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Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) Study: a WSES observational study
M. Sartelli, FM. Abu-Zidan, FM. Labricciosa, Y. Kluger, F. Coccolini, L. Ansaloni, A. Leppäniemi, AW. Kirkpatrick, M. Tolonen, C. Tranà, JM. Regimbeau, T. Hardcastle, RM. Koshy, A. Abbas, U. Aday, ARK. Adesunkanmi, A. Ajibade, L. Akhmeteli, E....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, multicentrická studie, pozorovací studie
BioMedCentral Open Access od 2006
Directory of Open Access Journals od 2006
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Springer Journals Complete - Open Access od 2006-12-01
Springer Nature OA/Free Journals od 2006-12-01
Odkazy
PubMed
31341511
DOI
10.1186/s13017-019-0253-2
Knihovny.cz E-zdroje
- MeSH
- břicho abnormality patofyziologie MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- logistické modely MeSH
- mortalita v nemocnicích MeSH
- prognóza * MeSH
- rizikové faktory MeSH
- rozdělení chí kvadrát MeSH
- senioři MeSH
- sepse diagnóza patofyziologie MeSH
- skóre závažnosti úrazu MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- pozorovací studie MeSH
Background: Timing and adequacy of peritoneal source control are the most important pillars in the management of patients with acute peritonitis. Therefore, early prognostic evaluation of acute peritonitis is paramount to assess the severity and establish a prompt and appropriate treatment. The objectives of this study were to identify clinical and laboratory predictors for in-hospital mortality in patients with acute peritonitis and to develop a warning score system, based on easily recognizable and assessable variables, globally accepted. Methods: This worldwide multicentre observational study included 153 surgical departments across 56 countries over a 4-month study period between February 1, 2018, and May 31, 2018. Results: A total of 3137 patients were included, with 1815 (57.9%) men and 1322 (42.1%) women, with a median age of 47 years (interquartile range [IQR] 28-66). The overall in-hospital mortality rate was 8.9%, with a median length of stay of 6 days (IQR 4-10). Using multivariable logistic regression, independent variables associated with in-hospital mortality were identified: age > 80 years, malignancy, severe cardiovascular disease, severe chronic kidney disease, respiratory rate ≥ 22 breaths/min, systolic blood pressure < 100 mmHg, AVPU responsiveness scale (voice and unresponsive), blood oxygen saturation level (SpO2) < 90% in air, platelet count < 50,000 cells/mm3, and lactate > 4 mmol/l. These variables were used to create the PIPAS Severity Score, a bedside early warning score for patients with acute peritonitis. The overall mortality was 2.9% for patients who had scores of 0-1, 22.7% for those who had scores of 2-3, 46.8% for those who had scores of 4-5, and 86.7% for those who have scores of 7-8. Conclusions: The simple PIPAS Severity Score can be used on a global level and can help clinicians to identify patients at high risk for treatment failure and mortality.
1st Department of Surgery Kavala General Hospital Kavala Greece
1st Department of Surgery Tzaneio General Hospital Piraeus Greece
2nd Surgical Clinic Emergency County Hospital of Craiova Craiova Romania
902nd Department of General Surgery Jagiellonian University Medical College Kraków Poland
983rd Department of Surgery Ahepa University Hospital Thessaloniki Greece
993rd Department of Surgery Attikon University Hospital Athens Greece
Chirurgia d'Urgenza Arcispedale Santa Maria Nuova IRCCS Reggio Emilia Italy
Chirurgia d'Urgenza Dipartimento Urgenza Emergenza AOU Parma Parma Italy
Chirurgia Generale e d'Urgenza Ospedale Infermi Rimini Italy
Chirurgia Generale Ospedale Civile di Guastalla Reggio Emilia Italy
Chirurgia Generale Ospedale Versilia La Spezia Italy
Chirurgia generale Sant'Anna Castelnovo ne' Monti Italy
Chirurgie Viscerale et d'Urgence Centre Hospitalier Regional de Perpignan Perpignan France
Chirurgische Abteilung Landesklinikum Hainburg Hainburg an der Donau Austria
Cirugía general y del aparato digestivo Hospital Universitario Donostia Donostia Spain
Cirurgia Geral Centro Hospitalar Tondela Viseu Viseu Portugal
Cirurgia Geral Centro Hospitalar Universitário da Cova da Beira Covilhã Portugal
Department of Abdominal Surgery UMC Ljubljana Ljubljana Slovenia
Department of Clinical and Experimental Sciences University of Brescia Brescia Italy
Department of Digestive Surgery and SSPC Research Unit CHU Amiens Picardie Amiens France
Department of Emergency Surgery Bufalini Hospital Cesena Italy
Department of Emergency Surgery City Hospital Mozyr Belarus
Department of Endoscopic Metabolic and Soft Tissue Tumors Surgery University Hospital Kraków Poland
Department of Faculty Surgery 1 Pirogov Russian National Research Medical University Moscow Russia
Department of Gastrointestinal Surgery HGR1 IMSS Cuernavaca Mexico
Department of General and Digestive Surgery Hospital Universitario Doctor Peset Valencia Spain
Department of General and Emergency Surgery ASMN Reggio Emilia Modena Italy
Department of General and Emergency Surgery ASST Monza Ospedale San Gerardo Monza Italy
Department of General and Thoracic Surgery University Hospital of Giessen Giessen Germany
Department of General Emergency and Robotic Surgery San Francesco Hospital Nuoro Italy
Department of General Surgery Ankara University School of Medicine Ankara Turkey
Department of General Surgery Erzincan University Hospital Erzincan Turkey
Department of General Surgery General Hospital of Trikala Trikala Greece
Department of General Surgery Government Medical College and Hospital Chandigarh India
Department of General Surgery Hacettepe University Hospital Ankara Turkey
Department of General Surgery Hadassah Medical Center Jerusalem Israel
Department of General Surgery Istinye University Faculty of Medicine Istanbul Turkey
Department of General Surgery Karadeniz Technical University Trabzon Turkey
Department of General Surgery Kuala Krai Hospital Kuala Krai Malaysia
Department of General Surgery Mansoura University Hospital Mansoura Egypt
