.
- Nomoto Silmara H.
- Nunes Andre L.
- Odir Isaura
- Oliveira Aline E.
- Oliveira Andre L. V.
- Oliveira Clezio S.
- Oliveira Glauce L.
- Oliveira Ivonaldo M.
- Oliveira Katia R.
- Oliveira Luiz R. C.
- Oliveira Marcelo E.
- Oliveira Roselaine P.
- Oliveira Roselaine P.
- Oliveira Roselaine P.
- Oliveira Tatiana A.
- Oliveira Vanessa M.
- Oliver Wilson R.
- Ornellas Izadora B.
- Orsatti Vinicius N.
- Park Marcelo
- Passos Denise B. V. G.
- Patrocinio Ana C. L.
- Paula Ludmila N.
- Pavia Caio L. P.
- Pedro A.
- Peixoto Daniela C.
- Peliser Priscila
- Pellegrini Jose A. S.
- Pellegrini Jose A. S.
- Pena Felipe M.
- Pereira Antonio J.
- Pereira Cesar A.
- Pereira Sheila A.
- Pincelli Mariangela
- Pinheiro Filho Gilvan R.
- Pinheiro Filho Gilvan R.
- Pinto Walkyria A. M.
- Piovesan Maysa Z. R.
- Piras Claudio
- Pizarro Camilo
- Pompilio Carlos E.
- Poquiriqui Rodolfo M. B.
- Potratz Jorge L.
- Prado Karen F.
- Prado Luiz F. A.
- Rabelo Livia A.
- Rabelo Melina V.
- Rahal Luciana
- Raineri Santi M.
- Ramos Joroastro E., Jr.
- Rangel Vivian P. L.
- Ray Alexandre
- Rech Tatiana H.
- Regenga Marisa M.
- Regenga Marisa M.
- Rego Leila R. M.
- Reis Andrezza T. J. B.
- Reis Diego L.
- Reis Diego L.
- Reis Helder
- Rezende Claudnei M.
- Rezende Ederlon
- Rezende Ederlon A. C.
- Rezende Valeria M. C.
- Ribeiro Gisele F. M.
- Ribeiro Rubens A. B.
- Ribeiro Wagner
- Rieder Marcelo M.
- Rocha Edson P.
- Rodrigues Ricardo G.
- Romano Edson
- Romano Edson
- Romano Marcelo
- Rossetti Santana Heloisa B.
- Rosso Deorgelis
- Sa Alexandre
- Sala Andrea D.
- Sales Joao A. L., Jr.
- Salgado Diamantino R.
- Salomao Maria C.
- Sandri Priscila
- Santana Hericalizandra S. R.
- Santiago Roberta R. S.
- Santos Gheisa D.
- Santos Grazielle O.
- Santos Jose R. P.
- Santos Lucio S.
- Santos Moreno C.
- Santos Patricia L.
- Santos Priscila J. C. D.
- Santos Thiago M.
- Sarat Saturnino Campo, Jr.
- Savi Augusto
- Scaglia Nris C.
- Schaich Felipe
- Schettino Guilherme P. P.
- Schiavetto Paulo M.
- Schievano Fabiana R.
- Schulz Luis F.
- Schwarz Patricia
- Schwarz Patricia
- Seeger Gabriela M.
- Segundo Valerio J.
- Severino Marta A.
- Silva Albano S.
- Silva Aline C. F.
- Silva Alline O.
- Silva Anselmo C.
- Silva Dafne C. B.
- Silva Fabiano D.
- Silva Nelson B.
- Silva Patricia N.
- Silva Rosicley S.
- Silva Rozangela R.
- Silva Sabrina F.
- Silva Sandra R. B.
- Silva Silvangela G. A.
- Smith Thiago C.
- Sousa Neto Jefferson A.
- Sousa Marcelo F.
- Souza Ana R.
- Souza Marcia L. V. D.
- Souza Marcia M. F.
- Starling Claudia M.
- Suguitani Edmundo O.
- Suzuki Vivian C.
- Suzumura Erica A.
- Suzumura Erica A.
- Tagliari Luciana
- Taino Bruno
- Taira Elisabete E.
- Takahashi Luzia
- Takahashi Luzia N.
- Takatani Rodrigo R.
- Tallo Fernando S.
- Tamazato Edys Y.
- Taniguchi Leandro
- Tarkieltaub Elcio
- Tavares Daniele
- Tavares Daniele C. C.
- Tavares Marcel V.
- Tavares Roberta C.
- Tcherniakovisk Leo
- Teixeira Cassiano
- Teixeira Cassiano
- Teixeira Cassiano
- Teixeira Cristina
- Teixeira Luciano O.
- Telles Jose M. M.
- Thompson Marlus M.
- Toledo Diogo
- Tomizuka Carlos I.
- Torres Franciele C. C.
- Toufen Carlos, Jr.
- Tozo Tatiane C.
- Trindade Renata S.
- Tucci Mauro
- Uratani Cristiana C. S.
- Vanzuita Raquel
- Vasconcelos Marcia O. M.
- Vasconcelos Paula T.
- Vassallo Paula F.
- Vendrame Leticia S.
- Verdeal Juan C.
- Vianna Arthur
- Vieira Debora F. V. B.
- Vieira Silvia R. R.
- Vieira Vitor M.
- Vieira Vitor M.
- Viera Filho Edesio
- Walter Stephen
- Wawrzeniak Iuri C.
- Werneck Vinicius
- Westphal Glauco
- Westphal Glauco
- Winveler Georgia F. P.
- Wysocki Natacha
- Xavier Patricia A.
- Yamada Sergio S.
- Zanta Camila C.
- Zoghbi Karina K.
- Publication venue
- LONDON
- Publication date
- 28/08/2012
- Field of study
Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt
Núcleos de Ensino da Unesp: artigos 2008
- Author
- Abreu Melina Altavini de
- Akamatsu Jânio Itiro
- Albuquerque Denise Ivana de
- Aleixo Karine
- Almeida Djanira Soares de Oliveira e
- Almeida Vera Lia Marcondes Criscuolo de
- Alonso Junior José Lazaro
- Alves Aletéia Eleutério
- Alves Marli Mizuta
- Alves Nádia
- Ameduri Talita Souza
- Américo Fernanda Galvão
- Andrade Janete Ferreira
- Aquino Hermes Adolfo de
- Araújo Reginaldo Tomé de
- Archanjo Naiara Carolina Pereira
- Arena Dagoberto Buim
- Argentão Camila
- Arnoni Maria Eliza Brefere
- Assis Junior Luiz Roberto de
- Augusto Thaís Gimenez da Silva
- Azevedo Tânia Cristina Arantes Macedo de
- Balan Ana Maria Osório Araya
- Barbosa Cristiane Aparecida Scolari
- Barbosa Luciane Maria Molina
- Barbosa Maria Valéria
- Barros André Minuzzo de
- Barroso André
- Batista Sueli Aparecida Mori Halley
- Bellan Pamela
- Bellucci Felipe Silva
- Benites Larissa Cerignoni
- Bertani Iris Fenner
- Berto Carlos Eduardo de Oliveira
- Bigheti Janaína Gênova
- Bochorny Jucileny
- Bofi Tânia Cristina
- Bonfim Juliana Cristina
- Bonifácio Alyne Gonzalez
- Borges Leandro Emanuel
- Boza Thiago Augusto dos Santos
- Bozelli Fernanda Cátia
- Braghim Márcio Luiz
- Brancatti Paulo Roberto
- Brandão Evinária
- Brito Iara Aparecida de Oliveira
- Brum Esther
- Bueno Fagner Leandro
- Burgos André Hellmeister
- Camargo Paulo Sérgio Camillo de
- Camilo Telma Cristina
- Campos Ana Carla Lima de
- Campos Luciana Maria Lunardi
- Capellini Simone Aparecida
- Capodeferro Breno Cacossi
- Cardozo Aline Steckelberg
- Carrê Gabriela Machado
- Carvalho Amarílis Oliveira
- Carvalho Augusto Cesinando de
- Carvalho Samara Camaçarí de
- Carvalho Samara dos Santos
- Casarin Helen de Castro Silva
- Castro Natiane Bonani Lopes de
- Castro Rosane Michelli de
- Cattai Maria Dirlene da Silva
- Cavalli Leonardo Barbosa
- Cação Maria Izaura
- Centrone Cristiane de Campos
- Ceregatto Luciana
- Cesário Maria Dalva
- Chagas Eliane Ferrari
- Cirqueira Samirys Sara Rodrigues
- Colpas Ricardo Ducatti
- Colpas Vanessa Rossini
- Constantino Elizabeth Piemonte
- Cordeiro Ana Paula
- Cordeiro Maria Angela de Moraes
- Corrêa Roberta Guimarães
- Costa Camila Gonçalves
- Coutinho Kátia Regina Roseiro
- Cruz Maria de Lourdes Otero Brabo
- Cunha Luís Fernando Affonso Fernandes da
- Cunha Mara Gracia da
- Cáceres Isabel Cristina Briones
- Câmara Letícia Machado
- Dal Ri Neusa Maria
- Dantas Denise Jerônimo
- Darido Suraya Cristina
- Dauer Paaron Guenka
- David Célia Maria
- Davolos Marian Rosaly
- Degelo Giovana Caramaschi
- Delfino Ivone da Silva
- Deliberato Débora
- Di Giorgi Cristiano Amaral Garboggini
- Donato Bruna Facion
- Faccio Neide Barrocá
- Fanti Ermínia De Lourdes Campello
- Faria Filipe Pereira
- Faustino Monica Podsclan
- Feitosa Eloi
- Feitosa Rosane Gazolla Alves
- Fekete Dominique
- Felix Tatiane da Silva Pires
- Fernandes Anoel
- Fernandes Gustavo Fantini
- Ferrari Natalia
- Ferraz Cláudio Benito Oliveira
- Ferreira Maria Izabela
- Ferreira Vanessa Gimenez
- Fiorillo Júlio César Rodrigues Souza
- Firakovsk Daniel
- Franceschini Lilia Guerrero
- Franco Laércio
- Freitas Fernando Paulo Rosa de
- Frezza Rose Mary
- Fushimi Melina
- Fürkotter Monica
- Galvão Júnior Heraldo Márcio
- Garuffi Marcelo
- Geraldo Willian Bala
- Ginciene Guy
- Giometti Analúcia Bueno dos Reis
- Giroto Claudia Regina Mosca
- Girotto Cyntia Graziella Guizelim Simões
- Godoy Kathya Maria Ayres de
- Gomes Aline de Oliveira
- Gomes Ana Silvia Carvalho Ribeiro
- Gonçalves Aline Aparecida
- Gonçalves Cléria Custódio
- Gonçalves Marília Piazzi Seno
- Granville Maria Antonia
- Grejo Carolina Bueno
- Guimarães Augusto Barbosa
- Guimarães Eliana Maria Alves
- Guimarães Rejane Teodoro
- Haga Kuniko Iwamoto
- Haga Mario Susumo
- Hatum Isabela Saldella
- Humberto Letícia
- Hunger Dagmar
- Iasi Thayná
- Impolcetto Fernanda Moreto
- Inforsato Ana Paula
- Inforsato Edson do Carmo
- Jesus Natasha Curuci de
- Job Aldo Eloizo
- Jorge Márcia Adriana
- Kanevieskir Thiciany
- Kasseboehmer Ana Cláudia
- Kawaguchi Tathy Sayuri
- Kawamoto Elisa Mari
- Kumada Kate Manhy
- Ladeira Maria Fernanda Telo
- Lamas Rita de Cássia Pavani
- Leal Antonio Cezar
- Leal Natália de Ângelo
- Leite Lúcia Pereira
- Leite Priscila de Souza
- Leite Yoshie Ussami Ferrari
- Lepre Rita Melissa
- Lima José Milton de
- Lima Maria Fernanda Rodrigues de
- Lima Márcia Regina Canhoto de
- Lino Alex
- Lopes José Marcos
- Lopes Odailton Pollon
- Lopes Rosemara Perpetua
- Lucas Maria Isabel T.
