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Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- Ademuyiwa, Adesoji O;
- Arnaud, Alexis P;
- Drake, Thomas M;
- Fitzgerald, J Edward F;
- Poenaru, Dan;
- Bhangu, Aneel;
- Harrison, Ewen M;
- Ademuyiwa, Adesoji O;
- Bhangu, Aneel;
- Drake, Thomas M;
- Fitzgerald, J Edward F;
- Fergusson, Stuart;
- Glasbey, James C;
- Harrison, Ewen M;
- Khatri, Chetan;
- Mohan, Midhun;
- Nepogodiev, Dmitri;
- Søreide, Kjetil;
- Drake, Thomas M;
- Harrison, Ewen M;
- Khatri, Chetan;
- Gobin, Neel;
- Freitas, Ana Vega;
- Hall, Nigel;
- Kim, Sung-Hee;
- Negeida, Ahmed;
- Khairy, Hosni;
- Jaffry, Zahra;
- Chapman, Stephen J;
- Arnaud, Alexis P;
- Tabiri, Stephen;
- Recinos, Gustavo;
- Mohan, Midhun;
- Amandito, Radhian;
- Shawki, Marwan;
- Hanrahan, Michael;
- Pata, Francesco;
- Zilinskas, Justas;
- Roslani, April Camilla;
- Goh, Cheng Chun;
- Ademuyiwa, Adesoji O;
- Irwin, Gareth;
- Shu, Sebastian;
- Luque, Laura;
- Shiwani, Hunain;
- Altamimi, Afnan;
- Alsaggaf, Mohammed Ubaid;
- Fergusson, Stuart;
- Spence, Richard;
- Rayne, Sarah;
- Jeyakumar, Jenifa;
- Cengiz, Yucel;
- Raptis, Dmitri A;
- Glasbey, James C;
- Fermani, Claudio;
- Balmaceda, Ruben;
- Modolo, Maria Marta;
- Macdermid, Ewan;
- Gobin, Neel;
- Chenn, Roxanne;
- Yong, Cheryl Ou;
- Edye, Michael;
- Jarmin, Martin;
- D’amours, Scott K;
- Iyer, Dushyant;
- Youssef, Daniel;
- Phillips, Nicholas;
- Brown, Jason;
- Hanley, Isaac;
- Dickfos, Marilla;
- Mitul, Ashrarur Rahman;
- Mahmud, Khalid;
- Oosterkamp, Antje;
- Assouto, Pamphile A;
- Lawani, Ismail;
- Souaibou, Yacoubou Imorou;
- Devadasar, Giridhar H;
- Chong, Chean Leung;
- Qadir, Muhammad Rashid Minhas;
- Aung, Kyaw Phyo;
- Yeo, Lee Shi;
- Chong, Chean Leung;
- Castillo, Vanessa Dina Palomino;
- Munhoz, Monique Moron;
- Moreira, Gisele;
- De Castro Segundo, Luiz Carlos Barros;
- Ferreira, Salim Anderson Khouri;
- Careta, Maíra Cassa;
- Araujo, Rafael;
- Menegussi, Juliana;
- Leal, Marisa;
- de Lima, Caio Vinícius Barroso;
- Tatagiba, Luiza Sarmento;
- Leal, Antônio;
- Nigo, Samuel;
- Kabba, Juana;
- Ngwa, Tagang Ebogo;
- Brown, James;
- King, Sebastian;
- Zani, Augusto;
- Azzie, Georges;
- Firdouse, Mohammed;
- Kushwaha, Sameer;
- Agarwal, Arnav;
- Bailey, Karen;
- Cameron, Brian;
- Livingston, Michael;
- Horobjowsky, Alexandre;
- Deckelbaum, Dan L;
- Razek, Tarek;
- Montes, Irene;
- Sierra, Sebastian;
- Mendez, Manuela;
- Villegas, Maria Isabel;
- Arango, Maria Clara Mendoza;
- Mendoza, Ivan;
- ¡bal, Fred Alexander Naranjo Aristizã;
- Botero, Jaime Andres Montoya;
