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  1. Article: A cause of porto-mesenteric pneumatosis not secondary to intestinal ischemia.

    Soto Montesinos, Cristina / Farré Font, Roser / Güell Farré, Merce

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2017  Volume 109, Issue 4, Page(s) 285–286

    Abstract: The finding of portal pneumatosis may be related to multiple etiologies such as intestinal inflammatory diseases, intestinal infectious diseases, chemotherapy and radiotherapy treatments or advanced stages of intestinal ischemia. The gold standard for ... ...

    Abstract The finding of portal pneumatosis may be related to multiple etiologies such as intestinal inflammatory diseases, intestinal infectious diseases, chemotherapy and radiotherapy treatments or advanced stages of intestinal ischemia. The gold standard for diagnosis is computed tomography, and once the findings are observed, proper differential diagnosis must be asserted to prevent unnecessary laparotomies.
    Language English
    Publishing date 2017-04
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Trends of social networks in the American College of Surgeons Clinical Congress and the Congreso Nacional de Cirugía. Analysis of the #ACSCC20 and #CNCirugia2020.

    Sanchez-Cordero, Sergi / Morales-Conde, Salvador / Sánchez Santos, Raquel / Rubio Perez, Inés / Farré Font, Roser / Ramos Rodriguez, Jose Luis / Balibrea Del Castillo, José M / Mayol, Julio

    Cirugia espanola

    2022  Volume 100, Issue 9, Page(s) 562–568

    Abstract: Aim: The objective of this study is to analyze the impact of the congresses of the American College of Surgeons (ACSCC2020) and the National Surgery Congress of the Spanish Association of Surgeons (CNC2020) in virtual format due to the SARS-CoV2 ... ...

    Abstract Aim: The objective of this study is to analyze the impact of the congresses of the American College of Surgeons (ACSCC2020) and the National Surgery Congress of the Spanish Association of Surgeons (CNC2020) in virtual format due to the SARS-CoV2 pandemic according to the fingerprint.
    Material and methods: The Twitter hashtags # ACSCC20 and # CNCirugia2020 were studied to determine tweets, retweets, users and impressions. The data on the accounts with the greatest influence and the historical evolution of the congresses between 2015 and 2020 were analyzed. We used the symplur software to collect and analyze the data.
    Results: Between 2015 and 2017 there was a consistent increase in the number of tweets, participants and impressions. Between 2018 and 2020, the ACS maintains the number of impressions with the fewest number of tweets. However, the CNC continues to grow and achieves its best metrics in 2020. We found statistically significant differences between the most prolific accounts of the ACSCC versus the CNC (P < .002) but there are no differences between the 10 most influential accounts (P = ,19) or the accounts with the highest number of impressions (P = .450) CONCLUSIONS: Virtual congresses generate a global impact through the use of Twitter for the dissemination of knowledge. In the present 2020, the growth of the impact on social networks has been proportionally greater in the CNC than in the ACSCC. However, the ACS virtual congress generated the greatest impact on social networks measured by the number of users, tweets and impressions between 2015 and 2020.
    MeSH term(s) COVID-19/epidemiology ; Humans ; RNA, Viral ; SARS-CoV-2 ; Social Media ; Social Networking ; Surgeons ; United States
    Chemical Substances RNA, Viral
    Language English
    Publishing date 2022-06-15
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.06.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Trends of social networks in the American College of Surgeons Clinical Congress and the Congreso Nacional de Cirugía. Analysis of the #ACSCC20 and #CNCirugia2020.

    Sanchez-Cordero, Sergi / Morales-Conde, Salvador / Sánchez Santos, Raquel / Rubio Perez, Inés / Farré Font, Roser / Ramos Rodriguez, Jose Luis / Balibrea Del Castillo, José M / Mayol, Julio

    Cirugia espanola

    2021  

    Abstract: Aim: The objective of this study is to analyze the impact of the American College of Surgeons Clinical Congress (ACSCC2020) and the National Surgery Congress of the Spanish Association of Surgeons (CNC2020) in virtual format due to the SARS-CoV-2 ... ...

    Title translation Resultados y evolución histórica de las redes sociales en el American College of Surgeons Clinical Congress y el Congreso Nacional de Cirugía. Análisis del #ACSCC20 y #CNCirugia2020.
    Abstract Aim: The objective of this study is to analyze the impact of the American College of Surgeons Clinical Congress (ACSCC2020) and the National Surgery Congress of the Spanish Association of Surgeons (CNC2020) in virtual format due to the SARS-CoV-2 pandemic according to the fingerprint.
    Material and methods: The Twitter hashtags # ACSCC20 and # CNCirugia2020 were studied to determine tweets, retweets, users and impressions. The data on the accounts with the greatest influence and the historical evolution of the congresses between 2015 and 2020 were analyzed. We used the symplur software to collect and analyze the data.
    Results: Between 2015 and 2017 there was a consistent increase in the number of tweets, participants and impressions. Between 2018 and 2020, the ACS maintains the number of impressions with the fewest number of tweets. However, the CNC continues to grow and achieves its best metrics in 2020. We found statistically significant differences between the most prolific accounts of the ACSCC versus the CNC (P<.002) but there are no differences between the 10 most influential accounts (P=.19) or the accounts with the highest number of impressions (P=.450).
    Conclusions: Virtual congresses generate a global impact through the use of Twitter for the dissemination of knowledge. In the present 2020, the growth of the impact on social networks has been proportionally greater in the CNC than in the ACSCC. However, the ACS virtual congress generated the greatest impact on social networks measured by the number of users, tweets and impressions between 2015 and 2020.
    Language Spanish
    Publishing date 2021-05-05
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2021.04.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Reparación quirúrgica de hernias internas oclusivas en el postoperatorio tardío de by-pass gástrico en pacientes con pérdida de peso importante.

