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Global validation of the WSES Sepsis Severity Score for patients with complicated intra-abdominal infections: a prospective multicentre study (WISS Study)

M. Sartelli, FM. Abu-Zidan, F. Catena, EA. Griffiths, S. Di Saverio, R. Coimbra, CA. Ordoñez, A. Leppaniemi, GP. Fraga, F. Coccolini, F. Agresta, A. Abbas, S. Abdel Kader, J. Agboola, A. Amhed, A. Ajibade, S. Akkucuk, B. Alharthi, D. Anyfantakis,...

. 2015 ; 10 (-) : 61. [pub] 20151216

Language English Country England, Great Britain

Document type Journal Article

BACKGROUND: To validate a new practical Sepsis Severity Score for patients with complicated intra-abdominal infections (cIAIs) including the clinical conditions at the admission (severe sepsis/septic shock), the origin of the cIAIs, the delay in source control, the setting of acquisition and any risk factors such as age and immunosuppression. METHODS: The WISS study (WSES cIAIs Score Study) is a multicenter observational study underwent in 132 medical institutions worldwide during a four-month study period (October 2014-February 2015). Four thousand five hundred thirty-three patients with a mean age of 51.2 years (range 18-99) were enrolled in the WISS study. RESULTS: Univariate analysis has shown that all factors that were previously included in the WSES Sepsis Severity Score were highly statistically significant between those who died and those who survived (p < 0.0001). The multivariate logistic regression model was highly significant (p < 0.0001, R2 = 0.54) and showed that all these factors were independent in predicting mortality of sepsis. Receiver Operator Curve has shown that the WSES Severity Sepsis Score had an excellent prediction for mortality. A score above 5.5 was the best predictor of mortality having a sensitivity of 89.2 %, a specificity of 83.5 % and a positive likelihood ratio of 5.4. CONCLUSIONS: WSES Sepsis Severity Score for patients with complicated Intra-abdominal infections can be used on global level. It has shown high sensitivity, specificity, and likelihood ratio that may help us in making clinical decisions.

1st Department of Surgery Department of Abdominal Thoracic Surgery and Traumatology General University Hospital Prague Czech Republic

1st Department of Surgery Kavala General Hospital Kavala Greece

1st Department of Surgery Tzaneio Hospital Piraeus Greece

1st Surgical Clinic St Spiridon Hospital Iasi Romania

2nd Department of Surgery Aretaieio University Hospital Athens Greece

2nd Department of Surgery Jagiellonian University Medical College Krakow Poland

2nd Surgical Clinic Emergency Hospital of Craiova Craiova Romania

2nd Surgical Department General Hospital of Kavala Kavala Greece

2nd Surgical Department of Medical Faculty Comenius University University Hospital Bratislava Bratislava Slovakia

3rd Department of General Surgery Jagiellonian Univeristy Collegium Medium Kraków Poland

3rd Department of Surgery Haepa University Hospital Thessaloniki Greece

3th Department of Surgery Iaso General Hospital Athens Greece

Abdominal and General Surgery Department General Hospital Jesenice Jesenice Slovenia

Abdominal Center University Hospital Meilahti Helsinki Finland

Chirurgia Generale Ospedale di Città di Castello Città di Castello Italy

Cirugía de Urgencias Hospital Universitario Donostia Donostia Spain

Cirugía General y Digestiva Hospital Universitario Miguel Servet Zaragoza Spain

Clinic for Emergency Surgery Medical Faculty University of Belgrade Belgrade Serbia

Clinical and Experimental Surgery Brescia Civil Hospital Brescia Italy

Departement of Surgery Fatabenefratelli Isola Tiberina Hspital Rome Italy

Department General Surgery Kipshidze Central University Hospital Tbilisi Georgia

Department of Emergency and Critical Care Medicine Jichi Medical University Shimotsuke Japan

Department of Emergency Surgery City Hospital Mozyr Belarus

Department of Emergency Surgery Maggiore Hospital Parma Italy

Department of Emergency Surgery Umberto 1 Hospital La Sapienza University Rome Italy

Department of General and Digestive Tract Surgery Alicante University General Hospital Alicante Spain

Department of General and Emergency Surgery SG Bosco Hospital Turin Italy

Department of General Surgery Al Ain Hospital Al Ain City United Arab Emirates

Department of General Surgery and Surgical Oncology Le Scotte Hospital Siena Italy

Department of General Surgery Clinical Hospital at Chelyabinsk Station of OJSC Russian Railroads Chelyabinsk Russian Federation