- Riaza, Victor Manuel Quintero;
- Restrepo, Jakeline;
- Morales, Carlos;
- Arango, Maria Clara Mendoza;
- Cruz, Herman;
- Munera, Alejandro;
- Arango, Maria Clara Mendoza;
- Karlo, Robert;
- Domini, Edgar;
- Mihanovic, Jakov;
- Radic, Mihael;
- Zamarin, Kresimir;
- Pezelj, Nikica;
- Khyrallh, Ahmed;
- Hassan, Ahamed;
- Shimy, Gamal;
- Fahmy, Mohamed A Baky;
- Nabawi, Ayman;
- Gohar, Muhammad Saad Ali Muhammad;
- Elfil, Mohamed;
- Ghoneem, Mohamed;
- Gohar, Muhammad El-Saied Ahmad Muhammad;
- Asal, Mohamed;
- Abdelkader, Mostafa;
- Gomah, Mahmoud;
- Rashwan, Hayssam;
- Karkeet, Mohamed;
- Gomaa, Ahmed;
- Hasan, Amr;
- Elgebaly, Ahmed;
- Saleh, Omar;
- Fattah, Ahmad Abdel;
- Gouda, Abdullah;
- Elshafay, Abd Elrahman;
- Gharib, Abdalla;
- Hanafy, Mohammed;
- Al-Mallah, Abdullah;
- Abdulgawad, Mahmoud;
- Baheeg, Mohamad;
- Alhendy, Mohammed;
- Fattah, Ibrahim Abdel;
- Kenibar, Abdalla;
- Osman, Omar;
- Gemeah, Mostafa;
- Mohammed, Ahmed;
- Adel, Abdalrahman;
- Mesreb, Ahmed Maher Menshawy;
- Mohammed, Abdelrahman;
- Sayed, Abdelrahman;
- Abozaid, Mohamed;
- Kotb, Ahmed Hafez El-Badri;
- Ata, Ali Amin Ahmed;
- Nasr, Mohammed;
- Alkammash, Abdelrahman;
- Saeed, Mohammed;
- Hamid, Nader Abd El;
- Attia, Attia Mohamed;
- Galeel, Ahmed Abd El;
- Elbanby, Eslam;
- El-Dien, Khalid Salah;
- Hantour, Usama;
- Alahmady, Omar;
- Mansour, Billal;
- Elkorashy, Amr Muhammad;
- Taha, Emad Mohamed Saeed;
- Lasheen, Kholod Tarek;
- Elkolaly, Salma Said;
- Abdel-Wahab, Nehal Yosri Elsayed;
- Abozyed, Mahmoud Ahmed Fathi;
- Adel, Ahmed;
- Saeed, Ahmed Moustafa;
- Sayed, Gehad Samir El;
- Youssif, Jehad Hassan;
- Ahmed, Soliman Magdy;
- El-Shahat, Nermeen Soubhy;
- Khedr, Abd El-Rahman Hegazy;
- Elsebaaye, Abdelrhman Osama;
- Elzayat, Mohamed;
- Abdelraheim, Mohamed;
- Elzayat, Ibrahim;
- Warda, Mahmoud;
- Deen, Khaled Naser El;
- Essam, Abdelrhman;
- Salah, Omar;
- Abbas, Mohamed;
- Rashad, Mona;
- Elzayyat, Ibrahim;
- Hemeda, Dalia;
- Tawfik, Gehad;
- Salama, Mai;
- Khaled, Hazem;
- Seisa, Mohamed;
- Elshaer, Kareem;
- Hussein, Abdelfatah;
- Elkhadrawi, Mahmoud;
- Afifi, Ahmed Mohamed;
- Ebrahim, Osama Saadeldeen;
- Metwally, Mahmoud Mohamed;
- Elmelegy, Rowida;
- Elsawahly, Diaa Moustafa Elbendary;
- Safa, Hisham;
- Nofal, Eman;
- Elbermawy, Mohamed;
- Raya, Metwally Abo;
- Ghazy, Ahmed Abdelmotaleb;
- Samih, Hisham;
- Abdelgelil, Asmaa;
- Abdelghany, Sarah;
- Kholy, Ahmed El;
- Elkady, Fatma;
- Salma, Mahmoud;
- Samy, Sarah;
- Fakher, Reem;
- Aboarab, Aya;
- Samir, Ahmed;
- Sakr, Ahmed;
- Haroun, Abdelrahman;
- Al-Aarag, Asmaa Abdel-Rahman;
