Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy
dc.date.accessioned | 2020-07-09T19:33:25Z | |
dc.date.available | 2020-07-09T19:33:25Z | |
dc.date.created | 2020-02-12T16:01:29Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Thomas, Hannah S. Weiser, Thomas G. Drake, Thomas M. Knight, Stephen R. Fairfield, Cameron Ademuyiwa, Adesoji O. Lossius, William J Havemann, Ingemar Thorsen, Kenneth Narvestad, Jon Søreide, Kjetil Wold, Trude Beate Nymo, Linn Såve Veen, Torhild Kanani, Arezo Styles, Kristian Herikstad, Ragnar Larsen, Johannes Wiik Søreide, Jon Arne Jensen, Elisabeth Gran, Mads Aahlin, Eirik Kjus Gaarder, Christine Monrad-Hansen, Peter Wiel Næss, Pål Aksel Lauzikas, Giedrius Wiborg, Joachim Holte, Silje Augestad, Knut Magne Banipal, Gurpreet Singh Monteleone, Michela Moe, Thomas Tetens Schultz, Johannes Kurt Bliksøen, Marte Aguilera-Arevalo, Maria-Lorena Alexander, Philip Al-Saqqa, Sara W. Borda-Luque, Giuliano Costas-Chavarri, Ainhoa Ntirenganya, Faustin Fitzgerald, J. Edward Fergusson, Stuart J. Glasbey, James C. Ingabire, J.C. Allen Ismaïl, Lawani Salem, Hosni Khairy Kojo, Anyomih Theophilus Teddy Lapitan, Mari Carmela Lilford, Richard J. Mihaljevic, Andre L. . Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy. British Journal of Surgery. 2019 | |
dc.identifier.uri | http://hdl.handle.net/10852/77725 | |
dc.description.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. | |
dc.language | EN | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.title | Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy | |
dc.type | Journal article | |
dc.creator.author | Thomas, Hannah S. | |
dc.creator.author | Weiser, Thomas G. | |
dc.creator.author | Drake, Thomas M. | |
dc.creator.author | Knight, Stephen R. | |
dc.creator.author | Fairfield, Cameron | |
dc.creator.author | Ademuyiwa, Adesoji O. | |
dc.creator.author | Lossius, William J | |
dc.creator.author | Havemann, Ingemar | |
dc.creator.author | Thorsen, Kenneth | |
dc.creator.author | Narvestad, Jon | |
dc.creator.author | Søreide, Kjetil | |
dc.creator.author | Wold, Trude Beate | |
dc.creator.author | Nymo, Linn Såve | |
dc.creator.author | Veen, Torhild | |
dc.creator.author | Kanani, Arezo | |
dc.creator.author | Styles, Kristian | |
dc.creator.author | Herikstad, Ragnar | |
dc.creator.author | Larsen, Johannes Wiik | |
dc.creator.author | Søreide, Jon Arne | |
dc.creator.author | Jensen, Elisabeth | |
dc.creator.author | Gran, Mads | |
dc.creator.author | Aahlin, Eirik Kjus | |
dc.creator.author | Gaarder, Christine | |
dc.creator.author | Monrad-Hansen, Peter Wiel | |
dc.creator.author | Næss, Pål Aksel | |
dc.creator.author | Lauzikas, Giedrius | |
dc.creator.author | Wiborg, Joachim | |
dc.creator.author | Holte, Silje | |
dc.creator.author | Augestad, Knut Magne | |
dc.creator.author | Banipal, Gurpreet Singh | |
dc.creator.author | Monteleone, Michela | |
dc.creator.author | Moe, Thomas Tetens | |
dc.creator.author | Schultz, Johannes Kurt | |
dc.creator.author | Bliksøen, Marte | |
dc.creator.author | Aguilera-Arevalo, Maria-Lorena | |
dc.creator.author | Alexander, Philip | |
dc.creator.author | Al-Saqqa, Sara W. | |
dc.creator.author | Borda-Luque, Giuliano | |
dc.creator.author | Costas-Chavarri, Ainhoa | |
dc.creator.author | Ntirenganya, Faustin | |
dc.creator.author | Fitzgerald, J. Edward | |
dc.creator.author | Fergusson, Stuart J. | |
dc.creator.author | Glasbey, James C. | |
dc.creator.author | Ingabire, J.C. Allen | |
dc.creator.author | Ismaïl, Lawani | |
dc.creator.author | Salem, Hosni Khairy | |
dc.creator.author | Kojo, Anyomih Theophilus Teddy | |
dc.creator.author | Lapitan, Mari Carmela | |
dc.creator.author | Lilford, Richard J. | |
dc.creator.author | Mihaljevic, Andre L. | |
cristin.unitcode | 185,53,60,13 | |
cristin.unitname | Avdeling for traumatologi | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 2 | |
dc.identifier.cristin | 1793632 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=British Journal of Surgery&rft.volume=&rft.spage=&rft.date=2019 | |
dc.identifier.jtitle | British Journal of Surgery | |
dc.identifier.volume | 106 | |
dc.identifier.issue | 2 | |
dc.identifier.doi | https://doi.org/10.1002/bjs.11051 | |
dc.identifier.urn | URN:NBN:no-80810 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 0007-1323 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/77725/1/Pooled%2Banalysis%2Bof%2BWHO%2BSurgical%2BSafety%2BChecklist%2Buse.pdf | |
dc.type.version | PublishedVersion | |
cristin.articleid | 306200 |
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