Show simple item record

dc.contributor.authorThomas, Hannah S
dc.contributor.authorWeiser, Thomas G
dc.contributor.authorDrake, Thomas M
dc.contributor.authorKnight, Stephen R
dc.contributor.authorFairfield, Cameron
dc.contributor.authorAdemuyiwa, Adesoji O
dc.contributor.authorAguilera, Maria Lorena
dc.contributor.authorAlexander, Philip
dc.contributor.authorAl-Saqqa, Sara W
dc.contributor.authorBorda-Luque, Giuliano
dc.contributor.authorCostas-Chavarri, Ainhoa
dc.contributor.authorNtirenganya, Faustin
dc.contributor.authorFitzgerald, J Edward
dc.contributor.authorArthur, Tom
dc.contributor.authorEt al.
dc.date.accessioned2020-06-04T01:16:03Z
dc.date.available2020-06-04T01:16:03Z
dc.date.issued2019
dc.identifier.issn0007-1323
dc.identifier.doi10.1002/bjs.11051
dc.identifier.urihttp://hdl.handle.net/10072/394381
dc.description.abstractBackground: 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 percent; 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.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofpagefromE103
dc.relation.ispartofpagetoE112
dc.relation.ispartofissue2
dc.relation.ispartofjournalBritish Journal of Surgery
dc.relation.ispartofvolume106
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchcode11
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsSurgery
dc.subject.keywordsIMPLEMENTATION
dc.titlePooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationThomas, Et al., Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy, British Journal of Surgery, 2019, 106 (2), pp. E103-E112
dcterms.dateAccepted2018-10-15
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-06-04T00:23:26Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2019 The Authors. BJS published by John Wiley & Sons Ltd on behalf of BJS Society Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorArthur, Thomas


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record