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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Management and Outcomes Following Surgery for Gastrointestinal Typhoid: An International, Prospective, Multicentre Cohort Study
World Journal of Surgery, Volume 42, No. 10, Year 2018
Notification
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Description
Background: Gastrointestinal perforation is the most serious complication of typhoid fever, with a high disease burden in low-income countries. Reliable, prospective, contemporary surgical outcome data are scarce in these settings. This study aimed to investigate surgical outcomes following surgery for intestinal typhoid. Methods: Two multicentre, international prospective cohort studies of consecutive patients undergoing surgery for gastrointestinal typhoid perforation were conducted. Outcomes were measured at 30 days and included mortality, surgical site infection, organ space infection and reintervention rate. Multilevel logistic regression models were used to adjust for clinically plausible explanatory variables. Effect estimates are expressed as odds ratios (ORs) alongside their corresponding 95% confidence intervals. Results: A total of 88 patients across the GlobalSurg 1 and GlobalSurg 2 studies were included, from 11 countries. Children comprised 38.6% (34/88) of included patients. Most patients (87/88) had intestinal perforation. The 30-day mortality rate was 9.1% (8/88), which was higher in children (14.7 vs. 5.6%). Surgical site infection was common, at 67.0% (59/88). Organ site infection was common, with 10.2% of patients affected. An ASA grade of III and above was a strong predictor of 30-day post-operative mortality, at the univariable level and following adjustment for explanatory variables (OR 15.82, 95% CI 1.53–163.57, p = 0.021). Conclusions: With high mortality and complication rates, outcomes from surgery for intestinal typhoid remain poor. Future studies in this area should focus on sustainable interventions which can reduce perioperative morbidity. At a policy level, improving these outcomes will require both surgical and public health system advances. © 2018, The Author(s).
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC6132852/bin/268_2018_4624_MOESM1_ESM.docx
Authors & Co-Authors
Anyomih, Theophilus T.K.
Unknown Affiliation
Drake, Thomas M.
Unknown Affiliation
Glasbey, James C.
Unknown Affiliation
Fitzgerald, James Edward Frankland
Unknown Affiliation
Ots, Riinu
Unknown Affiliation
Harrison, Ewen Munro
Unknown Affiliation
Tabiri, Stephen
Ghana, Tamale
University for Development Studies Ghana
Bhangu, Aneel Amir
Unknown Affiliation
Ademuyiwa, Adesoji O.
Unknown Affiliation
Aguilera, Maria Lorena
Unknown Affiliation
Alexander, Philip Vareed
Unknown Affiliation
Al-Saqqa, Sara W.
Unknown Affiliation
Borda-Luque, Giuliano
Unknown Affiliation
Costas-Chavarri, Ainhoa
Unknown Affiliation
Ntirenganya, Faustin
Unknown Affiliation
Fergusson, Stuart J.
Unknown Affiliation
Allen-Ingabire, Jean De La Croix
Unknown Affiliation
Ismail, Lawani
Unknown Affiliation
Salem, Hosni K.
Unknown Affiliation
Kojo, Anyomih Theophilus Teddy
Unknown Affiliation
Lapitan, Marie Carmela M.
Unknown Affiliation
Lilford, Richard J.
Unknown Affiliation
Mihaljevic, André L.A.
Unknown Affiliation
Dion G. Morton, Dion Gregory M.
Unknown Affiliation
Mutabazi, Alphonse Zeta
Unknown Affiliation
Nepogodiev, Dmitri
Unknown Affiliation
Adisa, Adewale O.
Unknown Affiliation
Pata, Francesco
Unknown Affiliation
Pinkney, Thomas D.
Unknown Affiliation
Poškus, Tomas
Unknown Affiliation
Qureshi, Ahmad Uzair
Unknown Affiliation
la Medina, Antonio Ramos De
Unknown Affiliation
Rayne, Sarah Louise
Unknown Affiliation
Shaw, Catherine A.
Unknown Affiliation
Shu-Yip, Sebastián B.
Unknown Affiliation
Spence, Richard Trafford
Unknown Affiliation
Smart, Neil J.
Unknown Affiliation
Manipal, Cutting Edge
Unknown Affiliation
Mohan, Midhun
Unknown Affiliation
Jeyakumar, Jenifa P.
Unknown Affiliation
Rahman, Ashrarur Rahman
Unknown Affiliation
Mahmud, Khalid
Unknown Affiliation
Hussain, Margub
Unknown Affiliation
Hakim, Hafiz Ahmed Nazmul
Unknown Affiliation
Kumar, Tapan
Unknown Affiliation
Oosterkamp, Antje E.
