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

Title: Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy
Authors: Thomas, HS
Weiser, TG
Drake, TM
Knight, SR
Fairfield, C
Ademuyiwa, AO
Aguilera, ML
Alexander, P
Al-Saqqa, SW
Borda-Luque, G
Costas-Chavarri, A
Ntirenganya, F
Fitzgerald, JE
Fergusson, SJ
Glasbey, J
Ingabire, JCA
Ismail, L
Salem, HK
Kojo, ATT
Lapitan, MC
Lilford, R
Mihaljevic, AL
Morton, D
Mutabazi, AZ
Nepogodiev, D
Adisa, AO
Ots, R
Pata, F
Pinkney, T
Poskus, T
Qureshi, AU
Ramos-De la Medina, A
Rayne, S
Shaw, CA
Shu, S
Spence, R
Smart, N
Tabiri, S
Bhangu, A
Harrison, EM
Verjee, A
Runigamugabo, E
Ademuyiwa, AO
Adisa, AO
Aguilera, ML
Altamini, A
Alexander, P
Al-Saqqa, SW
Borda-Luque, G
Cornick, J
Costas-Chavarri, A
Drake, TM
Fergusson, SJ
Fitzgerald, JE
Glasbey, J
Ingabire, JCA
Ismail, L
Jaffry, Z
Salem, HK
Khatri, C
Kirby, A
Kojo, ATT
Lapitan, MC
Lilford, R
Mihaljevic, AL
Mohan, M
Morton, D
Mutabazi, AZ
Nepogodiev, D
Ntirenganya, F
Ots, R
Pata, F
Pinkney, T
Poskus, T
Qureshi, AU
Ramos-De la Medina, A
Rayne, S
Recinos, G
Soreide, K
Shaw, CA
Shu, S
Spence, R
Smart, N
Tabiri, S
Harrison, EM
Bhang, A
Khatri, C
Gobin, N
Freitas, AV
Hall, N
Kim, S-H
Negida, A
Khairy, H
Jaffry, Z
Chapman, SJ
Arnaud, AP
Tabiri, S
Recinos, G
Manipal, CE
Mohan, M
Amandito, R
Shawki, M
Hanrahan, M
Pata, F
Zilinskas, J
Roslani, AC
Goh, CC
Ademuyiwa, AO
Irwin, G
Shu, S
Luque, L
Shiwani, H
Altamimi, A
Alsaggaf, MU
Fergusson, SJ
Spence, R
Rayne, S
Jeyakumar, J
Cengiz, Y
Raptis, DA
Glasbey, JC
Modolo, MM
Iyer, D
King, S
Arthur, T
Nahar, SN
Waterman, A
Ismail, L
Walsh, M
Agarwal, A
Zani, A
Firdouse, M
Rouse, T
Liu, Q
Camilo Correa, J
Salem, HK
Talving, P
Worku, M
Arnaud, A
Tabiri, S
Kalles, V
Aguilera, ML
Recinos, G
Kumar, B
Kumar, S
Amandito, R
Quek, R
Pata, F
Ansaloni, L
Altibi, A
Venskutonis, D
Zilinskas, J
Poskus, T
Whitaker, J
Msosa, V
Tew, YY
Farrugia, A
Borg, E
Ramos-De la Medina, A
Bentounsi, Z
Ademuyiwa, AO
Soreide, K
Gala, T
Al-Slaibi, I
Tahboub, H
Alser, OH
Romani, D
Shu, S
Major, P
Mironescu, A
Bratu, M
Kourdouli, A
Ndajiwo, A
Altwijri, A
Alsaggaf, MU
Gudal, A
Jubran, AF
Seisay, S
Lieske, B
Rayne, S
Spence, R
Ortega, I
Jeyakumar, J
Senanayake, KJ
Abdulbagi, O
Cengiz, Y
Raptis, D
Altinel, Y
Kong, C
Teasdale, E
Irwin, G
Stoddart, M
Kabariti, R
Suresh, S
Gash, K
Narayanan, R
Maimbo, M
Fermani, C
Balmaceda, R
Modolo, MM
Macdermid, E
Gobin, N
Chenn, R
Yong, CO
Edye, M
Jarmin, M
D'amours, SK
Iyer, D
Youssef, D
Phillips, N
Brown, J
George, R
Koh, C
Warren, O
Hanley, I
Dickfos, M
Nawara, C
Ofner, D
Primavesi, F
Mitul, AR
Mahmud, K
Hussain, M
Hakim, H
Kumar, T
Oosterkamp, A
Assouto, PA
Lawani, I
Souaibou, YI
Tun, AK
Chong, CL
Devadasar, GH
Chong, CL
Qadir, MRM
Aung, KP
Yeo, LS
Chong, CL
Palomino Castillo, VD
Munhoz, MM
Moreira, G
Barros De Castro Segundo, LC
Khouri Ferreira, SA
Careta, MC
Kim, SB
De Sousa, AV
Lazzarini Cury, AD
Soares Miguel, GP
Carreiro De Freitas, AV
Silvestre, BP
Vianna, JGP
Felipe, CO
Valente Laufer, LA
Altoe, F
Da Silva, LA
Pimenta, ML
Giuriato, TF
Bezerra Morais, PA
Luiz, JS
Araujo, R
Menegussi, J
Leal, M
Barroso de Lima, CV
Tatagiba, LS
Leal, A
Dos Santos, DV
Fraga, GP
Simoes, RL
Stock, S
Nigo, S
Kabba, J
Ngwa, TE
Brown, J
King, S
Zani, A
Azzie, G
Firdouse, M
Kushwaha, S
Agarwal, A
Bailey, K
Cameron, B
Livingston, M
Horobjowsky, A
Deckelbaum, DL
Razek, T
Marinkovic, B
Grasset, E
D'aguzan, N
Grasset, E
Jimenez, J
Macchiavello, R
Zhang, Z
Guo, W
Oh, J
Zheng, F
Montes, I
Sierra, S
Mendez, M
Isabel Villegas, M
Mendoza Arango, MC
Mendoza, I
Naranjo Aristizaibal, FA