Department of General Surgery Miguel Servet Zaragoza Spain
Department of General Surgery Post graduate Institute of Medical Sciences Rohtak India
Department of General Surgery Queen Elizabeth Hospital London UK
Department of General Surgery Rambam Health Care Campus Haifa Israel
Department of General Surgery Sakarya University Research and Educational Hospital Sakarya Turkey
Department of General Surgery San Salvatore Pesaro Italy
Department of General Surgery Siirt State Hospital Siirt Turkey
Department of General Surgery Tan Tock Seng Hospital Singapore Singapore
Department of General Surgery University Hospital of Coventry and Warwickshire Coventry UK
Department of General Surgery University Hospital of Trauma Tirana Albania
Department of Infectious Diseases King Fahad Medical City Riyadh Saudi Arabia
Department of Primary Care Primary Health Care Centre of Kissamos Chania Greece
Department of Surgery AO San Giovanni Addolorata Rome Italy
Department of Surgery Athens Naval and Veterans Hospital Athens Greece
Department of Surgery Clinical Center University of Pecs Pecs Hungary
Department of Surgery College of Health Sciences Obafemi Awolowo University Ile Ife Nigeria
Department of Surgery Elias Emergency Hospital Bucharest Romania
Department of Surgery Fatebbenefratelli Hospital Isola Tiberina Rome Italy
Department of Surgery Fundacion Valle del Lili Universidad del Valle Cali Colombia
Department of Surgery G Da Saliceto Hospital Piacenza Italy
Department of Surgery Hassan 2 Fez Morocco
Department of Surgery Hospital and Oncological Centre Novy Jicin Novy Jicin Czech Republic
Department of Surgery Hospital San Juan de Dios de La Serena La Serena Chile
Department of Surgery Inje University Ilsan Paik Hospital Goyang Republic of Korea
Department of Surgery King George's Medical University Lucknow India
Department of Surgery Kipshidze Central University Hospital Tbilisi Georgia
Department of Surgery Krishna Hospital and Medical Research University Karad Karad India
Department of Surgery LAUTECH Teaching Hospital Osogbo Nigeria
Department of Surgery Lumbini Medical College and Teaching Hospital Ltd Tansen Palpa Nepal
Department of Surgery Macerata Hospital Macerata Italy
Department of Surgery Mansoura University and Emergency Hospital Mansoura Egypt
Department of Surgery Mosc Medical College Kolenchery Cochin India
Department of Surgery Riga East Clinical University Hospital Gaiļezers Riga Latvia
Department of Surgery Saint Savvas Anticancer Hospital Athens Greece
Department of Surgery San Carlo Borromeo Hospital Milan Italy
Department of Surgery Sant'Antonio Abate Hospital Gallarate Italy
Department of Surgery SMS Hospital Jaipur India
Department of Surgery Taipei Medical University Hospital Taipei Taiwan
Department of Surgery Tianjin Nankai Hospital Tianjin China
Department of Surgery Trauma Hospital Santo Tomás Panama Panama
Department of Surgery TSMU 1st University Clinic Tbilisi Georgia
Department of Surgery University Clinical Center Tuzla Tuzla Bosnia and Herzegovina
Department of Surgery University hospital Amiens France
Department of Surgery University Hospital Centre Zagreb Zagreb Croatia
Department of Surgery University of Ilorin Teaching Hospital Ilorin Nigeria
Department of Surgey Zliten Teaching Hospital Zliten Libya
Department of Surgical Oncology King Fahad Medical City Riyadh Saudi Arabia
Department of Trauma ICU IALCH University of KwaZulu Natal Durban South Africa
Department of Vascular Surgery City Hospital Mozyr Belarus
Dipartimento Emergenza e Accettazione Policlinico Umberto 1 Roma Italy
Division of Trauma and Acute Care Surgery LAC USC Medical Center Los Angeles USA
Division of Trauma Surgery Hospital de Clinicas University of Campinas Campinas Brazil
Emergency and General Surgery SG Bosco Torino Italy
Emergency Surgery Department Maggiore Parma Hospital Parma Italy
Gastrointestinal Surgery Hospital Insular de Gran Canaria Las Palmas de Gran Canaria Spain
General and Digestive Surgery Hospital Fundación Jimenez Diaz Madrid Spain
General Surgery Department Bukovinian State Medical University Chernivtsi Ukraine
General Surgery Department Emergency Hospital of Bucharest Bucharest Romania
General Surgery Habib bougatfa Bizerte Tunisia
General Surgery Heartlands Hospital Birmingham UK
General Surgery Hospital Santo Tomas Panama Panama
General Surgery Scarborough Hospital York Teaching Hospital NHS FT York UK
General Surgery South Warwickshire NHS Foundation Trust Warwick UK
General Surgery University of Health Sciences Samsun Training and Research Hospital Samsun Turkey
General Visceral Thoracic and Vascular Surgery University Hospital Greifswald Greifswald Germany
Global Alliance for Infections in Surgery Porto Portugal
Intensive Care Unit Chernivtsi City Emergency Hospital Chernivtsi Ukraine
Medicina Base Hospital Bauru Brazil
Renal Transplant and General Surgery Manchester Royal Infirmary Manchester UK
Surgery Department Chernivtsi City Emergency Hospital Chernivtsi Ukraine
Surgery Department Tbilisi State Medical University Tbilisi Georgia
Surgical Department and ICU Department General Hospital of Larissa Larissa Greece
Surgical Department UMHAT Eurohospital Medical University Plovdiv Bulgaria
Surgical Oncology Unit Azienda Unità Sanitaria Locale IRCCS di Reggio Emilia Reggio Emilia Italy
Surgical Oncology University Hospital Heraclion Crete Heraclion Crete Greece
Toxicology and Sepsis Riga East University Hospital Riga Latvia
Transplantation Unıt Acibadem Atakent Hospital İstanbul Turkey
Trauma and Acute Care Surgery Edendale Hospital Pietermaritzburg South Africa
Trauma and Emergency Surgery Hospital Escola Padre Albino Catanduva Brazil
U O C Chirurgia Generale PO Santissima Trinità Cagliari Italia
U O Chirurgia d'Urgenza Arcispedale S Anna Ferrara Ferrara Italy
U O Chirurgia d'Urgenza Universitaria Azienda Ospedaliero Universitaria Pisana Pisa Italy
UGC Cirugía General Complejo Hospitalario de Jaén Jaén Spain
Upper Gastrointestinal Tract Surgery Department North Estonia Medical Centre Tallinn Estonia
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- $a Sartelli, Massimo $u Department of Surgery, Macerata Hospital, Macerata, Italy.
