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Mortality of emergency abdominal surgery in high-, middle- and low-income countries

Overview of attention for article published in British Journal of Surgery, May 2016
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Title
Mortality of emergency abdominal surgery in high-, middle- and low-income countries
Published in
British Journal of Surgery, May 2016
DOI 10.1002/bjs.10151
Pubmed ID
Authors

J E F Fitzgerald, C Khatri, J C Glasbey, M Mohan, R Lilford, E M Harrison, H Holmer, N Hall, S-H Kim, A Negida, Z Jaffry, S J Chapman, S Shu, H Shiwani, J Jeyakumar, C Fermani, R Balmaceda, M Marta Modolo, E Macdermid, N Gobin, R Chenn, C Ou Yong, M Edye, M Jarmin, S K D'amours, D Iyer, D Youssef, N Phillips, J Brown, R George, C Koh, O Warren, I Hanley, M Dickfos, C Nawara, D Öfner, F Primavesi, A R Mitul, K Mahmud, M Hussain, H Hakim, T Kumar, A Oosterkamp, P A Assouto, I Lawani, Y Imorou Souaibou, A Kyaw Tun, C Leung Chong, G H Devadasar, C Leung Chong, M Rashid Minhas Qadir, K Phyo Aung, L Shi Yeo, C Leung Chong, V D Palomino Castillo, M Moron Munhoz, G Moreira, L C Barros De Castro Segundo, S Anderson Khouri Ferreira, M Cassa Careta, S Binna Kim, A Venâncio De Sousa, A Daltri Lazzarini Cury, G Peixoto Soares Miguel, A Vega Carreiro De Freitas, B Pereira Silvestre, J Guasti Pinto Vianna, C Oliveira Felipe, L Alberto Valente Laufer, F Altoe, L Ayres Da Silva, M L Pimenta, T Fernandes Giuriato, P Alves Bezerra Morais, J Souza Luiz, R Araujo, J Menegussi, M Leal, C Vinícius Barroso Lima, L Sarmento Tatagiba, A Leal, D Vinicius dos Santos, G Pereira Fraga, R Lages Simoes, S Stock, S Nigo, J Kabba, T Ebogo Ngwa, J Brown, S King, A Zani, G Azzie, M Firdouse, S Kushwaha, A Agarwal, K Bailey, B Cameron, M Livingston, A Horobjowsky, D L Deckelbaum, T R azek28B Marinkovic, E Grasset, N D'aguzan, E Grasset, J Jimenez, R Macchiavello, Z Zhang, W Guo, J Oh, F Zheng, I Montes, S Sierra, M Mendez, M I Villegas, M C Mendoza Arango, I Mendoza, F A Naranjo Aristizã¡bal, J A Montoya Botero, V M Quintero Riaza, J Restrepo, C Morales, M C Mendoza Arango, H Cruz, A Munera, M C Mendoza Arango, R Karlo, E Domini, J Mihanovic, M Radic, K Zamarin, N Pezelj, M Hache-Marliere, S Batista Lemaire, R Rivas, A Khyrallh, A Hassan, G Shimy, M A Baky Fahmy, A Nabawi, M S Ali Muhammad Gohar, M Elfil, M Ghoneem, M Asal, M Abdelkader, M Gomah, H Rashwan, M Karkeet, A Gomaa, A Hasan, A Elgebaly, O Azzam, A AbdelFattah, A Gouda, A Elshafay, A Gharib, A Menshawy, M Hanafy, A Al-Mallah, M Abdulgawad, M Baheeg, M Alhendy, I A Fattah, A Kenibar, O Osman, M Gemeah, A Mohammed, A Adel, A Gharib, A Mohammed, A Sayed, M Abozaid, A Hafez El-Badri Kotb, A A Ahmed Ata, M Nasr, A Alkammash, M Saeed, N Abd El Hamid, A M Attia, A Abd El Galeel, E Elbanby, K Salah El-Dien, U Hantour, O Alahmady, B Mansour, A M Elkorashy, E M Saeed Taha, K T Lasheen, S Said Elkolaly, N Yosri Elsayed Abdel-Wahab, M A Fathi Abozyed, A Adel, A M Saeed, G Samir El Sayed, J H Youssif, S