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BMJ Glob Health. 2016 Dec 12;1(4):e000091. doi: 10.1136/bmjgh-2016-000091. eCollection 2016.

Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries.

Collaborators (1163)

Ademuyiwa AO, Arnaud AP, Drake TM, Fitzgerald JEF, Poenaru D, Bhangu A, Harrison EM, Ademuyiwa AO, Bhangu A, Drake TM, Fitzgerald JEF, Fergusson S, Glasbey JC, Harrison EM, Khatri C, Mohan M, Nepogodiev D, Søreide K, Drake TM, Harrison EM, Khatri C, Gobin N, Freitas AV, Hall N, Kim SH, Negeida A, Khairy H, Jaffry Z, Chapman SJ, Arnaud AP, Tabiri S, Recinos G, 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 S, Spence R, Rayne S, Jeyakumar J, Cengiz Y, Raptis DA, Glasbey JC, 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, Hanley I, Dickfos M, Mitul AR, Mahmud K, Oosterkamp A, Assouto PA, Lawani I, Souaibou YI, Devadasar GH, Chong CL, Qadir MRM, Aung KP, Yeo LS, Chong CL, Castillo VDP, Munhoz MM, Moreira G, Segundo LCBC, Ferreira SAK, Careta MC, Araujo R, Menegussi J, Leal M, de Lima CVB, Tatagiba LS, Leal A, 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, Montes I, Sierra S, Mendez M, Villegas MI, Arango MCM, Mendoza I, Bal FANA, Botero JAM, Riaza VMQ, Restrepo J, Morales C, Arango MCM, Cruz H, Munera A, Arango MCM, Karlo R, Domini E, Mihanovic J, Radic M, Zamarin K, Pezelj N, Khyrallh A, Hassan A, Shimy G, Fahmy MAB, Nabawi A, Gohar MSAM, Elfil M, Ghoneem M, Gohar MEAM, 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, Hanafy M, Al-Mallah A, Abdulgawad M, Baheeg M, Alhendy M, Fattah IA, Kenibar A, Osman O, Gemeah M, Mohammed A, Adel A, Mesreb AMM, Mohammed A, Sayed A, Abozaid M, Kotb AHE, Ata AAA, Nasr M, Alkammash A, Saeed M, Hamid NAE, Attia AM, Galeel AAE, 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, Sayed GSE, Youssif JH, Ahmed SM, El-Shahat NS, Khedr AEH, Elsebaaye AO, Elzayat M, Abdelraheim M, Elzayat I, Warda M, Deen KNE, Essam A, 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, Metwally MM, Elmelegy R, Elsawahly DME, Safa H, Nofal E, Elbermawy M, Raya MA, Ghazy AA, Samih H, Abdelgelil A, Abdelghany S, Kholy AE, Elkady F, Salma M, Samy S, Fakher R, Aboarab A, Samir A, Sakr A, Haroun A, Al-Aarag AA, Elkholy A, Elshanwany S, Ghanem E, Tammam A, Hammad AM, Shoura YE, Ashal GE, Khairy H, Antar S, Mehrez S, Abdelshafy M, Hamad MGM, Hosh M, Abdallah E, Magdy B, Alzayat T, Gamaly E, Elfeki H, Abouzahra A, Elsheikh S, Elgendy FI, El-Salam FA, Seifelnasr O, Ammar M, Eysa A, Sadek A, Toeema AG, Nasr A, Abuseif M, Zidan H, Barakat SAE, Elsayed N, Elrasoul YA, El-Kelany A, Ammar MS, Mustafa MA, Makhlouf Y, Etman M, Saad S, Alrahawy M, Raslan A, Morsi M, Sabry A, Elwakil H, Shaker H, Zidan H, Elkelany A, El-Kashef H, Shaalan M, Tarek A, Elwan A, Nayel AR, Seif M, Shafik DE, Ghoname MA, Almallah A, Fouad A, Elwan A, Sayma EA, Elbatahgy A, El-Ma'doul AS, Mosad A, Tolba H, Elsorogy DEAA, Mostafa HA, Omar