- 245 10
- $a Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) Study: a WSES observational study / $c M. Sartelli, FM. Abu-Zidan, FM. Labricciosa, Y. Kluger, F. Coccolini, L. Ansaloni, A. Leppäniemi, AW. Kirkpatrick, M. Tolonen, C. Tranà, JM. Regimbeau, T. Hardcastle, RM. Koshy, A. Abbas, U. Aday, ARK. Adesunkanmi, A. Ajibade, L. Akhmeteli, E. Akın, N. Akkapulu, A. Alotaibi, F. Altintoprak, D. Anyfantakis, B. Atanasov, G. Augustin, C. Azevedo, M. Bala, D. Balalis, O. Baraket, S. Baral, O. Barkai, M. Beltran, R. Bini, K. Bouliaris, AB. Caballero, V. Calu, M. Catani, M. Ceresoli, V. Charalampakis, AC. Jusoh, M. Chiarugi, N. Cillara, RC. Cuesta, L. Cobuccio, G. Cocorullo, E. Colak, L. Conti, Y. Cui, B. De Simone, S. Delibegovic, Z. Demetrashvili, D. Demetriades, A. Dimova, A. Dogjani, M. Enani, F. Farina, F. Ferrara, D. Foghetti, T. Fontana, GP. Fraga, M. Gachabayov, G. Gérard, W. Ghnnam, TG. Maurel, G. Gkiokas, CA. Gomes, A. Guner, S. Gupta, A. Hecker, ES. Hirano, A. Hodonou, M. Hutan, I. Ilaschuk, O. Ioannidis, A. Isik, G. Ivakhov, S. Jain, M. Jokubauskas, A. Karamarkovic, R. Kaushik, J. Kenig, V. Khokha, D. Khokha, JI. Kim, V. Kong, D. Korkolis, VF. Kruger, A. Kshirsagar, RL. Simões, A. Lanaia, K. Lasithiotakis, P. Leão, ML. Arellano, H. Listle, A. Litvin, A. Lizarazu Pérez, E. Lopez-Tomassetti Fernandez, E. Lostoridis, D. Luppi, GM. Machain V, P. Major, D. Manatakis, MM. Reitz, A. Marinis, D. Marrelli, A. Martínez-Pérez, S. Marwah, M. McFarlane, M. Mesic, C. Mesina, N. Michalopoulos, E. Misiakos, FG. Moreira, O. Mouaqit, A. Muhtaroglu, N. Naidoo, I. Negoi, Z. Nikitina, I. Nikolopoulos, GE. Nita, S. Occhionorelli, I. Olaoye, CA. Ordoñez, Z. Ozkan, A. Pal, GM. Palini, K. Papageorgiou, D. Papagoras, F. Pata, M. Pędziwiatr, J. Pereira, GA. Pereira Junior, G. Perrone, T. Pintar, M. Pisarska, O. Plehutsa, M. Podda, G. Poillucci, M. Quiodettis, T. Rahim, D. Rios-Cruz, G. Rodrigues, D. Rozov, B. Sakakushev, I. Sall, A. Sazhin, M. Semião, T. Sharda, V. Shelat, G. Sinibaldi, D. Skicko, M. Skrovina, D. Stamatiou, M. Stella, M. Strzałka, R. Sydorchuk, RA. Teixeira Gonsaga, JN. Tochie, G. Tomadze, L. Ugoletti, J. Ulrych, T. Ümarik, MY. Uzunoglu, A. Vasilescu, O. Vaz, A. Vereczkei, N. Vlad, M. Walędziak, AI. Yahya, O. Yalkin, TU. Yilmaz, AE. Ünal, KC. Yuan, SK. Zachariah, J. Žilinskas, M. Zizzo, V. Pattonieri, GL. Baiocchi, F. Catena,
- 520 9_
- $a Background: Timing and adequacy of peritoneal source control are the most important pillars in the management of patients with acute peritonitis. Therefore, early prognostic evaluation of acute peritonitis is paramount to assess the severity and establish a prompt and appropriate treatment. The objectives of this study were to identify clinical and laboratory predictors for in-hospital mortality in patients with acute peritonitis and to develop a warning score system, based on easily recognizable and assessable variables, globally accepted. Methods: This worldwide multicentre observational study included 153 surgical departments across 56 countries over a 4-month study period between February 1, 2018, and May 31, 2018. Results: A total of 3137 patients were included, with 1815 (57.9%) men and 1322 (42.1%) women, with a median age of 47 years (interquartile range [IQR] 28-66). The overall in-hospital mortality rate was 8.9%, with a median length of stay of 6 days (IQR 4-10). Using multivariable logistic regression, independent variables associated with in-hospital mortality were identified: age > 80 years, malignancy, severe cardiovascular disease, severe chronic kidney disease, respiratory rate ≥ 22 breaths/min, systolic blood pressure < 100 mmHg, AVPU responsiveness scale (voice and unresponsive), blood oxygen saturation level (SpO2) < 90% in air, platelet count < 50,000 cells/mm3, and lactate > 4 mmol/l. These variables were used to create the PIPAS Severity Score, a bedside early warning score for patients with acute peritonitis. The overall mortality was 2.9% for patients who had scores of 0-1, 22.7% for those who had scores of 2-3, 46.8% for those who had scores of 4-5, and 86.7% for those who have scores of 7-8. Conclusions: The simple PIPAS Severity Score can be used on a global level and can help clinicians to identify patients at high risk for treatment failure and mortality.