    Farré Font, Roser / Güell Farré, Merçè / Libori Ramos, Raül

    Cirugia espanola

    2012  Volume 90, Issue 6, Page(s) 402–404

    Title translation Surgical repair of occlusive internal hernias in the late postoperative period after gastric by-pass in patients with significant weight loss.
    MeSH term(s) Adult ; Female ; Gastric Bypass/adverse effects ; Hernia/etiology ; Herniorrhaphy ; Humans ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery ; Time Factors ; Weight Loss
    Language Spanish
    Publishing date 2012-06
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2010.11.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection

    Nepogodiev, Dmitri / C Glasbey, James / Li, Elizabeth / Omar, M Omar / FF Simoes, Joana / EF Abbott, Tom / Alser, Osaid / P Arnaud, Alexis / K Bankhead-Kendall, Brittany / A Breen, Kerry / F Cunha, Miguel / H Davidson, Giana / Di Saverio, Salomone / Gallo, Gaetano / A Griffiths, Ewen / R Gujjuri, Rohan / J Hutchinson, Peter / MA Kaafarani, Haytham / Lederhuber, Hans /
    W Löffler, Markus / N Mashbari, Hassan / Minaya-Bravo, Ana / G Morton, Dion / Moszkowicz, David / Pata, Francesco / Tsoulfas, George / L Venn, Mary / M Omar, Aneel Bhangu Omar / Bhangu, Aneel / Siaw-Acheampong, Kwabena / Chaudhry, Daoud / E Dawson, Brett / P Evans, Jonathan / Heritage, Emily / S Jones, Conor / K Kamarajah, Sivesh / Khatri, Chetan / M Keatley, James / Lawday, Samuel / C Mckay, Siobhan / Pellino, Gianluca / Tiwari, Abhinav / M Trout, Isobel / JW Wilkin, Richard / Dissemination Committee: Michel Adamina, Aneel Bhangu. / O Ademuyiwa, Adesoji / Agarwal, Arnav / Alameer, Ehab / Alderson, Derek / Alakaloko, Felix / Magne Augestad, Knut / Barlow, Emma / A Benson, Ruth / Blanco-Colino, Ruth / Brar, Amanpreet / Minaya- Bravo, Ana / Lima Buarque, Igor / J Caruana, Edward / Chakrabortee, Sohini / Cox, Daniel / Desai, Anant / D Drake, Thomas / G Edwards, John / Elhadi, Muhammed / Farik, Shebani / Fiore, Marco / Edward Fitzgerald, J / Ford, Samuel / Ghosh, Dhruv / Mendonça Ataíde Gomes, Gustavo / Halkias, Constantine / M Harrison, Ewen / Isik, Arda / D Jenkinson, Michael / Kolias, Angelos / Lawani, Ismail / Leventoglu, Sezai / Martin, Janet / Mazingi, Dennis / Metallidis, Symeon / M Mohan, Helen / Moore, Rachel / Moug, Susan / S Ng-Kamstra, Joshua / Niquen, Milagros / Ntirenganya, Faustin / Outani, Oumaima / D Pinkney, Thomas / Pockney, Peter / Radenkovic, Dejan / Ramos-De la Medina, Antonio / Roberts, Keith / C Roslani, April / Santos, Irene / Schache, Andrew / A Schnitzbauer, Andreas / D Stewart, Grant / Shaw, Richard / Shu, Sebastian / Soreide, Kjetil / Spinelli, Antonino / Sundar, Sudha / Tabiri, Stephen / Townend, Philip / Tsoulfas, Georgios / H van Ramshorst, Gabrielle / Vidya, Raghavan / Vimalachandran, Dale / J Warren, Oliver / Wright, Naomi / EuroSurg, / Society of Coloproctology (ESCP), European / GlobalPaedSurg, GlobalSurg / PTSurg, ItSURG / SpainSurg, / Society of Colorectal Surgery (SICCR), Italian / of Surgeons in Training (ASiT), Association / Surgical Research Collaborative (ISRC), Irish / Azerbaijan:Elgun Samadov, Joana FF Simoes (Chair). 2 Collaborators: (denotes Local Principal Investigator) Algeria: Faraj S Almaadany (Établissement Hospitalier Spécialisé en Cancérologie - Centre Pierre-et- Marie-Curie). / Namazov, Ilgar / Belgium: Gabrielle H van Ramshorst, Sevda Jafarova (Leyla Medical Center). / Pattyn, Piet / Desender (Ghent University Hospital), Liesbeth / A de Gheldere, Charles / Croatia: Jakov Mihanovic, Nicolas Duchateau (Heilig Hart Ziekenhuis Lier). / Sulen, Nina / Andabaka, Tatjana / Rakvin, Ivan / Denmark: Henry G Smith, Bernarda Bakmaz (Zadar General Hospital). / L Jönsson (Bispebjerg Hospital, Maria / Egypt: Mohamed El Kassas, University of Copenhagen). / Tawheed (Endemic Medicine Department, Ahmed / University), Helwan / Shehata, Sameh / M Ashoush, Fouad / S Abdelaal (Alexandria Main University Hospital), Ahmed / Cairo University), Mahmoud MA Elfiky (Kasr Alainy Faculty of Medicine / H Emile, Sameh / H Elfallal, Ahmed / Elfeki, Hossam / Shalaby (Mansoura University Hospital), Mostafa / M Alrahawy (Menofiya University Hospital), Mahmoud / Gamal Amira, Ibrahim Sallam / Sherief, Ahmed / France: Zaher Lakkis, Mohamed Sherief (MISR Cancer Center/MISR International Hospital). / Doussot, Alexandre / Turco, Celia / Heyd, Bruno / Mathieu (CHU Besançon), Pierre / Chebaro, Alexandre / Lecolle, Katia / Zerbib, Philippe / Truant, Stéphanie / Saudemont, Alain / Pruvot (Lille University Hospital), François-René / Bergeat, Damien / Merdrignac (Rennes University Hospital), Aude / Scalabre, Aurelien / Le Roy, Bertrand / Perotto (CHU Saint Etienne), Ornella / Tzedakis, Stylianos / Gaujoux, Sebastien / - AP-HP), Bertrand Dousset (Hôpital Cochin / Frédéric Bretagnol (Hôpital Louis-Mourier - GHU AP-HP. Nord - Université de Paris), David Moszkowicz / Hervieux, Erik / Maisonneuve, Emeline / Clermidi, Pauline / Aubry, Emmanuelle / - APHP), Anne Thomin (Hôpital Trousseau / Seguin-Givelet, Agathe / Zadegan, Frederic / Conso, Christel / Germany: Carsten Kamphues, Didier Ollat (Institut Mutualiste Montsouris). / C Lauscher, Johannes / Schineis (Charité University Medicine, Christian / Benjamin Franklin), Campus / Thoenissen, Philipp / El Youzouri, Hanan / Schreckenbach, Teresa / A Nguyen (Frankfurt University Hospital, Truong / University), Goethe / Modabber, Ali / Hölzle, Frank / Winnand (University Hospital Aachen), Philipp / Königsrainer, Alfred / Quante, Markus / Yurttas, Can / Greece: Konstantinos Bouchagier, Markus W Löffler (University Hospital Tübingen). / Klimopoulos (Evangelismos General Hospital), Serafeim / Tzovaras, George / Baloyiannis, Ioannis / Perivoliotis (General University Hospital of Larissa), Konstantinos / Lostoridis, Eftychios / Ireland: Arnold DK Hill, Paraskevi Tourountzi (Kavala General Hospital). / A De Marchi, Joshua / Farrell, Tony / F Davis, Niall / Kearney (Beaumont Hospital), David / O Larkin, John / J Mehigan, Brian / A Fahey, Brian / James's Hospital), Conor P Barry (St. / A Elliott, Jessie / A Bass, Gary / M Connolly, Tara / O Kavanagh, Dara / Elkady, Ramy / C Neary, Paul / F Ridgway, Paul / P Joyce, Doireann / Tierney, Sean / Boyle, Emily / 3 University Hospital), Bridget Egan (Tallaght / J Lowery, Aoife / G Collins, Chris / Hogan, Aisling / L McKevitt, Kevin / J Ryan, Éanna / L Fowler, Amy / Israel: Oded Zmora, Thomas M Aherne (Galway University Hospital). / Italy: Maurizio Zizzo, Nadav Kugler (Shamir Medical Center). / Falco, Giuseppe / Castro Ruiz, Carolina / Mele, Simone / Annessi, Valerio / Ferrari, Guglielmo / T Montella (Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia), Maria / Andrea Pisani Ceretti (ASST Santi Paolo e Carlo), Nicolò M Mariani / Lomiento, Daniele / Taglietti, Lucio / Del Giudice, Roberto / Compagnoni, Bruno / Dester (ASST Valcamonica Ospedale di Esine), Sara / Christian Cotsoglou (ASST Vimercate), Stefano Granieri / Campagnaro, Tommaso / Turri, Giulia / Guglielmi, Alfredo / Ruzzenente, Andrea / Pedrazzani, Corrado / Salvia, Roberto / Paiella, Salvatore / Nobile (Azienda Ospedaliera Universitaria Integrata di Verona), Sara / V Marino, Marco / Mirabella, Antonello / Vaccarella (Azienda Ospedaliera, Gianpaolo / Riuniti Villa Sofia-Cervello, Ospedali / Palermo), / Francone, Elisa / Gentilli, Sergio / Nikaj (Azienda Ospedaliero Universitaria Maggiore della Carità, Herald / Novara), / Morelli, Luca / Di Franco, Gregorio / Palmeri, Matteo / Tartaglia, Dario / Coccolini, Federico / Chiarugi (Azienda Ospedaliero Universitaria Pisana), Massimo / Anania, Gabriele / Chiozza, Matteo / Urbani (Azienda Ospedaliero Universitaria San'Anna, Alessia / Ferrara), / Adolfo Pisanu (Cagliari University Hospital), Mauro Podda / Porcu, Alberto / Perra, Teresa / Fancellu (Cliniche San Pietro, Alessandro / Sassari), A. O. U. / Familiari, Pietro / D'Andrea, Giancarlo / Bàmbina (Fabrizio Spaziani Hospital, Fabrizio / Frosinone), / Macchi, Alberto / Citterio, Davide / Mosca, Angelo / Martinelli, Fabio / Rolli, Luigi / Guaglio, Marcello / V Comini, Lara / Capizzi, Vita / Mazzaferro (Fondazione IRCCS Istituto Nazionale dei Tumori, Vincenzo / Milan), / Cozza, Valerio / Gordini, Luca / De Simone, Veronica / Marzi, Federica / A Marra (Fondazione Policlinico Universitario Agostino Gemelli), Angelo / Baldini, Edoardo / Conti, Luigi / Ribolla, Marta / M Isolani, Simone / da Saliceto”, Patrizio Capelli (Ospedale “G. / Piacenza), / Carvello, Michele / Di Candido, Francesca / Kurihara, Hayato / Marrano, Enrico / Torzilli, Guido / Castoro, Carlo / Da Roit, Anna / Mercante, Giuseppe / Spriano, Giuseppe / – IRCCS, Francesca Gaino (Humanitas Clinical and Research Center / Manzoni 56, Via / – Italy), 20089 Rozzano (MI) / Bonavina, Luigi / Asti (IRCCS Policlinico San Donato, Emanuele / of Milan), University / V Feo, Carlo / Fabbri, Nicoló / Righini (Ospedale del Delta, Erminio / Unità Sanitaria Locale di Ferrara, Azienda / of Ferrara), University / Scorza, Antonella / Iovino, Domenico / Carcano (Ospedale di Circolo, Giulio / of Insubria, University / Hospital of Varese, University / Sette Laghi, Asst / Lombardia), Regione / Baldi, Caterina / M Sampietro, Gianluca / - ASST Rhodense), Carlo Corbellin (Ospedale Di Rho / Cellerino, Paola / A Zappa, Marco / Ardito, Antonella / Galfrascoli, Elisa / e Oftalmico), Giulio Iacob (Ospedale Fatebenefratelli / Zanini, Nicola / Palini, Gianmarco / Garulli (Ospedale Infermi di Rimini), Gianluca / Ballabio, Michele / Bisagni, Pietro / Pizzini, Paolo / Gagliano, Annalisa / Armao, Teodora / Longhi, Marco / Madonini, Marco / Luraghi, Marco / Galimberti, Luca / Romano, Silvio / Bastazza, Marco / Trotta, Francesco / Gipponi, Manuel / Malabarba, Stefano / Centinaio (Ospedale Maggiore di Lodi), Giovanna / Mochet, Sylvie / Morelli, Lucia / Usai, Antonella / Grivon, Manuela / Barmasse (Ospedale Regionale Umberto Parini), Roberto / Luigi MP Marino Cosentino (PO San Filippo Neri - ASL ROMA 1), Andrea Sagnotta / Galleano, Raffaele / Malerba, Michele / Baldo (Ospedale Santa Corona, Stefano / Ligure (SV), Pietra / Casati, Massimiliano / Abate, Emmanuele / Laface (Ospedale Vittorio Emanuele III, Letizia / Brianza), Carate / Lizzi, Vincenzo / Vovola, Fernanda / Arminio (Ospedali Riuniti Azienda Ospedaliera Universitaria Foggia), Armando / Vergari (Ospedali Riuniti di Ancona), Roberto / Rausa, Emanuele / Bianco, Federica / Lucianetti (Papa Giovanni XXIII Hospital), Alessandro / Guaitoli (Perrino), Eleonora / Pinotti, Enrico / Carissimi, Francesca / Montuori, Mauro / Baronio (Policlinico San Pietro), Gianluca / Campanelli, Michela / S Sica, Giuseppe / Siragusa (Policlinico Tor Vergata Hospital, Leandro / Rome), / 4 Lapolla, Pierfrancesco / Mingoli, Andrea / De Toma, Giorgio / Fiori, Enrico / La Torre, Filippo / Sapienza, Paolo / Brachini, Gioia / Cirillo, Bruno / Iannone, Immacolata / Zambon, Martina / Chiappini, Ambra / Meneghini, Simona / B Fonsi, Giovanni / M Cicerchia, Pierfranco / Bruzzaniti, Placido / Santoro, Antonio / I, Alessandro Di Bartolomeo (Policlinico Umberto / University of Rome), Sapienza / Sasia, Diego / Migliore, Marco / Gattolin (Regina Montis Regalis Hospital, Andrea / Mondovì), / Rottoli, Matteo / Ravaioli, Matteo / Schiavina, Riccardo / Solli, Piergiorgio / Frio (Institute of Neurological Sciences of Bologna, Federico / Bologna), Ausl / Neri, Jacopo / Poggioli, Gilberto / Belvedere, Angela / P Pezzuto, Anna / Parlanti, Daniele / Violante, Tommaso / Tonini, Valeria / Cervellera, Maurizio / Sartarelli (Sant’Orsola Hospital, Lodovico / Mater Studiorum University of Bologna), Alma / Giacometti, Marco / Zonta (Ospedale San Biagio, Sandro / Domodossola, / VCO), Asl / Ferrara, Francesco / Stella, Marco / Gobatti (San Carlo Borromeo Hospital, Davide / e Carlo, ASST Santi Paolo / Costanzi, Andrea / Confalonieri, Marco / Colletti, Gaia / Frattaruolo, Colomba / Monteleone (Ospedale San Leopoldo Mandic, Michela / Merate, / Lecco), Asst / Candiani, Massimo / Bonavina, Giulia / Valsecchi, Luca / Ottolina, Jessica / Mortini, Pietro / Gagliardi, Filippo / Piloni, Martina / Medone, Marzia / Carlucci, Michele / Negri, Giampiero / Bandiera, Alessandro / De Nardi, Paola / Elmore, Ugo / Sileri (San Raffaele Scientific Institute, Pierpaolo / Lisi, Giorgio / Carlini, Massimo / Spoletini (Sant'Eugenio Hospital), Domenico / Carmela Giuffrida, Maria / Borghi, Felice / Puppo, Andrea / D'Agruma, Michele / Marano, Alessandra / Testa, Valentina / e Carle Hospital, Chiara Peluso (Santa Croce / Cuneo), / Barra, Fabio / Ferrero, Simone / Gustavino (Unit of Obstetrics and Gynecology IRCCS Ospedale Policlinico San Martino Genoa), Claudio / Sammarco, Giuseppe / Vescio (University 'Magna Graecia' of Catanzaro), Giuseppina / Fontana (Vittorio Emanuele, Tommaso / Jordan: Mahmoud Al-Masri, Gela). / K Abou Chaar, Mohamad / Libya: Ghadah Z Alkadeeki, Hani Al-Najjar (King Hussein Cancer Center). / S Al Maadany, Faraj / Nasef, Emmhamed / Elkhafeefi, Fatimah / Eljareh (Aljalaa Hospital), Mohammed / EM Bouhuwaish, Ahmad / SA Taher, Ahmed / B Yousuf (Tobruk Medical Center), Farhat / M Morgom (Tripoli Central Hospital), Marwa / A Salamah, Abdulrauf / A Salama, Hiba / Netherlands: Suzanne S Gisbertz, Mustafa R Bulugma (Zawia Teaching Hospital). Mexico: Fernando Cordera (ABC Medical Center). / BJ Borgstein, Alexander / I van Berge Henegouwen (Amsterdam UMC, Mark / of Amsterdam, University / Center Amsterdam), Cancer / Martine Uittenbogaart (Máxima Medical Center), Wouter KG Leclercq / Kruijff, Schelto / PM de Vries, Jean-Paul / Y van der Plas, Willemijn / J Steinkamp, Pieter / KC Jonker (University Medical Center Groningen (University of Groningen), Pascal / Maarten van Heinsbergen (VieCuri Medisch Centrum), Joop Konsten / Portugal: Hugo Santos-Sousa, Pakistan: Mariyah Anwer (Jinnah postgraduate medical center). / Cavaleiro, Salomé / M Leite-Moreira, André / Pereira, André / Pereira-Neves, António / S Faria, Carlos / M Monteiro, Joana / Nogueiro, Jorge / Sampaio-Alves, Mafalda / Magalhães Maia, Mariana / Vieira (Centro Hospital Universitário SãoJoão), Paula / Lázaro, André / Martins, Ricardo / Oliveira, Ana / Costa, Marta / e Universitário de Coimbra), Ana C Almeida (Centro Hospitalar / Tobias Teles (Hospital de Cascais - Dr. José de Almeida), Pedro A Serralheiro / Borges, Filipe / João Lima, Maria / 5 Spain: Eduardo E Rubio, Susana Henriques (Hospital Garcia de Orta). / A Vivas, Alfredo / A Vega (12 de Octubre University Hospital), Viviana / Navarro-Sánchez, Antonio / Martel Lozano, Saida / Camacho Fernández-Pacheco (Complejo Hospitalario Universitario Insular-Materno Infantil), Borja / Carlos Bernal-Sprekelsen, Juan / Martínez Pérez, Carolina / Carlos Catalá Bauset (Consorcio Hospital General Universitario), Juan / Turrado- Rodriguez, Victor / Morales, Xavier / Gracia, Isabel / Pujol-Muncunill, Roger / Borja De Lacy (Hospital Clinic Barcelona), F / M Muguerza, Jose / Dziakova, Jana / Sanchez del Pueblo, Cristina / B Avellana, Rocio / Catalan, Vanesa / Picazo, Sara / Garcia Fernandez, Andres / L Romera, Jose / L Garcia Galocha, Jose / Rojo, Mikel / J Torres, Antonio / Munoz