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1

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Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

GlobalSurg Collaborative ; Thomas, Hannah S ; Weiser, Thomas G ; [et al.]

Oxford University Press (OUP) ; 2019

In: British Journal of Surgery Vol. 106, No. 2 ( 2019-01-08), p. e103-e112

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In: British Journal of Surgery, Oxford University Press (OUP), Vol. 106, No. 2 ( 2019-01-08), p. e103-e112

Abstract: The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89·6 per cent) compared with that in countries with a middle (753 of 1242, 60·6 per cent; odds ratio (OR) 0·17, 95 per cent c.i. 0·14 to 0·21, P & lt; 0·001) or low (363 of 860, 42·2 per cent; OR 0·08, 0·07 to 0·10, P & lt; 0·001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference −9·4 (95 per cent c.i. −11·9 to −6·9) per cent; P & lt; 0·001), but the relationship was reversed in low-HDI countries (+12·1 (+7·0 to +17·3) per cent; P & lt; 0·001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0·60, 0·50 to 0·73; P & lt; 0·001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.

Type of Medium: Online Resource

ISSN: 0007-1323 , 1365-2168

URL: Article

DOI: 10.1002/bjs.11051

Language: English

Publisher: Oxford University Press (OUP)

Publication Date: 2019

detail.hit.zdb_id: 2006309-X

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Global variation in anastomosis and end colostomy formation following left‐sided colorectal resection

GlobalSurg Collaborative ; Glasbey, James C ; Adisa, Adewale O ; [et al.]

Oxford University Press (OUP) ; 2019

In: BJS Open Vol. 3, No. 3 ( 2019-06), p. 403-414

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In: BJS Open, Oxford University Press (OUP), Vol. 3, No. 3 ( 2019-06), p. 403-414

Type of Medium: Online Resource

ISSN: 2474-9842 , 2474-9842

URL: Issue

URL: Article

DOI: 10.1002/bjs5.2019.3.issue-3

DOI: 10.1002/bjs5.50138

Language: English

Publisher: Oxford University Press (OUP)

Publication Date: 2019

detail.hit.zdb_id: 2902033-5

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3

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Global economic burden of unmet surgical need for appendicitis

Reuter, Anna ; Rogge, Lisa ; Monahan, Mark ; [et al.]

Oxford University Press (OUP) ; 2022

In: British Journal of Surgery Vol. 109, No. 10 ( 2022-09-09), p. 995-1003

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In: British Journal of Surgery, Oxford University Press (OUP), Vol. 109, No. 10 ( 2022-09-09), p. 995-1003

Abstract: There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and $73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and $75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially.

Type of Medium: Online Resource

ISSN: 0007-1323 , 1365-2168

URL: Article

DOI: 10.1093/bjs/znac195

Language: English

Publisher: Oxford University Press (OUP)

Publication Date: 2022

detail.hit.zdb_id: 2006309-X

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Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries

Kachapila, Mwayi ; Monahan, Mark ; Ademuyiwa, Adesoji O. ; [et al.]

Elsevier BV ; 2023

In: BJA Open Vol. 7 ( 2023-09), p. 100207-

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In: BJA Open, Elsevier BV, Vol. 7 ( 2023-09), p. 100207-

Type of Medium: Online Resource

ISSN: 2772-6096

URL: Article

DOI: 10.1016/j.bjao.2023.100207

Language: English

Publisher: Elsevier BV

Publication Date: 2023

detail.hit.zdb_id: 3133899-9

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Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Bhangu, Aneel ; Ademuyiwa, Adesoji O ; Aguilera, Maria Lorena ; [et al.]

Elsevier BV ; 2018

In: The Lancet Infectious Diseases Vol. 18, No. 5 ( 2018-05), p. 516-525

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In: The Lancet Infectious Diseases, Elsevier BV, Vol. 18, No. 5 ( 2018-05), p. 516-525

Type of Medium: Online Resource

ISSN: 1473-3099

URL: Article

DOI: 10.1016/S1473-3099(18)30101-4

Language: English

Publisher: Elsevier BV

Publication Date: 2018

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Fourth meeting of the European Neurological Society 25–29 June 1994 Barcelona, Spain : Abstracts of Symposia and free communications

Harms, L. ; The European Velnacrine Study Group ; Bock, A. ; [et al.]

Springer Science and Business Media LLC ; 1994

In: Journal of Neurology Vol. 241, No. S1 ( 1994-6), p. 1-164

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In: Journal of Neurology, Springer Science and Business Media LLC, Vol. 241, No. S1 ( 1994-6), p. 1-164

Type of Medium: Online Resource

ISSN: 0340-5354 , 1432-1459

URL: Article

DOI: 10.1007/BF02333089

RVK:

XA 10000

Language: English

Publisher: Springer Science and Business Media LLC

Publication Date: 1994

detail.hit.zdb_id: 1421299-7

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7

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California energy futures: Two alternative societal scenarios and their energy implications

Carlson, Richard C. ; Everett, Sidney J. ; Harman, Willis W. ; [et al.]

Elsevier BV ; 1980

In: Technological Forecasting and Social Change Vol. 18, No. 4 ( 1980-12), p. 321-339

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In: Technological Forecasting and Social Change, Elsevier BV, Vol. 18, No. 4 ( 1980-12), p. 321-339

Type of Medium: Online Resource

ISSN: 0040-1625

URL: Article

DOI: 10.1016/0040-1625(80)90094-3

Language: English

Publisher: Elsevier BV

Publication Date: 1980

detail.hit.zdb_id: 2015184-6

detail.hit.zdb_id: 280700-2

SSG: 19,2

SSG: 3,4

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Permanent Genetic Resources added to Molecular Ecology Resources Database 1 April 2012 – 31 May 2012

Molecular Ecology Resources Primer Development Consortium ; ABELLÓ, P. ; AI, WEIMING ; [et al.]