- Lucchesi Fernando Del Mando
- Machado Andréia Teixeira
- Machado Paulo Henrique Rocha
- Maciel Aline
- Madeira Newton Goulart
- Malheiro Cicera Aparecida Lima
- Manzini Mariana Gurian
- Marques Emília de Mendonça Rosa
- Marques Jean Felipe
- Marques Rosebelly Nunes
- Martino Vânia de Fátima
- Martins Cláudio Roberto
- Martins Sandra Eli Sartoreto de Oliveira
- Maso Tchella Fernandes
- Mastroianni Edelvira de Castro Quintanilha
- Mateo Luiza Rodrigues
- Matheus Selma Maria Michelin
- Matthiesen Sara Quenzer
- Mendonça Onaide Schwartz Correa de
- Mendonça Sueli Guadelupe de Lima
- Mensato Nayara Maria
- Mercúrio Bruno Michel da Costa
- Miguel José Carlos
- Modenese Juliana Cristina
- Monteiro Carolina Domingos Barbosa
- Monteiro Maurício
- Moraes Ana Paula Pacheco
- Moreia Kátia de Cássia
- Moreira Flávia Graziela
- Moreira Maria de Fátima Salum
- Moreira Tony Aparecido
- Morelatti Maria Raquel Miotto
- Mota Adriana Ijano
- Mouro Bruna Carolina
- Mussi Eduardo Pereira
- Nabeiro Marli
- Nakatany Tony Shigueki
- Nappi Gustavo Fernando
- Nascimento Bárbara Nicácio do
- Nascimento Juliana Cristina Andrade do
- Nascimento Laís do
- Nascimento Verônica Maria do
- Nishida Silvia Mitiko
- Nobre Marcos Augusto de Lima
- Nobre Silvania Lanfredi
- Nogueira Maria do Socorro de Araujo Maia
- Nunes João Osvaldo Rodrigues
- Nunes Julianus Araújo
- Nunes Rodrigo Lima
- Obst Otília Nair
- Oliveira Amanda de Carvalho Maia
- Oliveira Anderson da Silva
- Oliveira Cristiane Moço Canhetti de
- Oliveira Cristiane Veríssimo de
- Oliveira Etiene Siqueira de
- Oliveira Felipe Augusto Kazan de
- Oliveira Fátima Inês Wolf de
- Oliveira Gislaine Ciumara de
- Oliveira José Brás Barreto de
- Oliveira Leila de
- Oliveira Mateus de Falco Soares de
- Oliveira Rodrigo Henck de
- Oliveira Rosemary Rodrigues de
- Omodei Juliana Dalbem
- Orlandi Leonardo De Ângelo
- Orlando Patrícia d’Azeredo
- Papandré Odete Fátima Rossi
- Pavezi Natália Prioto
- Pellegrini Ana Maria
- Penteado Miriam Godoy
- Pereira Elisandra Ferreti
- Pereira João Domingos Augusto dos Santos
- Pereira Priscila
- Perusi Maria Cristina
- Pianoschi Thaisa Alves
- Pimenta João Paulo de Oliveira
- Pimenta Juliana Carla Fleiria
- Pinho Sheila Zambello de
- Pinto Renan Mercuri
- Pires Ana Maria
- Pirola Nelson Antônio
- Polaini Graciélli do Carmo
- Polezel Karina
- Ponsoni Adriana
- Pontes Sueli Rodrigues
- Portugal Ana Raquel
- Portugal Andréia Alves
- Prado Júnior Milton Viera do
- Prado Camilo Oliveira
- Queiroz Letícia Morais
- Ramalho Andressa de Souza
- Reis Maria Augusta Machado
- Revoredo Mariana
- Rocha Elizabete Sanches
- Rocha Guaracy Tadeu
- Rodrigues Heitor
- Rodrigues Marcela Freitas
- Rodrigues Sabrina dos Santos
- Rodrigues Vivian Delmute
- Roque Araguaia Solange de Souza
- Roque Janaina Pereira
- Rosa Claudia de Souza
- Ruocco Ana Maria Cirino
- Saad Ricardo Wurthmann
- Sabino Marilei Amadeu
- Salmazo Leandra Oliveira
- Salvador Sérgio Azevedo
- Salvini Sandra Salenave
- Santanna Bruna Bertasso
- Santos Amanda Sertori dos
- Santos Danielle Aparecida do Nascimento dos
- Santos Danúbia Ferraz dos
- Santos Flávia Silva dos
- Santos Marcos Paulo Segantini dos
- Santos Maria de Fátima de Castro Lacaz
- Santos Sônia de Oliveira
- Santos Thiago Pereira dos
- Santos Willians de Jesus dos
- Sato Luciane Missae
- Scariot Pedro Paulo Menezes
- Schlünzen Elisa Tomoe Moriya
- Seidinger Letícia Chedid
- Sena Galeno José de
- Sgarbi Fernanda
- Shiota Rafaela Tiemi
- Sibila Camila Basso
- Silva Amanda Pimentel da
- Silva Ana Rita Correa da
- Silva Danilo Galhardo
- Silva Gabriela Dias da
- Silva Irma Dutra Gomes de Oliveira e
- Silva João Ricardo Neves da
- Silva Kamila Lima da
- Silva Marlon da
- Silva Murilo Cesar Santos da
- Silva Vandeí Pinto da
- Soares Marília
- Sousa Junior João Ramos de
- Sousa Leonardo da Silva Bezerra de
- Souza Junior Osmar Moreira de
- Souza Júnior Everton Luís de
- Souza Neto Samuel de
- Souza Camila Vaz de
- Souza Fábio Marques
- Souza Glauco Costa de
- Souza Hellen Cristiane de
- Souza Priscila Castro de
- Souza Priscilla Gonçalves de
- Souza Renata Junqueira de
- Spagnol Beatriz Aparecida
- Spazziani Maria de Lourdes
- Syllos Mariana Vidal
- Teixeira Marcos Fernando de Souza
- Teixeira Paulo Eduardo
- Terra Janaina
- Tosi Pedro Geraldo
- Toyohara Doroti Quiomi Kanashiro
- Troll Juliana
- Valeriano Natália
- Vanini Joice
- Vasconcelos Mário Sérgio
- Velden Helena Ferreira Vander
- Verges João Vitor Gobis
- Vilche Peña Angel Fidel
- Viotto Filho Irineu Aliprando Tuim
- Weber Silke Anna Thereza
- Wiezzel Andréia Cristiane Silva
- Yazlle Elisabeth Gelli
- Zecchini Marcus Vinicius
- Zeni José Ricardo de Rezende
- Zonta Ana Flora Zanirato
- Zuliani Silvia Regina Quijadas Aro
- Publication venue
- Pró-Reitoria de Graduação (PROGRAD UNESP)
- Publication date
- Field of study
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq
Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial
- Author
- Abreu Matheus O.
- Acerbi Paulo S. C.
- Albuquerque Regis B.
- Aldrighi Jose R.
- Alencastro Andre
- Almeida Marilia S.
- Almeida Patricia S.
- Almeida Samara D.
- Almeida Samara D.
- Alves Janine D.
- Amaral Karine A. E. H.
- Amaro Andreson F.
- Amato Marcelo B. P.
- Amato Marcelo B. P.
- Amorim Denise S.
- Amorim Fabio F.
- Andrade Ana H. V.
- Andrade Isaac G.
- Andrade Lucia C.
- Andrade Luciana A. S.
- Andrade Wandalvo
- Apoena Pablo
- Araujo Neto Jose A.
- Araujo Arthur C.
- Araujo Jose F.
- Araujo Marcelo E. U.
- Araujo Mario F. A.
- Arduini Rodrigo G.
- Assef Maria G. P. L.
- Azevedo Luciano C. P.
- Azevedo Luciano C. P.
- Backes Fabiane
- Bainy Marina P.
- Baptista Filho Mario L. A.
- Barbosa Pierry O.
- Barra Williams F.
- Barros Dalton
- Baruzzi Claudio
- Bastos Ana C. A. G.
- Bastos Rafael S.
- Batista Roseane A.
- Becker Daniel A.
- Bergo Ricardo R.
- Berto Paula
- Berwanger Otavio
- Berwanger Otavio
- Bigolin Rodrigo
- Bitencourt Wesley S.
- Bitencourt Wesley S.
- Blattner Clarissa
- Boldo Rodrigo
- Boniatti Marcio M.
- Borges Marcos C.
- Bozi Giovana G.
- Brandao Andre L. S. B.
- Brilenger Caroline O.
- Brilhante Yuzeth Nobrega
- Broilo Fabiano P.
- Burigo Ana C.
- Cacau Lucas A. P.
- Caixeta Carlos R.
- Caldeira Milton
- Caldeira Milton
- Canavessi Hugo Schlebinger
- Canzi Regina A.
- Cappi Sylas B.
- Carbonell Roberto C. C.
- Cardoso Lucienne T. Q.
- Carmona Cesar V.
- Carneiro Mauricio
- Carneiro Saul R.
- Carvalho Alexandre G. R.
- Carvalho Carlos R. R.
- Carvalho Carlos R. R.
- Carvalho Fabricio R. T.
- Carvalho Fernanda L. G.
- Carvalho Frederico B.
- Carvalho Frederico B.
- Carvalho Ivana L. V.
- Carvalho Vitor O.
- Carvalho Waneska L. N.
- Caser Eliana
- Castanelo Carlos
- Cavalcante Eulalia
- Cavalcanti Alexandre B.
- Cavalcanti Alexandre B.
- Cavalcanti Raphael Ali
- Cerantola Rodrigo B.
- Chagas Filho Aldir
- Chamy Gauco
- Chaves Filho Francisco G.
- Chiasso Tatiana M.
- Coelho Adalberto M.
- Coelho Edward, Jr.
- Coelho Milena P. P. M.
- Conde Katia A. P.
- Cordeiro Rodrigo B.
- Correa Fabiano G.
- Correa Tiago A.
- Correa Viviane M.
- Correia Emmanuel I. S.
- Cortegiani Andrea
- Costa Andre F.
- Costa Maristela C.
- Costa Ramon T.
- Couto Wivian A. D.
- Cramer Amanda S.
- Cunha Adenard F. C.
- Dadam Michelli M.
- Damasceno Bruna
- de Oliveira Filho Wilson
- de Oliveira Filho Wilson
- Decio Janaina C.
- Demarzo Sergio E.
- Dias Alysson P.
- Dias Fernando S.
- Dias Polyana P. L. C.
- Diaz S. Edgard
- Diaz-Quijano Fredi A.
- Diaz-Quijano Fredi A.
- Domingues Sergio M., Jr.
- Dragosavak Desanka
- Duarte Juliana N.
- Duarte Pericles A. D.
- Duarte Robson
- Dutra Victor G.
- Eberhart Neto Ervin
- Falcao Antonio
- Falcao Jansen G.
- Farran Jorge
- Felizardo Livia R. S. M.
- Ferguson Niall
- Ferraz Iris L.
- Ferreira Neto Fleury
- Ferreira Ana P.
- Ferreira Cassia M.
- Ferreira Claiton S.
- Ferreira Denise M.
- Ferreira Edgard V.
- Ferreira Elaine M.
- Ferreira Firmino H., Jr.
- Ferreira Reinaldo
- Festti Josiane
- Fialkow Lea
- Figueiredo Adelaide C.
- Figueiredo Luciana C.
- Filgueira Feto Jose E.
- Flores Dimitri G.
- Flores Dimitri G.
- Foernges Rafael B.
- Franca Gustavo G. P.
- Francisco Renata S.
- Franke Cristiano
- Galassi Marcela S.
- Gallego Raquel C. N.
- Galvao Endi L.
- Garcez Melissa C. M.
- Garcia L. Sandra M. C.
- Gatti Ciro
- Geha Nadia N.
- Germano Almir
- Germiniani Bruno C.
- Giacomassi Ivens W. S.
- Giancursi Thiago S.
- Giannini Fabio
- Gil Fernando S. U.
- Gimenez Francielli M. P.
- Giuberti Adriana F. T.
- Giuberti Jonas, Jr.
- Gois Aecio
- Gomes Bruno C.
- Gomes Tania M.
- Goncalves Neto Graciliano J. L.
- Goncalves Fernanda A. F.
- Goncalves Iran, Jr.
- Gonzalez C. Octavio
- Gorski Anthony G.
- Grion Cintia M. C.
- Grion Cintia M. C.
- Guadalupe Erika G. L.
- Guerra Andre
- Guerreiro Marcio O.
- Guimaraes Daniela M. Q. S.
- Guimaraes Helio P.
- Guimaraes Helio P.
- Guimaraes Helio P.
- Gurgel Sanderland J. T.
- Guyatt Gordon
- Hajjar Ludhmila A.
- Heirel Debora C. B.
- Henriques Lilian A.
- Herek Andrea
- Hinestrosa Alfredo
- Hirota Adriana S.
- Holanda Marcelo A.
- Hopf Joao L. S.
- Horner Marina B. W.
- Inagaki Alexandre S.
- Infantini Rodrigo M.
- Isola Alexandre
- Jesus Karinne R.
- Kauss Ivanil A. M.
- Kawaguchi Ines A. L.
- Kazue Priscila
- Kleber Wladimy
- Kleber Wladmy
- Kodama Alessandra A.