Magdy Ahmed, N Soubhy El-Shahat, A Hegazy Khedr, A Osama Elsebaaye, M Elzayat, M Abdelraheim, I Elzayat, M Warda, K Naser El Deen, A Essam Elnemr, O Salah, M Abbas, M Rashad, I Elzayyat, D Hemeda, G Tawfik, M Salama, H Khaled, M Seisa, K Elshaer, A Hussein, M Elkhadrawi, A M Afifi, O Saadeldeen Ebrahim, M M Metwally, R Elmelegy, D M Elbendary Elsawahly, H Safa, E Nofal, M Elbermawy, M Abo Raya, A Abdelmotaleb Ghazy, H Samih, A Abdelgelil, S Abdelghany, A El Kholy, F Elkady, M Salma, S Samy, R Fakher, A Aboarab, A Samir, A Sakr, A Haroun, A Abdel-Rahman Al-Aarag, A Elkholy, S Elshanwany, E Ghanem, A Tammam, A M Hammad, Y El Shoura, G El Ashal, H Khairy, S Antar52, S Mehrez, M Abdelshafy, M Gamal Mohamad Hamad, M Farid Hosh, E Abdallah, B Magdy, T Alzayat, E Gamaly, H Elfeki, A Abouzahra, S Elsheikh, F Elgendy, F Abd El-Salam53, O Seifelnasr, M Ammar, A Eysa, A Sadek, A Gamal Toeema, K Shady, A Nasr, M Abuseif, H Zidan, S Abd Elmageed Barakat, N Elsayed, Y Abd Elrasoul, A Elkelany, M Sabry Ammar, M Mustafa, Y Hegazy, M Etman, S Saad, M Alrahawy, A Raslan, M Morsi, A Rslan, A Sabry, H Elwakil, H Shaker, H Zidan, Y Abd-Elrasoul, A Elkelany, H El-Kashef, M Shaalan, A Tarek, A Elwan, A Ragab Nayel, M Seif, D Emadeldin, M Ali Ghonaim, A Almallah, A Fouad, E Adel Sayma, A Elbatahgy, A Solaiman El-Ma'doul, A Mosad, H Tolba, D A Amin Elsorogy, H Ali Mostafa, A Atef Omar, O Sherief Abd El Hameed, A Lasheen, Y Abd El Salam, A Morsi, M Ismail, H Ahmed El-badawy, M Amer, A Elkelany, A Elkelany, A Sabry El-Hamouly, N Ahmed Attallah, O Mosalum, A Afandy, A Mokhtar, A Abouelnasr, S Ayad, R Shaker, R Sakr, R Shaker, M Amreia, S Elsobky, M Mustafa, A Abo El Magd, A Marey, A Tarek Hafez, M Zalabia, M Moamen Mohamed, A Fadel, E Ali Ahmed, A Ali, M Ghassan Alwafai, A Dwydar, S Kharsa, E Mamdouh, H El-Sheemy, I Youssef, A Khairy Aly, A Aldalaq, E Alnawam, D Alkhabbaz, M Saad, S Hussein, A Abo Elazayem, A Ramadan, M Elashmawy, M Mousa, A Nashaat, S Ghanem, Z Oof, A Elwaey, I Elkadsh, M Darweesh, A Mohameden, M Hafez, A Badr, A Badwy, M Abd El Slam, M Elazoul, S Al-Nahrawi, L Eldamaty, F Nada, M Ameen, A Hagar, M Elsehimy, M Aboraya, H Dawoud, S El Mesery, A El Gendy, A Abdelkareem, A Safwan Marey, M Allam, S Shehata, K Abozeid, M Elshobary, A Fahiem, S Sarsik, A Hashish, M Zidan, M Hashish, A Sanad, M Mesalam, S Aql, A Osman Abdelaziz Elhendawy, M Husseini, E Kasem, A Gheith, Y Elfouly, A Ragab Soliman, Y Ibrahim, N Elfouly, A Fawzy, A Hassan, M Rashid, A Salah Elsherbiny, B Sieda, N Badwi, M M Hassan Mohammed, O Mohamed, M Abdulkhalek Habeeb, M Worku, N Starr, S Desta, S Wondimu, N S Abebe, E Thomas, F A Asele, D Dabessa, N Seyoum Abebe, A B Zerihun, P Mentula, A Leppäniemi, V Sallinen, A Scalabre, F Frade, S Irtan, V Graffeille, E Gaignard, Q Alimi, Q Alimi, V Graffieille, E Gaignard, O Abbo, S Mouttalib, O Bouali, E Hervieux, Y Aigrain, N Botto, A Faure, L Fievet, N Panait, E Eyssartier, F Schmitt, G Podevin, V Parent, A Martin, A P Arnaud, C Muller, A Bonnard, M Peycelon, F Abantanga, K