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  1. AU="Pereira Júnior, Gerson A"
  2. AU="Vaz, Paulo Afonso Brum"

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  1. Article ; Online: The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections.

    Sartelli, Massimo / Chichom-Mefire, Alain / Labricciosa, Francesco M / Hardcastle, Timothy / Abu-Zidan, Fikri M / Adesunkanmi, Abdulrashid K / Ansaloni, Luca / Bala, Miklosh / Balogh, Zsolt J / Beltrán, Marcelo A / Ben-Ishay, Offir / Biffl, Walter L / Birindelli, Arianna / Cainzos, Miguel A / Catalini, Gianbattista / Ceresoli, Marco / Che Jusoh, Asri / Chiara, Osvaldo / Coccolini, Federico /
    Coimbra, Raul / Cortese, Francesco / Demetrashvili, Zaza / Di Saverio, Salomone / Diaz, Jose J / Egiev, Valery N / Ferrada, Paula / Fraga, Gustavo P / Ghnnam, Wagih M / Lee, Jae Gil / Gomes, Carlos A / Hecker, Andreas / Herzog, Torsten / Kim, Jae Il / Inaba, Kenji / Isik, Arda / Karamarkovic, Aleksandar / Kashuk, Jeffry / Khokha, Vladimir / Kirkpatrick, Andrew W / Kluger, Yoram / Koike, Kaoru / Kong, Victor Y / Leppaniemi, Ari / Machain, Gustavo M / Maier, Ronald V / Marwah, Sanjay / McFarlane, Michael E / Montori, Giulia / Moore, Ernest E / Negoi, Ionut / Olaoye, Iyiade / Omari, Abdelkarim H / Ordonez, Carlos A / Pereira, Bruno M / Pereira Júnior, Gerson A / Pupelis, Guntars / Reis, Tarcisio / Sakakhushev, Boris / Sato, Norio / Segovia Lohse, Helmut A / Shelat, Vishal G / Søreide, Kjetil / Uhl, Waldemar / Ulrych, Jan / Van Goor, Harry / Velmahos, George C / Yuan, Kuo-Ching / Wani, Imtiaz / Weber, Dieter G / Zachariah, Sanoop K / Catena, Fausto

    World journal of emergency surgery : WJES

    2017  Volume 12, Page(s) 29

    Abstract: Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in the emergency departments worldwide. The cornerstones of effective treatment of IAIs are early recognition, adequate ... ...

    Abstract Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in the emergency departments worldwide. The cornerstones of effective treatment of IAIs are early recognition, adequate source control, and appropriate antimicrobial therapy. Prompt resuscitation of patients with ongoing sepsis is of utmost important. In hospitals worldwide, non-acceptance of, or lack of access to, accessible evidence-based practices and guidelines result in overall poorer outcome of patients suffering IAIs. The aim of this paper is to promote global standards of care in IAIs and update the 2013 WSES guidelines for management of intra-abdominal infections.
    MeSH term(s) Abdominal Injuries/drug therapy ; Abdominal Injuries/surgery ; Anti-Bacterial Agents/therapeutic use ; Disease Management ; Guidelines as Topic ; Humans ; Intraabdominal Infections/drug therapy ; Intraabdominal Infections/surgery ; Organ Dysfunction Scores ; Peritonitis/drug therapy ; Sepsis/drug therapy ; Sepsis/surgery ; Societies, Medical/organization & administration ; Societies, Medical/trends ; Surgeons/organization & administration ; Surgeons/trends
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2017-07-10
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1749-7922
    ISSN (online) 1749-7922
    DOI 10.1186/s13017-017-0141-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Prospective Observational Study on acute Appendicitis Worldwide (POSAW).