- Kretzer Lara
- Kuroda Cristina M.
- Lago Roberto
- Laprovita Maria P.
- Larangeira Alexandre S.
- Laube Gilberto, Jr.
- Leao Rosangela M.
- Leite Petronio A.
- Lima Cyntia M. L. S.
- Lima Fernando B.
- Lima Maria H. B. S.
- Lima Zildamara B.
- Lira Jose A.
- Lopes Renato D.
- Lovato Wilson
- Lucena Debora N. L.
- Lunardi Maria C.
- Luzzi Sergio
- Maccari Juara G.
- Macedo Pedro L.
- Machado Fernando O.
- Machado Flavia R.
- Machado Luis A. M. W.
- Machado Nelma J. N.
- Magalhaes Nascimento Francine J.
- Maia Israel S.
- Maia Marcelo O.
- Malbouison Luiz M.
- Marcilino Antonielen
- Margalho Silviano B.
- Margarida Kathia
- Marino Nathalia F.
- Marques Leonardo S.
- Marraccini Thiago
- Martinez Amadeu
- Martins Edna T. J.
- Martins Eliauria R.
- Martins Eliauria R.
- Martins Gloria A.
- Martins Marcele F.
- Martins Marcio A.
- Martins Marcio A.
- Martins Mariana L.
- Matsubara Rosely R.
- Matsui Mirna
- Mazza Bruno F.
- Mecatti Giovana C.
- Medeiros Luciana G.
- Mendez Vanessa M. F.
- Mendonca Angela
- Menescal Brena
- Merluzzi Thalita
- Mezzaroba Ana L.
- Miranda Whiniton
- Miura Claudia
- Monteiro Livia L.
- Moraes Ana P. P.
- Moraes Rafael B.
- Morais Jussara E. P.
- Morais Mirene O.
- Morales Daniela
- Moreira Cora L. C. B.
- Moreira Fabiana B. R.
- Moreira Monique A.
- Moreno Marcelo S.
- Morong Aline S.
- Morsch Rafaela D.
- Nassar Antonio P., Jr.
- Naves Sergio A.
- Nedel Wagner
- Neto Jeronimo C. B.
- Nienstedt Esteban C.
- Nobrega Marciano S.
- Nogueira Filho Wilson
- Nogueira Eduardo E. F.
- Nomoto Silmara H.
- Nunes Andre L.
- Odir Isaura
- Oliveira Aline E.
- Oliveira Andre L. V.
- Oliveira Clezio S.
- Oliveira Glauce L.
- Oliveira Ivonaldo M.
- Oliveira Katia R.
- Oliveira Luiz R. C.
- Oliveira Marcelo E.
- Oliveira Roselaine P.
- Oliveira Roselaine P.
- Oliveira Roselaine P.
- Oliveira Tatiana A.
- Oliveira Vanessa M.
- Oliver Wilson R.
- Ornellas Izadora B.
- Orsatti Vinicius N.
- Park Marcelo
- Passos Denise B. V. G.
- Patrocinio Ana C. L.
- Paula Ludmila N.
- Pavia Caio L. P.
- Pedro A.
- Peixoto Daniela C.
- Peliser Priscila
- Pellegrini Jose A. S.
- Pellegrini Jose A. S.
- Pena Felipe M.
- Pereira Antonio J.
- Pereira Cesar A.
- Pereira Sheila A.
- Pincelli Mariangela
- Pinheiro Filho Gilvan R.
- Pinheiro Filho Gilvan R.
- Pinto Walkyria A. M.
- Piovesan Maysa Z. R.
- Piras Claudio
- Pizarro Camilo
- Pompilio Carlos E.
- Poquiriqui Rodolfo M. B.
- Potratz Jorge L.
- Prado Karen F.
- Prado Luiz F. A.
- Rabelo Livia A.
- Rabelo Melina V.
- Rahal Luciana
- Raineri Santi M.
- Ramos Joroastro E., Jr.
- Rangel Vivian P. L.
- Ray Alexandre
- Rech Tatiana H.
- Regenga Marisa M.
- Regenga Marisa M.
- Rego Leila R. M.
- Reis Andrezza T. J. B.
- Reis Diego L.
- Reis Diego L.
- Reis Helder
- Rezende Claudnei M.
- Rezende Ederlon
- Rezende Ederlon A. C.
- Rezende Valeria M. C.
- Ribeiro Gisele F. M.
- Ribeiro Rubens A. B.
- Ribeiro Wagner
- Rieder Marcelo M.
- Rocha Edson P.
- Rodrigues Ricardo G.
- Romano Edson
- Romano Edson
- Romano Marcelo
- Rossetti Santana Heloisa B.
- Rosso Deorgelis
- Sa Alexandre
- Sala Andrea D.
- Sales Joao A. L., Jr.
- Salgado Diamantino R.
- Salomao Maria C.
- Sandri Priscila
- Santana Hericalizandra S. R.
- Santiago Roberta R. S.
- Santos Gheisa D.
- Santos Grazielle O.
- Santos Jose R. P.
- Santos Lucio S.
- Santos Moreno C.
- Santos Patricia L.
- Santos Priscila J. C. D.
- Santos Thiago M.
- Sarat Saturnino Campo, Jr.
- Savi Augusto
- Scaglia Nris C.
- Schaich Felipe
- Schettino Guilherme P. P.
- Schiavetto Paulo M.
- Schievano Fabiana R.
- Schulz Luis F.
- Schwarz Patricia
- Schwarz Patricia
- Seeger Gabriela M.
- Segundo Valerio J.
- Severino Marta A.
- Silva Albano S.
- Silva Aline C. F.
- Silva Alline O.
- Silva Anselmo C.
- Silva Dafne C. B.
- Silva Fabiano D.
- Silva Nelson B.
- Silva Patricia N.
- Silva Rosicley S.
- Silva Rozangela R.
- Silva Sabrina F.
- Silva Sandra R. B.
- Silva Silvangela G. A.
- Smith Thiago C.
- Sousa Neto Jefferson A.
- Sousa Marcelo F.
- Souza Ana R.
- Souza Marcia L. V. D.
- Souza Marcia M. F.
- Starling Claudia M.
- Suguitani Edmundo O.
- Suzuki Vivian C.
- Suzumura Erica A.
- Suzumura Erica A.
- Tagliari Luciana
- Taino Bruno
- Taira Elisabete E.
- Takahashi Luzia
- Takahashi Luzia N.
- Takatani Rodrigo R.
- Tallo Fernando S.
- Tamazato Edys Y.
- Taniguchi Leandro
- Tarkieltaub Elcio
- Tavares Daniele
- Tavares Daniele C. C.
- Tavares Marcel V.
- Tavares Roberta C.
- Tcherniakovisk Leo
- Teixeira Cassiano
- Teixeira Cassiano
- Teixeira Cassiano
- Teixeira Cristina
- Teixeira Luciano O.
- Telles Jose M. M.
- Thompson Marlus M.
- Toledo Diogo
- Tomizuka Carlos I.
- Torres Franciele C. C.
- Toufen Carlos, Jr.
- Tozo Tatiane C.
- Trindade Renata S.
- Tucci Mauro
- Uratani Cristiana C. S.
- Vanzuita Raquel
- Vasconcelos Marcia O. M.
- Vasconcelos Paula T.
- Vassallo Paula F.
- Vendrame Leticia S.
- Verdeal Juan C.
- Vianna Arthur
- Vieira Debora F. V. B.
- Vieira Silvia R. R.
- Vieira Vitor M.
- Vieira Vitor M.
- Viera Filho Edesio
- Walter Stephen
- Wawrzeniak Iuri C.
- Werneck Vinicius
- Westphal Glauco
- Westphal Glauco
- Winveler Georgia F. P.
- Wysocki Natacha
- Xavier Patricia A.
- Yamada Sergio S.
- Zanta Camila C.
- Zoghbi Karina K.
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/07/2016
- Field of study
Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.13Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt
Characterisation of microbial attack on archaeological bone
- Author
- Abrantes Ana M
- Abreu Ana C
- Abreu Renato
- Abreu Renato
- Abreu Wilson
- Acedo Guadalupe
- Afonso Carlos
- Afreixo Vera
- Agudelo Mª E
- Alarcão Violeta
- Albuquerque Carlos
- Albuquerque Carlos
- Albuquerque Carlos
- Alencar Liana
- Alferes Valentim R
- Aliseda Isabel R
- Almada Lívia F
- Almeia António
- Almeida Ana
- Almeida Ana
- Almeida António
- Almeida António
- Almeida Armando
- Almeida Armando
- Almeida Fabrícia M
- Almeida Henrique
- Almeida Henrique A
- Almeida Henrique A
- Almeida Inês
- Almeida Jorge
- Almeida José P
- Almeida Maria
- Almeida Pedro
- Almeida Sidalina
- Alvarenga-Martins Nathália
- Alves B.
- Alves B.
- Alves Celeste
- Alves Dina
- Alves Gilberto
- Alves Helder
- Alves Josiane
- Alves José M
- Alves Juliana
- Alves Júlia M
- Alves Nuno
- Alves Nuno
- Alves Samuel
- Amado Diogo
- Amado João
- Amado Sandra
- Amaral Ana P
- Amaral Ana P
- Amaral Odete
- Amaral Odete
- Amaral Odete
- Amaral Odete
- Amaral Odete
- Ambrósio Sara
- Amendoeira José
- Amorim Ana
- Amorim Ana P
- Amorim Helena
- Andrade Diogo
- Andrade Isabel
- Andrade Isabel
- Andrade Isabel
- Andrade Isabel
- Andrade Isabel
- Andrade Isabel
- Andrade J. A
- Andrade Karizia V
- Andrade Renato
- Andrade Renato
- Andrade Susana
- Antunes Ana
- Antunes Ana
- Antunes Cristina
- Antunes Lígia
- Antunes Sandra
- Antunes Sandra
- Aparício Graça
- Aparício Graça
- Aparício José
- Apolinário-Hagen Jennifer
- Apolinário-Hagen Jennifer
- Aquino Caroline Q
- Aquino Caroline Q
- Aquino Priscila S
- Aquino Priscila S
- Araujo André R
- Araújo Beatriz
- Araújo Elsa
- Araújo Lia
- Araújo Odete
- Araújo Odete
- Araújo Patrícia
- Araújo Patrícia
- Araújo Patrícia
- Armas-Gonzalez Yadira
- Arreguy-Sena Cristina
- Arreguy-Sena Cristina
- Ascenso Rita T
- Ascenso Rita T
- Assunção Victor
- Augusto Cláudia
- Avelelas Francisco
- Ayoub Rodrigo
- Azeredo Zaida
- Azeredo Zaida
- Azeredo Zaida
- Azeredo Zaida
- Azevedo Julieta
- Azevedo Julieta
- Azevedo Marcelo
- Azevedo Maria H
- Azevedo Mª H
- Azevedo Tatiana
- Azzalis L.
- Baffour Gabriel
- Baffour Gabriel
- Bairros Keila
- Baixinho Cristina L
- Bajo Roberto
- Baltazar Ana L
- Barbeiro Ana P
- Barbosa Flávio
- Barbosa Tiago
- Barreira Eduarda
- Barreiros Luísa
- Barros Luísa
- Barros Luísa
- Barros Teresa
- Barroso Isabel
- Barroso Isabel
- Barroso Isabel
- Barroso João
- Basto Marta L
- Basto Marta L
- Basto Marta L
- Bastos Fernanda
- Bastos Fernanda
- Batalha Joana
- Batista Marco
- Batista Marco
- Batista Marco
- Batista Rita
- Baylina Pilar
- Becerra Isabel A
- Bellém Fernando
- Bellém Fernando
- Belo Pedro
- Benevides Joana
- Benevides Joana
- Bento Elisabete
- Bento Elisabete
- Bento Sandrina
- Bento Teresa
- Bergland Astrid
- Bernardes Lúcia G
- Bernardes Tiago
- Bernardo Helena
- Bexiga Filipa
- Bianchini Bruna
- Bizarro Carla
- Björklund Anita
- Blanco Valeriana G
- Boavida José
- Bonfim Luís
- Bordin Ronaldo
- Bordin Ronaldo
- Bordini Magali
- Borges Raphaelle
- Botelho Mª F
- Braga Fátima
- Braga Luciene
- Braga Luciene M
- Braga Luciene M
- Braga Margarida
- Branco Marco
- Brandão Daniela
- Brandão Daniela
- Brandão Frederico
- Brandão Piedade
- Brandão Teresa
- Bravo Rafael
- Bravo Rafael
- Breda São J
- Brito Alice
- Brito António
- Brito Irma
- Brito Luísa S
- Brito Nuno
- Brooks Dina
- Brunhoso Germana
- Brás Carina
- Brás Manuel
- Brêda Mª S J
- Bye Asta
- Caballero Francisco P
- Caballero Francisco P
- Caballero Francisco P
- Cabral Cremilde
- Cabral Gil
- Cabral Isabel
- Cabral Joana
- Cabral Lídia
- Cabral Priscila P
- Cabrita José
- Caceiro Elisa F
- Cadorio Inês
- Caeiro Patrícia
- Caldeira Suzana N
- Calha António
- Calha António
- Calvo Cristina
- Calvo Mª C
- Camarinha Luís
- Camarinha Luís
- Camarneiro Ana
- Camarneiro Ana
- Caminha Madson
- Campi Liliana
- Campofiorito C.