Unknown Affiliation
Abantanga, Francis Atindaana
Unknown Affiliation
Boakye-Yiadom, Kwaku
Unknown Affiliation
Bukari, Mohammed I.S.
Unknown Affiliation
Owusu, Frank
Unknown Affiliation
Awuku-Asabre, Joseph
Unknown Affiliation
Bray, Lemuel Davies
Unknown Affiliation
Prasad, Soosan S.
Unknown Affiliation
Kirishnan, Anand
Unknown Affiliation
Gyanchandani, Nidhi
Unknown Affiliation
Kumar, Bylapudi Seshu
Unknown Affiliation
Rangarajan, Muthukumaran
Unknown Affiliation
Bhat, Sriram
Unknown Affiliation
Sreedharan, Anjana
Unknown Affiliation
Kinnera, S. V.
Unknown Affiliation
Reddy, Yella
Unknown Affiliation
Venugopal, Caranj
Unknown Affiliation
Kumar, Sunil
Unknown Affiliation
Mittal, Abhishek
Unknown Affiliation
Nadkarni, Shravan
Unknown Affiliation
Lakshmi, Harish Neelamraju
Unknown Affiliation
Malik, Puneet
Unknown Affiliation
Limaye, Neel
Unknown Affiliation
Pai, Srinivas
Unknown Affiliation
Jain, Pratik
Unknown Affiliation
Khajanchi, Monty Uttam
Unknown Affiliation
Satoskar, Savni R.
Unknown Affiliation
Satoskar, Rajeev R.
Unknown Affiliation
Mahamood, Abid Bin
Unknown Affiliation
Coomber, Ross S.
Unknown Affiliation
Johnson, Kenneth
Unknown Affiliation
Nowers, Jennifer
Unknown Affiliation
Mohammad, Aminu
Unknown Affiliation
Anyanwu, Lofty John Chukwuemeka
Unknown Affiliation
Sheshe, Abdulrahman Abba
Unknown Affiliation
Adesina, Alaba Moses
Unknown Affiliation
Faturoti, Olubukola
Unknown Affiliation
Taiwo, Ogechukwu
Unknown Affiliation
Ibrahim, Muhammad Habib
Unknown Affiliation
Nasir, Abdulrasheed A.
Unknown Affiliation
Suleiman, Siyaka Itopa
Unknown Affiliation
Adeniyi, Adewale
Unknown Affiliation
Adesanya, Opeoluwa A.
Unknown Affiliation
Adebanjo, Ademola Tolulope O.
Unknown Affiliation
Williams, Omolara Modupe
Unknown Affiliation
Atobatele, Kazeem M.
Unknown Affiliation
Ogunyemi, Ayokunle A.
Unknown Affiliation
Oludara, Mobolaji Adewale
Unknown Affiliation
Oshodi, Olabode A.
Unknown Affiliation
Osuoji, Roland I.
Unknown Affiliation
Lawal, Abdulrazzaq Oluwagbemiga
Unknown Affiliation
Alakaloko, Felix Makinde
Unknown Affiliation
Elebute, Olumide Abiodun
Unknown Affiliation
Osinowo, Adedapo Olumide
Unknown Affiliation
Bode, Christopher Olusanjo
Unknown Affiliation
Adesuyi, Abidemi A.
Unknown Affiliation
Tade, Adesoji O.
Unknown Affiliation
Adekoya, Adeleke O.
Unknown Affiliation
Nwokoro, Collins Chigbundu
Unknown Affiliation
Ayandipo, Omobolaji Oladayo
Unknown Affiliation
Lawal, Taiwo Akeem
Unknown Affiliation
Ajao, Akinlabi Emmanuel
Unknown Affiliation
Odeyemi, Babatunde
Unknown Affiliation
Olori, Samson Dr
Unknown Affiliation
Popoola, Ademola Alabi
Unknown Affiliation
Adeyeye, Ademola A.
Unknown Affiliation
Adeniran, James Olaniyi
Unknown Affiliation
Khalique, Abdul
Unknown Affiliation
Anwar, Abdul Wahid
Unknown Affiliation
Tew, Yong Yong
Unknown Affiliation
Gala, Tanzeela
Unknown Affiliation
Dossou, Francis Moïse
Unknown Affiliation
Seto, Djifid Morel
Unknown Affiliation
Gbessi, Dansou Gaspard
Unknown Affiliation
Noukpozounkou, Bruno
Unknown Affiliation
Souaibou, Yacoubou Imorou
Unknown Affiliation
Hodonou, Fred D.J.M.