Department of General Surgery Emergency Municipal Hospital Pascani Pascani Iasi Romania

Department of General Surgery Hospital San Juan de Dios de La Serena La Serena Chile

Department of General Surgery Istanbul Training and Research Hospital Istanbul Turkey

Department of General Surgery Krishna Hospital Karad India

Department of General Surgery Lewisham and Greenwich NHS Trust London UK

Department of General Surgery Mysore Medical College and Research Institute Government Medical College Hospital Mysore Mysore India

Department of General Surgery Republican Vilnius University Hospital Vilnius Lithuania

Department of General Surgery Sakarya Teaching and Research Hospital Sakarya Turkey

Department of General Surgery Samsun Education and Research Hospital Samsun Turkey

Department of General Surgery Tan Tock Seng Hospital Novena Singapore

Department of General Surgery Trabzon Kanuni Training and Research Hospital Trabzon Turkey

Department of General Surgery Training and Research Hospital of Mustafa Kemal University Hatay Turkey

Department of Laparoscopic and Metabolic Surgery Sunrise Hospital Kochi India

Department of Renal and Pancreas Transplantation Manchester Royal Infirmary Manchester UK

Department of Surgery 1 Vladimir City Clinical Hospital of Emergency Medicine Vladimir Russian Federation

Department of Surgery Ahmadu Bello University Teaching Hospital Zaria Kaduna Nigeria

Department of Surgery Ascoli Piceno Hospital Ascoli Piceno Italy

Department of Surgery Bahrain Defence Force Hospital Manama Bahrain

Department of Surgery Baskent University Ankara Hospital Ankara Turkey

Department of Surgery Bharati Medical College and Hospital Sangli India

Department of Surgery Bizerte Hospital Bizerte Tunisia

Department of Surgery CH Armentieres Arras France

Department of Surgery CHVNG E EPE Vila Nova de Gaia Portugal

Department of Surgery College of Medicine and Health Sciences UAE University Al Ain United Arab Emirates

Department of Surgery Edendale Hospital Pietermaritzburg South Africa

Department of Surgery Elazig Training and Research Hospital Elazig Turkey

Department of Surgery Emergency Hospital of Bucharest Bucharest Romania

Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand

Department of Surgery Fundación Jimenez Díaz Madrid Spain

Department of Surgery Good Hope Hospital Heart of England NHS Foundation Trust Birmingham UK

Department of Surgery Government Medical College and Hospital Chandigarh India

Department of Surgery Hamad General Hospital Doha Qatar

Department of Surgery Hospital and Comprehensive Cancer Centre Novy Jicin Novy Jicin Czech Republic

Department of Surgery Hospital de Alta Especialidad de Veracruz Veracruz Mexico

Department of Surgery Hospital Escola Padre Albino Catanduva Brazil

Department of Surgery Hospital La Paz Madrid Spain

Department of Surgery Hospital of Lithuanian University of Health Sciences Kaunas Lithuania

Department of Surgery Hospital Universitário Terezinha de Jesus Faculdade de Ciências Médicas e da Saúde de Juiz de Fora Juiz de Fora Brazil

Department of Surgery Ilsan Paik Hospital Inje University College of Medicine Goyang Republic of Korea

Department of Surgery Insubria University Hospital Varese Italy

Department of Surgery Insular University Hospital of Gran Canaria Las Palmas Spain

Department of Surgery King Abdalla University Hospital Irbid Jordan

Department of Surgery Kocaeli University Training and Research Hospital Kocaeli Turkey

Department of Surgery Kuala Krai Hospital Kelantan Malaysia

Department of Surgery Kwara State General Hospital Ilorin Nigeria

Department of Surgery LAUTECH Teaching Hospital Osogbo Nigeria

Department of Surgery Macerata Hospital Macerata Italy

Department of Surgery Maggiore Hospital Bologna Italy

Department of Surgery Mansoura University Hospital Mansoura Egypt

Department of Surgery Medical School University Pecs Pecs Hungary

Department of Surgery Mengucek Gazi Training Research Hospital Erzincan Turkey

Department of Surgery Montichiari Hospital Ospedali Civili Brescia Brescia Italy

Department of Surgery MOSC Medical College Kolenchery Cochin India

Department of Surgery North Estonia Medical Center Tallin Estonia

Department of Surgery Numune Training and Research Hospital Adana Turkey

Department of Surgery Onandjokwe Hospital Ondangwa Namibia

Department of Surgery Post Graduate Institute of Medical Sciences Rohtak India

Department of Surgery Radiology University Hospital of the West Indies Kingston Jamaica