- Campos Maria
- Campos Maria
- Campos Mariana
- Campos Mª J
- Capelas Sylvie
- Cardoso Américo
- Cardoso Andreia
- Cardoso Ilda
- Cardoso Margarida
- Cardoso Mário E
- Cardoso Sara
- Cardoso Susana
- Carecho Nélio
- Carmen Barriga
- Carmo A.
- Carmo Bruno M
- Carneiro Juliana
- Carneiro Lara
- Carneiro Lara
- Carneiro M. A
- CaroMinghelli Eulália
- Carreira Diana
- Carreiras Diogo
- Carrão Luís
- Carvalhais Maribel
- Carvalhais Maribel
- Carvalho Amâncio
- Carvalho António
- Carvalho Carla
- Carvalho Carla
- Carvalho Carla
- Carvalho Carla
- Carvalho Carla
- Carvalho Carla
- Carvalho Célia B
- Carvalho Célia B
- Carvalho Célia B
- Carvalho Daniel
- Carvalho Daniel
- Carvalho Daniel
- Carvalho Daniel
- Carvalho Daniel
- Carvalho Francisco L
- Carvalho Inês
- Carvalho Joana
- Carvalho Lisiane L
- Carvalho Lisiane L
- Carvalho Lucinda
- Carvalho Nelma
- Carvalho Rosa
- Carvalho Rui
- Carvalho Sara
- Carvalho Sérgio
- Carvalho Teresa
- Carvalho Teresa
- Carvalho Tiago
- Carvalho Yara M
- Casalta-Lopes João
- Casas-Novas Mónica
- Caseiro Armando
- Caseiro Armando
- Caseiro Armando
- Caseiro Armando
- Caseiro Armando
- Casimiro Ana P
- Castilho Amélia
- Castilho Amélia
- Castilho Amélia
- Castilho Amélia
- Castilho Paula
- Castro Conceição
- Castro Régia B
- Castuera Ruth J
- Catarino Elisabete
- Catarino Helena
- Catarino Helena
- Catarino Helena
- Catarino Helena
- Catela David
- Cavalheiro Luís
- Cavalheiro Luís
- Certo Ana
- Cervato-Mancuso Ana M
- Cezanne Catarina
- Charepe Zaida
- Charepe Zaida
- Cheio Mónica
- Chen Gang
- Chung Wu F
- Clara João G
- Coelho Alexandre
- Coelho André
- Coelho Carina
- Coelho Elza S
- Coelho Inês
- Coelho Inês
- Coelho Luís
- Coelho Luís
- Coelho P.
- Coelho Patrícia
- Coelho Patrícia
- Colaço Armanda
- Colaço Armanda
- Colaço Diogo
- Collado-Mateo Daniel
- Collado-Mateo Daniel
- Combadão Jaime
- Conceição Milena A
- Conde Jorge
- Cordeiro Eugénio
- Cordeiro Marina
- Cordeiro Marina
- Cordeiro Marina
- Cordeiro Marina
- Cordeiro Marina
- Cordeiro Marina
- Cordeiro Raul
- Correia André
- Correia Jony
- Correia Telma
- Costa Ana R
- Costa André
- Costa Cláudia
- Costa Diana
- Costa Diana
- Costa Emília
- Costa Joyce O
- Costa Joyce O
- Costa Pablo O
- Costa Ricardo
- Costa Rui
- Costa Tânia
- Costa Tânia
- Costa Vanessa
- Coucelo Tiago
- Coutinho André P
- Coutinho Paula
- Couto Cristina
- Couto Diana
- Couto Margarida
- Couto Margarida
- Cova Marco P
- Cruz Agostinho
- Cruz Agostinho
- Cruz Agostinho
- Cruz Agostinho
- Cruz Agostinho
- Cruz Agostinho
- Cruz Bárbara
- Cruz Graça
- Cruz Inês
- Cruz Inês
- Cruz Joana
- Cruz Joana
- Cruz João
- Cruz Pedro
- Cruz Rui
- Cruz Rui
- Cruz Rui
- Cruz Susana
- Cruz x
- Cunha Fátima
- Cunha Madalena
- Cunha Madalena
- Cunha Madalena
- Cunha Madalena
- Cunha Madalena
- Cunha Marina
- Cunha Marina
- Cunha Marina
- Cunha Marina
- Cunha Marina
- Cunha Marina
- Cunha Marina
- Cunha Marina
- Cunha Marina
- Cândido Anabela
- César Ana F
- Da Motta Carolina
- Da Motta Carolina
- Da Motta Carolina
- Daniel Fernanda
- Dantas Estélio
- Deodato Sérgio
- Desouzart Gustavo
- Dias Alberto P
- Dias António
- Dias Hélia
- Dias Sara S
- Dias Sara S
- Dias Sara S
- Dias Tiago
- Dinis Alexandra
- Dinis Alexandra
- Dixe Anjos
- Dixe Anjos
- Dixe Anjos
- Dixe Maria
- Dixe Maria D A
- Dixe Maria D A
- Dixe Mª A
- Dixe Mª A
- Dixe Mª A
- Dixe Mª A
- Dixe Mª A
- Dixe Mª A
- Domingos Joana
- Domingos Samuel
- Domingues Cátia
- Domingues Gabriela
- Domingues J. N
- Dreyer Laysa C
- Duarte Catarina
- Duarte Diana
- Duarte Diana
- Duarte Hugo
- Duarte Hugo
- Duarte João
- Duarte João
- Duarte João
- Duarte Mafalda
- Duarte Nuno
- Duarte Soraia
- Duarte Soraia
- Escanciano Susana R
- Escoval Ana
- Espada Mário
- Esteves Mª R
- Estevez Gustavo L
- Estrela Jéssica
- Evangelista Diana
- Faria Luís
- Faria Luís
- Faria Melissa
- Faria Paula
- Faria Paula
- Faustino António
- Faustino António
- Faustino António
- Fernandes Adília
- Fernandes Ana R
- Fernandes Andreia
- Fernandes Beatriz
- Fernandes Helder M
- Fernandes Jorge C
- Fernandes Morgana C
- Fernandes Patrícia
- Fernandes Patrícia
- Fernandes Paula
- Fernandes Paula O
- Fernandes Paula O
- Fernandes Renato
- Fernandes Rosina
- Fernandes Rosina
- Fernandes Rosina
- Fernandes Telma
- Fernandez Mª J L
- Ferraz Maira
- Ferraz Vera
- Ferreira Ana
- Ferreira Ana
- Ferreira Ana
- Ferreira Ana
- Ferreira António
- Ferreira António
- Ferreira Carlos
- Ferreira Cláudia
- Ferreira Cláudia
- Ferreira Cláudia
- Ferreira Cláudia
- Ferreira Dora
- Ferreira Eduardo
- Ferreira Eduardo
- Ferreira Irina
- Ferreira José
- Ferreira José
- Ferreira José P
- Ferreira Lino
- Ferreira Manuela
- Ferreira Manuela
- Ferreira Manuela
- Ferreira Manuela
- Ferreira Margarida
- Ferreira Margarida
- Ferreira Margarida
- Ferreira Margarida
- Ferreira Nelson
- Ferreira P.
- Ferreira Paulo P
- Ferreira Paulo P
- Ferreira Paulo P
- Ferreira Paulo P
- Ferreira Pedro
- Ferreira Pedro
- Ferreira Pedro
- Ferreira Pedro
- Ferreira Pedro
- Ferreira Pedro
- Ferreira Pedro L
- Ferreira Regina
- Ferrito Cândida
- Ferro-Lebres Vera
- Festas Clarinda
- Figueiredo Amélia
- Figueiredo Ana G
- Figueiredo Daniela
- Figueiredo J.
- Figueiredo João
- Figueiredo João P
- Figueiredo João P
- Figueiredo João P
- Figueiredo Mª C
- Figueiredo Mª H
- Figueiredo Mª H
- Figueiredo Paulo
- Filho Braulio L
- Filho João G
- Filho João G
- Filho João G
- Filipe Vítor
- Fiorin Bruno H
- Fleig Tânia C
- Fleig Tânia C
- Fonseca Ana R
- Fonseca F.
- Fonseca F.
- Fonseca Virgínia
- Fonseca Virgínia
- Fonseca-Pinto Rui
- Fonseca-Pinto Rui
- Fonseca-Pinto Rui
- Fonseca-Pinto Rui
- Fontana Karine C
- Fontes-Ribeiro Carlos
- Forte Henriqueta D
- Fotschl Ulrike
- Frade João G
- Frade João G
- Frade João G
- Francisco Irene
- Franco Débora
- Franco-Borges Graciete
- Freire Ana
- Freitas Alberto
- Freitas Gregório
- Freitas Gregório
- Freitas João
- Freitas Kátia
- Freitas Maria
- Freitas Otília
- Freitas Otília
- Freitas Vívien A
- Frigo Leticia
- Froemming Miriam B
- Fuentes-Broto Lorena
- Furtado Alessandra S
- Furtado G.
- Furtado Guilherme
- Furtado Guilherme
- Furtado Guilherme E
- G.Silva Anne
- Gabriel António
- Gabriel António
- Gabriel António
- Gabriel António
- Gabriel António
- Gabriel Joaquim
- Gabriel Joaquim
- Galhardo Ana
- Galhardo Ana
- Galhardo Ana
- Galhardo Ana
- Galvão Ana
- Galvão Ana
- Galvão Ana
- Galvão Sofia
- Gama Ester
- Gama João
- Ganho-Ávila Ana
- Garcia Ana P
- Garcia Inês
- Garcia Teresa
- Garcia-Gordillo Miguel A
- Garcia-Gordillo Miguel A
- Garrido António
- Gaspar Filomena
- Gaspar Filomena
- Gaudêncio Iris
- Gehrke F.
- Gehrke F.
- Gisin Stefan
- Glória Margarida
- Gomes Ana A
- Gomes Ana A
- Gomes Antônio T
- Gomes Catarina
- Gomes Fernando
- Gomes José
- Gomes José C
- Gomes José H
- Gomes José H
- Gomes José H
- Gomes João
- Gomes João
- Gomes João
- Gomes João
- Gomes João
- Gomes Lisa
- Gomes Maria
- Gomes Mª J
- Gomes Pedro
- Gomes Sofia
- Gomez Inmaculada R
- Gonzalez Estefania P
- González Jesús A
- Gonçalves Amadeu
- Gonçalves Ana
- Gonçalves Ana
- Gonçalves Ana C
- Gonçalves Guilherme
- Gonçalves Liliana
- Gonçalves Narcisa
- Gonçalves Rita
- Gonçalves Rodrigo
- Gonçalves Rui
- Gonçalves Rui
- Gonçalves Óscar
- Gordo Clementina
- Gordo Sara
- Goulart Cássia L
- Goulão Beatriz
- Grande Carla
- Granjo Paulo
- Graveto João
- Graveto João
- Graveto João
- Graveto João
- Graça Anabela
- Graça Pedro
- Guedelha Daniel
- Guedes Jenifer
- Guedes Jenifer
- Guedes Joana
- Guerra Magda
- Guerreiro Sabrina L
- Guerrero Jose T
- Guerrero Jose T
- Guerrero José T
- Guerrero José T
- Guimarães Pedro
- Guimarães Teresa
- Guimarães Teresa
- Gusi Narcis
- Gutierrez Milagros L
- Hall Andreia
- Heitor Mª J
- Henriques Carolina
- Henriques Carolina G
- Henriques Mª A
- Hernandez-Martinez Francisco J
- Hernandez-Martinez Francisco J
- Hernández-Martínez Francisco-José
- Hesse Camilla
- Honório Samuel
- Honório Samuel
- Honório Samuel
- Honório Samuel
- Honório Samuel
- Horta Lina G
- Huertas Mª J T
- Iezzi Angelo
- Jardim Ana
- Jardim Helena G
- Jardim Jacinto
- Jesus C.
