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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Patients with an Open Abdomen in Asian, American and European Continents: A Comparative Analysis from the International Register of Open Abdomen (IROA)
World Journal of Surgery, Volume 47, No. 1, Year 2023
Notification
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Description
Background: International register of open abdomen (IROA) enrolls patients from several centers in American, European, and Asiatic continent. The aim of our study is to compare the characteristics, management and clinical outcome of adult patients treated with OA in the three continents. Material and methods: A prospective analysis of adult patients enrolled in the international register of open abdomen (IROA). Trial registration: NCT02382770. Results: 1183 patients were enrolled from American, European and Asiatic Continent. Median age was 63 years (IQR 49–74) and was higher in the European continent (65 years, p < 0.001); 57% were male. The main indication for OA was peritonitis (50.6%) followed by trauma (15.4%) and vascular emergency (13.5%) with differences among the continents (p < 0.001). Commercial NPWT was preferred in America and Europe (77.4% and 52.3% of cases) while Barker vacuum pack (48.2%) was the preferred temporary abdominal closure technique in Asia (p < 0.001). Definitive abdominal closure was achieved in 82.3% of cases in America (fascial closure in 90.2% of cases) and in 56.4% of cases in Asia (p < 0.001). Prosthesis were mostly used in Europe (17.3%, p < 0.001). The overall entero-atmospheric fistula rate 2.5%. Median open abdomen duration was 4 days (IQR 2–7). The overall intensive care unit and hospital length-of-stay were, respectively, 8 and 11 days (no differences between continents). The overall morbidity and mortality rates for America, Europe, and Asia were, respectively, 75.8%, 75.3%, 91.8% (p = 0.001) and 31.9%, 51.6%, 56.9% (p < 0.001). Conclusion: There is no uniformity in OA management in the different continents. Heterogeneous adherence to international guidelines application is evident. Different temporary abdominal closure techniques in relation to indications led to different outcomes across the continents. Adherence to guidelines, combined with more consistent data, will ultimately allow to improving knowledge and outcome. © 2022, The Author(s).
Authors & Co-Authors
Sibilla, Maria Grazia
Italy, Ferrara
University of Ferrara
Cremonini, Camilla
Italy, Pisa
Azienda Ospedaliero Universitaria Pisana
Carcoforo, Paolo
Italy, Ferrara
University of Ferrara
Tartaglia, Dario
Italy, Pisa
Azienda Ospedaliero Universitaria Pisana
Cicuttin, Enrico
Italy, Pisa
Azienda Ospedaliero Universitaria Pisana
Strambi, Silvia
Italy, Pisa
Azienda Ospedaliero Universitaria Pisana
Sartelli, Massimo
Italy, Macerata
Macerata Hospital
Catena, Fausto
Italy, Parma
Azienda Ospedaliero-universitaria Di Parma
Chiarugi, Massimo
Italy, Pisa
Azienda Ospedaliero Universitaria Pisana
Coccolini, Federico
Italy, Pisa
Azienda Ospedaliero Universitaria Pisana
Montori, Giulia
Unknown Affiliation
Salvetti, Francesco
Unknown Affiliation
Negoi, Ionut
Unknown Affiliation
Zese, Monica
Unknown Affiliation
Occhionorelli, Savino
Unknown Affiliation
Shlyapnikov, Sergey
Unknown Affiliation
Sugrue, Michael E.
Unknown Affiliation
Demetrashvili, Zaza M.
Unknown Affiliation
Dondossola, Daniele E.
Unknown Affiliation
Ioannidis, Orestis M.
Unknown Affiliation
Novelli, Giuseppe
Unknown Affiliation
Nacoti, Mirco
Unknown Affiliation
Khor, Desmond
Unknown Affiliation
Inaba, Kenji
Unknown Affiliation
Demetriades, Demetrios G.
Unknown Affiliation
Kaussen, Torsten
Unknown Affiliation
Che Jusoh, Asri
Unknown Affiliation
Ghnnam, Wagih Mommtaz
Unknown Affiliation
Sakakushev, Boris E.
Unknown Affiliation
Guetta, Ohad
Unknown Affiliation
Dogjani, Agron
Unknown Affiliation
Costa, Stefano
Unknown Affiliation
Singh, Sandeep
Unknown Affiliation
Damaskos, Dimitrios
Unknown Affiliation
Isik, Arda A.
Unknown Affiliation
Yuan, Kuoching
Unknown Affiliation
Trotta, Francesco
Unknown Affiliation
Rausei, Stefano
Unknown Affiliation
Martínez-Pérez, Aleix
Unknown Affiliation
Bellanova, Giovanni
Unknown Affiliation
Fonseca, Vinicius Cordeiro
Unknown Affiliation
Hernández, Fernando
Unknown Affiliation
Marinis, A. D.
Unknown Affiliation
Fernandes, Wellington
Unknown Affiliation
Quiodettis, Martha Alexa
Unknown Affiliation
Bala, Miklosh
Unknown Affiliation
Vereczkei, András G.
Unknown Affiliation
Curado, Rafael L.
Unknown Affiliation
Fraga, Gustavo Pereira
Unknown Affiliation
Pereira, Bruno Monteiro Tavares
Unknown Affiliation
Gachabayov, Mahir
Unknown Affiliation
Chagerben, Guillermo Perez
Unknown Affiliation
León-Arellano, Miguel
Unknown Affiliation
Özyazıcı, Sefa
Unknown Affiliation
Costa, Gianluca
Unknown Affiliation
Tezcaner, Tugan
Unknown Affiliation
Porta, Matteo
Unknown Affiliation
Li, You Sheng
Unknown Affiliation
Karateke, Faruk
Unknown Affiliation
Manatakis, Dimitrios K.
Unknown Affiliation
Mariani, Federico
Unknown Affiliation
Lora, Federico
Unknown Affiliation
Sahderov, Ivan
Unknown Affiliation
Atanasov, Boyko Tchavdarov
Unknown Affiliation
Zegarra, Sergio A.
Unknown Affiliation
Fattori, Luca
Unknown Affiliation
Ivatury, Rao Richmond
Unknown Affiliation
Xiao, Jimmy
Unknown Affiliation
Ben-Ishay, Offir
Unknown Affiliation
Zharikov, A. N.
Unknown Affiliation
Dubuisson, Vincent
Unknown Affiliation
Statistics
Citations: 2
Authors: 71
Affiliations: 4
Identifiers
Doi:
10.1007/s00268-022-06733-4
ISSN:
03642313
Research Areas
Health System And Policy
Study Design
Cohort Study
Participants Gender
Male