Global variation in patient factors, interventions, and postoperative outcomes for those undergoing trauma laparotomy: an international, prospective, observational cohort study

作者：Michael Bath, Michael F Bath, Joachim Amoako, Katharina Köhler, Abdullahi Said Hashi, Zhongheng Zhang, Daniel Umugisha Baderhabusha, Eder Cáceres, Carlos M Nuño-Guzmán, Max Marsden, Luca Carenzo, Monty Khajanchi, Raoof Saleh, Thomas Edmiston, C Hammer, Laura Hobbs, Brandon Smith, Peter J. Hutchinson, Thomas G. Weiser, Zane Perkins, Timothy C Hardcastle, Tom Bashford, Aiman Aamir, Ivan Abbott, Ward Abboud, Anwar Abdalla Mohamed Abdalazeez, Mohammed Abdallah, Mohammed Abdalla, Sondous Abdelaal, Omar Abdelfattah, Hesham Abdel‐Hady, Mohamed AbdelHady, Sarah Magdy Abdelmohsen, Abdihakim Elmi Abdishakur, Abdihakim Elmi Abdishakur, Akanni Bolaji Abdulazeez, Marwa Abdulkareem, Iddrisu Tidoo Abdull-Karim, Ali Hasan Abdulla, Makama Adamu Abdullahi, Hager Adly Mohamed Aboelfadl, Alaa Abdeltawab Abouammar, Ahmed Abouelnaga, Galal Abouelnagah, Hamdoon Abu-Arish, Amr Abusuliman, Ömer Acar, Emmanuel Acquah, Salma Ebrahim Adam, Auwal Adamu, Bashiru Mutiu Adebayo, Abanob Adel, Olalekan Adepoju, Ovuo Adolphus, Nii Ama Adu-Aryee, Nelson Kosi Affram, Suresh Agarwal, Rona Cansu Kavar Ağcabay, Thomas Agyen, Kwasi Agyen-Mensah, Elaf Ahmed, Elaf Ahmed, Ihsan Ahmed, Nazir Ahmed, Nazir Ahmed, S. Ahmed, Gamal Mutwakil Gamal Ahmed, Malaz khalid Yousif Ahmed, Mohamed Morsi M. Ahmed, Mohamed Sheikh Hassan Sh Ahmed, Mohamed Morsi M. Ahmed, Ibrahim Mutwakil Gamal Ahmed, Abass Oluwaseyi Ajayi, Muhammad Akbar, Emmanuel Akpo, Merve Aktas, Faustin Awinbilla Akum, Mohammad Ahmad, Yassir Al Azzawi, Osama Al Shaqran, Saleh Al wageeh, Azhar Ali Hamoud Abdo Al Yafrosi, Arwa Salam Alabide, Mohannad M. Aladawi, Saleh Husam Aldeligan, Alaa Nasib Aldirani, Marcos Alejo-Rivera, Maryam Alfa‐Wali, Abdullah Alfandi, Mahamad Ahmed Adam Alhadi, Mahmoud Abdelwahab Ali, Gökhan Alıcı, Bilal Alkas, Nawaf Hamad Almadi, Ahmad Almahjaa, Bayan Alnaser, Amran Mohammad Alnaser, Abdulaziz Mohammed Alotaibi, Essiane Meva’a Aloys, Abdulaziz M Alrwais, Nawaf AlShahwan, Mohammed Alsharif, Mohammad Alshraiedeh, Norah Alsubaie, Yüksel Altinel, Michele Altomare, Estefania Nikolle Cardona Alvarez, Sara Alves, Reem Alyahya, Mohamed T. Abo Amasha, Ahmed Amgad, Mohammed Hammad Jaber Amin, Mohammed Hammad Jaber Amin, Jaber Hamad Jaber Amin, Fagbero Aminat, Habibu Aminu, Nayab Amir, Joachim Amoako, Mabel Amoako-Boateng, Antzoulas Andreas, Anis Hasnaoui, Yasantha