- Jesus C.
- Jesus Carlos
- Jesus Luís
- Jesus Rita
- Jesus Ângelo
- Jesus Ângelo
- Jesus Ângelo
- Jesus Ângelo
- Jimenez Nuria R
- Jimenez-Castuera Ruth
- Jimenez-Diaz Juan F
- Jimenez-Diaz Juan F
- Jimenez-Rodriguez Carla
- Jiménez-Díaz Juan-Fernando
- Jiménez-Díaz Juan-Fernando
- Jiménez-Rodríguez Carla
- Jordão Célia
- Jorge Arminda
- José Helena
- João Paulo V
- João Paulo V
- Jácome Cristina
- Jácome Cristina
- Kaliniczenco A.
- Kniess Rosiane
- Kranz Luís F
- Kranz Luís F
- Kraus Teresa
- Kraus Teresa
- Kretzer Marcia
- Kretzer Marcia
- Kretzer Marcia
- Kretzer Marcia
- Kretzer Marcia
- Kretzer Marcia
- Kretzer Marcia R
- Kretzer Márcia R
- Kurcgant Paulina
- Lacerda Josimari T
- Lacerda Josimari T
- Lacerda Josimari T
- Lage Isabel
- Lagoa Matilde
- Lains Jorge
- Lapa Leila
- Laranjeira Carlos
- Laranjo Mafalda
- Leal Jéssica
- Lebre Paula
- Lebre Sara
- Lee Huei D
- Leitão Catarina
- Leitão Céu
- Leitão Céu
- Leitão José A
- Lessa Paula A
- Leça Andrea
- Lima Adman S
- Lima Cristóvão F
- Lima Teresa M
- Lima Vera
- Lima-Basto Marta
- Lindo João
- Lindo João
- Lirk Gerald
- Lobato João
- Lobão Catarina
- Lopes Albino
- Lopes Carla
- Lopes Carla
- Lopes Elisa
- Lopes José C
- Lopes João
- Lopes Luci S
- Lopes Nuno
- Lopes Nuno V
- Lopes Nuno V
- Lopes Rui S
- Lopes Sara
- Lopes Saudade
- Loura Raquel
- Loureiro Isabel
- Loureiro Mª H
- Loureiro Mª H
- Loureiro Mª H
- Lourenço Georgina
- Lourenço Marina
- Louro Clarisse
- Louro Clarisse
- Louro Mª C
- Lousada Marisa
- Lousada Marisa
- Lousada Marisa
- Lumini José
- Luz Leonardo
- Luz Leonardo
- Luz Tatiana
- Luz Tatiana D
- Luís Henrique
- Luís Luís
- Luís Mª J
- Luís Sara
- Macedo Ana P
- Macedo António
- Macedo António
- Machado Idalina
- Machado Mª M
- Machado Patrícia O
- Machado Paulo
- Machado Paulo
- Machado Sara
- Madeira Teresa
- Madureira António
- Madureira António
- Magajewski Flávio
- Magalhães Carlos
- Magalhães Celina
- Magalhães Cátia
- Magalhães Cátia
- Magalhães Cátia
- Maia Ana S
- Maia Ana S
- Maia Ana S
- Maia Ana S
- Maia Bruno
- Maia Bruno
- Maia Carla
- Malheiro Isabel
- Malheiro Isabel
- Mangas Catarina
- Mangas Catarina
- Manso Conceição
- Manso M. C
- Marante Nídia
- Margarida Couto
- Marinho Daniel
- Marinho Sara
- Marques Alda
- Marques Alda
- Marques Alda
- Marques Alda
- Marques Alda
- Marques Alda
- Marques Alda
- Marques Alda
- Marques Alda
- Marques Ana R
- Marques António
- Marques Catarina
- Marques Cristiana
- Marques Cristiana
- Marques Daniel R
- Marques Daniel R
- Marques Fátima M
- Marques Mariana
- Marques Mariana
- Marques Mariana
- Marques Mariana
- Marques Mª F
- Marques Mário
- Marques Rita
- Marques Rita
- Marques Rita
- Marques Rita
- Marques Rita
- Marques Rita
- Marques Silvana F
- Marques Silvana F
- Marques Sílvia
- Marques Tatiana
- Marques-Rodrigues Alexandre
- Marques-Vieira Cristina
- Marquez Laura A
- Marsi Teresa O
- Marta-Simões Joana
- Marta-Simões Joana
- Marta-Simões Joana
- Marta-Simões Joana
- Martin Inmaculada Z
- Martinez-Hernandez Francisco
- Martinho Liliana
- Martins Ana R
- Martins Anabela C
- Martins Anabela C
- Martins Anabela C
- Martins Anabela C
- Martins Anabela C
- Martins Anabela C
- Martins Anabela C
- Martins Anabela C
- Martins Carlos R
- Martins Cristina
- Martins Cristina
- Martins Emília
- Martins Emília
- Martins Emília
- Martins Eveliny S
- Martins Fernando
- Martins Fátima
- Martins Julian
- Martins Laura
- Martins Maria M
- Martins Matilde
- Martins Matilde
- Martins Patrícia
- Martins Raul
- Martins Rosa
- Martín Ignácio
- Marôco João
- Marôco João
- Mata Mª A
- Mata Mª A
- Mata Mª A
- Mateus Artur
- Mateus Artur
- Matheus Filipe
- Matos Ana R
- Matos Filomena
- Matos Maria
- Matos Rui
- Medeiros Anabela
- Medeiros Dayse C
- Medeiros-Garcia Lurdes
- Medina María S
- Meireles Alexandra
- Melo Elsa
- Melo Elsa
- Melo Elsa
- Melo Flávio
- Melo Rosa
- Melo Rosa
- Melo Rosa
- Melo Rosa
- Mendes Aida
- Mendes Ana
- Mendes Ana
- Mendes Ana
- Mendes Ana L
- Mendes Ana L
- Mendes Ana L
- Mendes Elenice
- Mendes F
- Mendes F.
- Mendes Felismina
- Mendes Fernando
- Mendes Fernando
- Mendes Fernando
- Mendes Fernando
- Mendes Fernando
- Mendes Fernando
- Mendes Fernando
- Mendes Francisco
- Mendes Francisco
- Mendes Francisco
- Mendes Isabel
- Mendes Isabel
- Mendes Joana
- Mendes Maria F
- Mendes Pedro
- Mendes Pedro
- Mendes Pedro
- Mendes Pedro
- Mendes Pedro
- Mendes Pedro
- Mendes Pedro
- Mendes Romeu
- Mendes Romeu
- Mendes Romeu
- Mendes Zaida
- Mendonça Carlos
- Mendonça Nuno
- Mendonça Paula
- Mendonça Paula
- Mendonça Verónica
- Mendonça Verónica
- Meneghetti Vanize
- Meneses Rui
- Menezes Ruth L
- Menino Eva
- Menino Eva
- Menino Eva
- Menino Eva
- Mercê Cristiana
- Mesquita Helena
- Mesquita Helena
- Mesquita João R
- Midões Cristiana
- Milanés Gemma M
- Minas Bárbara
- Minghelli Beatriz
- Minghelli Beatriz
- Miranda Cristiana
- Miranda Marta
- Miranda Natacha F
- Monago Fatima M
- Monago Fatima M
- Monago Fátima M
- Monago Rocio M
- Monteiro Diogo
- Monteiro Helena
- Monteiro Joana
- Monteiro Lina
- Monteiro Luís
- Monteiro M. J
- Monteiro M. J
- Monteiro Mª J
- Monteiro Sílvia
- Morais Carminda
- Morais Marina A
- Morais Mª C
- Morais Mª C
- Morais Mª C
- Morais Mª C
- Morais Nuno
- Moreira Eliana
- Moreira Fernando
- Moreira Fernando
- Moreira Fernando
- Moreira Fernando
- Moreira Fernando
- Moreira Fernando
- Moreira Isabel
- Moreira Liliana
- Moreira Liliana
- Moreira Rita L
- Moreno Ana L
- Morgado Alice
- Morgado Sónia
- Morgado Sónia
- Morna Clementina
- Morna Clementina
- Morouço Pedro
- Morouço Pedro
- Mota Maria
- Mota Maria
- Mota Priscilla
- Moura Cynthia B
- Moura-Ramos Mariana
- Mouroço Pedro
- Mourão Ricardo
- Mártires Alice
- Mónico Lisete
- Mónico Lisete
- Mónico Lisete M
- Mónico Lisete M
- Mónico Lisete M
- Mónico Lisete M
- Mónico Lisete M
- Mónico Lisete M
- Nascimento Daniela
- Nascimento Maria S
- Nascimento V. B
- Natal Sônia
- Nave Filipe
- Nave Filipe
- Nazario Nazare
- Nazario Nazare
- Nazario Nazare
- Nazaré Cristina
- Nazário Nazaré O
- Neco Sofia
- Nelas Paula
- Neto João S
- Neves Carmo
- Neves Joana
- Neves Joel
- Neves Jéssica
- Neves Jéssica
- Neves Miguel
- Neves Sofia
- Neves Vanessa
- Nicola Paulo
- Nogueira Conceição
- Nogueira Paulo
- Nogueira Paulo
- Noné Ana
- Novais Sandra
- Novais Sandra
- Novais Sónia
- Novais Sónia
- Novo André
- Nugem Rita C
- Nugem Rita C
- Nunes Amélia
- Nunes Amélia F
- Nunes Carla
- Nunes Carla
- Nunes Carla
- Nunes Hélder
- Nunes Liliana
- Nunes S.
- Nuñez Cristina G
- Oliva Jefferson T
- Olivares Pedro R
- Oliveira Adriana
- Oliveira Ana
- Oliveira Ana
- Oliveira Ana
- Oliveira Ana I
- Oliveira Ana I
- Oliveira Ana I
- Oliveira Ana I
- Oliveira Ana I
- Oliveira Ana P
- Oliveira Anabela
- Oliveira Bibiana F
- Oliveira Bárbara
- Oliveira Camila A
- Oliveira Catarina
- Oliveira Denize C
- Oliveira Edmar S
- Oliveira Elizabete A
- Oliveira Emanuel
- Oliveira Eunice G
- Oliveira Eunice G
- Oliveira Isabel
- Oliveira Lara L
- Oliveira Manuel
- Oliveira Michelle T
- Oliveira Michelle T
- Oliveira Michelle T
- Oliveira Michelle T
- Oliveira Mirna F
- Oliveira Raul
- Oliveira Rita
- Oliveira Rita
- Oliveira Rita F
- Oliveira Rita F
- Oliveira Rita F
- Oliveira Sara
- Oliveira Sebastião T
- Oliveira Sebastião T
- Oliveira Suzete
- Oliveira Teresa C
- Oliveira Teresa T
- Oliveira Vânia P
- Olszewer Efrain O
- Ortiga Angela B
- Osório Nádia
- Osório Nádia
- Osório Nádia
- Osório Nádia
- Osório Nádia
- Pacheco José
- Padez Cristina
- Padilha José M
- Padilha José M
- Padilha José M
- Padilha José M
- Paixão S.
- Paixão Susana
- Paixão Susana
- Palmeira Lara
- Palmeira Lara
- Paraíso Nilson
- Paredes Hugo
- Parente Alexandra
- Parraça José A
- Parraça José A
- Parreira Pedro
- Parreira Pedro
- Parreira Pedro
- Parreira Pedro
- Parreira Pedro
- Parreira Pedro
- Parreira Pedro
- Parreira Pedro
- Parreira Pedro
- Parreira Pedro
- Parreira Pedro
- Parreira Pedro
- Parreira Pedro D
- Parreira Pedro M
- Parreira Pedro M
- Parreira Pedro M
- Passadouro Rui
- Passadouro Rui
- Paulo Rui
- Paulo Rui
- Paulo Rui
- Paulo Rui
- Paulo Rui
- Paulo Rui
- Paúl Constança
- Paúl Constança
- Paúl Constança
- Pedreiro Ana
- Pedro Ana R
- Pedro Ana R
- Pedro Luísa
- Pedrosa Dora
- Pedroso Rosa
- Peixoto Ermelindo
- Peixoto-Plácido Catarina
- Peralta Teresa
- Pereira A.