Wiley ; 2012

In: Molecular Ecology Resources Vol. 12, No. 5 ( 2012-09), p. 972-974

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In: Molecular Ecology Resources, Wiley, Vol. 12, No. 5 ( 2012-09), p. 972-974

Abstract: This article documents the addition of 123 microsatellite marker loci to the Molecular Ecology Resources Database. Loci were developed for the following species: Brenthis ino , Cichla orinocensis , Cichla temensis , Epinephelus striatus , Gobio gobio , Liocarcinus depurator , Macrolophus pygmaeus , Monilinia vaccinii‐corymbosi , Pelochelys cantorii , Philotrypesis josephi , Romanogobio vladykovi , Takydromus luyeanus and Takydromus viridipunctatus . These loci were cross‐tested on the following species: Cichla intermedia , Cichla ocellaris , Cichla pinima , Epinephelus acanthistius , Gobio carpathicus , Gobio obtusirostris , Gobio sp. 1 , Gobio volgensis , Macrolophus costalis , Macrolophus melanotoma , Macrolophus pygmaeus , Romanogobio albipinnatus , Romanogobio banaticus , Romanogobio belingi , Romanogobio kesslerii , Romanogobio parvus , Romanogobio pentatrichus , Romanogobio uranoscopus , Takydromus formosanus , Takydromus hsuehshanesis and Takydromus stejnegeri .

Type of Medium: Online Resource

ISSN: 1755-098X , 1755-0998

URL: Issue

URL: Article

DOI: 10.1111/men.2012.12.issue-5

DOI: 10.1111/j.1755-0998.2012.03173.x

Language: English

Publisher: Wiley

Publication Date: 2012

detail.hit.zdb_id: 2406833-0

SSG: 12

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Spine Stereotactic Body Radiotherapy to Three or More Contiguous Vertebral Levels

Dibs, Khaled ; Blakaj, Dukagjin M. ; Prasad, Rahul N. ; [et al.]

Frontiers Media SA ; 2022

In: Frontiers in Oncology Vol. 12 ( 2022-6-8)

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In: Frontiers in Oncology, Frontiers Media SA, Vol. 12 ( 2022-6-8)

Abstract: With survival improving in many metastatic malignancies, spine metastases have increasingly become a source of significant morbidity; achieving durable local control (LC) is critical. Stereotactic body radiotherapy (SBRT) may offer improved LC and/or symptom palliation. However, due to setup concerns, SBRT is infrequently offered to patients with ≥3 contiguous involved levels. Because data are limited, we sought to evaluate the feasibility, toxicity, and cancer control outcomes of spine SBRT delivered to ≥3 contiguous levels. Methods We retrospectively identified all SBRT courses delivered between 2013 and 2019 at a tertiary care institution for postoperative or intact spine metastases. Radiotherapy was delivered to 14–35 Gy in 1–5 fractions. Patients were stratified by whether they received SBRT to 1–2 or ≥3 contiguous levels. The primary endpoint was 1-year LC and was compared between groups. Factors associated with increased likelihood of local failure (LF) were explored. Acute and chronic toxicity was assessed. In-depth dosimetric data were collected. Results Overall, 165 patients with 194 SBRT courses were identified [54% were men, median age was 61 years, 93% had Karnofsky Performance Status (KPS) ≥70, and median follow-up was 15 months]. One hundred thirteen patients (68%) received treatment to 1–2 and 52 to 3–7 (32%) levels. The 1-year LC was 88% (89% for 1–2 levels vs. 84% for ≥3 levels, p = 0.747). On multivariate analysis, uncontrolled systemic disease was associated with inferior LC for patients with ≥3 treated levels. No other demographic, disease, treatment, or dosimetric variables achieved significance. Rates of new/progressive fracture were equivalent (8% vs. 9.5%, p = 0.839). There were no radiation-induced myelopathy or grade 3+ acute or late toxicities in either group. Coverage of ≥95% of the planning target volume with ≥95% prescription dose was similar between groups (96% 1–2 levels vs. 89% ≥3 levels, p = 0.078). Conclusions For patients with ≥3 contiguous involved levels, spine SBRT is feasible and may offer excellent LC without significant toxicity. Prospective evaluation is warranted.

Type of Medium: Online Resource

ISSN: 2234-943X

URL: Article

DOI: 10.3389/fonc.2022.912804

Language: Unknown

Publisher: Frontiers Media SA

Publication Date: 2022

detail.hit.zdb_id: 2649216-7

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Novel Intrafraction Motion Tracking During Postoperative Spine Stereotactic Irradiation for a Patient With Carbon Fiber Fixation Hardware

Lee-Poprocki, Hyeri ; Ritter, Alex R. ; Upadhyay, Rituraj ; [et al.]

Elsevier BV ; 2023

In: Practical Radiation Oncology ( 2023-7)

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In: Practical Radiation Oncology, Elsevier BV, ( 2023-7)

Type of Medium: Online Resource

ISSN: 1879-8500

URL: Article

DOI: 10.1016/j.prro.2023.06.007

Language: English

Publisher: Elsevier BV

Publication Date: 2023

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Kooperativer Bibliotheksverbund

Berlin Brandenburg