Rivas, Ana / Camarero, Enrique / Saez, Carlos / Lopez Antonanzas (Hospital Clinico San Carlos, Leyre / Madrid), / De Andrés-Asenjo, Beatriz / Beltrán de Heredia, Juan / Vázquez- Fernández, Andrea / Trujillo-Díaz, Jeancarlos / Ruiz-Soriano (Hospital Clínico Universitario de Valladolid), María / San Miguel-Mendez, Carlos / Galván-Pérez, Armando / Robin-Valle, Alvaro / Gonzalez-Gonzalez, Enrique / Calcerrada-Alises, Enrique / Hospital Universitario del Henares), Miguel Angel Garcia-Ureña (Universidad Francisco de Vitoria / Carrasco, Milagros / Giménez, Clara / Medina, Esther / J Fernández, Antonio / Ruiz (Hospital General Universitario Reina Sofía, Miguel / Murcia), / Estaire-Gomez, Mercedes / Martínez-dePaz, Fernando / Sanchez-Pelaez, Daniel / Jimenez-Higuera, Elisa / Martinez-Pinedo, Carlos / Picon-Rodriguez, Rafael / Fernandez-Camuñas, Angel / Padilla-Valverde (Hospital General Universitario De Ciudad Real), David / Rey-Valcarcel, Cristina / Perez-Diaz, Md / Fernández- Martínez, María / Martín-Román, Lorena / Fanjul Gómez, María / Rio-Gomez, Javier / Tousidonis, Manuel / Alonso-Ortuño, Paula / Ayuso-Herrera, Esther / Martin-Albo, Lorena / Aragon-Chamizo, Juan / Lowy- Benoliel, Alejandro / Quintana-Villamandos, Begoña / Sanchez-Perez, Coral / Mateos-Sierra (Hospital General Universitario Gregorio Marañón), Olga / Corral, Javier / Caballero, Albert / i Pujol), Alba Zarate (Hospital Germans Trias / M Diez-Alonso, Manuel / Mendoza-Moreno, Fernando / Vera-Mansilla, Cristina / Ruiz- Grande, Fernando / Hernandez-Juara, Pilar / Blazquez-Martin (Hospital Principe De Asturias), Alma / Soto Montesinos, Cristina / J Gómez Díaz, Carlos / A Guariglia, Claudio / Sanchon Fructuoso, Lorena / L Osorio, Alexander / Farré Font, Roser / - Xarxa Assistencial Universitària de Manresa), Pablo Collera Ormazabal (Fundació Althaia / Mora-Guzmán (Hospital Santa Bárbara), Ismael / Serrano González, Javier / Díaz Pérez, David / Ángel Hernández Bartolomé, Miguel / Gutiérrez Samaniego, María / Galindo Jara (Hospital Universitario de Torrejón, Pablo / de Medicina, Facultad / Francisco de Vitoria, Universidad / Hernandez Garcia, Miguel / Losada Ruiz, Manuel / Dieguez Fernandez, Beatriz / Garcia-Conde Delgado, Maria / Alonso Poza (Hospital Universitario del Sureste), Alfredo / Duque-Mallen, Victoria / Gracia-Roche, Carlos / Martinez-German, Antonio / Santero-Ramirez, Maria-Pilar / Matute-Najarro, Maria-Soledad / De Miguel-Ardevines, Maria-Carmen / Sanchez-Fuentes, Maria-Nieves / Saudi-Moro, Sef / Gascon-Ferrer, Isabel / Herrero-Lopez, Maria / Delgado-Oliver, Eduardo / Sanchez-Rubio, Maria / Cantalejo-Diaz (Hospital Universitario Miguel Servet), Miguel / E Pérez-Sánchez, Luis / Concepción-Martín, Vanesa / Díaz-García (Hospital Universitario Nuestra Señora de Candelaria), Alberto / Ramos, Diego / G Barranquero, Alberto / Ocaña, Juan / Núñez, Jordi / y Cajal), Cristina Cerro (Hospital Universitario Ramón / J Tejero-Pintor, Francisco / Pérez-Saborido, Baltasar / Marcos-Santos, Pablo / Choolani-Bhojwani, Ekta / Acebes-Garcia, Fernando / D Bueno-Cañones, Alejandro / Pacheco-Sanchez, David / Bailon-Cuadrado (Hospital Universitario Río Hortega), Martin / Senent-Boza, Ana / Benítez-Linero, Inmaculada / Ramallo-Solís, Irene / Sánchez- Arteaga, Alejandro / Melero-Cortés, Lidia / Fernández-Marín, Reyes / M Durán-Muñoz-Cruzado (Hospital Universitario Virgen del Rocio), Virginia / Gomez-Rosado, Juan-Carlos / Dolores Del Toro, M / Valdes- Hernandez, Javier / Reguera-Rosal, Julio / Oliva-Mompean (Hospital Universitario Virgen Macarena), Fernando / Sancho-Muriel, Jorge / Cholewa, Hanna / y Politécnico La Fe), Blas Flor (Hospital Universitario / Landaluce-Olavarria, Aitor / Gonzalez-De Miguel, Melania / Fernández-Gomez Cruzado (Hospital Urduliz), Laura / Jimeno, Jaime / Toledo, Enrique / Pascual, Angela / Carrillo, Mariana / Morales, Dieter / 6 Gómez, Marcos / C Rodriguez-Sanjuan (Marqués de Valdecilla University Hospital), Juan / Melody Baeza (Morales Meseguer University Hospital), José Aguilar / Rey-Biel, Juan / Pingarrón-Martín, Lorena / Moliner-Sánchez, Carmen / Ruiz-Martin (Rey Juan Carlos University Hospital), Irene / Escartin, Jorge / luis Blas Laina, Juan / Nogues Pevidal (Royo Villanova), Ana / T Enjuto, Diego / Ramos-Bonilla, Antonio / Pérez-González, Marta / Diaz-Peña, Patricia / Garcés-García, Raúl / Marqueta De Salas, Maria / Sudan: Osman M Ali, Elima P Cagigal- Ortega (Hospital Universitario Severo Ochoa). / Switzerland: Dimitri Christoforidis, Ali A Ali karar (Al-rajhi). / Arigoni, Michele / Mongelli, Francesco / Bernasconi, Matteo / Di Giuseppe (Ente Ospedaliero Cantonale del Canton Ticino), Matteo / Adamina, Michel / Turkey: Volkan Ozben, Georgios Peros (Kantonsspital Winterthur). / Aytac, Erman / Aliyeva (Acibadem Mehmet Ali Aydinlar University, Zumrud / Hospital), Atakent / Kara, Yasin / A Bozkurt, Mehmet / Kocataş (Kanuni Sultan Suleyman Training and Research Hospital), Ali / Altintoprak (Sakarya University Faculty of Medicine), Fatih / Gonullu, Emre / Mantoglu (Sakarya University