Liyana Arachchi, Carolina Picasso Arias, Isabella Armento, Douglas W. Arthur, George Aryee, Ahmed Samy Ashour, Shahzad Asif, Maha Atef, Martı́n Ávalos, Nashwa Awad Eltom Awad, Ghina Awais, Yunushan Furkan Aydoğdu, Yunushan Furkan Aydoğdu, Elaf Adel Hamdoun Aziz, Elaf Adel Hamdoun Aziz, Ibrahim Adel Hamdoun Aziz, Ahmed Yahia Mahadi Babiker, Mahmoud Essam Sayed Mohammed Badawy, Daniel Umugisha Baderhabusha, Mohamed Amgad Badr, Richard Baidoo, Lovenish Bains, Samir Albaseer Habiballh Bakhit, Sunder Balasubramaniam, Khuder Omar Ballan, Edoardo Ballauri, Ioannis Baloyiannis, Gerard Baltazar, Ee Jun Ban, Lasantha Bandara, Daniel Baraka, A Barcin, Emilie Barnes, Mohammed Bashir, Gary Alan Bass, Ceri Battle, Bekena Lemessa Bayissa, Cisil Bayir, Nebiyou Simegnew Bayleyegn, Dina Bekhit, Anis Belhaj, S. Benediktsdóttir, Valentin Bereshchenko, Katherine Cordero Bermudez, Andrew Bernstein, Aisha Masroor Bhatti, Margherita Binetti, Josué Birindwa, Lauren Blackburn, Muhammed Selim Bodur, Irini Bogiages, Ruggero Bollino, Andrea Bottari, Konstantinos Bouchagier, Ahmed Bouzid, Antoinette Bediako Bowan, Emre Bozlakoğlu, Jessica L. Brady, Olivia Braun, Luis Bravo-Cuéllar, Elma Bregaj, Adam Brooks, Joshua B. Brown, Nihat Buğdaycı, Johannes Jacobus Petrus Buitendag, Leta Dedefo Buta, Çağrı Büyükkasap, Kefas John Bwala, Onur Cakir, Elena Guillermina Caldani, Adnan Çalık, Giacomo Calini, Obi Chukwunyere Callise, Francesca Cammelli, Andrea Campos‐Serra, Burcu Canakci, Anne Carine Capois, Stefano Cardelli, Luca Carenzo, Eliot Carrington-Windo, Carolina Cecchi, Maurizio Cecconi, Arif Burak Cekic, Martina Ceolin, Maurizio Cervellera, Mohamad K. Abou Chaar, Kamtone Chandacham, Allison Chang, D. Chavez, Tianqi Chen, Cheng Chen, Brad Chernock, Narain Chotirosniramit, Isaac Chukwu, Stefania Cimbanassi, Stefano Piero Bernardo Cioffi, Bülent Çıtgez, David Clarke, Rachel Coates, Rosa M. Contreras-Arias, Andy Conway-Morris, John Kyle Cook, Richard Crawford, M Creed, Lizzie Crudge, Laura Fernández-Gomez Cruzado, Merve Çuhadar, Rhona Cummine, Giulia Curreri, Diogo Lebreiro Moreira da Cruz, Oluwasina Dada, Ayat Mohamed Abdalziz Daffalla, Nawaz Ali Dal, Muhammad Daniyan, Juni Dasril, William Davalan, Ross Davenport, Justin Davies, О. Е. Давыдова, Clara López de Lerma Martínez de Carneros, Karien de Kock, A. Sousa, Larissa Cristina Soares Barboza de Toledo, Rosita de Vincenti, Florence Dedey, Yisihak Shiferaw Degefu, Daniele Del Fabbrio, Edward Delgado, Muhammed Taha Demirpolat, Chammika Desman, Annamaria Di