- Pereira Alexandre
- Pereira Alexandre
- Pereira Ana
- Pereira Ana
- Pereira Ana
- Pereira Ana
- Pereira Ana M
- Pereira Ana M
- Pereira Ana M
- Pereira Ana T
- Pereira Ana T
- Pereira Anabela
- Pereira Carlos
- Pereira Carlos
- Pereira Carlos
- Pereira Carlos
- Pereira Carlos
- Pereira Cristina
- Pereira Elayne
- Pereira Elsa S
- Pereira Filipe
- Pereira Filomena
- Pereira Filomena
- Pereira Juliana
- Pereira Marta
- Pereira Olívia R
- Pereira Rafael
- Petrica João
- Petrica João
- Petrica João
- Petrica João
- Petrica João
- Pimenta Luís
- Pimenta Rui
- Pimentel Francisco
- Pimentel João
- Pimentel Rafaela
- Pinheiro Ana B
- Pinheiro Ana B
- Pinheiro Arminda A
- Pinheiro Patrícia C
- Pinho Cláudia
- Pinho Cláudia
- Pinho Cláudia
- Pinho Cláudia
- Pinho Cláudia
- Pinho Tânia
- Pinto Carlos
- Pinto Francisca
- Pinto Isabel C
- Pinto Isabel C
- Pinto J. L
- Pinto Joana
- Pinto M R
- Pinto Mª R
- Pinto Paulo F
- Pinto Sara
- Pinto Ítalo N
- Pinto-Gouveia José
- Pinto-Gouveia José
- Pinto-Gouveia José
- Pinto-Gouveia José
- Pinto-Gouveia José
- Pinto-Gouveia José
- Pinto-Gouveia José
- Pinto-Gouveia José
- Pires Filipa
- Pires Filipa
- Pires Tânia
- Pires Tânia
- Pisco Jacinta
- Pivetta Hedioneia F
- Piñero Ana S
- Poeta Susana
- Porta-Nova Rui
- Postolache Gabriela
- Postolache Octavian
- Poço Mariana
- Prado Alessandro
- Prata Ana R
- Prebianchi Helena
- Presado Mª H
- Preto Vera
- Príncipe Fernanda
- Pulido-Fuentes Montserrat
- Pérez-Caballero Francisco L
- Pérez-Caballero Francisco L
- Queirós Paulo
- Quelhas Ana
- Querido Ana
- Querido Ana
- Querido Ana
- Querido Ana
- Querido Ana
- Querido Ana
- Querido Ana
- Querido Ana
- Querido Ana
- Quintana-Montesdeoca Mª P
- Quirino Diogo
- Rabiais Isabel
- Rafael Helga
- Rainho Conceição
- Rainho Conceição
- Rainho Conceição
- Rama Luís
- Rama Luís
- Rama Luís
- Ramalhete Cátia
- Ramalho André
- Ramalho André
- Ramalho Fátima
- Ramalho Sónia
- Ramalho Sónia
- Ramalho Sónia A
- Ramirez Francisco B
- Ramirez Francisco B
- Ramos Maurício R
- Raposo Vítor R
- Rei Ana C
- Reina Mercedes G
- Reis Alcinda C
- Reis Ana S
- Reis Arsénio
- Reis Cláudia
- Reis Laura
- Reis Victor M
- Reses Manoela
- Reuter Éboni M
- Ribas Patrícia
- Ribeiro Andrea
- Ribeiro Andrea
- Ribeiro Diana
- Ribeiro Fernando
- Ribeiro Jaime
- Ribeiro Jaime
- Ribeiro José C
- Ribeiro João
- Ribeiro Lígia C
- Ribeiro Maria
- Ribeiro Maria
- Ribeiro Maximiano
- Ribeiro Olivério
- Ribeiro Olivério
- Ribeiro Samila G
- Ribeiro Sandra
- Ribeiro Sandra
- Ribeiro Óscar
- Ribeiro Óscar
- Ribeiro Óscar
- Ribeiro-Varandas Edna
- Richaud Sylvina
- Rocha C.
- Rocha Clara
- Rocha Clara
- Rocha Clara
- Rocha Mª C
- Rocha Mª C
- Rocha Saulo V
- Rocha Saulo V
- Rodrigo António
- Rodrigues Alexandre
- Rodrigues Alexandre
- Rodrigues Alexandrina
- Rodrigues António
- Rodrigues Cátia
- Rodrigues Diana
- Rodrigues Rogério
- Rodrigues Rogério
- Rodrigues Rogério
- Rodrigues Rosa
- Rodrigues Sandra
- Rodrigues Sandra
- Rodrigues Sandra
- Rodrigues Sandra
- Rodrigues Teresa
- Rodrigues Vítor
- Rodrigues Vítor
- Rodriguez Cláudia K
- Rodriguez-De-Vera Bienvendida C
- Rodriguez-De-Vera Bienvenida
- Rodriguez-De-Vera Bienvenida C
- Rodríguez Ana B
- Rodríguez-De-Vera Bienvenida-Del-Carmen
- Rombo João
- Roque Fátima
- Rosa Manuel S
- Rosa Marlene C
- Rosa Marlene C
- Rosa Marlene C
- Rosa Marlene C
- Rosa Marlene C
- Rosa Roger S
- Rosa Roger S
- Rosado António
- Rosado António
- Rosário Rafaela
- Ruben Rui B
- Ruivo Joana
- Saavedra Francisco
- Saboga-Nunes Luís
- Saboga-Nunes Luís
- Sala José A
- Sala José A
- Sales Tiago
- Salgueiro Anabela
- Salgueiro-Oliveira Anabela
- Salgueiro-Oliveira Anabela
- Salgueiro-Oliveira Anabela
- Salgueiro-Oliveira Anabela
- Salgueiro-Oliveira Anabela
- Salvador Mª C
- San-Martin Elisabete A
- Santana Miguel
- Santana Paula
- Santiago Conceição
- Santiago Eujcely C
- Santiago Eujcely C
- Santiago Luiz
- Santo Inês
- Santo Inês
- Santos Adriana
- Santos Ana
- Santos Bruno
- Santos Bruno
- Santos Erica
- Santos Flávia
- Santos Joana
- Santos Joana
- Santos Jorge
- Santos João
- Santos Leonino S
- Santos Luísa
- Santos Marina S
- Santos Marlene
- Santos Marlene
- Santos Nuno
- Santos Osvaldo
- Santos Osvaldo
- Santos Osvaldo
- Santos Rafael B
- Santos Rafael B
- Santos Sofia
- Santos Sofia
- Santos Sofia
- Santos Sofia
- Santos-Rocha Rita
- Sardo Dolores
- Sardo Pedro
- Sardo Pedro
- Sarmento-Ribeiro Ana B
- Sarreira-Santos Alexandra
- Sarroeira Cassilda
- Schneider Dulcineia
- Schneider Dulcineia
- Schneiders Paloma B
- Schroeder Silvana S
- Schukg Susann
- Seabra André
- Seabra Daniel
- Seabra Daniel
- Seabra Paulo
- Seixas Adérito
- Seixas Adérito
- Seixas Adérito
- Seixas Adérito
- Seiça Luís
- Seppänen Ulla-Maija
- Serapioni Mauro
- Serra Ana
- Serrano João
- Serrano João
- Serrano João
- Serrano João
- Serrano João
- Severino Sandy
- Siba Wafa A
- Silva Ana M
- Silva Ana M
- Silva Andrea G
- Silva André
- Silva Antónia
- Silva Armando
- Silva Carina
- Silva Carla R
- Silva Carlos
- Silva Carlos F
- Silva Catarina
- Silva Cláudia
- Silva Cláudia D
- Silva Daniel
- Silva Daniel
- Silva Darlen
- Silva David
- Silva Eduardo
- Silva Elsa
- Silva Ernestina
- Silva Helena R
- Silva Helena R
- Silva Iryna
- Silva Isabel
- Silva Joana
- Silva Joana
- Silva Joana
- Silva Luís D
- Silva Luís D
- Silva Maiza M
- Silva Manuel C
- Silva Margarida
- Silva Margarida
- Silva Maria A
- Silva Marilene
- Silva Marilene
- Silva Norberto
- Silva Paula
- Silva Paula A
- Silva Pedro
- Silva Pedro
- Silva Rafael
- Silva Rita
- Silva Rita
- Silva Rita P
- Silva Sara
- Silva Sara
- Silva Sara
- Silva Susana
- Silva Tatiane M
- Silva Vânia
- Silveira Paulo
- Sim-Sim Margarida
- Simões Alexandra
- Simões Cristina
- Simões João
- Simões Paulo C
- Simões Sónia
- Simões Ângela
- Siqueira Mariana S
- Siqueira Mariana S
- Soar Cláudia
- Soares Célia
- Soares Fátima
- Soares Fátima
- Soares Raquel
- Soares Salete
- Soares Sérgio
- Soares Valter
- Sousa Ana P
- Sousa Ana S
- Sousa Anderson R
- Sousa Anderson R
- Sousa Anderson R
- Sousa Anderson R
- Sousa Carla
- Sousa Caroline R
- Sousa Cesar
- Sousa D.
- Sousa Diana
- Sousa Gilberta
- Sousa Gilberta
- Sousa Gracinda
- Sousa Jani
- Sousa Joana
- Sousa Joana
- Sousa Luís
- Sousa Marina
- Sousa Marina
- Sousa Nelson
- Sousa Nelson
- Sousa Patrícia
- Sousa Patrícia
- Sousa Patrícia
- Sousa Patrícia
- Sousa Patrícia
- Sousa Patrícia
- Sousa Paulino
- Sousa Paulino
- Sousa Paulino
- Sousa Paulino
- Sousa Pedro
- Sousa Pedro
- Sousa Pedro
- Sousa Pedro
- Sousa Pedro
- Souza Clóvis A
- Souza Géssica M
- Souza Juliana A
- Souza Nelba R
- Souza Nelba R
- Spolaôr Newton
- Svensson Lola
- Sá Dayse
- Tapadas Rodrigo
- Tavares Aida I
- Tavares Ana
- Tavares Ana S
- Tavares José
- Tavares Mariline
- Tavares Nuno
- Teixeira A.
- Teixeira Ana
- Teixeira Ana
- Teixeira Ana M
- Teixeira Laetitia
- Teixo Ricardo
- Teles Patrícia
- Tena José M
- Tena Maria J
- Tenedório José A
- Tim-Tim Carolina
- Tomaz Jorge
- Tomás Catarina
- Tomás Catarina
- Tomás Catarina
- Tomás Catarina
- Tomás Catarina
- Tomás Catarina
- Tomás Catarina
- Tomás Catarina C
- Tomás Teresa
- Topa Joana
- Torgal Jorge
- Torgal Jorge
- Torres Ana
- Torres Rui
- Trigo Africa P
- Trindade Inês A
- Trindade Inês A
- Trindade Inês A
- Trindade Inês A
- Tuna Ana R
- Tytgat Ite
- Uba-Chupel M.
- Uba-Chupel Mateus
- Ugalde Lierni U
- Ugartemendia Lierni
- Valado Ana
- Valado Ana
- Valado Ana
- Valado Ana
- Valado Ana
- Vale-Dias Luz
- Vale-Dias Maria L
- Valente Ana R
- Valente Carolina
- Valente Jorge
- Valente João
- Valim Frederico C
- Valim Frederico C
- Vaquinhas Marina
- Vaquinhas Marina
- Vaquinhas Marina
- Vaquinhas Marina
- Varandas Edna
- Vardasca Ricardo
- Vardasca Ricardo
- Vasconcelos Carlos
- Vasconcelos Carlos
- Vasconcelos Lélia R
- Vasconcelos Rita
- Vasconcelos Rita
- Vaz Daniela C
- Vaz Josiana A
- Vehreschild Viktor
- Vehreschild Viktor
- Veiga Nélio
- Veiga Nélio
- Veiga Nélio
- Veiga Nélio
- Veiga-Branco Mª
- Velosa Fábia
- Veloso Milene
- Ventura David
- Ventura Maria
- Ventura Rita
- Ventura Sandra
- Vicente Corália
- Vicente Corália
- Vicente Corália
- Vicente Sara
- Vicente Sónia
- Vidal Eglidia F
- Viega-Branco Maria
- Vieira André
- Vieira Margarida
- Vieira Viviane L
- Vieitez Juan G
- Villanueva Ana G
- Vincha Kellem R
- Vinha Ana F
- Virgolino Ana
- Vizzotto Betina P
- Vélez Marta M
- Welter Aline
- Xavier Ana
- Xavier Ana
- Xavier Sandra
- Xavier Sandra
- Zilhão Adriano
- Publication venue
- Publication date
- 01/01/2004
- Field of study
As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved
Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries
- Author
- A Yacoub Mina
- A. Adam Mohammed
- A. Nassar Mahmoud
- A.Nemer Ayoob
- Aahlin Eirik Kjus
- Ab Rahim Mohd Fadliyazid
- Abad Gurumeta Alfredo
- Abad-Motos Ane
- Abang Jamari Dyg Zahratul Hamrak
- Abantanga Francis
- Abarca Sol
- Abazid Eias
- Abbas Abbas
- Abbas Khalid
- Abbas Mohammad Monir
- Abbasy Jibran
- Abbosh Ali
- Abd Karim Muhammad Fairuz Shah
- Abd Wahab Haidar Hadri
- Abd Barook
- Abdalei Abdulwahab
- Abdalla Ahmed Elkamel Ahmed
- Abdallah Aya
- AbdAllah Mostafa Salim Mohamed
- Abdel Malik Abu Baker
- Abdelhady Mousa Heba
- Abdelhady Samar
- Abdelhakim Ahmed
- Abdelkader Muhammad
- Abdelkawy Shaza
- Abdelkhalek Mohamed
- Abdellatif Esraa
- Abdelmaksoud Tawakel Noura
- Abdelmohsen Naglaa
- Abdelmotaleb Ibrahem
- Abdelrazek Aly
- Abdelsalam Israa
- Abdelshakour Mahmoud
- Abdelwahed Ahmed Mohamed
- Abdou Abdulrahman Osama
- Abdou Alrawy
- Abdou Hossam
- Abdul Aziz Mohamed Rezal
- Abdul Aziz Nora
- Abdulgawad Almogy Mariam
- Abdulla Mazin A.