Research and Educational Hospital), Baris / United Kingdom: Richard J Davies, Alp Yildiz (Yildirim Beyazit University Yenimahalle Training and Research Hospital). / Ashcroft, James / J Baker, Olivia / HV Byrne, Matthew / A Coughlin, Patrick / ZE Durst, Alexander / Georgiades, Fanourios / Habeeb, Amir / E Hudson, Victoria / Luke, Louis / Mitrasinovic, Stefan / Mohan, Midhun / H Murphy, Suzanne / WT Ngu, Albert / R O’Neill, John / Ramzi, Joussi / M Rooney, Siobhan / A Singh, Aminder / Waseem, Saima / Wong (Addenbrooke's Hospital), Ken / Lunevicius, Raimundas / RG Sheel, Andrea / P Jones, Robert / M Nunes, Quentin / L Hughes, Jane / Haq, Iram / Misra, Nikhil / MAS Baig, Mirza / Sundhu (Aintree University Hospital), Matthew / Brendan L Skelly (Altnagelvin Area Hospital), Catherine Rossborough / TA Neely, David / Angelou, Dimitrios / McCanny (Antrim Area Hospital), Andrew / J Pachl (Birmingham Children's Hospital), Max / Elaine YL Leung (The Pan Birmingham Gynaecological Cancer Centre), Sudha Sundar / Vashisht, Rajiv / Amalina Che Bakri, Nur / Nazarian (Bupa Cromwell Hospital), Scarlet / Kontovounisios, Christos / Grove (Department of Colorectal Surgery, Thomas / and Westminster Hospital NHS FT and Imperial College London), Chelsea / Manu, Nichola / J Eardley, Nicola / Krishnan, Emily / L Serevina, Olivia / Martin, Emmeline / G Povey, Meical / P Jones, Andrew / Smith (Countess of Chester Hospital), Claire / Mannan, Syed / A Ayeni, Funbi / Houston, Roy / Tustin (Cumberland Infirmary), Harry / J Rogers, Luke / Minto, Gary / Marchbank, Adrian / Miller, Douglas / Ho, Beatrice / Gohil, Kajal / L Labib, Peter / M Emslie, Katy / CS Clough, Ethan / Enemosah, Ibrahim / Perkins, Clare / Pedram Panahi (University Hospitals Plymouth NHS Trust), Mariam Rela / P Baker, Markus / J Holme, Thomas / J Abbott, Sarah / N Bence, Matthew / Razik, Aisha / Osagie-Clouard (Epsom & / Liza / Helier University Hospitals NHS Trust), St / M Holbrook, Charlotte / Kufeji, Dorothy / Chong (Evelina London Children's Hospital), Clara / S Hammond, John / AG Moir, John / McPherson, Iain / Booth (Freeman Hospital), Karen / K Patel, Panna / Kler, Aaron / Handa, Siddhartha / Redfern (Furness General Hospital), Jennifer / Morgan, Richard / Maw, Andrew / Gala, Tanzeela / Abdelkarim, Mostafa / Asqalan, Ahmad / M Mithany, Reda H / Ibrahim, Sherif / Venkatesan (Glan Clwyd Hospital), Gowtham / Mohammad, Adam / Acharya, Metesh / Rathinam, Sridhar / Nakas (Glenfield Hospital, Apostolos / Leicester), / Higgs, Simon / D Brown, Oliver / Boal, Matthew / Stanger, Sophie / Abdalaziz (Gloucestershire Royal Hospital), Hossam / Sayasneh, Ahmad / Najdy, Manhal / Nath, Rahul / Mehra (Guy's and St Thomas’ NHS Foundation Trust), Gautam / Fehervari, Matyas / R Spalding, Duncan / Pai (Hammersmith Hospital), Madhava / N Naumann, David / Maninder Kalkat, 7 / Syed, Arooj / Alam (Heartlands Hospital), Ruhina / Tayeh, Salim / JG Chase, Thomas / OO Ayorinde, John / Cuming, Tamzin / Ghanbari (Homerton University Hospital), Amir / Loubani, Mahmoud / Aboelkassem-Ibrahim, Ahmad / Cao, Han / Ross, Elizabeth / Totty, Joshua / Wilkins, Alex / Hitchman (Hull University Teaching Hospitals NHS Trust), Louise / R Dixon, Jan / Dunning, Joel / KS Viswanath, Yirupaiahgari / Jha Shane Lester (James Cook University Hospital), Madan / Bond-Smith, Giles / Lami, Mariam / D Tebala, Giovanni / C Tucker, Sarah / V Shaw, Abigail / C Winter, Stuart / Cernei, Cristina / Qureshi, Ali / Belcher, Elizabeth / Wallwork, Kate / Stavroulias, Dionisios / Di Chiara, Francesco / Dare, Oliver / S Jeyaretna, Deva / Ganau, Mario / Chidambaram, Swathikan / Sravanam, Sanskrithi / Sinha, Sanjay / Smillie, Robert / Shah, Karishma / Shankar (Oxford University Hospitals NHS Foundation Trust, Sushma / Dunstan, Matt / Beak, Philip / Gerogiannis (Kingston Hospital NHS Foundation Trust), Ioannis / P Boddy, Alexander / Hossain, Tanvir / Ashmore, Christopher / Annamalai, Seethalakshmi / Kourdouli (Leicester Royal Infirmary), Amar / H Kirmani, Bilal / J Shackcloth, Michael / Harky (Liverpool Heart and Chest Hospital), Amer / A Stylianides, Nicholas / OM Abdalla, Mutwakil / Newton (Manchester Royal Infirmary), Katy / M Bajomo, Oreoluwa / Rizvi, Sana / Darko, Ebenezer / Rahman Saad (Medway Maritime Hospital), Abdel / Li, Zoe / Motter, Dema / Hurt, Libor / Egan, Richard / Harries (Morriston Hospital, Rhiannon / Swansea), / Luke Evans (Norfolk and Norwich University Hospital), Mina MG Youssef / Shah, Jigar / Anthoney, James / Amjad, Rabbia / Harrison, Joseph / Mabrouk, Islam / Hebblethwaite, Bethany / Emmerson (North Manchester General Hospital), Oliver / D Bosch, Karen / Kalidindi, Venugopala / Bashkirova (North Middlesex University Hospital), Varvara / N Rao, Jagan / N Hopkinson, David / Chetty, Govind / Forlani, Stefano / Guha, Soumya / Sherif, Mohamed / Giblin, Anna-Victoria / Lye, George / Whitehall, Emma / M Blundell, Chris / Ward, Alex / Tadross, Daniel / Wells, Fiona / Majkowski (Northern General Hospital, Lawrence / Sheffield), / N Townshend, David / J