Department of Surgery Rajendra Institute of Medical Sciences Ranchi India

Department of Surgery Red Cross Hospital Beverwijk Netherlands

Department of Surgery Regional Hospital Limbe Cameroon

Department of Surgery Riga East Clinical University Hospital Riga Latvia

Department of Surgery S M S Hospital Jaipur India

Department of Surgery Sant'Antonio Abate Hospital Gallarate Italy

Department of Surgery Tianjin Nankai Hospital Tianjin China

Department of Surgery UC San Diego Medical Center San Diego USA

Department of Surgery UMC Ljubljana Ljubljana Slovenia

Department of Surgery University Clinical Center of Kosovo Pristina Kosovo

Department of Surgery University Clinical Center Tuzla Bosnia and Herzegovina

Department of Surgery University Hospital Center Zagreb Croatia

Department of Surgery University Hospital of Larissa Larissa Greece

Department of Surgery University Hospital Valencia Spain

Department of Surgery University of Ilorin Teaching Hospital Ilorin Nigeria

Department of Surgery Yonsei University College of Medicine Seoul South Korea

Department of Surgery York Teaching Hospital NHS Foundation Trust York UK

Depatment of Surgery King Fahad Medical City Riyadh Saudi Arabia

Division Digestive Surgery and Urology Turku University Hospital Turku Finland

Division of Emergency and Trauma Surgery Ribeirão Preto Medical School Ribeirão Preto Brazil

Division of General and Emergency Surgery Hospital Estadual Mario Covas ABC School of Medicine Santo André Brazil

Division of Trauma Surgery Hospital de Clinicas School of Medical Sciences University of Campinas Campinas Brazil

Emergency Surgery Arcispedale S Anna Azienda Ospedaliero Universitaria di Ferrara Ferrara Italy

Emergency Surgery Department 1st Municipal Hospital Novosibirsk State Medical University Novosibirsk Russian Federation

Fundación Valle del Lili Universidad del Valle Cali Colombia

General and Digestive Surgery Department Teaching Hospital Yalgado Ouedraogo Ouagadougou Burkina Faso

General and Emergency Surgery Papa Giovanni XXIII Hospital Bergamo Italy

General and Emergency Surgery Policlinico Paolo Giaccone Palermo Italy

General and Upper GI Surgery Queen Elizabeth Hospital Birmingham UK

General Surgery Coloretal Unit Braga Hospital Life and Health Sciences Research Institute School of Health Sciences University of Minho Braga Portugal

General Surgery Department Centro Hospitalar de São João Porto Portugal

General Surgery Department Medical University University Hospital St George Plovdiv Bulgaria

General Surgery Service Trauma University Hospital Tirana Albania

General Surgery ULSS19 del Veneto Adria RO Italy

Hospital Universitario del Valle Universidad del Valle Cali Colombia

King Fahad Medical City Riyadh Saudi Arabia

Primary Health Care Centre of Kissamos Chania Greece

Surgery 1 Unit Centro Hospitalar Tondela Viseu Viseu Portugal

Surgery Department University Hospital Hassan 2 Fez Morocco

Surgical 2 Division S Chiara Hospital Trento Italy

Trauma and Acute Care Surgery Unit Hadassah Hebrew University Medical Center Jerusalem Israel

Trauma and Emergency Surgery Department Chang Gung Memorial Hospital Taoyuan City Taiwan