- 650 _2
- $a břicho $x abnormality $x patofyziologie $7 D000005
- 650 _2
- $a dospělí $7 D000328
- 650 _2
- $a senioři $7 D000368
- 650 _2
- $a rozdělení chí kvadrát $7 D016009
- 650 _2
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- 650 _2
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- 650 _2
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- $a skóre závažnosti úrazu $7 D015601
- 650 _2
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- 650 _2
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- 650 12
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- 650 _2
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- 650 _2
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- 700 1_
- $a Abu-Zidan, Fikri M $u 2Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
- 700 1_
- $a Labricciosa, Francesco M $u Global Alliance for Infections in Surgery, Porto, Portugal.
- 700 1_
- $a Kluger, Yoram $u 4Department of General Surgery, Rambam Health Care Campus, Haifa, Israel.
- 700 1_
- $a Coccolini, Federico $u 5Department of Emergency Surgery, Bufalini Hospital, Cesena, Italy.
- 700 1_
- $a Ansaloni, Luca $u 5Department of Emergency Surgery, Bufalini Hospital, Cesena, Italy.
- 700 1_
- $a Leppäniemi, Ari $u 6Abdominal Center, Department of Abdominal Surgery, Helsinki University Hospital Meilahti and University of Helsinki, Helsinki, Finland.
- 700 1_
- $a Kirkpatrick, Andrew W $u 7General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre, Calgary, AB Canada.
- 700 1_
- $a Tolonen, Matti $u 6Abdominal Center, Department of Abdominal Surgery, Helsinki University Hospital Meilahti and University of Helsinki, Helsinki, Finland.
- 700 1_
- $a Tranà, Cristian $u Department of Surgery, Macerata Hospital, Macerata, Italy.
- 700 1_
- $a Regimbeau, Jean-Marc $u 8Department of Digestive Surgery and SSPC Research Unit, CHU Amiens-Picardie, Amiens, France.
- 700 1_
- $a Hardcastle, Timothy $u 9Department of Trauma ICU, IALCH, University of KwaZulu-Natal, Durban, South Africa.
- 700 1_
- $a Koshy, Renol M $u 10Department of General Surgery, University Hospital of Coventry & Warwickshire, Coventry, UK.
- 700 1_
- $a Abbas, Ashraf $u 11Department of Surgery, Mansoura University and Emergency Hospital, Mansoura, Egypt.
- 700 1_
- $a Aday, Ulaş $u Department of Gastrointestinal Surgery, University of Health Sciences, Elazig Training and Research Hospital, Elazig, Turkey.
- 700 1_
- $a Adesunkanmi, A R K $u 13Department of Surgery, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
- 700 1_
- $a Ajibade, Adesina $u 14Department of Surgery, LAUTECH Teaching Hospital, Osogbo, Nigeria.
- 700 1_
- $a Akhmeteli, Lali $u 15Department of Surgery, TSMU First University Clinic, Tbilisi, Georgia.
- 700 1_
- $a Akın, Emrah $u 16Department of General Surgery, Sakarya University Research and Educational Hospital, Sakarya, Turkey.
- 700 1_
- $a Akkapulu, Nezih $u 17Department of General Surgery, Hacettepe University Hospital, Ankara, Turkey.
- 700 1_
- $a Alotaibi, Alhenouf $u 18Department of Surgical Oncology, King Fahad Medical City, Riyadh, Saudi Arabia.
- 700 1_
- $a Altintoprak, Fatih $u Department of General Surgery, Istinye University Faculty of Medicine, Istanbul, Turkey.
- 700 1_
- $a Anyfantakis, Dimitrios $u Department of Primary Care, Primary Health Care Centre of Kissamos, Chania, Greece.
- 700 1_
- $a Atanasov, Boyko $u 21Surgical Department, UMHAT "Eurohospital", Medical University, Plovdiv, Bulgaria.
- 700 1_
- $a Augustin, Goran $u 22Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.
- 700 1_
- $a Azevedo, Constança $u Cirurgia Geral, Centro Hospitalar Universitário da Cova da Beira, Covilhã, Portugal.
- 700 1_
- $a Bala, Miklosh $u 24Department of General Surgery, Hadassah Medical Center, Jerusalem, Israel.
- 700 1_
- $a Balalis, Dimitrios $u Department of Surgery, Saint Savvas Anticancer Hospital, Athens, Greece.