- Elkholy, Ahmed;
- Elshanwany, Sally;
- Ghanem, Esraa;
- Tammam, Ahmed;
- Hammad, Ali Mohamed;
- Shoura, Yousra El;
- Ashal, Gehad El;
- Khairy, Hosni;
- Antar, Sarah;
- Mehrez, Sara;
- Abdelshafy, Mahmoud;
- Hamad, Maha Gamal Mohamad;
- Hosh, Mona;
- Abdallah, Emad;
- Magdy, Basma;
- Alzayat, Thuraya;
- Gamaly, Elsayed;
- Elfeki, Hossam;
- Abouzahra, Amany;
- Elsheikh, Shereen;
- Elgendy, Fatimah I;
- El-Salam, Fathia Abd;
- Seifelnasr, Osama;
- Ammar, Mohamed;
- Eysa, Athar;
- Sadek, Aliaa;
- Toeema, Aliaa Gamal;
- Nasr, Aly;
- Abuseif, Mohamed;
- Zidan, Hagar;
- Barakat, Sara Abd Elmageed;
- Elsayed, Nadin;
- Elrasoul, Yasmin Abd;
- El-Kelany, Ahmed;
- Ammar, Mohamed Sabry;
- Mustafa, Mennat-Allah;
- Makhlouf, Yasmin;
- Etman, Mohamed;
- Saad, Samar;
- Alrahawy, Mahmoud;
- Raslan, Ahmed;
- Morsi, Mahmoud;
- Sabry, Ahmed;
- Elwakil, Hager;
- Shaker, Heba;
- Zidan, Hagar;
- Elkelany, Ahmed;
- El-Kashef, Hussein;
- Shaalan, Mohamed;
- Tarek, Areej;
- Elwan, Ayman;
- Nayel, Ahmed Ragab;
- Seif, Mostafa;
- Shafik, Doaa Emadeldin;
- Ghoname, Mohamed Ali;
- Almallah, Ahmad;
- Fouad, Ahmed;
- Elwan, Ayman;
- Sayma, Eman Adel;
- Elbatahgy, Ahmad;
- El-Ma’doul, Angham Solaiman;
- Mosad, Ahmed;
- Tolba, Hager;
- Elsorogy, Diaa Eldin Abdelazeem Amin;
- Mostafa, Hassan Ali;
- Omar, Amira Atef;
- Hameed, Ola Sherief Abd El;
- Lasheen, Ahmed;
- Salam, Yasser Abd El;
- Morsi, Ashraf;
- Ismail, Mohammed;
- Ahmed, Hager;
- Amer, Mohamed A;
- Elkelany, Ahmed;
- El-Hamouly, Ahmed Sabry;
- Attallah, Noura;
- Mosalum, Omnia;
- Afandy, Ahmed;
- Mokhtar, Ahmed;
- Abouelnasr, Alaa;
- Ayad, Sara;
- Shaker, Ramdan;
- Sakr, Rokia;
- Amreia, Mahmoud;
- Elsobky, Soaad;
- Mustafa, Mohamed;
- Magd, Ahmed Abo El;
- Marey, Abeer;
- Tarek, Amr;
- Fadel, Mohamed;
- Mohamed, Mohamed Moamen;
- Fadel, Amr;
- Ahmed, Emad Ali;
- Ali, Ahmad;
- Alwafai, Mohammad Ghassan;
- Alnawam, Ehab Abdulkader Hemida Ghazy;
- Dwydar, Abdullah;
- Kharsa, Sara;
- Mamdouh, Ehab;
- El-Sheemy, Hatem;
- Alyoussef, Ibrahim;
- Aly, Abouelatta Khairy;
- Aldalaq, Ahmad;
- Alnawam, Ehab;
- Alkhabbaz, Dalia;
- Saad, Mahmoud;
- Hussein, Shady;
- Elazayem, Ahmed Abo;
- Meshref, Ahmed;
- Elashmawy, Marwa;
- Mousa, Mohammed;
- Nashaat, Ahmad;
- Ghanem, Sara;
- Elsayed, Zaynab M;
- Elwaey, Aya;
- Elkadsh, Iman;
- Darweesh, Mariam;
- Mohameden, Ahmed;
- Hafez, Mennaallah;
- Badr, Ahmed;
- Badwy, Assmaa;
- Slam, Mohamed Abd El;
- Elazoul, Mohamed;
- Al-Nahrawi, Safwat;
- Eldamaty, Lotfy;
- Nada, Fathee;
- Ameen, Mohamed;
- Hagar, Aya;
- Elsehimy, Mohamed;
- Abo-ryia, Mohammad;
- Dawoud, Hossam;