Visceral Surgery CHU Angers France

References provided by Crossref.org

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$a Global validation of the WSES Sepsis Severity Score for patients with complicated intra-abdominal infections: a prospective multicentre study (WISS Study) / $c M. Sartelli, FM. Abu-Zidan, F. Catena, EA. Griffiths, S. Di Saverio, R. Coimbra, CA. Ordoñez, A. Leppaniemi, GP. Fraga, F. Coccolini, F. Agresta, A. Abbas, S. Abdel Kader, J. Agboola, A. Amhed, A. Ajibade, S. Akkucuk, B. Alharthi, D. Anyfantakis, G. Augustin, G. Baiocchi, M. Bala, O. Baraket, S. Bayrak, G. Bellanova, MA. Beltràn, R. Bini, M. Boal, AV. Borodach, K. Bouliaris, F. Branger, D. Brunelli, M. Catani, A. Che Jusoh, A. Chichom-Mefire, G. Cocorullo, E. Colak, D. Costa, S. Costa, Y. Cui, GL. Curca, T. Curry, K. Das, S. Delibegovic, Z. Demetrashvili, I. Di Carlo, N. Drozdova, T. El Zalabany, MA. Enani, M. Faro, M. Gachabayov, T. Giménez Maurel, G. Gkiokas, CA. Gomes, RA. Gonsaga, G. Guercioni, A. Guner, S. Gupta, S. Gutierrez, M. Hutan, O. Ioannidis, A. Isik, Y. Izawa, SA. Jain, M. Jokubauskas, A. Karamarkovic, S. Kauhanen, R. Kaushik, J. Kenig, V. Khokha, JI. Kim, V. Kong, R. Koshy, A. Krasniqi, A. Kshirsagar, Z. Kuliesius, K. Lasithiotakis, P. Leão, JG. Lee, M. Leon, A. Lizarazu Pérez, V. Lohsiriwat, E. López-Tomassetti Fernandez, E. Lostoridis, R. Mn, P. Major, A. Marinis, D. Marrelli, A. Martinez-Perez, S. Marwah, M. McFarlane, RB. Melo, C. Mesina, N. Michalopoulos, R. Moldovanu, O. Mouaqit, A. Munyika, I. Negoi, I. Nikolopoulos, GE. Nita, I. Olaoye, A. Omari, PR. Ossa, Z. Ozkan, R. Padmakumar, F. Pata, GA. Pereira Junior, J. Pereira, T. Pintar, K. Pouggouras, V. Prabhu, S. Rausei, M. Rems, D. Rios-Cruz, B. Sakakushev, ML. Sánchez de Molina, C. Seretis, V. Shelat, RL. Simões, G. Sinibaldi, M. Skrovina, D. Smirnov, C. Spyropoulos, J. Tepp, T. Tezcaner, M. Tolonen, M. Torba, J. Ulrych, MY. Uzunoglu, D. van Dellen, GH. van Ramshorst, G. Vasquez, A. Venara, A. Vereczkei, N. Vettoretto, N. Vlad, SK. Yadav, TU. Yilmaz, KC. Yuan, SK. Zachariah, M. Zida, J. Zilinskas, L. Ansaloni,
520    9_
$a BACKGROUND: To validate a new practical Sepsis Severity Score for patients with complicated intra-abdominal infections (cIAIs) including the clinical conditions at the admission (severe sepsis/septic shock), the origin of the cIAIs, the delay in source control, the setting of acquisition and any risk factors such as age and immunosuppression. METHODS: The WISS study (WSES cIAIs Score Study) is a multicenter observational study underwent in 132 medical institutions worldwide during a four-month study period (October 2014-February 2015). Four thousand five hundred thirty-three patients with a mean age of 51.2 years (range 18-99) were enrolled in the WISS study. RESULTS: Univariate analysis has shown that all factors that were previously included in the WSES Sepsis Severity Score were highly statistically significant between those who died and those who survived (p < 0.0001). The multivariate logistic regression model was highly significant (p < 0.0001, R2 = 0.54) and showed that all these factors were independent in predicting mortality of sepsis. Receiver Operator Curve has shown that the WSES Severity Sepsis Score had an excellent prediction for mortality. A score above 5.5 was the best predictor of mortality having a sensitivity of 89.2 %, a specificity of 83.5 % and a positive likelihood ratio of 5.4. CONCLUSIONS: WSES Sepsis Severity Score for patients with complicated Intra-abdominal infections can be used on global level. It has shown high sensitivity, specificity, and likelihood ratio that may help us in making clinical decisions.
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$a Ordoñez, Carlos A $u Fundación Valle del Lili, Universidad del Valle, Cali, Colombia.
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$a Leppaniemi, Ari $u Abdominal Center, University Hospital Meilahti, Helsinki, Finland.