- 700 1_
- $a Baraket, Oussama $u General Surgery, Habib bougatfa, Bizerte, Tunisia.
- 700 1_
- $a Baral, Suman $u Department of Surgery, Lumbini Medical College and Teaching Hospital Ltd., Tansen, Palpa Nepal.
- 700 1_
- $a Barkai, Or $u 4Department of General Surgery, Rambam Health Care Campus, Haifa, Israel.
- 700 1_
- $a Beltran, Marcelo $u Department of Surgery, Hospital San Juan de Dios de La Serena, La Serena, Chile.
- 700 1_
- $a Bini, Roberto $u Emergency and General Surgery, SG Bosco, Torino, Italy.
- 700 1_
- $a Bouliaris, Konstantinos $u Surgical Department and ICU Department, General Hospital of Larissa, Larissa, Greece.
- 700 1_
- $a Caballero, Ana B $u 31General Surgery, Hospital Santo Tomas, Panama, Panama.
- 700 1_
- $a Calu, Valentin $u Department of Surgery, Elias Emergency Hospital, Bucharest, Romania.
- 700 1_
- $a Catani, Marco $u 33Dipartimento Emergenza e Accettazione, Policlinico Umberto I, Roma, Italy.
- 700 1_
- $a Ceresoli, Marco $u 34Department of General and Emergency Surgery, ASST Monza - Ospedale San Gerardo, Monza, Italy.
- 700 1_
- $a Charalampakis, Vasileios $u 35General Surgery, South Warwickshire NHS Foundation Trust, Warwick, UK.
- 700 1_
- $a Jusoh, Asri Che $u Department of General Surgery, Kuala Krai Hospital, Kuala Krai, Malaysia.
- 700 1_
- $a Chiarugi, Massimo $u 37U.O. Chirurgia d'Urgenza Universitaria, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
- 700 1_
- $a Cillara, Nicola $u 38U.O.C. Chirurgia Generale, PO Santissima Trinità, Cagliari, Italia.
- 700 1_
- $a Cuesta, Raquel Cobos $u 39UGC Cirugía General, Complejo Hospitalario de Jaén, Jaén, Spain.
- 700 1_
- $a Cobuccio, Luigi $u 37U.O. Chirurgia d'Urgenza Universitaria, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
- 700 1_
- $a Cocorullo, Gianfranco $u Department of General and Emergency Surgery, Azienda Ospedaliera Policlinico Universitario Palermo "Paolo Giaccone", Palermo, Italy.
- 700 1_
- $a Colak, Elif $u General Surgery, University of Health Sciences, Samsun Training and Research Hospital, Samsun, Turkey.
- 700 1_
- $a Conti, Luigi $u Department of Surgery, G. Da Saliceto Hospital, Piacenza, Italy.
- 700 1_
- $a Cui, Yunfeng $u 43Department of Surgery, Tianjin Nankai Hospital, Tianjin, China.
- 700 1_
- $a De Simone, Belinda $u Chirurgie Viscerale et d'Urgence, Centre Hospitalier Regional de Perpignan, Perpignan, France.
- 700 1_
- $a Delibegovic, Samir $u 45Department of Surgery, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
- 700 1_
- $a Demetrashvili, Zaza $u Department of Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia.
- 700 1_
- $a Demetriades, Demetrios $u 47Division of Trauma and Acute Care Surgery, LAC+USC Medical Center, Los Angeles, USA.
- 700 1_
- $a Dimova, Ana $u 22Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.
- 700 1_
- $a Dogjani, Agron $u Department of General Surgery, University Hospital of Trauma, Tirana, Albania.
- 700 1_
- $a Enani, Mushira $u 49Department of Infectious Diseases, King Fahad Medical City, Riyadh, Saudi Arabia.
- 700 1_
- $a Farina, Federica $u 50Chirurgia Generale, Ospedale Versilia, La Spezia, Italy.
- 700 1_
- $a Ferrara, Francesco $u 51Department of Surgery, San Carlo Borromeo Hospital, Milan, Italy.
- 700 1_
- $a Foghetti, Domitilla $u 52Department of General Surgery, San Salvatore, Pesaro, Italy.
- 700 1_
- $a Fontana, Tommaso $u Department of General and Emergency Surgery, Azienda Ospedaliera Policlinico Universitario Palermo "Paolo Giaccone", Palermo, Italy.
- 700 1_
- $a Fraga, Gustavo P $u 53Division of Trauma Surgery, Hospital de Clinicas, University of Campinas, Campinas, Brazil.
- 700 1_
- $a Gachabayov, Mahir $u Department of Abdominal Surgery, Vladimir City Clinical Hospital of Emergency Medicine, Vladimir, Russia.
- 700 1_
- $a Gérard, Grelpois $u 55Department of Surgery, University hospital, Amiens, France.
- 700 1_
- $a Ghnnam, Wagih $u 56Department of General Surgery, Mansoura University Hospital, Mansoura, Egypt.
- 700 1_
- $a Maurel, Teresa Giménez $u 57Department of General Surgery, Miguel Servet, Zaragoza, Spain.
- 700 1_
- $a Gkiokas, Georgios $u 582nd Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
- 700 1_
- $a Gomes, Carlos A $u Department of Surgery, Hospital Universitário Terezinha de Jesus, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora (SUPREMA), Juiz de Fora, Brazil.
- 700 1_
- $a Guner, Ali $u 60Department of General Surgery, Karadeniz Technical University, Trabzon, Turkey.
- 700 1_
- $a Gupta, Sanjay $u 61Department of General Surgery, Government Medical College and Hospital, Chandigarh, India.