Boakye-Yiadom, M Bukari, F Owusu, J Awuku-Asabre, S Tabiri, L D Bray, D Lytras, K Psarianos, A Bamicha, E Kefalidi, G Gemenetzis, C Dervenis, N Gouvas, C Agalianos, M Kontos, G Kouraklis, D Karousos, S Germanos, C Marinos, C Anthoulakis, N Nikoloudis, N s Mitroudis, G Recinos, S Estupinian, W Forno, J R Arévalo Azmitia, C C Ramã­rez Cabrera, R Guevara, M Aguilera, N Mendez, C A Azmitia Mendizabal, 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M Hanrahan, D Duarte Cadogan, A Powell, R Gilbert, C Clifford, C Normile, A Driscoll, P Stassen, C Lee, R Bowe, W Hutch, M Hanrahan, H Mohan, M O'Neill, K Mealy, P Danelli, A Bondurri, A Maffioli, M Pasini, G Pata, S Roncali, P Silvani, M Carlucci, R Faccincani, L Bonavina, Y Macchitella, C Ceriani, G Tugnoli, S Di Saverio, K Khattab, M Angel Paludi, D Pata, L Maria Cloro, A Allegri, L Ansaloni, F Coccolini, E Veronese, L Bortolasi, A Hasheminia, G Nastri, M Dal Canto, S Cucumazzo, F Pata, A Benevento, G Tessera, P Paolo Grandinetti, A Maniscalco, G Luca Lamanna, L Turati, G Sgroi, E Rausa, R Villa, M Monteleone, D Merlini, V Grassi, R Cirocchi, A Cacurri, H Waleed, A Diab, F Elzowawi, M Jokubauskas, K Varkalys, D Venskutonis, R Pranevicius, V Ambrozeviciute, S Juciute, A Skardžiukaitė, D Venskutonis, S Bradulskis, L Urbanavicius, A Austraite, R Riauka, J Zilinskas, Z Dambrauskas, P Karumnas, Z Urniezius, R Zilinskiene, A Rudzenskaite, A Usaityte, M Montrimaite, N Kaselis, A Strazdas, 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Vincent, J Almy, T Khan, J L Y Allen, C J Mcintyre, D C Marshall, M Sykes, N Behar, H Jordan, Y Rajjoub, T Sherman, T White, A Watts, R Ardley, T Arulampalam, A Shah, D Brown, E Blower, P Sutton, K Gasteratos, D Vimalachandran, C Magee, G Irwin, A Mcguigan, S Mcaleer, C Morgan, S Braungart, K Lafferty, P Labib, A Tanase, C Mangan, L Reza, A Tanase, C Mangan, H Woodward, C Gouldthorpe, M Turner, J R L Wild, T A M Malik, V K Proctor, K Hewage, J Davies, A Dubois, S Sarwary, A Zardab, A Grant, R Mcintyre, Y P Mogan, W Ho, B F Hon Khi Chong, S Tewari, G Humm, E Farinella, N J Hall, N J Wright, C P Major, T Xerri, P De Bono, J Amin, M Farhad, J F Camilleri-Brennan, A G N Robertson, J Swann, J Richards, A Jabbar, M Attard, H Burns, E Macdonald, M Baldacchino, J Skehan, J Camilleri-Brennan, T Falconer Hall, M Gimzewska, G Mclachlan, J Shah, J Giles, S Chiu, B Weber, S Man Yeng Chiu, S Highcock, M Hassan, W Beasley, A Vlachogiorgos, S Dias, G Maharaj, R Mcdonald, A Macdonald, P Witherspoon, A Baird, P Sarmah, N Green, H Youssef, K Cross, C M Rees, B Van Duren, E Upchurch, K Khan, H Abudeeb, A Hammad, S Karandikar, D Bowley, A Karim, W Chachulski, L Richardson, G Dawnay, B Thompson, A Mistry, A Bhangu, M Ghetia, S Roy, O Al-Obaedi, M Ghetia, K Das, A Prabhudesai, D M Cocker, J J Tan, R Tyler, F Di Franco, S Ayyar, S Vivekanantham, S Gokani, M Gillespie, K Gudlaugsdottir, T Pezas, C Currow, M Young-Han Kim, A Birring, J Edwards, A Ali, S Das, M Jha, K Atkinson, J Luck, T Fozard, M Puttick, Y