Bella, Luca Di Donato, Simona Di Salvatore, Kürşat Dіkmen, Klevis Doci, Christopher Dodgion, Agron Dogjani, Amaia Garcia Domínguez, Jiangnan Dong, Reece Doonan, Hannah Dowel, Hang Du, Elena Dumitru, Nurseda Dundar, Tom Edmiston, Montha Edris, Raymond Atah Eghonghon, Andy Eglinton, Tanya Egodage, Oluwayemisi E. Ekor, Samuel Ekpemo, Michael El Boghdady, Moustafa El Mahrouki, Ahmed El-Borollosy, Ahmed Elasad, Adel El‐Badrawy, Mohanad Elsafi Mossaad Elbashier, Ali Abdelmonim Mohamed Elhassan Elbashir, Toka Elboraay, Abdalla Nasser Eldiasti, Basma Sharaf Eldin, Mohammed Fathi ELdoadoa, Mohamed Attia Elfadali, Mohamed S. Elgendy, Mariam Hatem Elgliand, Hazem Elhadidi, Ola Abdallah Eljizoly, Abdallah Elkhouly, Engy Elkoury, Dina Elmagdoub, Ayub Hassan Elmi, Aesha Elmorshdy, Sara Elmorshdy, Sara Elmorshdy, Abdelrahman Elmorshdy, Mahmoud Saad Elnadi, Roba Osama Mukhtar Elnour, Mohey Aldien Ahmed Elamin Elnour, Farah Elsaied, Mahmoud M. A. Elsayed, Mahmoud Elsayed, Ahmed Elshaboury, Abdalla Magdi Elshal, Soha El Sheikh, M. Eltahir, Zachary Englert, Donald Enti, Donald Enti, Gülçin Ercan, Beyza ERDEM, Muhammer Ergenç, Ahmet Sencer Ergin, Joshua Erhabor, Cenk Ersavaş, Mohamed Essam, Begoña Estraviz‐Mateos, Abdi Lemma Eticha, Kayahan Eyüboğlu, Mohamed R. Ezz, Komal Faheem, Gihad Shaman Fakhri, Kara Faktor, Oluleke Falade, Ge Fangxia, Raneen T M Farash, Ahmad Faraz, Fay Fathima Imtiaz Fareed, Ayatallah Farrag, Sunguralp Farsak, Rabika Fatima, Massimo Fedi, F. Feliciano, Fatih Feratoglu, Rogério Bellini Figueiredo Filho, Francesco Fleres, Mariaceleste Colón Flores, Laura Fortuna, Eslam Fouda, Haoya Fu, Clotilde Fuentes-Orozco, Matteo Fumagalli, Jade Fyfe, Yasmena Gaber, Oussama Gaidi, Aditi Gaikwad, Elena Galindo, Stephen Gboya Gana, Feroz Ganchi, Fei Gao, Sophie Gasson, Nuno Gatta, Opeyemi Gbadegesin, Olaogun Julius Gbenga, Bisrat Kidane Gebremedhin, Jaclyn A Gellings, Sandra Gélvez, Lidya Gemechu, Tigist Girma Gemechu, Nirav Ghandi, Sandro Giannessi, Angeles Giavarini, Simone Giudici, Hüseyin Göbüt, Ahmed K. Gohar, Rawan Mohamed Gomaa, Inês V. Gomes, Maria–Judith Gonsalves, Alejandro González‐Ojeda, Nuri Emrah Göret, Stavros Gourgiotis, Christopher Groombridge, Jeremy Grushka, Senyo Gudugbe, AYAZ GUL, Osman Bilgin Gülçiçek, Taygun Gulsen, Sidra Gulzar, Kanchana Gunarathne, Kosala Gunasekara, S. Gunasekaran, Muhammet Gündal, Isaac Gundu, Ali Guner, Xuchang Guo, Araceli Rodríguez Gutiérrez, Emmanuel Y Gyabaah, M Muinul Hafiz, Fayza Haider, Lucy Hall, Sedra Hamad, Ali Hamdan, Mohamed