- 700 1_
- $a Hecker, Andreas $u 62Department of General and Thoracic Surgery, University Hospital of Giessen, Giessen, Germany.
- 700 1_
- $a Hirano, Elcio S $u 53Division of Trauma Surgery, Hospital de Clinicas, University of Campinas, Campinas, Brazil.
- 700 1_
- $a Hodonou, Adrien $u Department of General Surgery, University and Regional Hospital Center of Borgou, Parakou, Republic of Benin.
- 700 1_
- $a Hutan, Martin $u Chirurgische Abteilung, Landesklinikum Hainburg, Hainburg an der Donau, Austria.
- 700 1_
- $a Ilaschuk, Igor $u Intensive Care Unit, Chernivtsi City Emergency Hospital, Chernivtsi, Ukraine.
- 700 1_
- $a Ioannidis, Orestis $u 664th Surgical Department, Medical School, Aristotle University of Thessaloniki, General Hospital "G. Papanikolaou", Thessaloniki, Greece.
- 700 1_
- $a Isik, Arda $u 67Department of General Surgery, Erzincan University Hospital, Erzincan, Turkey.
- 700 1_
- $a Ivakhov, Georgy $u 68Department of Faculty Surgery #1, Pirogov Russian National Research Medical University, Moscow, Russia.
- 700 1_
- $a Jain, Sumita $u 69Department of Surgery, SMS Hospital, Jaipur, India.
- 700 1_
- $a Jokubauskas, Mantas $u 70Department of Surgery, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania.
- 700 1_
- $a Karamarkovic, Aleksandar $u Faculty of Medicine University of Belgrade Clinic for Surgery, University Clinical Center "Zvezdara", Belgrade, Serbia.
- 700 1_
- $a Kaushik, Robin $u 61Department of General Surgery, Government Medical College and Hospital, Chandigarh, India.
- 700 1_
- $a Kenig, Jakub $u 72Department of General, Oncologic and Geriatric Surgery, Jagiellonian University Collegium Medicum, Kraków, Poland.
- 700 1_
- $a Khokha, Vladimir $u Department of Emergency Surgery, City Hospital, Mozyr, Belarus.
- 700 1_
- $a Khokha, Denis $u Department of Vascular Surgery, City Hospital, Mozyr, Belarus.
- 700 1_
- $a Kim, Jae Il $u 75Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, Republic of Korea.
- 700 1_
- $a Kong, Victor $u 76Trauma and Acute Care Surgery, Edendale Hospital, Pietermaritzburg, South Africa.
- 700 1_
- $a Korkolis, Dimitris $u Department of Surgery, Saint Savvas Anticancer Hospital, Athens, Greece.
- 700 1_
- $a Kruger, Vitor F $u 53Division of Trauma Surgery, Hospital de Clinicas, University of Campinas, Campinas, Brazil.
- 700 1_
- $a Kshirsagar, Ashok $u Department of Surgery, Krishna Hospital and Medical Research University Karad, Karad, India.
- 700 1_
- $a Simões, Romeo Lages $u Departament of General Surgery, Hospital Municipal de Governador Valadares, Vale do Rio Doce University, Governador Valadares, Brazil.
- 700 1_
- $a Lanaia, Andrea $u Chirurgia d'Urgenza, Arcispedale Santa Maria Nuova IRCCS, Reggio Emilia, Italy.
- 700 1_
- $a Lasithiotakis, Konstantinos $u General Surgery, Scarborough Hospital, York Teaching Hospital NHS FT, York, UK.
- 700 1_
- $a Leão, Pedro $u 81Cirurgia Geral, Hospital de Braga, Life and Health Sciences Research Institute, ICVS/3Bs, Universidade do Minho, Braga, Portugal.
- 700 1_
- $a Arellano, Miguel León $u 82General and Digestive Surgery, Hospital Fundación Jimenez Diaz, Madrid, Spain.
- 700 1_
- $a Listle, Holger $u 83General, Visceral, Thoracic and Vascular Surgery, University Hospital Greifswald, Greifswald, Germany.
- 700 1_
- $a Litvin, Andrey $u 84Department of Surgical Disciplines, Regional Clinical Hospital, Immanuel Kant Baltic Federal University, Kaliningrad, Russia.
- 700 1_
- $a Lizarazu Pérez, Aintzane $u 85Cirugía general y del aparato digestivo, Hospital Universitario Donostia, Donostia, Spain.
- 700 1_
- $a Lopez-Tomassetti Fernandez, Eudaldo $u 86Gastrointestinal Surgery, Hospital Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain.
- 700 1_
- $a Lostoridis, Eftychios $u 1st Department of Surgery, Kavala General Hospital, Kavala, Greece.
- 700 1_
- $a Luppi, Davide $u Department of General and Emergency Surgery, ASMN Reggio Emilia, Modena, Italy.
- 700 1_
- $a Machain V, Gustavo M $u 89II Catedra de Clinica Quirúrgica, Hospital de Clinicas, Facultad de Ciencias Médicas, Universidad Nacional de Asunción, Asunción, Paraguay.
- 700 1_
- $a Major, Piotr $u 902nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
- 700 1_
- $a Manatakis, Dimitrios $u 91Department of Surgery, Athens Naval and Veterans Hospital, Athens, Greece.
- 700 1_
- $a Reitz, Marianne Marchini $u 47Division of Trauma and Acute Care Surgery, LAC+USC Medical Center, Los Angeles, USA.
- 700 1_
- $a Marinis, Athanasios $u 92First Department of Surgery, Tzaneio General Hospital, Piraeus, Greece.