    Sartelli, Massimo / Baiocchi, Gian L / Di Saverio, Salomone / Ferrara, Francesco / Labricciosa, Francesco M / Ansaloni, Luca / Coccolini, Federico / Vijayan, Deepak / Abbas, Ashraf / Abongwa, Hariscine K / Agboola, John / Ahmed, Adamu / Akhmeteli, Lali / Akkapulu, Nezih / Akkucuk, Seckin / Altintoprak, Fatih / Andreiev, Aurelia L / Anyfantakis, Dimitrios / Atanasov, Boiko /
    Bala, Miklosh / Balalis, Dimitrios / Baraket, Oussama / Bellanova, Giovanni / Beltran, Marcelo / Melo, Renato Bessa / Bini, Roberto / Bouliaris, Konstantinos / Brunelli, Daniele / Castillo, Adrian / Catani, Marco / Che Jusoh, Asri / Chichom-Mefire, Alain / Cocorullo, Gianfranco / Coimbra, Raul / Colak, Elif / Costa, Silvia / Das, Koray / Delibegovic, Samir / Demetrashvili, Zaza / Di Carlo, Isidoro / Kiseleva, Nadezda / El Zalabany, Tamer / Faro, Mario / Ferreira, Margarida / Fraga, Gustavo P / Gachabayov, Mahir / Ghnnam, Wagih M / Giménez Maurel, Teresa / Gkiokas, Georgios / Gomes, Carlos A / Griffiths, Ewen / Guner, Ali / Gupta, Sanjay / Hecker, Andreas / Hirano, Elcio S / Hodonou, Adrien / Hutan, Martin / Ioannidis, Orestis / Isik, Arda / Ivakhov, Georgy / Jain, Sumita / Jokubauskas, Mantas / Karamarkovic, Aleksandar / Kauhanen, Saila / Kaushik, Robin / Kavalakat, Alfie / Kenig, Jakub / Khokha, Vladimir / Khor, Desmond / Kim, Dennis / Kim, Jae I / Kong, Victor / Lasithiotakis, Konstantinos / Leão, Pedro / Leon, Miguel / Litvin, Andrey / Lohsiriwat, Varut / López-Tomassetti Fernandez, Eudaldo / Lostoridis, Eftychios / Maciel, James / Major, Piotr / Dimova, Ana / Manatakis, Dimitrios / Marinis, Athanasio / Martinez-Perez, Aleix / Marwah, Sanjay / McFarlane, Michael / Mesina, Cristian / Pędziwiatr, Michał / Michalopoulos, Nickos / Misiakos, Evangelos / Mohamedahmed, Ali / Moldovanu, Radu / Montori, Giulia / Mysore Narayana, Raghuveer / Negoi, Ionut / Nikolopoulos, Ioannis / Novelli, Giuseppe / Novikovs, Viktors / Olaoye, Iyiade / Omari, Abdelkarim / Ordoñez, Carlos A / Ouadii, Mouaqit / Ozkan, Zeynep / Pal, Ajay / Palini, Gian M / Partecke, Lars I / Pata, Francesco / Pereira Júnior, Gerson A / Pintar, Tadeja / Pisarska, Magdalena / Ploneda-Valencia, Cesar F / Pouggouras, Konstantinos / Prabhu, Vinod / Ramakrishnapillai, Padmakumar / Regimbeau, Jean-Marc / Reitz, Marianne / Rios-Cruz, Daniel / Saar, Sten / Sakakushev, Boris / Seretis, Charalampos / Sazhin, Alexander / Shelat, Vishal / Skrovina, Matej / Smirnov, Dmitry / Spyropoulos, Charalampos / Strzałka, Marcin / Talving, Peep / Teixeira Gonsaga, Ricardo A / Theobald, George / Tomadze, Gia / Torba, Myftar / Tranà, Cristian / Ulrych, Jan / Uzunoğlu, Mustafa Y / Vasilescu, Alin / Occhionorelli, Savino / Venara, Aurélien / Vereczkei, Andras / Vettoretto, Nereo / Vlad, Nutu / Walędziak, Maciej / Yilmaz, Tonguç U / Yuan, Kuo-Ching / Yunfeng, Cui / Zilinskas, Justas / Grelpois, Gérard / Catena, Fausto

    World journal of emergency surgery : WJES

    2018  Volume 13, Page(s) 19

    Abstract: Background: Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult ... ...

    Abstract Background: Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments.
    Methods: This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016-September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study.
    Results: A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%.
    Conclusions: The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.
    MeSH term(s) Acute Disease/therapy ; Adult ; Appendectomy/adverse effects ; Appendectomy/methods ; Appendectomy/standards ; Appendicitis/surgery ; Chi-Square Distribution ; Female ; Hospitalization/statistics & numerical data ; Humans ; Laparoscopy/methods ; Laparoscopy/statistics & numerical data ; Length of Stay/statistics & numerical data ; Logistic Models ; Male ; Prospective Studies ; Tomography, X-Ray Computed/methods ; Treatment Outcome
    Language English
    Publishing date 2018-04-16
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Observational Study
    ISSN 1749-7922
    ISSN (online) 1749-7922
    DOI 10.1186/s13017-018-0179-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) Study: a WSES observational study.