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$a Fraga, Gustavo P $u Division of Trauma Surgery, Hospital de Clinicas, School of Medical Sciences, University of Campinas, Campinas, Brazil.
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$a Coccolini, Federico $u General and Emergency Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.
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$a Agresta, Ferdinando $u General Surgery, ULSS19 del Veneto, Adria, RO Italy. $7 gn_A_00002283
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$a Abbas, Asrhaf $u Department of Surgery, Mansoura University Hospital, Mansoura, Egypt. $7 gn_A_00000212
700    1_
$a Abdel Kader, Saleh $u Department of General Surgery, Al Ain Hospital, Al-Ain City, United Arab Emirates. $7 gn_A_00000289
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$a Agboola, John $u Department of Surgery, Kwara State General Hospital, Ilorin, Nigeria. $7 gn_A_00002117
700    1_
$a Amhed, Adamu $u Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Kaduna, Nigeria. $7 gn_A_00005543
700    1_
$a Ajibade, Adesina $u Department of Surgery, LAUTECH Teaching Hospital, Osogbo, Nigeria. $7 gn_A_00002784
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$a Akkucuk, Seckin $u Department of General Surgery, Training and Research Hospital of Mustafa Kemal University, Hatay, Turkey. $7 gn_A_00003003
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$a Alharthi, Bandar $u Depatment of Surgery, King Fahad Medical City, Riyadh, Saudi Arabia. $7 gn_A_00004140
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$a Anyfantakis, Dimitrios $u Primary Health Care Centre of Kissamos, Chania, Greece. $7 gn_A_00007636
700    1_
$a Augustin, Goran $u Department of Surgery, University Hospital Center, Zagreb, Croatia. $7 gn_A_00010037
700    1_
$a Baiocchi, Gianluca $u Clinical and Experimental Surgery, Brescia Civil Hospital, Brescia, Italy.
700    1_
$a Bala, Miklosh $u Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
700    1_
$a Baraket, Oussama $u Department of Surgery, Bizerte Hospital, Bizerte, Tunisia.
700    1_
$a Bayrak, Savas $u Department of General Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey.
700    1_
$a Bellanova, Giovanni $u Surgical II Division, S. Chiara Hospital, Trento, Italy.
700    1_
$a Beltràn, Marcelo A $u Department of General Surgery, Hospital San Juan de Dios de La Serena, La Serena, Chile.
700    1_
$a Bini, Roberto $u Department of General and Emergency Surgery, SG Bosco Hospital, Turin, Italy.
700    1_
$a Boal, Matthew $u General and Upper GI Surgery, Queen Elizabeth Hospital, Birmingham, UK.
700    1_
$a Borodach, Andrey V $u Emergency Surgery Department, 1st Municipal Hospital, Novosibirsk State Medical University, Novosibirsk, Russian Federation.
700    1_
$a Bouliaris, Konstantinos $u Department of Surgery, University Hospital of Larissa, Larissa, Greece.
700    1_
$a Branger, Frederic $u Visceral Surgery, CHU, Angers, France.
700    1_
$a Brunelli, Daniele $u Chirurgia Generale, Ospedale di Città di Castello, Città di Castello, Italy.
700    1_
$a Catani, Marco $u Department of Emergency Surgery, Umberto I Hospital, "La Sapienza" University, Rome, Italy.
700    1_
$a Che Jusoh, Asri $u Department of Surgery, Kuala Krai Hospital, Kelantan, Malaysia.
700    1_
$a Chichom-Mefire, Alain $u Department of Surgery, Regional Hospital, Limbe, Cameroon.
700    1_
$a Cocorullo, Gianfranco $u General and Emergency Surgery, Policlinico Paolo Giaccone, Palermo, Italy.
700    1_
$a Colak, Elif $u Department of General Surgery, Samsun Education and Research Hospital, Samsun, Turkey.
700    1_
$a Costa, David $u Department of General and Digestive Tract Surgery, Alicante University General Hospital, Alicante, Spain.
700    1_
$a Costa, Silvia $u Department of Surgery, CHVNG/E, EPE, Vila Nova de Gaia, Portugal.
700    1_
$a Cui, Yunfeng $u Department of Surgery, Tianjin Nankai Hospital, Tianjin, China.
700    1_
$a Curca, Geanina Loredana $u Department of General Surgery, Emergency Municipal Hospital Pascani, Pascani, Iasi Romania.
700    1_