Salama, R Shah, A A Ibrahem, H Ebdewi, G Gravante, S El-Rabaa, H Nnajiuba, R Allott, A Bhargava, Z Chan, Z Hassan, M Makinde, D Hemingway, R Dean, A Boddy, A Aber, V Patel, J Parakh, S Parthiban, H K Ubhi, S-P Hosein, S Ward, K Malik, L Jennings, T Newton, M Alkhouri, M K Kang, C Houlden, J Barry, I Raza, A Farquharson, S Bhattacharya, W Milligan, K Chang, L Henderson, M S J Wilson, Y N Neo, I Ibrahim, E Chan, F S Peck, P J Lim, A S North, R Blundell, A Williamson, D Fouad, A Minocha, K Mccarthy, E Court, A Chambers, J Yee, J C Tham, C Beaton, U Walsh, J Lockey, S Bokhari, L Howells, M Griffiths, L Yallop, S Singh, O Nasher, P Jackson, M Puttick, J Luck, T Fozard, A M Shariffuddin, W C Ho, M S J Wilson, G Pabla, S Ramzi, S Zeidan, J Doughty, S Sinha, R Davenport, J Lewis, L Duffy, E Mcaleer, E Williams, R Som, O Javed, M Boal, N Harrison, H Tafazal, O Javed, T Brogden, E Griffiths, R D Obute, T E Glover, D J Clark, M Boshnaq, M Akhtar, P Capleton, S Doughan, M Rabie, I Mohamed, D Samuel, L Dickson, M Kennedy, E Dempster, E Brown, N Maple, E Monaghan, B Wolf, A Garland, A Mcphee, D Anderson, R Anderson, S Hassan, P Sutton, D Smith, J Lund, C Boereboom, J Murphy, G Tierney, S Tou, E F Zimmermann, N J Smart, A M Warwick, T Stasinou, I Daniels, K Findlay-Cooper, S Mitrasinovic, S Ray, M Varcada, R D S Omara, M Spurr, L Parkinson, A Hanks, J Ma, E Abington, M Ramcharn, G Williams, J Winstanley, E D Kennedy, E N W Yeung, S Fergusson, C Jones, S O'Neill, S J Lim, I Liew, H Nair, C Fairfield, J Oh, S Koh, A Wilson, C Fairfield, D Anandkumar, A Kirupagaran, T F Jones, H D Torrance, A J Fowler, C Chandrakumar, P Patel, S F Ashraf, S M Lakhani, A L Mclean, S Basson, J Batt, C Bowman, M Stoddart, N Benons, C Mason, R Harrison, J Quayle, T Barker, V Summerour, E Harper, C Smith, M Hampton, S K Pitt, A E Ward, T O'Connor, E G Heywood, T M Drake, A Chowdhury, S Hossaini, N F Watson, D Mckechnie, A Farah, A Chun, H Koh, G Lim, G Sunderland, L Gould, A Chambers, P C Munipalle, H Rooney, D R L Browning, B Pereira, K Nemeth, E Decker, S Giuliani, A Shalaby, S Shaikh, C Y Tan, E Y A Palkhi, E Kostov, P Harbord, J Barnacle, A Szczap, S Chidambaram, C Y Chen, K Kulasabanathan, S Chhabra, M M Palliyil, M Zikry, J Porter, C Raslan, M Saeed, S Hafiz, N Soltani, K Baillie, L Marples, A Macfarlane, R Thurairaja, P Singh, S Sheth, K Patel, M Khalili, J Choi, M Benger, T Boyce, H Whewell, E Jones, F Th'ng, N Robertson, A Mirza, H Saeed, S Galloway, G Elena, M Afzal, M Zakir, P Sodde, C Hand, A Sriram, T Clark, P Holton, A Livesey, Y Sinha, F M Iqbal, I S Bharj, A Rotundo, C Jenvey, R Slade, D Golding, S Haines, A A Ne'ma Abdullah, T W Tilston, D Loughran, D Donoghue, L Giacci, M Ashur Sherif, P Harrison, A Tang, D Kotecha, M Elshaer, T Urbonas, A Riaz, A Chapman, P Acharya, J Shalhoub, C Grossart, D McMorran, M Mlotshwa, W Hawkins, S Loizides, K Krishna, M Orchard, C W Ho, P Thomson, S Khan, F Taylor, J Shukla, E E Howie, L Macdonald, O Komolafe, N Mcintyre, J Cragg, J Parker, D Stewart, L L, J Tracy, T Farooq, G Molina, H Kaafarani, L Luque, R Beyene, J Sava, M Scott, M Swaroop, R Kennedy, I A Azodo, D Heffernan, T Chun, A Stephen, M Sion, M S Weinstein, V Punja, N Bugaev, M Goodstein, S Razmdjou, E Etchill, J C Puyana, M Kesinger, L Napolitano, K To, M Hemmila, O Todd, E Jenner, E Hoogakker, D Roi, J H Chieh Chen, L Ismail, E G Escobar