    Sartelli, Massimo / Abu-Zidan, Fikri M / Labricciosa, Francesco M / Kluger, Yoram / Coccolini, Federico / Ansaloni, Luca / Leppäniemi, Ari / Kirkpatrick, Andrew W / Tolonen, Matti / Tranà, Cristian / Regimbeau, Jean-Marc / Hardcastle, Timothy / Koshy, Renol M / Abbas, Ashraf / Aday, Ulaş / Adesunkanmi, A R K / Ajibade, Adesina / Akhmeteli, Lali / Akın, Emrah /
    Akkapulu, Nezih / Alotaibi, Alhenouf / Altintoprak, Fatih / Anyfantakis, Dimitrios / Atanasov, Boyko / Augustin, Goran / Azevedo, Constança / Bala, Miklosh / Balalis, Dimitrios / Baraket, Oussama / Baral, Suman / Barkai, Or / Beltran, Marcelo / Bini, Roberto / Bouliaris, Konstantinos / Caballero, Ana B / Calu, Valentin / Catani, Marco / Ceresoli, Marco / Charalampakis, Vasileios / Jusoh, Asri Che / Chiarugi, Massimo / Cillara, Nicola / Cuesta, Raquel Cobos / Cobuccio, Luigi / Cocorullo, Gianfranco / Colak, Elif / Conti, Luigi / Cui, Yunfeng / De Simone, Belinda / Delibegovic, Samir / Demetrashvili, Zaza / Demetriades, Demetrios / Dimova, Ana / Dogjani, Agron / Enani, Mushira / Farina, Federica / Ferrara, Francesco / Foghetti, Domitilla / Fontana, Tommaso / Fraga, Gustavo P / Gachabayov, Mahir / Gérard, Grelpois / Ghnnam, Wagih / Maurel, Teresa Giménez / Gkiokas, Georgios / Gomes, Carlos A / Guner, Ali / Gupta, Sanjay / Hecker, Andreas / Hirano, Elcio S / Hodonou, Adrien / Hutan, Martin / Ilaschuk, Igor / Ioannidis, Orestis / Isik, Arda / Ivakhov, Georgy / Jain, Sumita / Jokubauskas, Mantas / Karamarkovic, Aleksandar / Kaushik, Robin / Kenig, Jakub / Khokha, Vladimir / Khokha, Denis / Kim, Jae Il / Kong, Victor / Korkolis, Dimitris / Kruger, Vitor F / Kshirsagar, Ashok / Simões, Romeo Lages / Lanaia, Andrea / Lasithiotakis, Konstantinos / Leão, Pedro / Arellano, Miguel León / Listle, Holger / Litvin, Andrey / Lizarazu Pérez, Aintzane / Lopez-Tomassetti Fernandez, Eudaldo / Lostoridis, Eftychios / Luppi, Davide / Machain V, Gustavo M / Major, Piotr / Manatakis, Dimitrios / Reitz, Marianne Marchini / Marinis, Athanasios / Marrelli, Daniele / Martínez-Pérez, Aleix / Marwah, Sanjay / McFarlane, Michael / Mesic, Mirza / Mesina, Cristian / Michalopoulos, Nickos / Misiakos, Evangelos / Moreira, Felipe Gonçalves / Mouaqit, Ouadii / Muhtaroglu, Ali / Naidoo, Noel / Negoi, Ionut / Nikitina, Zane / Nikolopoulos, Ioannis / Nita, Gabriela-Elisa / Occhionorelli, Savino / Olaoye, Iyiade / Ordoñez, Carlos A / Ozkan, Zeynep / Pal, Ajay / Palini, Gian M / Papageorgiou, Kyriaki / Papagoras, Dimitris / Pata, Francesco / Pędziwiatr, Michał / Pereira, Jorge / Pereira Junior, Gerson A / Perrone, Gennaro / Pintar, Tadeja / Pisarska, Magdalena / Plehutsa, Oleksandr / Podda, Mauro / Poillucci, Gaetano / Quiodettis, Martha / Rahim, Tuba / Rios-Cruz, Daniel / Rodrigues, Gabriel / Rozov, Dmytry / Sakakushev, Boris / Sall, Ibrahima / Sazhin, Alexander / Semião, Miguel / Sharda, Taanya / Shelat, Vishal / Sinibaldi, Giovanni / Skicko, Dmitrijs / Skrovina, Matej / Stamatiou, Dimitrios / Stella, Marco / Strzałka, Marcin / Sydorchuk, Ruslan / Teixeira Gonsaga, Ricardo A / Tochie, Joel Noutakdie / Tomadze, Gia / Ugoletti, Lara / Ulrych, Jan / Ümarik, Toomas / Uzunoglu, Mustafa Y / Vasilescu, Alin / Vaz, Osborne / Vereczkei, Andras / Vlad, Nutu / Walędziak, Maciej / Yahya, Ali I / Yalkin, Omer / Yilmaz, Tonguç U / Ünal, Ali Ekrem / Yuan, Kuo-Ching / Zachariah, Sanoop K / Žilinskas, Justas / Zizzo, Maurizio / Pattonieri, Vittoria / Baiocchi, Gian Luca / Catena, Fausto

    World journal of emergency surgery : WJES

    2019  Volume 14, Page(s) 34

    Abstract: 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 ... ...

    Abstract 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 (SpO
    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.
    MeSH term(s) Abdomen/abnormalities ; Abdomen/physiopathology ; Adult ; Aged ; Chi-Square Distribution ; Female ; Hospital Mortality ; Humans ; Injury Severity Score ; Logistic Models ; Male ; Middle Aged ; Prognosis ; Risk Factors ; Sepsis/diagnosis ; Sepsis/physiopathology
    Language English
    Publishing date 2019-07-15
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Observational Study
    ISSN 1749-7922
    ISSN (online) 1749-7922
    DOI 10.1186/s13017-019-0253-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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