$a Curry, Terry $u Department of Surgery, UC San Diego Medical Center, San Diego, USA.
700    1_
$a Das, Koray $u Department of Surgery, Numune Training and Research Hospital, Adana, Turkey.
700    1_
$a Delibegovic, Samir $u Department of Surgery, University Clinical Center, Tuzla, Bosnia and Herzegovina.
700    1_
$a Demetrashvili, Zaza $u Department General Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia.
700    1_
$a Di Carlo, Isidoro $u Department of Surgery, Hamad General Hospital, Doha, Qatar.
700    1_
$a Drozdova, Nadezda $u Department of Surgery, Riga East Clinical University Hospital, Riga, Latvia.
700    1_
$a El Zalabany, Tamer $u Department of Surgery, Bahrain Defence Force Hospital, Manama, Bahrain.
700    1_
$a Enani, Mushira Abdulaziz $u King Fahad Medical City, Riyadh, Saudi Arabia.
700    1_
$a Faro, Mario $u Division of General and Emergency Surgery, Hospital Estadual Mario Covas, ABC School of Medicine, Santo André, Brazil.
700    1_
$a Gachabayov, Mahir $u Department of Surgery 1, Vladimir City Clinical Hospital of Emergency Medicine, Vladimir, Russian Federation.
700    1_
$a Giménez Maurel, Teresa $u Cirugía General y Digestiva, Hospital Universitario Miguel Servet, Zaragoza, Spain.
700    1_
$a Gkiokas, Georgios $u 2nd Department of Surgery, Aretaieio University Hospital, Athens, Greece.
700    1_
$a Gomes, Carlos Augusto $u Department of Surgery, Hospital Universitário Terezinha de Jesus, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Juiz de Fora, Brazil.
700    1_
$a Gonsaga, Ricardo Alessandro Teixeira $u Department of Surgery, Hospital Escola Padre Albino, Catanduva, Brazil.
700    1_
$a Guercioni, Gianluca $u Department of Surgery, Ascoli Piceno Hospital, Ascoli Piceno, Italy.
700    1_
$a Guner, Ali $u Department of General Surgery, Trabzon Kanuni Training and Research Hospital, Trabzon, Turkey.
700    1_
$a Gupta, Sanjay $u Department of Surgery, Government Medical College and Hospital, Chandigarh, India.
700    1_
$a Gutierrez, Sandra $u Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia.
700    1_
$a Hutan, Martin $u 2nd Surgical Department of Medical Faculty Comenius University, University Hospital Bratislava, Bratislava, Slovakia.
700    1_
$a Ioannidis, Orestis $u 2nd Surgical Department, General Hospital of Kavala, Kavala, Greece.
700    1_
$a Isik, Arda $u Department of Surgery, Mengucek Gazi Training Research Hospital, Erzincan, Turkey.
700    1_
$a Izawa, Yoshimitsu $u Department of Emergency and Critical Care Medicine, Jichi Medical University, Shimotsuke, Japan.
700    1_
$a Jain, Sumita A $u Department of Surgery, S M S Hospital, Jaipur, India.
700    1_
$a Jokubauskas, Mantas $u Department of Surgery, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania.
700    1_
$a Karamarkovic, Aleksandar $u Clinic for Emergency Surgery, Medical Faculty University of Belgrade, Belgrade, Serbia.
700    1_
$a Kauhanen, Saila $u Division Digestive Surgery and Urology, Turku University Hospital, Turku, Finland.
700    1_
$a Kaushik, Robin $u Department of Surgery, Government Medical College and Hospital, Chandigarh, India.
700    1_
$a Kenig, Jakub $u 3rd Department of General Surgery, Jagiellonian Univeristy Collegium Medium, Kraków, Poland.
700    1_
$a Khokha, Vladimir $u Department of Emergency Surgery, City Hospital, Mozyr, Belarus.
700    1_
$a Kim, Jae Il $u Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea.
700    1_
$a Kong, Victor $u Department of Surgery, Edendale Hospital, Pietermaritzburg, South Africa.
700    1_
$a Koshy, Renol $u Department of Surgery, Hamad General Hospital, Doha, Qatar.
700    1_
$a Krasniqi, Avidyl $u Department of Surgery, University Clinical Center of Kosovo, Pristina, Kosovo.
700    1_
$a Kshirsagar, Ashok $u Department of General Surgery, Krishna Hospital, Karad, India.
700    1_
$a Kuliesius, Zygimantas $u Department of General Surgery, Republican Vilnius University Hospital, Vilnius, Lithuania.
700    1_
$a Lasithiotakis, Konstantinos $u Department of Surgery, York Teaching Hospital NHS Foundation Trust, York, UK.