- Mesery, Shorouk El;
- Gendy, Abeer El;
- Abdelkareem, Ahmed;
- Marey, Ahmed Safwan;
- Allam, Mostafa;
- Shehata, Sherif;
- Abozeid, Khaled;
- Elshobary, Marwa;
- Fahiem, Ahmed;
- Sarsik, Sameh;
- Hashish, Amel;
- Zidan, Mohamed;
- Hashish, Mohamed;
- Aql, Shaimaa;
- Elhendawy, Abdelaziz Osman Abdelaziz;
- Husseini, Mohamed;
- Khater, Omar;
- Kasem, Esraa Abdalmageed;
- Gheith, Ahmed;
- Elfouly, Yasmin;
- Soliman, Ahmed Ragab;
- Hani, Yasmein;
- Elfouly, Nesma;
- Fawzy, Ahmed;
- Hassan, Ahmed;
- Rashid, Mohammad;
- Elsherbiny, Abdallah Salah;
- Sieda, Basem;
- Badwi, Nermin Mohamed;
- Mohammed, Mohammed Mustafa Hassan;
- Mohamed, Osama;
- Habeeb, Mohammad Abdulkhalek;
- Worku, Mengistu;
- Starr, Nichole;
- Desta, Semay;
- Wondimu, Sahlu;
- Abebe, Nebyou Seyoum;
- Thomas, Efeson;
- Asele, Frehun Ayele;
- Dabessa, Daniel;
- Abebe, Nebiyou Seyoum;
- Zerihun, Abebe Bekele;
- Scalabre, Aurelien;
- Frade, Fernanda;
- Irtan, Sabine;
- Parent, Valentine;
- Martin, Amandine;
- Arnaud, Alexis P;
- Graffeille, Vivien;
- Gaignard, Elodie;
- Alimi, Quentin;
- Abbo, Olivier;
- Mouttalib, Sofia;
- Bouali, Ourdia;
- Hervieux, Erik;
- Aigrain, Yves;
- Botto, Nathalie;
- Faure, Alice;
- Fievet, Lucile;
- Panait, Nicoleta;
- Eyssartier, Emilie;
- Schmitt, Francoise;
- Podevin, Guillaume;
- Muller, Cecile;
- Bonnard, Arnaud;
- Peycelon, Matthieu;
- Abantanga, Francis;
- Boakye-Yiadom, Kwaku;
- Bukari, Mohammed;
- Owusu, Frank;
- Awuku-Asabre, Joseph;
- Tabiri, Stephen;
- Bray, Lemuel Davies;
- Lytras, Dimitrios;
- Psarianos, Kyriakos;
- Bamicha, Anastasia;
- Anthoulakis, Christos;
- Nikoloudis, Nikolaos;
- Mitroudis, Nikolaos;
- Recinos, Gustavo;
- Estupinian, Sergio;
- Forno, Walter;
- Guevara, Romeo;
- Aguilera, Maria;
- Mendez, Napoleon;
- Mendizabal, Cesar Augusto Azmitia;
- Ramazzini, Pablo;
- Urquizu, Mario Contreras;
- Rodríguez, Daniel Estuardo Marroquín;
- Velásquez, Carlos Iván Pérez;
- Mérida, Sara María Contreras;
- Regalado, Francisco;
- Lopez, Mario;
- Siguantay, Miguel;
- Prasad, SS;
- Kirishnan, Anand;
- Gyanchandani, Nidhi;
- Bhat, Sriram;
- Sreedharan, Anjana;
- Kinnera, SV;
- Nadkarni, Shravan;
- Lakshmi, Harish Neelamraju;
- Malik, Puneet;
- Bin Mahamood, Abid;
- Khajanchi, Monty;
- Satoskar, Savni;
- Satoskar, Rajeev;
- Reddy, Yella;
- Venugopal, Caranj;
- Kumar, Sunil;
- Sutanto, Eldaa Prisca Refianti;
- Soeselo, Daniel Ardian;
- Tedjaatmadja, Chintya;
- Rahmawati, Fitriana Nur;
- Amandito, Radhian;
- Mayasari, Maria;
- Al-Hasani, Ruqaya Kadhim Mohammed Jawad;
- Al-Hameedi, Hasan Ismael Ibraheem;
- Al-Azraqi, Israa Abdullah Aziz;