Unknown Affiliation
Alihonou, Thierry
Unknown Affiliation
Bandoh, Dickson
Unknown Affiliation
Gyedu, Adam
Unknown Affiliation
Dally, Charles K.
Unknown Affiliation
Agbedinu, Kwabena
Unknown Affiliation
Amoah, Michael
Unknown Affiliation
Yifieyeh, Abiboye Cheduko
Unknown Affiliation
Amoako-Boateng, Mabel Pokuah
Unknown Affiliation
Dayie, Makafui S.C.J.K.
Unknown Affiliation
Debrah, Samuel Akobour Yaw
Unknown Affiliation
Ohene-Yeboah, Michael O.K.
Unknown Affiliation
Etwire, Victor Kobby
Unknown Affiliation
Dakubo, Jonathan Cuthbert Balea
Unknown Affiliation
Essoun, Samuel A.
Unknown Affiliation
Glover-Addy, Hope A.J.
Unknown Affiliation
Osei-Nketiah, Samuel
Unknown Affiliation
Amoako, Joachim Kwaku A.
Unknown Affiliation
Adu-Aryee, Nii Armah
Unknown Affiliation
Appeadu-Mensah, William
Unknown Affiliation
Bediako-Bowan, A. A.A.
Unknown Affiliation
Dedey, Florence
Unknown Affiliation
Akatibo, Emmanuel
Unknown Affiliation
Kordorwu, Hope Edem Kofi
Unknown Affiliation
Gyamfi, Frank Enoch
Unknown Affiliation
Davor, Anthony
Unknown Affiliation
Coompson, Christian Lari
Unknown Affiliation
Yusufali, Taha
Unknown Affiliation
Lando, Justus O.
Unknown Affiliation
Parker, Robert K.
Unknown Affiliation
Ndegwa, Wairimu
Unknown Affiliation
Salleh, Afizah
Unknown Affiliation
Roslani, April Camilla
Unknown Affiliation
Chai, Chu Ann
Unknown Affiliation
Abdul Aziz, Dayang Anita
Unknown Affiliation
Abdurrazzaaq, Abdussemiu I.
Unknown Affiliation
Alada, Muslimat A.
Unknown Affiliation
Habeeb, Olufemi Gbenga
Unknown Affiliation
Muktar, Umar
Unknown Affiliation
Olajide, Thomas Olagboyega
Unknown Affiliation
Ihediwa, George C.
Unknown Affiliation
Nwinee, Victor B.
Unknown Affiliation
Balogun, Fatai A.
Unknown Affiliation
Ajai, Olalekan Temitope
Unknown Affiliation
Njokanma, Iloba G.
Unknown Affiliation
Kache, Stephen Akau
Unknown Affiliation
Ajah, Jonathan Luka
Unknown Affiliation
Makama, Jerry Godfrey
Unknown Affiliation
Adamu, Ahmed
Unknown Affiliation
Baba, Suleiman
Unknown Affiliation
Aliyu, Mohammed Salele
Unknown Affiliation
Aliyu, Shamsudeen
Unknown Affiliation
Ukwenya, Yahaya A.
Unknown Affiliation
Aliyu, Halima Oziohu
Unknown Affiliation
Sholadoye, Tunde Talib
Unknown Affiliation
Daniyan, Muhammad A.
Unknown Affiliation
Ogunsua, Oluseyi
Unknown Affiliation
Mshelbwala, Philip Mari
Unknown Affiliation
Ajiboye, Anthony
Unknown Affiliation
Abiola, Olajide Olusegun
Unknown Affiliation
OlaOlorun, Akintayo D.
Unknown Affiliation
Alvi, Abdul Rehman
Unknown Affiliation
Raza, Ahmed J.
Unknown Affiliation
Khan, Maryamali
Unknown Affiliation
Clegg-Lamptey, Joe Nat A.
Unknown Affiliation
Imoro, Osman
Unknown Affiliation
Sale, Danjuma
Unknown Affiliation
Abdullahi, Lawal Barau L.B.
Unknown Affiliation
Osagie, Olabisi O.
Unknown Affiliation
Faboya, Omolara Morounkeji
Unknown Affiliation
Fatuga, Adedeji Lukman
Unknown Affiliation
Taiwo, Agboola A.
Unknown Affiliation
Rickard, Jennifer L.
Unknown Affiliation
Statistics
Citations: 12
Authors: 194
Affiliations: 1
Identifiers
Doi:
10.1007/s00268-018-4624-8
ISSN:
03642313
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cohort Study
Study Approach
Quantitative