Eldiasti Hamed, Faiza Hameed, Nada Hany, Timothy Hardcastle, Shanmugaraj Harikrishanth, Hamza Haroon, Lilav Hasan, Abdullahi Said Hashi, Amgad Hegazi, Asmaa Maher Albasha Hejazi, Abiyere Henry, Abdullah Hilal, Lauren Holt, Ob-Uea Homchan, Moataz Osman Mahjoub Homida, Mohammed Hoque-Uddin, Daniel Horner, Daniel Horner, Parker Hu, Michael Hughes, Phebe Lim Jen Hui, Halil Hussein, Chik Ian, María E. Ibarra-Tapia, Mohamed Ibrahim, Mohamed Ibrahim, Ahmed Ibrahim, Shaker Abaker Adam Ibrahim, Awab Hamdi Dyaaeldin Ibrahim, David Bamidele Idowu, Ifeanyichukwu Emmanuel Ihedoro, Lambert Iji, Emmanuel Ikwutah, Aris Ioannidis, Nazish Iqbal, Mehmood Ishaq, Rami Ismail, Mohamed A. Issak, Ahmed Itaimi, Parkhomenko Ivan, Y. Iwao, Rasha Jabari, Gavin Rubin Jacks, Zeeshan Muhammad Jaffer, Sarah Jamil, Aqsa Jawaid, Sharon Jay, Gayan Jayarathne, Bingumal Jayasundara, Kamal Jayasuriya, Hollie Jenkinson, J. Jeyaruban, Guan Jian, Aminat Oluwabukola Jimoh, Lee Jingwen, Tidarat Jirapongcharoenlap, Tomasz Z. Jodlowski, Hala Samira Mhd Othman Joha, Muhammad Nur Syamim bin Che Johan, Ehdaa Kallas, Atahan Karaaslan, Haluk Kerim Karakullukçu, Salam Al Kassis, Sergei Katorkin, Konstantina Katsiafliaka, Ke Yang, Daniel Lee Jin Keat, Eyüp Kebapçı, Monty Khajanchi, Elnageh Khalf, Mariam Khalil, Omar Khalil, Soukat Ali Khan, Muhammad Faisal Nadeem Khan, Muhammad Faisal Nadeem Khan, Tariq Hayat Khan, Sanya Ashraf Khaskheli, Shahida Khatoon, Rached Khelili, Feriha Fatima Khidri, Tiong Chiong Kian, Konstantina Kitsou, Connie Koay Chia Ern, Rachel Koch, Anil Taha Kodalak, Malin Kollind, Prokopenko Kostiantyn, Jessica Krizo, H Krüger, Vincent Kudoh, Varun Kumar, Yogesh Kumar, Yogesh Kumar, Philemon Kumassah, Nwanneka Louisa Kwentoh, Arthur Kwizera, Crystal Kyaw, Parkhomenko Kyrylo, Naadiyah Laher, Kokila Lakhoo, Sanee lalani, Aitor Landaluce-Olavarria, Cesar Fernando Huaroto Landeo, Estelle Laney, Andrew Leather, Quinston Lee, Vasileios Leivaditis, David A. Leon, David A. Leon, David E. Leshikar, Yu-Kai Li, Jin Li, Л. А. Личман, Yee Siew Lim, Rayssa Eduarda de Moura Lima, S. M. Ling, Andrey Litvin, Jie Liu, Songqiao Liu, Heura Llaquet-Bayo, Saray Quinto Llopis, Nazia lodhi, Carl Stephane Lominy, Jose Maria Lopez, Fernando López-Ortega, Kerl Giovanni Pierre Louis, Kai Lü, Yanqiu Lu, Qiang Lü, Wan-Ling Luo, Qiancheng Luo, Davide Luppi, O Lusawana, Federico Luvisetto, Simone Mackie, Mohie El-Din Mostafa Madany, Michael Oluwaseun Magbagbeola, Fatima Salaheldin Mohamed Mahdi, Hussayn Mefreh Mahfouz, Ahmed Awadelkareem