- Sabeeh, Lubna;
- Kamil, Rahma;
- Shawki, Marwan;
- Rasendran, Amoudtha;
- Sheehan, Jacqueline;
- Kerley, Robert;
- Normile, Caoimhe;
- Gilbert, Richard William;
- Song, Jiheon;
- Mauro, Linnea;
- Dablouk, Mohammed Osman;
- Hanrahan, Michael;
- Kielty, Paul;
- Marks, Eleanor;
- Gosling, Simon;
- Mccarthy, Michelle;
- Rasendran, Amoudtha;
- Mirghani, Diya;
- Naqvi, Syed Altaf;
- Wong, Chee Siong;
- Gosling, Simon George;
- Mccarthy, Michelle;
- Rasendran, Amoudtha;
- Fahy, Ciara;
- Song, Jiheon;
- Hanrahan, Michael;
- Cadogan, Diana Duarte;
- Powell, Anna;
- Gilbert, Richard;
- Clifford, Caroline;
- Normile, Caoimhe;
- Driscoll, Aoife;
- Paul, Stassen;
- Lee, Chris;
- Bowe, Ross;
- Hutch, William;
- Hanrahan, Michael;
- Mohan, Helen;
- O’Neill, Maeve;
- Mealy, Kenneth;
- Danelli, Piergiorgio;
- Bondurri, Andrea;
- Maffioli, Anna;
- Bonavina, Luigi;
- Macchitella, Yuri;
- Ceriani, Chiara;
- Veronese, Ezio;
- Bortolasi, Luca;
- Hasheminia, Alireza;
- Pata, Francesco;
- Benevento, Angelo;
- Tessera, Gaetano;
- Turati, Luca;
- Sgroi, Giovanni;
- Rausa, Emanuele;
- Venskutonis, Donatas;
- Bradulskis, Saulius;
- Urbanavicius, Linas;
- Austraite, Aiste;
- Riauka, Romualdas;
- Zilinskas, Justas;
- Dambrauskas, Zilvinas;
- Coomber, Ross;
- Johnson, Kenneth;
- Nowers, Jennifer;
- Periasammy, Dineshwary;
- Salleh, Afizah;
- Das, Andre;
- Tze, Reuben Goh Ern;
- Kumar, Milaksh Nirumal;
- Abdullah, Nik Azim Nik;
- Chong, Hoong Yin;
- Roslani, April Camilla;
- Goh, Cheng Chun;
- Agius, Marija;
- Borg, Elaine;
- Bezzina, Maureen;
- Bugeja, Roberta;
- Vella-Baldacchino, Martinique;
- Spina, Andrew;
- Psaila, Josephine;
- Francois-Coridon, Helene;
- Tolg, Cecilia;
- Colombani, Jean-Francois;
- Jacobe, Mário;
- Mapasse, Domingos;
- Snyder, Elizabeth;
- Oumer, Ramadan;
- Osman, Mohammed;
- Mohammad, Aminu;
- Anyanwu, Lofty-John;
- Sheshe, Abdulrahman;
- Adesina, Alaba;
- Faturoti, Olubukola;
- Taiwo, Ogechukwu;
- Ibrahim, Muhammad Habib;
- Nasir, Abdulrasheed A;
- Suleiman, Siyaka Itopa;
- Adeniyi, Adewale;
- Adesanya, Opeoluwa;
- Adebanjo, Ademola;
- Osuoji, Roland;
- Atobatele, Kazeem;
- Ogunyemi, Ayokunle;
- Wiiliams, Omolara;
- Oludara, Mobolaji;
- Oshodi, Olabode;
- Ademuyiwa, Adesoji O;
- Razzaq, Abdul;
- Lawal, Oluwagbemiga;
- Alakaloko, Felix;
- Elebute, Olumide;
- Osinowo, Adedapo;
- Bode, Christopher;
- Adesuyi, Abidemi;
- Tade, Adesoji;
- Adekoya, Adeleke;
- Nwokoro, Collins;
- Ayandipo, Omobolaji O;
- Lawal, Taiwo Akeem;
- Ajao, Akinlabi E;
- Ali, Samuel Sani;
- Odeyemi, Babatunde;
- Olori, Samson;
- Popoola, Ademola;