AA, Hameed OSAE, Lasheen A, Salam YAE, Morsi A, Ismail M, Ahmed H, Amer MA, Elkelany A, El-Hamouly AS, Attallah N, Mosalum O, Afandy A, Mokhtar A, Abouelnasr A, Ayad S, Shaker R, Sakr R, Amreia M, Elsobky S, Mustafa M, Magd AAE, Marey A, Tarek A, Fadel M, Mohamed MM, Fadel A, Ahmed EA, Ali A, Alwafai MG, Alnawam EAHG, Dwydar A, Kharsa S, Mamdouh E, El-Sheemy H, Alyoussef I, Aly AK, Aldalaq A, Alnawam E, Alkhabbaz D, Saad M, Hussein S, Elazayem AA, Meshref A, Elashmawy M, Mousa M, Nashaat A, Ghanem S, Elsayed ZM, Elwaey A, Elkadsh I, Darweesh M, Mohameden A, Hafez M, Badr A, Badwy A, Slam MAE, Elazoul M, Al-Nahrawi S, Eldamaty L, Nada F, Ameen M, Hagar A, Elsehimy M, Abo-Ryia M, Dawoud H, Mesery SE, Gendy AE, Abdelkareem A, Marey AS, Allam M, Shehata S, Abozeid K, Elshobary M, Fahiem A, Sarsik S, Hashish A, Zidan M, Hashish M, Aql S, Elhendawy AOA, Husseini M, Khater O, Kasem EA, Gheith A, Elfouly Y, Soliman AR, Hani Y, Elfouly N, Fawzy A, Hassan A, Rashid M, Elsherbiny AS, Sieda B, Badwi NM, Mohammed MMH, Mohamed O, Habeeb MA, Worku M, Starr N, Desta S, Wondimu S, Abebe NS, Thomas E, Asele FA, Dabessa D, Abebe NS, Zerihun AB, Scalabre A, Frade F, Irtan S, Parent V, Martin A, Arnaud AP, Graffeille V, Gaignard E, Alimi Q, Abbo O, Mouttalib S, Bouali O, Hervieux E, Aigrain Y, Botto N, Faure A, Fievet L, Panait N, Eyssartier E, Schmitt F, Podevin G, Muller C, Bonnard A, Peycelon M, Abantanga F, Boakye-Yiadom K, Bukari M, Owusu F, Awuku-Asabre J, Tabiri S, Bray LD, Lytras D, Psarianos K, Bamicha A, Anthoulakis C, Nikoloudis N, Mitroudis N, Recinos G, Estupinian S, Forno W, Guevara R, Aguilera M, Mendez N, Mendizabal CAA, Ramazzini P, Urquizu MC, Rodríguez DEM, Velásquez CIP, Mérida SMC, Regalado F, Lopez M, Siguantay M, Prasad SS, Kirishnan A, Gyanchandani N, Bhat S, Sreedharan A, Kinnera SV, Nadkarni S, Lakshmi HN, Malik P, Mahamood AB, Khajanchi M, Satoskar S, Satoskar R, Reddy Y, Venugopal C, Kumar S, Sutanto EPR, Soeselo DA, Tedjaatmadja C, Rahmawati FN, Amandito R, Mayasari M, Al-Hasani RKMJ, Ibraheem Al-Hameedi HI, Al-Azraqi IAA, Sabeeh L, Kamil R, Shawki M, Rasendran A, Sheehan J, Kerley R, Normile C, Gilbert RW, Song J, Mauro L, Dablouk MO, Hanrahan M, Kielty P, Marks E, Gosling S, Mccarthy M, Rasendran A, Mirghani D, Naqvi SA, Wong CS, Gosling SG, Mccarthy M, Rasendran A, Fahy C, Song J, Hanrahan M, Cadogan DD, Powell A, Gilbert R, Clifford C, Normile C, Driscoll A, Paul S, Lee C, Bowe R, Hutch W, Hanrahan M, Mohan H, O'Neill M, Mealy K, Danelli P, Bondurri A, Maffioli A, Bonavina L, Macchitella Y, Ceriani C, Veronese E, Bortolasi L, Hasheminia A, Pata F, Benevento A, Tessera G, Turati L, Sgroi G, Rausa E, Venskutonis D, Bradulskis S, Urbanavicius L, Austraite A, Riauka R, Zilinskas J, Dambrauskas Z, Coomber R, Johnson K, Nowers J, Periasammy D, Salleh A, Das A, Tze RGE, Kumar MN, Abdullah NAN, Chong HY, Roslani AC, Goh CC, Agius M, Borg E, Bezzina