Omer Mahmoud, Patrick Maison, Shumani Makhadi, H. Makki, Rana Mamdouh, Thamaneeyan Manivannan, Hazem Mansour, Nawar Mansour, J. Mansouri, Orla Mantle, Silvia Marchesi, Isabela de Almeida Marcos, Rodrigo Salvador Pederzoli Marecos, M. V. Marei, Fady Adib Abdelmalek Markos, Elizabeth Marshall, Francesco Matarazzo, S Mathibela, Reem Hani Matter, Georgios Matzakanis, Mohd Rashid Mazlan, Carmelo Mazzeo, Adele Mazzoleni, Iain McClure, Andrew McCombie, Matt McKenna, Gerard McKnight, Georgia Melia, Amir Iqbal Memon, Wu-Quan Meng, Carlos Pilasi Menichetti, Ahmed Menif, Philip Mensah, Taher Merchant, Minale Merene, Serhat Meriç, Amr Meselhi, Andrea Meza, Areeb Mian, Omolola Segunfunmi Michael, Adugna Mideksa, Mingjun Du, Louvenser Minthor, Antoine Mulungano Mirindi, Nathan Mitchell, J. Mithushan, Maeyane Stephens Moeng, Abd Elrahim Mohamadin, Abdulkadir Nor Mohamed, Ola Hussein Abo El-maaty Mohamed, Rashad G. Mohamed, Amr Mohamed, Basmala Mohamed, A Mohamed, Mohamed E. Mohamed, Suleyman Abdullahi Mohamed, Ali H.J. Mohammad, FAM Mohammed, Feroza Mohammed, Ibrahim Awad Osman Mohammed, Alaa Mohammed Ali Mohammed, Ahmed Tahir Badri Mohammed, Lugen Osama Yousef Mohammed, Shailesh Mohandas, Lesedi Mohlala, Lilamarie Moko, Jenna Molinari, Erica Monati, Diogo Lopes Monteiro, K. Moodley, Ramani Moonesinghe, Steffania Morales, Claudia Cristina Lopes Moreira, Dimitrios Moris, Martin Tangnaa Morna, Mohammad Mostafa, Josias Nshimiye Muhoza, George Duke Mukoro, Francesk Mulita, Sophie Mundell, Javaria Muneer, Ambreen Munir, Anna Muñoz-Campaña, A. Musa, Razaz Mahde Esmaeel Musa, Aya Musbahi, Asad Mushtaq, Muhammed Mustapha, Adam Rajab Mwinyi, Narious Naalene, Sumbul Nadeem, Rubab Nafees, Shanisa Naidoo, Ravi Naidoo, Syed Ali Naqi, Ashok Kumar Narsani, Mohammed Nassif, Angélica M. Nava-Franco, Sameena Naz, Ionuţ Negoi, Edward J Nevins, Yuxin Ni, Hongying Ni, Phifer Nicholson, Laura Nicol, Adamu Bala Ningi, Daniel K. Nishijima, Believe Ozioma Nomayo-Oriabure, Michael Nortey, Alisia Nortjie, Abdel Noureldin, Josephine Nsaful, Bachelard Cissa Wa Numbe, Carlos M. Nuño-Guzmán, Nchomboh McRyan Nwenasi, Chido Nyatsambo, Luis Fernando Pino O, Conor O’Flynn, Maaz Obaid, Helen Odion-Obomhense, Cosmas Okeke, Kenneth Okpokiri, Boladuro Emmanuel Olawale, Abdirahman Ahmed Omar, Ahmed Moawia Basher Omer, Scott Osahon Omorogbe, George Oosthuizen, Bogdan Opriță, Philippa Orchard, Emmanuel Osamwonyi Oriabure, Steve-Nation Oriakhi, Jesús J. Orozco-Camacho, Ahmet Batuhan Oruc, Ruth Bossuet Osias, Abdulrahman Osman, Kemunto Otoki, Majd Oweidat, Sam Owen-Smith, Emmanuel Owusu Ofori, Emmanuel Owusu Ofori, Ömer Faruk Özkan, Adnan Özpek, Hamdi Ozsahin, Matteo Pagani, Simona Pangallo, Dimitra Papaspyrou, Roberto Martínez Pardavila, Robert K. Parker, Robert Parker, Dan Parry, Giovanni Pascale, Mohamed Quraish Patel, Stavro Paulo, P. Z. 