Abstract

Surgical mortality data are collected routinely in high-income countries, yet virtually no low- or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI). This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression. Data were obtained for 10 745 patients from 357 centres in 58 countries; 6538 were from high-, 2889 from middle- and 1318 from low-HDI settings. The overall mortality rate was 1·6 per cent at 24 h (high 1·1 per cent, middle 1·9 per cent, low 3·4 per cent; P < 0·001), increasing to 5·4 per cent by 30 days (high 4·5 per cent, middle 6·0 per cent, low 8·6 per cent; P < 0·001). Of the 578 patients who died, 404 (69·9 per cent) did so between 24 h and 30 days following surgery (high 74·2 per cent, middle 68·8 per cent, low 60·5 per cent). After adjustment, 30-day mortality remained higher in middle-income (odds ratio (OR) 2·78, 95 per cent c.i. 1·84 to 4·20) and low-income (OR 2·97, 1·84 to 4·81) countries. Surgical safety checklist use was less frequent in low- and middle-income countries, but when used was associated with reduced mortality at 30 days. Mortality is three times higher in low- compared with high-HDI countries even when adjusted for prognostic factors. Patient safety factors may have an important role. Registration number: NCT02179112 (http://www.clinicaltrials.gov).

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 556 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Egypt 5 <1%
Turkey 1 <1%
Italy 1 <1%
Netherlands 1 <1%
United Kingdom 1 <1%
India 1 <1%
Unknown 546 98%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 70 13%
Other 59 11%
Researcher 51 9%
Student > Master 49 9%
Student > Postgraduate 45 8%
Other 155 28%
Unknown 127 23%
Readers by discipline Count As %
Medicine and Dentistry 314 56%
Nursing and Health Professions 18 3%
Engineering 9 2%
Agricultural and Biological Sciences 7 1%
Social Sciences 7 1%
Other 32 6%
Unknown 169 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 352. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 September 2023.
All research outputs
#96,522
of 26,314,972 outputs
Outputs from British Journal of Surgery
#15
of 6,133 outputs
Outputs of similar age
#1,819
of 314,509 outputs
Outputs of similar age from British Journal of Surgery
#1
of 63 outputs
Altmetric has tracked 26,314,972 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,133 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.5. This one has done particularly well, scoring higher than 99% of its peers.
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We're also able to compare this research output to 63 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.