Montoya Botero, JA
Quintero Riaza, VM
Restrepo, J
Morales, C
Mendoza Arango, MC
Cruz, H
Munera, A
Mendoza Arango, MC
Karlo, R
Domini, E
Mihanovic, J
Radic, M
Zamarin, K
Pezelj, N
Hache-Marliere, M
Lemaire, SB
Rivas, R
Khyrallh, A
Hassan, A
Shimy, G
Fahmy, MAB
Nabawi, A
Elfil, M
Ghoneem, M
Gohar, ME-SAM
Asal, M
Abdelkader, M
Gomah, M
Rashwan, H
Karkeet, M
Gomaa, A
Hasan, A
Elgebaly, A
Saleh, O
Fattah, AA
Gouda, A
Elshafay, AE
Gharib, A
Menshawy, A
Hanafy, M
Al-Mallah, A
Abdulgawad, M
Baheeg, M
Alhendy, M
AbdelFattah, I
Kenibar, A
Osman, O
Gemeah, M
Mohammed, A
Adel, A
Gharib, A
Mohammed, A
Sayed, A
Abozaid, M
Kotb, AHE-B
Ata, AAA
Nasr, M
Alkammash, A
Saeed, M
Abd El Hamid, N
Attia, AM
Abd El Galeel, A
Elbanby, E
El-Dien, KS
Hantour, U
Alahmady, O
Mansour, B
Elkorashy, AM
Taha, EMS
Lasheen, KT
Elkolaly, SS
Abdel-Wahab, NYE
Abozyed, MAF
Adel, A
Saeed, AM
El Sayed, GS
Youssif, JH
Ahmed, SM
El-Shahat, NS
Khedr, AE-RH
Elsebaaye, AO
Elzayat, M
Abdelraheim, M
Elzayat, I
Warda, M
El Deen, KN
Elnemr, AE
Salah, O
Abbas, M
Rashad, M
Elzayyat, I
Hemeda, D
Tawfik, G
Salama, M
Khaled, H
Seisa, M
Elshaer, K
Hussein, A
Elkhadrawi, M
Afifi, AM
Ebrahim, OS
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Elsawahly, DME
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Al-Aarag, AA-R
Elkholy, A
Elshanwany, S
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El Shoura, Y
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Samaraweera, DI
Thanusan, V
Musa, AEK
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Elabdin, HZ
Hassan, A
Mahdi, S
Ahmed, H
Idris, SAI
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Elsayed, M
Mahmoud, M
Boijsen, M
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Ansaloni, L
Pugliesi, TB
Pardo, G
Blanco, R
Item Type: Journal Article
Abstract: Background: 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 < 0⋅001) or low (363 of 860, 42⋅2 per cent; OR 0⋅08, 0⋅07 to 0⋅10, P < 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 < 0⋅001), but the relationship was reversed in low-HDI countries (+12⋅1 (+7⋅0 to +17⋅3) per cent; P < 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 < 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.
Issue Date: 8-Jan-2019
Date of Acceptance: 15-Oct-2018
URI: http://hdl.handle.net/10044/1/70234
DOI: https://dx.doi.org/10.1002/bjs.11051
ISSN: 1365-2168
Publisher: Wiley
Start Page: E103
End Page: E112
Journal / Book Title: British Journal of Surgery
Volume: 106
Issue: 2
Copyright Statement: © 2019 The Authors. BJS published by John Wiley & Sons Ltd on behalf of BJS Society Ltd. This is an open access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: Science & Technology
Life Sciences & Biomedicine
Surgery
SURGERY
IMPLEMENTATION
HEALTH
BARRIERS
Adult
Aged
Checklist
Cohort Studies
Digestive System Surgical Procedures
Elective Surgical Procedures
Emergency Treatment
Female
Humans
Laparotomy
Male
Middle Aged
Patient Safety
Prospective Studies
Survival Rate
World Health Organization
GlobalSurg Collaborative
Humans
Emergency Treatment
Digestive System Surgical Procedures
Laparotomy
Survival Rate
Cohort Studies
Prospective Studies
Adult
Aged
Middle Aged
World Health Organization
Female
Male
Checklist
Patient Safety
Elective Surgical Procedures
Science & Technology
Life Sciences & Biomedicine
Surgery
SURGERY
IMPLEMENTATION
HEALTH
BARRIERS
Surgery
11 Medical and Health Sciences
Publication Status: Published
Online Publication Date: 2019-01-08
Appears in Collections:Department of Surgery and Cancer