Mills, Sarah / Seymour, Keith / Shenfine, Amy / McLarty (Northumbria NHS Hospital Trust), Nicola / Kashora, Florence / E Lewis, Sophia / K Ubhi, Harmony / Exley, Rebecca / Singh, Abhinav / Basgaran, Amedra / Bartsch, Anne-Marie / Okechukwu, Valentine / Basha, Amr / Barmpagianni, Christina / Gallagher, Phoebe / Khan, Umul / Maqsood, Afnan / Shah, Preena / Saxena, Shobhit / Sahnan, Kapil / Zafar (Northwick Park Hospital), Noman / A Rollett, Rebecca / L Collins, Michelle / S Tamimy, Muhammad / Riyat, Harjoat / Neil-Dwyer, Jason / Wen, Jiaxin / Burnside, Nathan / Weaver, Helen / Hawari, Mohammad / Addae-Boateng, Emmanuel / P Duffy (Nottingham City Hospital), John / Catriona R Luney (Nuffield Orthopaedic Centre), Benjamin JF Dean / Sarveswaran, Janahan / Patil, Sangram / Ravindran, Sharanya / Scott, Lucy / Michel (Pinderfields Hospital), Martin / Yousra Ahmed (Portsmouth Hospital NHS Trust), Simon Toh / Vijay, Vardhini / Shakir, Taner / Hasan, Raashad / Tansey (Princess Alexandra Hospital), Rosamond / Patel, Mahul / Shabana, Amanda / Paisley (Brighton and Sussex NHS Trust, Samuel / Royal Hospital), Princess / S Khan (Queen Alexandra Hospital), Jim / P Kisiel, Aaron / Kamal, Mona / D Cato, Liam / Parente, Alessandro / Kulkarni, Rugved / A Saeed, Samerah / Mak (Queen Elizabeth Hospital Birmingham), Jason / Liew, Ignatius / Al-Sukaini, Ahmad / Saxena, Dolly / Mediratta, Saniya / Ali Mohamed Ali (Queen Elizabeth Hospital King's Lynn), Inthekab / Smith, Andrew / Fell, Adam / English, Camilla / Kristinsson, Sverrir / Goatly, Giles / Evans (Queen Elizabeth the Queen Mother Hospital Margate), Jessica / Glen, Paul / Al-Azzawi, Marwa / Aitken (Queen Elizabeth University Hospital), Emma / Mukherjee, Samrat / Singh, Shailendra / Smith, Christopher / English, William / Vulliamy, Paul / Karam, Edward / Chui, Karen / Mansuri, Ahmer / Sivayoganathan, Sriharan / A Aaraj, Mahmoud / El-Ali (Queen's Hospital, Abess / Romford), / H Chowdhury, Abeed / Worku (Queen’s Medical Centre, Dawit / University Hospitals NHS Trust), Nottingham / Hampton (Rotherham District General Hospital), Matthew / Manson, Joanna / Findlay, Laura / Majkowska, Agata / Brixton, Genevieve / Potter (Royal Bournemouth Hospital), Ryan / C De Souza, Anthony / Rochon, Melissa / Cannoletta (Royal Brompton Hospital), Marina / Bhalla, Ashish / Prita Daliya, 8 / Chia (Royal Derby Hospital), Zoe / M Pollok, Joerg / A Raptis, Dimitri / R Davidson, Brian / K Fusai, Giuseppe / E Xyda, Souzana / Soggiu, Fiammetta / Machairas (Royal Free Hospital), Nikolaos / C Bosanquet, David / M Tang, Alethea / J Beamish, Andrew / Nassa, Heeam / Price, Claire / Williams, Gethin / Magowan, Drew / Solari (Royal Gwent Hospital), Francesca / J Davies, Emma / Ryska, Ondrej / Hawkin, Paul / Raymond (Royal Lancaster Infirmary), Thomas / D Baron, Ryan / Szatmary, Peter / Gahunia, Sukhpreet / J Thomas, Amy / FJ Dunne, Declan / E Nita, George / Sochorova (Royal Liverpool University Hospital), Dana / Sivaprakasam, Rajesh / Sohrabi, Catrin / SJ Ledesma, Frances / A Thaha, Mohamed / BB Sullivan (The Royal London Hospital), Tom / Rachel Baumber (Royal National Orthopaedic Hospital), James T Parry / Stewart, Robbie / Ullah, Ramzan / Armstrong, Lara / Jones, Mark / Aljanadi, Firas / Moawad (Royal Victoria Hospital), Nader / JM Ferguson, Henry / Ramcharan, Sean / Yershov (South Warwickshire NHS Foundation Trust), Danylo / C Hopkins, James / J Doe, Matthew / K Ambler, Graeme / Lostis, Emilie / Lawday (Southmead Hospital), Samuel / H Babu, Bheemanakone / D Liyanage, Aloka S / K Weerasinghe, Chamindri / Blake (Southport and Formby District General Hospital), Iain / Sanders, Julie / Bueser, Teofila / Curtis, Miles / Y Oo (Department of Cardiothoracic Surgery, Aung / Bartholomew's Hospital), St / Anwar, Sibtain / Sohrabi (St Bartholomew's Hospital), Catrin / J Williams, Katherine / A Chung, Eric / Hagger, Robert / Karim, Ahmed / J Hainsworth, Alison / Flatman, Michael / B Hing, Caroline / Trompeter (St George's Hospital), Alex / Lo, Terence / G Wade, Ryckie / Bourke, Grainne / R Burke, Joshua / L Young, Alastair / JS Wall, Joshua / Johnstone, Jack / Peckham- Cooper, Adam / Elkadi, Hannah / R Kowal, Mikolaj / Pompili, Cecilia / WS Ho (Leeds Teaching Hospitals NHS Trust, Michael / Leeds), / Kinross, James / AH Ibrahim, Mohamed / Abuown, Ala / Denning, Max / Ereidge, Simon / Yalamanchili, Seema / Martin (St Mary's Hospital), Guy / James RW Hall (Stepping Hill Hospital), Claire Hall / J Baldwin, Alexander / Gammeri, Emanuele / West, Raha / CR Wormald, Justin / B Catton, Andrew / Kudsk-Iversen, Søren / Marinos Kouris (Buckinghamshire Healthcare NHS Trust), Spyros / Nugent, Michael / J Lin, Daniel / Kang, Chong / J Scurrah, Rachel / D Rajgor, Amarkumar / Steel (Sunderland Royal Hospital), Ben / Day, Andrew / P Belgaumkar, Ajay / Oyewole, Bankole / Gilbert (Surrey and Sussex Healthcare NHS Trust), Catherine / Ford (The Robert Jones and Agnes Hunt Orthopaedic Hospital), David / Duff, Sarah / Khan, Azam / Asaad, Peter / S Moura, Francisco / C Brown (Manchester