- Adeyeye, Ademola;
- Adeniran, James;
- Lossius, William J;
- Havemann, Ingemar;
- Thorsen, Kenneth;
- Narvestad, Jon Kristian;
- Soreide, Kjetil;
- Wold, Trude Beate;
- Nymo, Linn;
- Elsiddig, Mohammed;
- Dar, Manzoor;
- Bhopal, Kamran Faisal;
- Iftikhar, Zainab;
- Furqan, Muhammad Mohsin;
- Nighat, Bakhtiar;
- Jawaid, Masood;
- Khalique, Abdul;
- Zil-E-Ali, Ahsan;
- Rashid, Anam;
- Aguilar, Wendy Leslie Messa;
- Chiong, Jose Antonio Cabala;
- Cecilia, Ana;
- Bautista, Manchego;
- Huaman, Eduardo;
- Zegarra, Sergio;
- Camacho, Rony;
- Celis, Jose María Vergara;
- Pozo, Diego Alonso Romani;
- Hamasaki, José;
- Temoche, Edilberto;
- Herrera-Matta, Jaime;
- Torres, Carla Pierina García;
- Barreda, Luis Miguel Alvarez;
- Ojeda, Ronald Renato Barrionuevo;
- Garaycochea, Octavio;
- Mollo, Melanie Castro;
- De Fã Tima Linares Delgado, Mitchelle Solange;
- Fujii, Francisco;
- Bautista, Ana Cecilia Manchego;
- Aguilar, Wendy Leslie Messa;
- Chiong, Jose Antonio Cabala;
- Durand, Susana Yrma Aranzabal;
- Basto, Carlos Alejandro Arroyo;
- Rojas, Nelson Manuel Urbina;
- Yip, Sebastian Bernardo Shu;
- Vergara, Ana Lucia Contreras;
- Moran, Andrea Echevarria Rosas;
- Luque, Giuliano Borda;
- Castro, Manuel Rodriguez;
- Jaramillo, Ramon Alvarado;
- Sila, George Manrique;
- Lopez, Crislee Elizabeth;
- De Leon, Mardelangel Zapata Ponze;
- Machaca, Massiell;
- Huaraya, Ronald Coasaca;
- Arenas, Andy;
- Puma, Clara Milagros Herrera;
- Pino, Wilfredo;
- Hinojosa, Christian;
- De Leon, Melanie Zapata Ponze;
- Limache, Susan;
- Sila, George Manrrique;
- Rodriguez, Layza-Alejandra Mercado;
- Sauvat, Frederique;
- Vida, Lucian Corneliu;
- Muntean, Liviu Iuliu;
- Mironescu, Aurel Sandu;
- Alomar, Ibrahim N;
- Alnuqaydan, Saleh A;
- Altwigry, Abdulrahman M;
- Othman, Moayad;
- Osman, Nohad;
- Alqahtani, Enas;
- Alzahrani, Mohammed;
- Alyami, Rifan;
- Aljohani, Emad;
- Alhabli, Ibrahim;
- Mikwar, Zaher;
- Almuallem;
- Aljohani, Emad;
- Alyami, Rifan;
- Alzahrani, Mohammed;
- Nawawi, Abrar;
- Bakhaidar, Mohamad;
- Maghrabi, Ashraf A;
- Alsaggaf, Mohammed;
- Aljiffry, Murad;
- Altaf, Abdulmalik;
- Khoja, Ahmad;
- Habeebullah, Alaa;
- Akeel, Nouf;
- Ghandora, Nashat;
- Almoflihi, Abdullah;
- Huwait, Abdulmalik;
- Al-shammari, Abeer;
- Al-Mousa, Mashael;
- Alghamdi, Masood;
- Adham, Walid;
- Albeladi, Bandar;
- Alfarsi, Muayad Ahmed;
- Mahdi, Atif;
- Awwad, Saad Al;
- Altamimi, Afnan;
- Nouh, Thamer;
- Hassanain, Mazen;
- Aldhafeeri, Salman;
- Sadig, Nawal;
- Algohary, Osama;
- Aledrisy, Mohannad;
- Gudal, Ahmad;
- Alrifaie, Ahmad;