- 700 1_
- $a Marrelli, Daniele $u 93Department of General Surgery and Surgical Oncology, Policlinico Le Scotte, University of Siena, Siena, Italy.
- 700 1_
- $a Martínez-Pérez, Aleix $u 94Department of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia, Spain.
- 700 1_
- $a Marwah, Sanjay $u 95Department of General Surgery, Post-graduate Institute of Medical Sciences, Rohtak, India.
- 700 1_
- $a McFarlane, Michael $u 96Department of Surgery, Radiology, Anaesthesia and Intensive Care, University Hospital of the West Indies, Kingston, Jamaica.
- 700 1_
- $a Mesic, Mirza $u 45Department of Surgery, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
- 700 1_
- $a Mesina, Cristian $u 97Second Surgical Clinic, Emergency County Hospital of Craiova, Craiova, Romania.
- 700 1_
- $a Michalopoulos, Nickos $u 983rd Department of Surgery, Ahepa University Hospital, Thessaloniki, Greece.
- 700 1_
- $a Misiakos, Evangelos $u 993rd Department of Surgery, Attikon University Hospital, Athens, Greece.
- 700 1_
- $a Moreira, Felipe Gonçalves $u Departament of General Surgery, Hospital Municipal de Governador Valadares, Vale do Rio Doce University, Governador Valadares, Brazil.
- 700 1_
- $a Mouaqit, Ouadii $u 100Department of Surgery, Hassan II, Fez, Morocco.
- 700 1_
- $a Muhtaroglu, Ali $u 16Department of General Surgery, Sakarya University Research and Educational Hospital, Sakarya, Turkey.
- 700 1_
- $a Naidoo, Noel $u Department of Specialist Surgery, Port Shepstone Regional Hospital, Port Shepstone, Republic of South Africa.
- 700 1_
- $a Negoi, Ionut $u General Surgery Department, Emergency Hospital of Bucharest, Bucharest, Romania.
- 700 1_
- $a Nikitina, Zane $u 103Toxicology and Sepsis, Riga East University Hospital, Riga, Latvia.
- 700 1_
- $a Nikolopoulos, Ioannis $u 104Department of General Surgery, Queen Elizabeth Hospital, London, UK.
- 700 1_
- $a Nita, Gabriela-Elisa $u 105Chirurgia generale, Sant'Anna (AUSL Reggio Emilia), Castelnovo ne' Monti, Italy.
- 700 1_
- $a Occhionorelli, Savino $u U.O. Chirurgia d'Urgenza, Arcispedale S. Anna Ferrara, Ferrara, Italy.
- 700 1_
- $a Olaoye, Iyiade $u 107Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
- 700 1_
- $a Ordoñez, Carlos A $u 108Department of Surgery, Fundacion Valle del Lili - Universidad del Valle, Cali, Colombia.
- 700 1_
- $a Ozkan, Zeynep $u Department of General Surgery, University of Health Sciences, Elazig Training and Research Hospital, Elazig, Turkey.
- 700 1_
- $a Pal, Ajay $u 110Department of Surgery, King George's Medical University, Lucknow, India.
- 700 1_
- $a Palini, Gian M $u 111Chirurgia Generale e d'Urgenza, Ospedale Infermi, Rimini, Italy.
- 700 1_
- $a Papageorgiou, Kyriaki $u Surgical Oncology, University Hospital Heraclion Crete, Heraclion Crete, Greece.
- 700 1_
- $a Papagoras, Dimitris $u Department of General Surgery, General Hospital of Trikala, Trikala, Greece.
- 700 1_
- $a Pata, Francesco $u Department of Surgery, Sant'Antonio Abate Hospital, Gallarate, Italy.
- 700 1_
- $a Pędziwiatr, Michał $u 115Department of General and Emergency Surgery, University Hospital, University Hospital Kraków, Kraków, Poland.
- 700 1_
- $a Pereira, Jorge $u 116Cirurgia Geral, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.
- 700 1_
- $a Pereira Junior, Gerson A $u 117Medicina, Base Hospital, Bauru, Brazil.
- 700 1_
- $a Perrone, Gennaro $u Chirurgia d'Urgenza - Dipartimento Urgenza/Emergenza, AOU Parma, Parma, Italy.
- 700 1_
- $a Pintar, Tadeja $u 119Department of Abdominal Surgery, UMC Ljubljana, Ljubljana, Slovenia.
- 700 1_
- $a Pisarska, Magdalena $u 120Department of Endoscopic, Metabolic and Soft Tissue Tumors Surgery, University Hospital, Kraków, Poland.
- 700 1_
- $a Plehutsa, Oleksandr $u Surgery Department, Chernivtsi City Emergency Hospital, Chernivtsi, Ukraine.
- 700 1_
- $a Podda, Mauro $u Department of General, Emergency and Robotic Surgery, San Francesco Hospital, Nuoro, Italy.
- 700 1_
- $a Poillucci, Gaetano $u Department of Surgery, AO San Giovanni Addolorata, Rome, Italy.
- 700 1_
- $a Quiodettis, Martha $u 124Department of Surgery/Trauma, Hospital Santo Tomás, Panama, Panama.
- 700 1_
- $a Rahim, Tuba $u 9Department of Trauma ICU, IALCH, University of KwaZulu-Natal, Durban, South Africa.
- 700 1_
- $a Rios-Cruz, Daniel $u Department of Gastrointestinal Surgery, HGR1 IMSS, Cuernavaca, Mexico.
- 700 1_
- $a Rodrigues, Gabriel $u 126Department of General Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
- 700 1_
- $a Rozov, Dmytry $u 4Department of General Surgery, Rambam Health Care Campus, Haifa, Israel.