- Abdullah Muhammad Tariq
- Abdullahi Lawal
- Abdullayev Seymur
- Abed Saeed
- Abelló David
- Abiola Olajide
- Abo mahadi Asmaa'
- Abo-khammash Areej
- Abou Chaar Mohamad K.
- Abou El.soud Moustafa Ramadan
- Abouelsoad Nervana
- Abraham Joyner
- Abreu da Silva Alberto
- Abu Ahammala Ayman B.
- Abu Al Amrain Mahmoud
- Abu Al-saleem Hasan
- Abu Alamrain Abdulwhhab
- Abu Alqumboz Amjad
- Abu Ataya Ahmed
- Abu hallalah Muad fathi khalleefah
- Abu Jamie Najlaa
- Abu Jayyab Israa
- Abu shua'ib Rana
- Abu Zainah Baraa
- Abu-Nimeh Samar
- Abu-Rous Mohammed R.
- Abu-srour Abrar
- Abuelhatal Hasan
- Abuelqomboz Ayham
- Abuhilal Baseel
- Abuhlaiga Ma'aly
- Abujamra Saleh
- Abukhalaf Sadi A.
- Abusalem Lana
- AbuSirrees Mahmoud
- Acevedo Veronica
- Acharya Rajgopal
- Achkasov Sergey
- Acosta Eric
- Adamo Karin
- Adamou Harissou
- Adams Jamie
- Adams Lawrence
- Adawi Samer
- Adebanjo Ademola
- Adel Marina
- Adel Sawsan
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji
- Adenuga Adedire
- Aderounmu Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adesunkanmi Abdul-Rashid
- Adeyeye Ademola
- Adidharma Peter
- Adisa Adewale O
- Adnan Nour
- Afifi Amr Abdelghani
- Afifi Eman
- Afolayan Michael Olatunji
- Afzal Asma
- Agarwal Arnav
- Agarwal Raksheeth
- Agbakwuru Augustine
- Agbeko Anita Eseenam
- Aguilar Martinez Maria Del Mar
- Aguilera Maria Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahlqvist Sandra
- Ahmad Izzuddin Ahmad Imran
- Ahmad Kasim
- Ahmad Sarwat
- Ahmed Ahmedgaber
- Ahmed Hazem Abdelkarem
- Ahmed Mariam
- Ahmed Nabila
- Ahmed Zahra
- Ainoa Eppu
- Aithie Joanna M S
- Ajani Costanza
- Ajao Akinlabi
- Ajiboye Anthony
- Ajmera Ankit
- Akande Oluwatosin
- Akaydin Elif
- Akbaba Ata Cem
- Akbar Sana Amir
- Akeel Nouf
- Akeem Aderogba Adeleke
- Akin Alp
- Akinkuolie Akinbolaji
- Akisheva Aygulya
- Akitikori Mabel Temisanren
- Akrida Ioanna
- Aktas Melik Kagan
- Al basos Iyad
- Al Farsi Maryam
- Al Nassrallah Majdi
- Al Sagheir Eman
- Al Saqqa Sara
- Al Saqqa Sara
- Al-Allaf Omar
- Al-Busaidi Ibrahim S.
- Al-Dhufri Ali
- Al-Himyari Hamza S.
- Al-Masri Mahmoud
- Al-Najjar Hani
- Al-Sabbagh Yusra
- Al-Shwaikh Samar
- Al-Slaibi Ibrahim
- Al-Taher Raed
- Al-Tammam Hiba
- Alabuzidi Aya
- Alagha Othman
- Alammarin Mohammad
- Alapatt John
- Alasttal Mohammed
- Alatise Olusegun Isaac
- Albaggar Marwa
- Albahnasawi Moath A.
- Albati Naif
- Alberga Anna
- Alberts Justin
- AlBsoul Ahmad
- Albsoul Nader
- Alcorta Rodrigo
- Alejandre Villalobos Cristina
- Alemdag Gökçe nur
- Alexander Philip
- Alfarra Nada
- Alfitory Asma
- Alhabil Belal
- Alhaj Ahmad
- Alherz Mohammad
- Alhimyar Maryam
- Ali Ahmad Syed Mustafa
- Ali SANI Samuel
- Ali Amr
- Ali Asmaa
- Ali Mahmoud
- Ali Shabina
- Alimi Marjan
- Aliosin Oleg
- Aliyu Halima
- Aljaafreh Almoutuz
- Aljaber Dana
- Aljaberi Loay
- Aljanfi Asma
- Aljiffry Murad
- Aljohmani Lylas
- Alkhaledi Ahmad
- Alkhatib Ala'a Aldeen
- Alkhatib Haya
- Alkhatib Mo'min
- Allen Ingabire J.C.
- Almasri Murad
- Almeida Braga Sara
- Almeida Filipe
- Almigheerbi Alabas
- Almoqayyad Abdelrahman
- Almuzghi Fakhruddin
- Alnoury Mostafa
- Alonso Batanero Ester
- Alqadi Mohammad
- Alsaid Bayan
- Alsalameh Barah
- Alsallaq Osama
- Alser Osaid
- Alshaar Muhammad
- Alsharef Tagwa
- Alsharqawi Nourah
- Alswerki Mohammad
- Altaf Amna
- Altaf Rabiya
- AlTaweel Mohammed
- Althini Abdulmunem Ahmed Mustafa
- Altibi Ahmed M.
- Altinel Yuksel
- Altiner Saygin
- Altomare Donato Francesco
- Altumei Zohoor
- Alvarez Rivera Alvaro Eduardo
- Alvarez-Cano Alethia
- Alves do Canto Brum Homero
- Alves Daniela Macedo
- Alves Magda
- Alvi Abdul
- Alwaheidi Malak
- Alwali Abdallah
- Alwerfally AbdulMawlay
- Alwhaidi Noor
- Alyafi Amr
- Alzabti Fatima
- Alzahaf Ahmed
- AlZohour Mohammad
- Amadou Magagi Ibrahim
- Amandito Radhian
- Amarin Justin Z.
- Amaro Margarida
- Ambrazevicius Marijus
- Amendola Alfonso
- Amin Leila
- Amine Souadka
- Amjad Talal
- Amorim Edgar
- Amro Adham
- Anandan Premkumar
- Anas khalifa Rawda
- Anastasio Lorenzo
- Andersson Yvette
- Andreotti Dario
- Andrew David
- André Benoît
- Ang Sue Ean
- Angel Miguel
- Anggita Gultom Phebe
- Annapureddy Naga
- Anokhin Evgeny
- Ansaloni Luca
- Ansarei Dhirar
- Ansari Abdul Basit
- Antaky Marco
- Anthony Natasha
- Anthoulakis Christos
- Antonopoulou Maria Ioanna
- Anwar Mohamed
- Anwer Abdul Wahid
- Anyanwu Chikamuche
- Anyanwu Lofty-John
- Anyanwu Mercy Chinemerem
- Anyomih Theophilus Teddy Kojo
- Appukuttan Akhila
- Aquilino Fabrizio
- Archibald Jess
- Arciénega Yañez María del pilar
- Argentou Maria-Ioanna
- Argudo Nuria
- Argyriou Eleftherios Orestis
- Arias Madrid Natalia
- Aribi Sarra
- Arifin Ghafur Rasyid
- Arizpe Daniel
- Arnaud Alexis P
- Arora Bharti
- Arora Deeksha
- Arowolo Olukayode
- Arrangoiz Rodrigo
- Arslan Ekin
- Artigau Eva
- Ashfaq Ahsan
- Ashour Dina
- Ashour Firas
- Ashoushan Hana
- Ashraf Ahmed
- Ashraf Alaa
- Asif Ashar
- Asnel Dorisme
- Asok Anjitha
- Assa Rawan
- Assalhi Mohamed
- Asta Martina
- Asti Emanuele Luigi Giuseppe
- Atakul Onur
- Atallah Khalid
- Atanasov Boyko
- Atawneh Mohammad
- Athamneh Sarah
- Ather Muaaz
- Athisayaraj Thomas
- Atkociunas Aivaras
- Attia Mohamed
- Au Angela
- Awad Israa
- Awadallah Haneen
- Awaji Kholoud
- Awesat Eman
- Awolowo Ajibola
- Ayandipo Omobolaji
- Ayash Mohammad
- Ayau Fernanda
- Ayesh Kholoud
- Ayman El-sawy Esraa
- Ayoub Rami
- Aytac Erman
- Ayub Bushra
- Ayub Saima
- Ayyad Rawan
- Azevedo José
- Azodo Ijeoma
- Azzubia Joma
- B L Ashika
- Ba Mouhamadou Bachir
- Babaa Basheer
- Babirye Lilian
- Bacic Ivan
- Badr Esraa Tarek
- Badr Helmy
- Badran Abdul
- Badwe Rajendra
- Bafford Andrea Chao M.D.
- Baggaley Caitlin
- Bahroun Sumayyah Ghayth
- Baiao José Miguel
- Baiocchi Daniella
- Bairos Menezes Maria
- Baiu Ioana
- Bajilan Mohammad
- Bajomo Oreoluwa
- Bake Jacques
- Baki Bahadir Emre
- Bakoleas Panagiotis
- Balaawi Reem
- Balalis Dimitrios
- Balata Mohamed
- Balkarov Artem
- Ballouhey Quentin
- Balogun Olanrewaju
- Baloyiannis Ioannis
- Baltaci Ege
- Bamaca Ixcajoc Elvis Benjamin
- Banaz Tuba
- Banda Bitiel
- Banglani Muntaha
- Bani Hani Farah
- Bani hani Mohammad
- Bani hani Zeina
- Baniowda Muath
- Banks Alexander
- Bannister Sharon
- Baranyai Zsolt
- Barati Nastaran
- Barbosa Camacho Francisco José
- Barbosa José
- Bardos David
- Barendegere Venerand
- Barghuthi Lutfi
- Barhoush Ola
- Barnes Nicole
- Baronio Gianluca
- Barreda Zelaya Lilian Elizabeth
- Barrera López Francisco Javier
- Barsic Neven
- Barter Charlotte
- Bartosiak Katarzyna
- Basarab Maksym
- Basso Stefano Maria Massimiliano.