- AlRowais, Mohammed;
- Althwainy, Amani;
- Shabkah, Alaa;
- Alamoudi, Uthman;
- Alrajraji, Mawaddah;
- Alghamdi, Basim;
- Aljohani, Saud;
- Daqeeq, Abdullah;
- Al-Faifi, Jubran J;
- Jennings, Vicky;
- Ngayu, Nyawira;
- Moore, Rachel;
- Kong, Victor;
- Sampson, Colleen;
- Spence, Richard;
- Panieri, Eugenio;
- Tun, Myint;
- Mphatsoe, Albert Mohale;
- Carreira, Jo-Anne;
- Teasdale, Ella;
- Wagener, Mark;
- Botes, Stefan;
- Du Plessis, Danelo;
- Pagnozzi, Janet;
- Quezada, Jimy Harold Jara;
- Rodicio, Jose Luis;
- Minguez, German;
- Rodríguez-Uría, Raquel;
- Ugalde, Paul;
- Lopez-Arevalo, Camilo;
- Barneo, Luis;
- Stuva, Jessica Patricia Gonzales;
- Aguilar-Jimenez, Jose;
- Garcia-Marin, Jose Andres;
- Ortega-Vazquez, Irene;
- Rodriguez, Lorena;
- Herrera, Norberto;
- Arachchi, Prasad Pitigala;
- Senanayake, Wanigasekara Senanayake Mudiyanselage Kithsiri Janakantha;
- Arachchige, Lalith Asanka Jayasooriya Jayasooriya;
- Sivaganesh, Sivasuriya;
- Samaraweera, Dulan Irusha;
- Thanusan, Vimalakanthan;
- Musa, Ahmed Elgaili Khalid;
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Published Web Location
https://doi.org/10.1136/bmjgh-2016-000091Abstract
Background
Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally.Methods
Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014. The United Nation's Human Development Index (HDI) was used to stratify countries. The main outcome measure was 30-day postoperative mortality, analysed by multilevel logistic regression.Results
This study included 1409 patients from 253 centres in 43 countries; 282 children were under 2 years of age. Among them, 265 (18.8%) were from low-HDI, 450 (31.9%) from middle-HDI and 694 (49.3%) from high-HDI countries. The most common operations performed were appendectomy, small bowel resection, pyloromyotomy and correction of intussusception. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23), p<0.001) and middle-HDI (4.42 (1.44 to 13.56), p=0.009) countries compared with high-HDI countries, translating to 40 excess deaths per 1000 procedures performed.Conclusions
Adjusted mortality in children following emergency abdominal surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries. Effective provision of emergency essential surgery should be a key priority for global child health agendas.Trial registration number
NCT02179112; Pre-results.Many UC-authored scholarly publications are freely available on this site because of the UC's open access policies. Let us know how this access is important for you.
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