700    1_
$a Leão, Pedro $u General Surgery/Coloretal Unit, Braga Hospital, Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal.
700    1_
$a Lee, Jae Gil $u Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea.
700    1_
$a Leon, Miguel $u Department of Surgery, Hospital La Paz, Madrid, Spain.
700    1_
$a Lizarazu Pérez, Aintzane $u Cirugía de Urgencias, Hospital Universitario Donostia, Donostia, Spain.
700    1_
$a Lohsiriwat, Varut $u Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
700    1_
$a López-Tomassetti Fernandez, Eudaldo $u Department of Surgery, Insular University Hospital of Gran Canaria, Las Palmas, Spain.
700    1_
$a Lostoridis, Eftychios $u 1st Department of Surgery, Kavala General Hospital, Kavala, Greece.
700    1_
$a Mn, Raghuveer $u Department of General Surgery, Mysore Medical College and Research Institute, Government Medical College Hospital Mysore, Mysore, India.
700    1_
$a Major, Piotr $u 2nd Department of Surgery, Jagiellonian University Medical College, Krakow, Poland.
700    1_
$a Marinis, Athanasios $u First Department of Surgery, Tzaneio Hospital, Piraeus, Greece.
700    1_
$a Marrelli, Daniele $u Department of General Surgery and Surgical Oncology, Le Scotte Hospital, Siena, Italy.
700    1_
$a Martinez-Perez, Aleix $u Department of Surgery, University Hospital, Valencia, Spain.
700    1_
$a Marwah, Sanjay $u Department of Surgery, Post-Graduate Institute of Medical Sciences, Rohtak, India.
700    1_
$a McFarlane, Michael $u Department of Surgery, Radiology, University Hospital of the West Indies, Kingston, Jamaica.
700    1_
$a Melo, Renato Bessa $u General Surgery Department, Centro Hospitalar de São João, Porto, Portugal.
700    1_
$a Mesina, Cristian $u Second Surgical Clinic, Emergency Hospital of Craiova, Craiova, Romania.
700    1_
$a Michalopoulos, Nick $u 3rd Department of Surgery, Haepa University Hospital, Thessaloniki, Greece.
700    1_
$a Moldovanu, Radu $u Department of Surgery, CH Armentieres, Arras, France.
700    1_
$a Mouaqit, Ouadii $u Surgery Department, University Hospital Hassan II, Fez, Morocco.
700    1_
$a Munyika, Akutu $u Department of Surgery, Onandjokwe Hospital, Ondangwa, Namibia.
700    1_
$a Negoi, Ionut $u Department of Surgery, Emergency Hospital of Bucharest, Bucharest, Romania.
700    1_
$a Nikolopoulos, Ioannis $u Department of General Surgery, Lewisham & Greenwich NHS Trust, London, UK.
700    1_
$a Nita, Gabriela Elisa $u General and Emergency Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.
700    1_
$a Olaoye, Iyiade $u Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
700    1_
$a Omari, Abdelkarim $u Department of Surgery, King Abdalla University Hospital, Irbid, Jordan.
700    1_
$a Ossa, Paola Rodríguez $u Fundación Valle del Lili, Universidad del Valle, Cali, Colombia.
700    1_
$a Ozkan, Zeynep $u Department of Surgery, Elazig Training and Research Hospital, Elazig, Turkey.
700    1_
$a Padmakumar, Ramakrishnapillai $u Department of Laparoscopic and Metabolic Surgery, Sunrise Hospital, Kochi, India.
700    1_
$a Pata, Francesco $u Department of Surgery, Sant'Antonio Abate Hospital, Gallarate, Italy.
700    1_
$a Pereira Junior, Gerson Alves $u Division of Emergency and Trauma Surgery, Ribeirão Preto Medical School, Ribeirão Preto, Brazil.
700    1_
$a Pereira, Jorge $u Surgery 1 Unit, Centro Hospitalar Tondela Viseu, Viseu, Portugal.
700    1_
$a Pintar, Tadeja $u Department of Surgery, UMC Ljubljana, Ljubljana, Slovenia.
700    1_
$a Pouggouras, Konstantinos $u 1st Department of Surgery, Kavala General Hospital, Kavala, Greece.
700    1_
$a Prabhu, Vinod $u Department of Surgery, Bharati Medical College and Hospital, Sangli, India.
700    1_
$a Rausei, Stefano $u Department of Surgery, Insubria University Hospital, Varese, Italy.
700    1_
$a Rems, Miran $u Abdominal and General Surgery Department, General Hospital Jesenice, Jesenice, Slovenia.
700    1_