M, Bugeja R, Vella-Baldacchino M, Spina A, Psaila J, Francois-Coridon H, Tolg C, Colombani JF, Jacobe M, Mapasse D, Snyder E, Oumer R, Osman M, Mohammad A, Anyanwu LJ, Sheshe A, Adesina A, Faturoti O, Taiwo O, Ibrahim MH, Nasir AA, Suleiman SI, Adeniyi A, Adesanya O, Adebanjo A, Osuoji R, Atobatele K, Ogunyemi A, Wiiliams O, Oludara M, Oshodi O, Ademuyiwa AO, Razzaq A, Lawal O, Alakaloko F, Elebute O, Osinowo A, Bode C, Adesuyi A, Tade A, Adekoya A, Nwokoro C, Ayandipo OO, Lawal TA, Ajao AE, Ali SS, Odeyemi B, Olori S, Popoola A, Adeyeye A, Adeniran J, Lossius WJ, Havemann I, Thorsen K, Narvestad JK, Soreide K, Wold TB, Nymo L, Elsiddig M, Dar M, Bhopal KF, Iftikhar Z, Furqan MM, Nighat B, Jawaid M, Khalique A, Zil-E-Ali A, Rashid A, Aguilar WLM, Chiong JAC, Cecilia A, Bautista M, Huaman E, Zegarra S, Camacho R, Celis JMV, Pozo DAR, Hamasaki J, Temoche E, Herrera-Matta J, Torres CPG, Barreda LMA, Ojeda RRB, Garaycochea O, Mollo MC, Delgado MSFTL, Fujii F, Bautista ACM, Aguilar WLM, Chiong JAC, Durand SYA, Basto CAA, Rojas NMU, Yip SBS, Vergara ALC, Moran AER, Luque GB, Castro MR, Jaramillo RA, Sila GM, Lopez CE, De Leon MZP, Machaca M, Huaraya RC, Arenas A, Puma CMH, Pino W, Hinojosa C, De Leon MZP, Limache S, Sila GM, Rodriguez LM, Sauvat F, Vida LC, Muntean LI, Mironescu AS, Alomar IN, Alnuqaydan SA, Altwigry AM, Othman M, Osman N, Alqahtani E, Alzahrani M, Alyami R, Aljohani E, Alhabli I, Mikwar Z, Almuallem S, Aljohani E, Alyami R, Alzahrani M, Nawawi A, Bakhaidar M, Maghrabi AA, Alsaggaf M, Aljiffry M, Altaf A, Khoja A, Habeebullah A, Akeel N, Ghandora N, Almoflihi A, Huwait A, Al-Shammari A, Al-Mousa M, Alghamdi M, Adham W, Albeladi B, Alfarsi MA, Mahdi A, Awwad SA, Altamimi A, Nouh T, Hassanain M, Aldhafeeri S, Sadig N, Algohary O, Aledrisy M, Gudal A, Alrifaie A, AlRowais M, Althwainy A, Shabkah A, Alamoudi U, Alrajraji M, Alghamdi B, Aljohani S, Daqeeq A, Al-Faifi JJ, Jennings V, Ngayu N, Moore R, Kong V, Sampson C, Spence R, Panieri E, Tun M, Mphatsoe AM, Carreira JA, Teasdale E, Wagener M, Botes S, Plessis DD, Pagnozzi J, Quezada JHJ, Rodicio JL, Minguez G, Rodríguez-Uría R, Ugalde P, Lopez-Arevalo C, Barneo L, Stuva JPG, Aguilar-Jimenez J, Garcia-Marin JA, Ortega-Vazquez I, Rodriguez L, Herrera N, Arachchi PP, Senanayake WSMKJ, Arachchige LAJJ, Sivaganesh S, Samaraweera DI, Thanusan V, Musa AEK, Balila RMH, Mohamed MAEH, Ali H, Elabdin HZ, Hassan A, Mahdi S, Ahmed H, Idris SAI, Elsayed M, Elsayed M, Mahmoud M, Thorarinsdottir H, Utter M, Sundstrom SM, Wredberg C, Kjellin A, Nyberg J, Frisk B, Cengiz Y, Ahlqvist S, Björklund I, Hjertberg M, Sund M, Andersson L, Gunnarsson U, Royson H, Weber P, Schmid R, Schivo D, Despotidis V, Breitenstein S, Staerkle RF, Schadde E, Deichsel F, Gerosa A, Nocito A, Raptis DA, Mijuskovic B, Zuber M, Eisner L, Kruspi S, Reinisch KB, Schoewe C, Novak A, Palma AF, Teufelberger G, Balkan AZA, Gumar M, Yavuz MA, Karabacak