- Bastiaenen Vivian
- Batashki Ilia
- Bath Michael
- Beattie Miriam
- Bedada Alemayehu Ginbo
- Belais Fanny
- Belal qadomi Asef
- Belev Nikolay
- Belli Andrea
- Beltrán de Heredia Juan
- Belvedere Angela
- Ben Dallah Najah
- Ben Saoud Abdulsalam Ali
- Bengur Fuat Baris
- Benkabbou Amine
- Benke Marton
- Benyaiche Chaymae
- Bergeat Damien
- Bernstein Mitchell
- Beshtawi Doha
- Besli Sevval
- Beuran Mircea
- Bhandare Manish
- Bhangu Aneel
- Bhatti Muhammad Iqbal
- Bianchini Stefania
- Bianco Francesco
- Bibas Fatma
- Biccard Bruce M
- Bielosludtsev Oleksii
- Bienfait Mumbere
- Billy Matthew
- Bin Mohamad Sithik Muhammad Navid
- Binetti Margherita
- Bingham Janne
- Bird Jonathan
- Birindelli Arianna
- Birks Sarah
- Birutis Justas
- Björklund Ida
- Blackman Brighid
- Blackwell James
- Blanco-Colino Ruth
- Blok Robin
- Blomme Nina
- Blomqvist Malin
- Blunnie Eimear
- Bnhameida Sondos
- Boddy Alex
- Bodur Muhammed Selim
- Boereboom Catherine
- Bogusevicius Algirdas
- Bolzonaro Elisa
- Bonavina Luigi
- Bondurri Andrea
- Bonghaseh Divine Tim
- Bono Lorenzo
- Borda-Luque Giuliano
- Borg Elaine
- Borghi Felice
- Borham Hala
- Borowski David W
- Bortolasi Luca
- Bosch Marina
- Bosire Fridah
- Bossi Daniela
- Botes Azel
- Bouaziz Hanen
- Bougard Heather
- Boutall Adam
- Boutros Marylise
- Bouzaiene Hatem
- Boyce Stephen
- Boyd-Carson Hannah
- Boyle Connor
- Braccio Bartolomeo
- Bradulskis Saulius
- Brata Santi Yuanita
- Bratu Matei Razvan
- Brito Diana
- Brocklehurst Peter
- Brooker Ethan
- Brooks Savannah
- Brown James
- Bruce Eilidh
- Bsisu Isam
- Bua Emmanuel
- Bucci Luigi
- Budd Gabrielle
- Budzynski Andrzej
- Budzynski Piotr
- Bujda Michele
- Bulaya Anadi
- Bullock Cameron
- Burgu Gökçen
- Burke Daniel
- Burman Shivang
- Bury Pawel
- Busuttil Zachary
- Butt Eman
- Buxant Frederic
- Buzaite Kristina
- C S Archana
- Caballero Díaz Yurena
- Cabrera Rivera Paulo Andrés
- Cagigas Fernandez Carmen
- Calik Adnan
- Calleja Thomas
- Camelo Saul
- Camilo Correa Juan
- Caminsky Natasha
- Cammarata Francesco
- Campagnaro Tommaso
- Campanella Sofia
- Campanelli Michela
- Campo Veronica
- Campos Costa Filipa
- Campos Maite
- Candas Altinbas Bahar
- Canic Renata
- Canonica Claudia
- Canonico Silvestro
- Canotilho Rita
- Cansana Bernalynn Eris
- Capote Hugo
- Capunge Ines
- Carballo Federico
- Cardia Roberto
- Cardoso Louro Hugo
- Cardoso Diogo
- Cardoso Vasco
- Carella Marcella
- Carlini Massimo
- Carrano Francesco Maria
- Carrington Emma Victoria
- Caruso Emanuele
- Carvalho Ana Cristina
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- Winter Beatty Jasmine
- Winter Des
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- Wisselink Daan
- Wogensen Fredrik
- Wondoh Paul M.
- Wong Florence
- Wong Hsu Ven
- Wong Jane J
- Wong Jeremy
- Wong Lai Fen
- Wong Michael Pak-Kai
- Wong Sui-Weng
- Wong Tsz Lun Ernest
- Wood Lauren
- Woon-Shoo-Tong Xiao-Ming Sarah
- Wren Sherry
- Wuraola Funmilola
- Xanthopoulou Georgia
- Yabut Kenneth
- Yacoub Aseel
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- Yaghi Yasmine
- Yahia Mohamed Ali Mohamed
- Yakushkina Al'ona
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- Yang P Zichu
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- Yates Charlotte
- Ye Geoffrey
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- Yildirim Reyyan
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- Zabiyaka Mikhail
- Zachariah Sanoop Koshy
- Zafar Syed Nabeel
- Zaffaroni Gloria
- Zahra Baryab
- Zahran Diaaaldin
- Zakaria Andee Dzulkarnaen
- Zakaria Mai
- Zakaria Omar
- Zakaria Zaidi
- Zambrana Campos Vanesa
- Zammit Matthew
- Zanini Nicola
- Zara Vlu Jean
- Zara Vlu Jean
- Zarti Heba
- Zarzycki Piotr
- Zattoni Davide
- Zavala Gabriela
- Zawahrah Hassan
- Zeiton Asaid
- Zeko Amanda
- Zeng Zhi
- Zeromskas Paulius
- Zhang Geoffrey
- Zhivkov Evgeni
- Zid Esraa
- Zidan Ahmed Mohy
- Zielasek Christian
- Zilinskas Justas
- Zimmermann Bernd
- Ziprin Paul
- Zizzo Maurizio
- Zografos George
- Zoikas Athanasios
- Zorrilla Matilla Laura Patricia
- Zoulamoglou Menelaos
- Zreeg Dafer
- Zub-Pokrowiecka Anna
- Zubiaurre Vanessa
- Zuhdy Mohammed
- Zuikyte Diana
- Zuloaga Fernandez del Valle Carlos Jose
- Zulu Stanley
- Ângelo Miguel
- Älgå Andreas
- Çolak Elif
- Ümarik Toomas
- Šatkauskas Mindaugas
- Škimelyte Monika
- Šlenfuktas Vygintas
- Šuman Oliver
- Žatecký Jan
- Žumbakys Žygimantas
- Župan Domagoj
- Publication venue
- 'Elsevier BV'
- Publication date
- 30/01/2021
- Field of study
© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit
Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study
- Author
- A Yacoub Mina
- A. Adam Mohammed
- A. Nassar Mahmoud
- A.Nemer Ayoob
- Aahlin Eirik Kjus
- Ab Rahim Mohd Fadliyazid
- Abad Gurumeta Alfredo
- Abad-Motos Ane
- Abang Jamari Dyg Zahratul Hamrak
- Abantanga Francis
- Abarca Sol
- Abazid Eias
- Abbas Abbas
- Abbas Khalid
- Abbas Mohammad Monir
- Abbasy Jibran
- Abbosh Ali
- Abd Karim Muhammad Fairuz Shah
- Abd Wahab Haidar Hadri
- Abd Barook
- Abdalei Abdulwahab
- Abdalla Ahmed Elkamel Ahmed
- Abdallah Aya
- AbdAllah Mostafa Salim Mohamed
- Abdel Malik Abu Baker
- Abdelhady Mousa Heba
- Abdelhady Samar
- Abdelhakim Ahmed
- Abdelkader Muhammad
- Abdelkawy Shaza
- Abdelkhalek Mohamed
- Abdellatif Esraa
- Abdelmaksoud Tawakel Noura
- Abdelmohsen Naglaa
- Abdelmotaleb Ibrahem
- Abdelrazek Aly
- Abdelsalam Israa
- Abdelshakour Mahmoud
- Abdelwahed Ahmed Mohamed
- Abdou Abdulrahman Osama
- Abdou Alrawy
- Abdou Hossam
- Abdul Aziz Mohamed Rezal
- Abdul Aziz Nora
- Abdulgawad Almogy Mariam
- Abdulla Mazin A.
- Abdullah Muhammad Tariq
- Abdullahi Lawal
- Abdullayev Seymur
- Abed Saeed
- Abelló David
- Abiola Olajide
- Abo mahadi Asmaa'
- Abo-khammash Areej
- Abou Chaar Mohamad K.
- Abou El.soud Moustafa Ramadan
- Abouelsoad Nervana
- Abraham Joyner
- Abreu da Silva Alberto
- Abu Ahammala Ayman B.
- Abu Al Amrain Mahmoud
- Abu Al-saleem Hasan
- Abu Alamrain Abdulwhhab
- Abu Alqumboz Amjad
- Abu Ataya Ahmed
- Abu hallalah Muad fathi khalleefah
- Abu Jamie Najlaa
- Abu Jayyab Israa
- Abu shua'ib Rana
- Abu Zainah Baraa
- Abu-Nimeh Samar
- Abu-Rous Mohammed R.
- Abu-srour Abrar
- Abuelhatal Hasan
- Abuelqomboz Ayham
- Abuhilal Baseel
- Abuhlaiga Ma'aly
- Abujamra Saleh
- Abukhalaf Sadi A.
- Abusalem Lana
- AbuSirrees Mahmoud
- Acevedo Veronica
- Acharya Rajgopal
- Achkasov Sergey
- Acosta Eric
- Adamo Karin
- Adamou Harissou
- Adams Jamie
- Adams Lawrence
- Adawi Samer
- Adebanjo Ademola
- Adel Marina
- Adel Sawsan
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji O
- Adenuga Adedire
- Aderounmu Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adesunkanmi Abdul-Rashid
- Adeyeye Ademola
- Adidharma Peter
- Adisa Adewale
- Adisa Adewale O
- Adnan Nour
- Afifi Amr Abdelghani
- Afifi Eman
- Afolayan Michael Olatunji
- Afzal Asma
- Agarwal Arnav
- Agarwal Raksheeth
- Agbakwuru Augustine
- Agbeko Anita Eseenam
- Aguilar Martinez Maria Del Mar
- Aguilera Maria Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahlqvist Sandra
- Ahmad Izzuddin Ahmad Imran
- Ahmad Kasim
- Ahmad Sarwat
- Ahmed Ahmedgaber
- Ahmed Hazem Abdelkarem
- Ahmed Mariam
- Ahmed Nabila
- Ahmed Zahra
- Ainoa Eppu
- Aithie Joanna M S
- Ajani Costanza
- Ajao Akinlabi
- Ajiboye Anthony
- Ajmera Ankit
- Akande Oluwatosin
- Akaydin Elif
- Akbaba Ata Cem
- Akbar Sana Amir
- Akeel Nouf
- Akeem Aderogba Adeleke
- Akin Alp
- Akinkuolie Akinbolaji
- Akisheva Aygulya
- Akitikori Mabel Temisanren
- Akrida Ioanna
- Aktas Melik Kagan
- Al basos Iyad
- Al Farsi Maryam
- Al Nassrallah Majdi
- Al Sagheir Eman
- Al Saqqa Sara
- Al Saqqa Sara
- Al-Allaf Omar
- Al-Busaidi Ibrahim S.
- Al-Dhufri Ali
- Al-Himyari Hamza S.
- Al-Masri Mahmoud
- Al-Najjar Hani
- Al-Sabbagh Yusra
- Al-Shwaikh Samar
- Al-Slaibi Ibrahim
- Al-Taher Raed
- Al-Tammam Hiba
- Alabuzidi Aya
- Alagha Othman
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- Alapatt John
- Alasttal Mohammed
- Alatise Olusegun Isaac
- Albaggar Marwa
- Albahnasawi Moath A.
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- Ali Amr
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- Almeida Braga Sara
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- Almigheerbi Alabas
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- Alonso Batanero Ester
- Alqadi Mohammad
- Alsaid Bayan
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- Alser Osaid
- Alshaar Muhammad
- Alsharef Tagwa
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- Altaf Amna
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- AlTaweel Mohammed
- Althini Abdulmunem Ahmed Mustafa
- Altibi Ahmed M.
- Altinel Yuksel
- Altiner Saygin
- Altomare Donato Francesco
- Altumei Zohoor
- Alvarez Rivera Alvaro Eduardo
- Alvarez-Cano Alethia
- Alves do Canto Brum Homero
- Alves Daniela Macedo
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- Alwali Abdallah
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- Amadou Magagi Ibrahim
- Amandito Radhian
- Amarin Justin Z.
- Amaro Margarida
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- Amin Leila
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- Anwar Mohamed
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- Appukuttan Akhila
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- Baggaley Caitlin
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- Baiao José Miguel
- Baiocchi Daniella
- Bairos Menezes Maria
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- Bake Jacques
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- Balogun Olanrewaju
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- Barbosa Camacho Francisco José
- Barbosa José
- Bardos David
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- Barrera López Francisco Javier
- Barsic Neven
- Barter Charlotte
- Bartosiak Katarzyna
- Basarab Maksym
- Basso Stefano Maria Massimiliano.
- Bastiaenen Vivian
- Batashki Ilia
- Bath Michael
- Beattie Miriam
- Bedada Alemayehu Ginbo
- Belais Fanny
- Belal qadomi Asef
- Belev Nikolay
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- Beltrán de Heredia Juan
- Belvedere Angela
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- Bianchini Stefania
- Bianco Francesco
- Bibas Fatma
- Biccard Bruce M
- Bielosludtsev Oleksii
- Bienfait Mumbere
- Billy Matthew
- Bin Mohamad Sithik Muhammad Navid
- Binetti Margherita
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- Zuhdy Mohammed
- Zuikyte Diana
- Zuloaga Fernandez del Valle Carlos Jose
- Zulu Stanley
- Ângelo Miguel
- Älgå Andreas
- Çolak Elif
- Ümarik Toomas
- Čepuliené Daiva
- Şahin Can
- Šatkauskas Mindaugas
- Škimelytè Monika
- Šlenfuktas Vygintas
- Šuman Oliver
- Žatecký Jan
- Žumbakys Žygimantas
- Župan Domagoj
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/07/2022
- Field of study
© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research