$a Rios-Cruz, Daniel $u Department of Surgery, Hospital de Alta Especialidad de Veracruz, Veracruz, Mexico.
700    1_
$a Sakakushev, Boris $u General Surgery Department, Medical University, University Hospital St George, Plovdiv, Bulgaria.
700    1_
$a Sánchez de Molina, Maria Luisa $u Department of Surgery, Fundación Jimenez Díaz, Madrid, Spain.
700    1_
$a Seretis, Charampolos $u Department of Surgery, Good Hope Hospital, Heart of England NHS Foundation Trust, Birmingham, UK.
700    1_
$a Shelat, Vishal $u Department of General Surgery, Tan Tock Seng Hospital, Novena, Singapore.
700    1_
$a Simões, Romeo Lages $u Division of Trauma Surgery, Hospital de Clinicas, School of Medical Sciences, University of Campinas, Campinas, Brazil.
700    1_
$a Sinibaldi, Giovanni $u Departement of Surgery, Fatabenefratelli Isola Tiberina Hspital, Rome, Italy.
700    1_
$a Skrovina, Matej $u Department of Surgery, Hospital and Comprehensive Cancer Centre Novy Jicin, Novy Jicin, Czech Republic.
700    1_
$a Smirnov, Dmitry $u Department of General Surgery, Clinical Hospital at Chelyabinsk Station of OJSC "Russian Railroads", Chelyabinsk, Russian Federation.
700    1_
$a Spyropoulos, Charalampos $u 3th Department of Surgery, Iaso General Hospital, Athens, Greece.
700    1_
$a Tepp, Jaan $u Department of Surgery, North Estonia Medical Center, Tallin, Estonia.
700    1_
$a Tezcaner, Tugan $u Department of Surgery, Baskent University Ankara Hospital, Ankara, Turkey.
700    1_
$a Tolonen, Matti $u Abdominal Center, University Hospital Meilahti, Helsinki, Finland.
700    1_
$a Torba, Myftar $u General Surgery Service, Trauma University Hospital, Tirana, Albania.
700    1_
$a Ulrych, Jan $u 1st Department of Surgery - Department of Abdominal, Thoracic Surgery and Traumatology, General University Hospital, Prague, Czech Republic.
700    1_
$a Uzunoglu, Mustafa Yener $u Department of General Surgery, Sakarya Teaching and Research Hospital, Sakarya, Turkey.
700    1_
$a van Dellen, David $u Department of Renal and Pancreas Transplantation, Manchester Royal Infirmary, Manchester, UK.
700    1_
$a van Ramshorst, Gabrielle H $u Department of Surgery, Red Cross Hospital, Beverwijk, Netherlands.
700    1_
$a Vasquez, Giorgio $u Emergency Surgery, Arcispedale S.Anna Azienda Ospedaliero-Universitaria di Ferrara, Ferrara, Italy.
700    1_
$a Venara, Aurélien $u Visceral Surgery, CHU, Angers, France.
700    1_
$a Vereczkei, Andras $u Department of Surgery, Medical School University Pecs, Pecs, Hungary.
700    1_
$a Vettoretto, Nereo $u Department of Surgery, Montichiari Hospital, Ospedali Civili Brescia, Brescia, Italy.
700    1_
$a Vlad, Nutu $u 1st Surgical Clinic, St. Spiridon Hospital, Iasi, Romania.
700    1_
$a Yadav, Sanjay Kumar $u Department of Surgery, Rajendra Institute of Medical Sciences, Ranchi, India.
700    1_
$a Yilmaz, Tonguç Utku $u Department of Surgery, Kocaeli University Training and Research Hospital, Kocaeli, Turkey.
700    1_
$a Yuan, Kuo-Ching $u Trauma and Emergency Surgery Department, Chang Gung Memorial Hospital, Taoyuan City, Taiwan.
700    1_
$a Zachariah, Sanoop Koshy $u Department of Surgery, MOSC Medical College Kolenchery, Cochin, India.
700    1_
$a Zida, Maurice $u General and Digestive Surgery Department, Teaching Hospital Yalgado Ouedraogo, Ouagadougou, Burkina Faso.
700    1_
$a Zilinskas, Justas $u Department of Surgery, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania.
700    1_
$a Ansaloni, Luca $u General and Emergency Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.
773    0_
$w MED00165852 $t World journal of emergency surgery WJES $x 1749-7922 $g Roč. 10, č. - (2015), s. 61
856    41
$u https://pubmed.ncbi.nlm.nih.gov/26677396 $y Pubmed
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990    __
$a 20160108 $b ABA008
991    __
$a 20160128100227 $b ABA008
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$a 2015 $b 10 $c - $d 61 $e 20151216 $i 1749-7922 $m World journal of emergency surgery $n World J Emerg Surg $x MED00165852
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