- 700 1_
- $a Sakakushev, Boris $u 127First Clinic of General Surgery, University Hospital St George/Medical University Plovdiv, Plovdiv, Bulgaria.
- 700 1_
- $a Sall, Ibrahima $u 128Chirurgie Générale et Viscérale, Hôpital d'instruction des Armées, Hôpital Principal de Dakar, Dakar, Senegal.
- 700 1_
- $a Sazhin, Alexander $u 68Department of Faculty Surgery #1, Pirogov Russian National Research Medical University, Moscow, Russia.
- 700 1_
- $a Semião, Miguel $u Cirurgia Geral, Centro Hospitalar Universitário da Cova da Beira, Covilhã, Portugal.
- 700 1_
- $a Sharda, Taanya $u 61Department of General Surgery, Government Medical College and Hospital, Chandigarh, India.
- 700 1_
- $a Shelat, Vishal $u 129Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
- 700 1_
- $a Sinibaldi, Giovanni $u Department of Surgery, Fatebbenefratelli Hospital, Isola Tiberina, Rome, Italy.
- 700 1_
- $a Skicko, Dmitrijs $u 131Department of Surgery (Department No. 10), Riga East Clinical University Hospital "Gaiļezers", Riga, Latvia.
- 700 1_
- $a Skrovina, Matej $u Department of Surgery, Hospital and Oncological Centre Novy Jicin, Novy Jicin, Czech Republic.
- 700 1_
- $a Stamatiou, Dimitrios $u 133General Surgery, Heartlands Hospital, Birmingham, UK.
- 700 1_
- $a Stella, Marco $u 51Department of Surgery, San Carlo Borromeo Hospital, Milan, Italy.
- 700 1_
- $a Strzałka, Marcin $u 134Department of General Surgery, Polytrauma and Emergency Medicine, University Hospital of the Jagiellonian University Medical College, Kraków, Poland.
- 700 1_
- $a Sydorchuk, Ruslan $u 135General Surgery Department, Bukovinian State Medical University, Chernivtsi, Ukraine.
- 700 1_
- $a Teixeira Gonsaga, Ricardo A $u Trauma and Emergency Surgery, Hospital Escola Padre Albino, Catanduva, Brazil.
- 700 1_
- $a Tochie, Joel Noutakdie $u 137Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon and Department of Surgery and Anaesthesiology, Yaounde Central Hospital, Yaounde, Cameroon.
- 700 1_
- $a Tomadze, Gia $u 138Surgery Department, Tbilisi State Medical University, Tbilisi, Georgia.
- 700 1_
- $a Ugoletti, Lara $u Chirurgia Generale, Ospedale Civile di Guastalla, Reggio Emilia, Italy.
- 700 1_
- $a Ulrych, Jan $u 140First Department of Surgery, Department of Abdominal, Thoracic Surgery and Traumatology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
- 700 1_
- $a Ümarik, Toomas $u 141Upper Gastrointestinal Tract Surgery Department, North Estonia Medical Centre, Tallinn, Estonia.
- 700 1_
- $a Uzunoglu, Mustafa Y $u Department of General Surgery, Siirt State Hospital, Siirt, Turkey.
- 700 1_
- $a Vasilescu, Alin $u First Surgical Unit, "St. Spiridon" University Hospital Iasi, University of Medicine and Pharmacy "Grigore T. Popa", Iasi, Romania.
- 700 1_
- $a Vaz, Osborne $u 144Renal Transplant and General Surgery, Manchester Royal Infirmary, Manchester, UK.
- 700 1_
- $a Vereczkei, Andras $u 145Department of Surgery, Clinical Center University of Pecs, Pecs, Hungary.
- 700 1_
- $a Vlad, Nutu $u First Surgical Unit, "St. Spiridon" University Hospital Iasi, University of Medicine and Pharmacy "Grigore T. Popa", Iasi, Romania.
- 700 1_
- $a Walędziak, Maciej $u 146Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
- 700 1_
- $a Yahya, Ali I $u Department of Surgey, Zliten Teaching Hospital, Zliten, Libya.
- 700 1_
- $a Yalkin, Omer $u 148Department of General Surgery, Ankara University School of Medicine, Ankara, Turkey.
- 700 1_
- $a Yilmaz, Tonguç U $u 149Transplantation Unıt, Acibadem Atakent Hospital, İstanbul, Turkey.
- 700 1_
- $a Ünal, Ali Ekrem $u 148Department of General Surgery, Ankara University School of Medicine, Ankara, Turkey.
- 700 1_
- $a Yuan, Kuo-Ching $u 150Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan.
- 700 1_
- $a Zachariah, Sanoop K $u 151Department of Surgery, Mosc Medical College, Kolenchery, Cochin, India.
- 700 1_
- $a Žilinskas, Justas $u Faculty of Medicine University of Belgrade Clinic for Surgery, University Clinical Center "Zvezdara", Belgrade, Serbia.
- 700 1_
- $a Zizzo, Maurizio $u Surgical Oncology Unit, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
- 700 1_
- $a Pattonieri, Vittoria $u 153Emergency Surgery Department, Maggiore Parma Hospital, Parma, Italy.
- 700 1_
- $a Baiocchi, Gian Luca $u 154Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
- 700 1_
- $a Catena, Fausto $u 153Emergency Surgery Department, Maggiore Parma Hospital, Parma, Italy.
- 773 0_
- $w MED00165852 $t World journal of emergency surgery : WJES $x 1749-7922 $g Roč. 14, č. - (2019), s. 34
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- $u https://pubmed.ncbi.nlm.nih.gov/31341511 $y Pubmed
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- BAS __
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- $a PreBMC
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