University NHS Foundation Trust, Benjamin / Hospital), Wythenshawe / Zakaria, Rasheed / Elmoslemany (The Walton Centre NHS Foundation Trust), Tarek / Parmar, Chetan / J McCluney, Simon / Shah (The Whittington Hospital), Sujay / Deepti Sinha (University College London Hospital), Nicholas Kalavrezos / Tewari, Nilanjana / JM Dunne, Naomi / J Carlos, William / K Gill, Charn / Godbole, Chintamani / E Dickson, Kathryn / Khajuria, Apoorva / Connolly, Hannah / Naredla, Pradyumna / R Sarma, Diwakar / Robertson (University Hospitals Coventry and Warwickshire), Stuart / Morris, Chris / Richards, Tomos / Torkington, Jared / Williams, Matthew / Shinkwin, Michael / Jayaraju (University Hospital of Wales), Ullas / P Singh, Rabindra / Aftab, Raiyyan / Warwick (University Hospital Southampton), David / A Khalefa, Mohamed / S Hossain, Fahad / Osman (Walsall Manor Hospital), Khabab / M Andreani, Stefano / F Bath, Michael / Sahni, Arun / Judkins, Nicholas / R Springford, Laurie / Sohrabi (Whipps Cross University Hospital), Catrin / S Wadley, Martin / Tyler, Jayne / Wild, Laura / Wall, Rosemary / Jenner, Edward / Chamberlain, Stephanie / Thrush, Jessica / Brain, Jessie / Townsend, Catherine / Stringer, Sally / Breckles, Lisa / Flindall, Ian / Phenix, George / Thomas (Worcestershire Acute Hospitals NHS Trust), Kane / Young, Richard / MacDonald, Luisa / Green, Susanna / Miu, Victor / Sheridan, Kelda / United States: John RT Monson (AdventHealth Orlando), Lavinia Onos (York Teaching Hospitals NHS Trust). / Maha H Haqqani (Boston Medical Center), Frederick T Drake / Cooper, Zara / Salim, Ali / A Hirji, Sameer / K Brown, Allison / Chung, Choyin / Laura Hansen, 9 / Okafor, Barbara U. / I Roxo (Brigham and Women's Hospital), Vanessa / E Rice, Henry / Shelley Hwang, E. / G Blazer III, Dan / J Hall, Bria / A Olson (Duke University Medical Center), Steven / Nehra, Deepika / Cuschieri, Joseph / M Walters (Harborview Medical Center, Andrew / of Washington), University / M Nygaard, Rachel / T Colonna, Emily / W Endorf (Hennepin Healthcare), Frederick / Gabriel Kinnaman (IU Health Methodist Hospital), Ashley D Meagher / McKenzie, Katherine / R Fretwell, Kenneth / Chan, Jeffrey / C Nugent III, William / Chen (Jamaica Hospital), David / A Stevens, Kent / W Etchill, Eric / E Jenny (Johns Hopkins Hospital), Hillary / Dehal (Kaiser Permanente Panorama City Medical Center), Ahmed / C Velmahos (Massachusetts General Hospital), George / Chang, Grace / Dehart, Dustin / Ourieff (Mount Sinai Hospital), Jared / Anita Volpe (New York Presbyterian Queens), Stephen Merola / Podolsky, Dina / L Coleman, Natasha / / Columbia University Medical Center), Miriam Callahan (NewYork-Presbyterian / EM Brathwaite, Collin / H Liu, Helen / Petrone, Patrizio / Baltazar, Gerard / Hakmi, Hazim / - NYU Winthrop Hospital), Amir H Sohail (NYU Langone Health / P Hazelton, Joshua / E Ssentongo, Anna / Ssentongo (Pennsylvania State University), Paddy / Jamil, Tahir / Al-Embideen, Somya / Seegert (ProMedica Toledo Hospital), Sara / Anuradha R Bhama (Rush University Medical Center), Alfonso Torquati / L Biffl, Walter / B Schaffer, Kathryn / L Marsh (Scripps Memorial Hospital), Christopher / M Philp, Matthew / Ross, Howard / Santora, Thomas / Pathak, Abhijit / M Sewards, Joseph / Pontari, Michael / L Engel (Temple University Hospital), Jamie / Giorgakis, Emmanouil / V Bhavaraju, Avi / J Kalkwarf, Kyle / Roberts, Matthew / Robertson (University of Arkansas for Medical Sciences), Ronald / A Callcut, Rachael / E Canova, Michaela / Suri (University of California Davis Health, Avni / of Surgery), Department / G Velopulos, Catherine / Carmichael, Heather / C McIntyre, Robert / L Wright, Franklin / Urban (University of Colorado Hospital), Shane / Neal Bhutiani (University of Louisville Hospital and Norton Hospital), Robert CG Martin / J Diaz, Jose / Abdou, Hossam / B O'Meara, Lindsay / Richmond (University of Maryland Medical Center), Michael / Almasri, Murad / Marwan, Hisham / Q Mehdi (University of Texas Medical Branch), Mohammad / Shen Ban, Vin / G Aoun, Salah / Data Monitoring and Ethics Committee: Deborah S Keller, H. Hunt Batjer (University of Texas Southwestern). / J Smart, Neil

    an international cohort study

    2020  

    Abstract: Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and ... ...

    Abstract Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 82·6% (219 of 265) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28-2·40], p<0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65-3·22], p<0·0001), American Society of Anesthesiologists grades 3-5 versus grades 1-2 (2·35 [1·57-3·53], p<0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01-2·39], p=0·046), emergency versus elective surgery (1·67 [1·06-2·63], p=0·026), and major versus minor surgery (1·52 [1·01-2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery.
    Keywords covid19
    Subject code 616 ; 610
    Language English
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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