U, Lap G, Ozkan BB, Adams R, Morton R, Henderson L, Gratton R, Clement KD, Chang KY, McNish D, McIntosh R, Milligan W, Skelly B, Anderson-Knight H, Lawther R, Onimowo J, Shatkar V, Tharmalingam S, Woin E, Fautz T, Ziff O, Dindyal S, Arman S, Talukder S, Arman S, Gadhvi V, Talukder S, Chew LS, Heath J, Mannu GS, Zachariades DC, Snaith AC, Hettiarachchi TS, Nesaratnam A, Wheeler J, Sykes M, Behar N, Jordan H, Arulampalam T, Shah A, Brown D, Blower E, Sutton P, Gasteratos K, Vimalachandran D, Magee C, Irwin G, Mcguigan A, Mcaleer S, Morgan C, Braungart S, Lafferty K, Labib P, Tanase A, Mangan C, Reza L, Woodward H, Gouldthorpe C, Turner M, Wild JRL, Malik TA, Proctor VK, Hewage K, Davies J, Dubois A, Sarwary S, Zardab A, Grant A, Mcintyre R, Tewari S, Humm G, Farinella E, Hall SPNJ, Wright NJ, Major CP, Xerri T, Bono P, Amin J, Farhad M, Camilleri-Brennan JF, Robertson AGN, Swann J, Richards J, Jabbar A, Attard M, Burns H, Macdonald E, Baldacchino M, Skehan J, Camilleri-Brennan J, Hall TF, Gimzewska M, Mclachlan G, Shah J, Giles J, Hassan M, Beasley W, Vlachogiorgos A, Dias S, Maharaj G, McDonald R, Cross K, Rees CM, Van Duren B, Upchurch E, Karandikar S, Bowley D, Karim A, Chachulski W, Richardson L, Dawnay G, Thompson B, Mistry A, Bhangu A, Ghetia M, Roy S, Al-Obaedi O, Ghetia M, Das K, Prabhudesai A, Cocker DM, Tan JJ, Vivekanantham S, Gillespie M, Gudlaugsdottir K, Pezas T, Currow C, Kim MY, Salama Y, Shah R, Ibrahem AA, Ebdewi H, Gravante G, El-Rabaa S, Chan Z, Hassan Z, Makinde M, Hemingway D, Dean R, Boddy A, Aber A, Patel V, Kotecha D, Ubhi HK, Hosein SP, Ward S, Malik K, Jennings L, Newton T, Alkhouri M, Kang MK, Houlden C, Barry J, Wilson MSJ, Neo YN, Ibrahim I, Chan E, Peck FS, Lim PJ, North AS, Blundell R, Williamson A, Fouad D, Minocha A, Mccarthy K, Court E, Chambers A, Yee J, Tham JC, Beaton C, Walsh U, Lockey J, Bokhari S, Howells L, 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Chun A, Pereira B, Nemeth K, Decker E, Giuliani S, Shalaby A, Szczap A, Chidambaram S, Chen CY, Kulasabanathan K, Chhabra S, Kostov E, Harbord P, Barnacle J, Palliyil MM, Zikry M, Porter J, Raslan C, Saeed M, Hafiz S, Soltani N, Baillie K, Mirza A, Saeed H, Galloway S, Elena G, Afzal M, Zakir M, Sodde P, Hand C, Sriram A, Clark T, Holton P, Livesey A, Sinha Y, Iqbal FM, Bharj IS, Rotundo A, Jenvey C, Slade R, Golding D, Haines S, Abdullah AAN, Tilston TW, Loughran D, Donoghue D, Giacci L, Sherif MA, Harrison P, Tang A, Elshaer M, Urbonas T, Riaz A, Chapman A, Acharya P, Shalhoub J, Grossart C, McMorran D, Mlotshwa M, Hawkins W, Loizides S, Thomson P, Khan S, Taylor F, Shukla J, Howie EE, Macdonald L, Komolafe O, Mcintyre N, Cragg J, Parker J, Stewart D, Lintin L, Tracy J, Farooq T, Sion M, Weinstein MS, Punja V, Bugaev N, Goodstein M, Razmdjou S.

Abstract

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.

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