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Stafford, Nichole Starr, Eya Mvondo Stephane, Daniel Stephens, Paula Strong, Paula Strong, Duminda Subasinghe, Vitus Nduka Sunday, F.J. Sweeney, Benali Tabeti, Hosam I. Taha, Heba Taher, Collins Takyi, Altaf Ahmed Talpur, Daniel Tamatey, Jay Roe Tan, Yousef Tanas, Jiyan Tang, Saad Tariq, Carla Tasca, Birhanu Tasew, Ibtesam Tasleem, J. R. Taylor, Amanda L. Teichman, Ramazan Kubilay Tekcan, Erdinç Tekel, Yahsze Teo, Pavel Tereshchenko, Marco Tescione, Rachel Thavayogan, Jerry Goo Tiong Thye, Anisse Tidjane, Tim Fabrice Tientcheu, Osias Tilahun, Abel Wondewosen Tilahun, Maximiliano Titarelli, Khalid Tolba, Valeria Tonin, Serdar Topaloğlu, Hüsna Tosun, Racem Trigui, Teo Li Tserng, David Keya Tsongo, Cem Tuğmen, Korhan Tuncer, Gizem Kılınç Tuncer, Hayaki Uchino, Omar Ugas, Rindi Uhlich, Ikram Din Ujjan, Linus Ukwumonu Ukwubile, Mehmet Uluşahin, Serdar Ünlü, Tevfik Kıvılcım Uprak, Kisi Urgessa, Mehmet Arif Usta, Ludovica Vacca, Garantzioti Vasiliki, Sebastián E Vélez, Francois Viljoen, Diego Visconti, Angeliki Vouchara, Paul Vulliamy, Reinder Vos de Wael, Howard Wain, Christopher Wakeman, Laura Walker, Zhipeng Wang, Zhipeng Wang, Nan Wang, Shengfeng Wang, Qing-Bo Wang, Kaixuan Wang, Ali Muhammad Waryah, Mahtab Washdil, Marc Ong Weijie, Lauren E. Wilson, Githma Wimalasena, Sagara Wimalge, Devorah Wineberg, Jared M. Wohlgemut, C. B. Wolff, Y.S. Wong, Evan G. Wong, Theodore Wordui, Changde Wu, Lim Woan Wui, Liu Xiao, Keliang Xie, Fang Xingming, Teoh Yu Xuan, Teoh Chia Xuan, Xueqi Li, Mohamed Musa Yassin, Erkan Yavuz, Aydın Yavuz, Büşra Yeşilova, Banu Yiğit, Ali Cihat Yıldırım, Yonas Yilma, Mehmet Yilmaz, Mabel Wong Tze Ying, Oloruntoba Yinka, Mehmet Yildirim, Susan Yoong, Omar Tarek Younes, Ibrahim Mohamed Younes, Zubair Ahmed Yousfani, Mariam Youssef, Helen Yu, Ewan Yung, Dina Zahran, Andee Dzulkarnaen Zakaria, Andee Dzulkarnaen Zakaria, Julio Zeballos, Helmi Zebda, A. Zeid, Lamees Adil Abdulbaqi Zeinalabedeen, Mahmut Zenciroglu, Sezgin Zeren, Jun Zhang, Zhongheng Zhang, Haoyue Zhang, Zheqing Zhang, Tian Zhaoxing, Ryan Ang Ming Zhi, Mingkai Zhou, Aya Ziada, Maurizio Zizzo, Mohamad Nur Firdaus Bin Zulkifli · 发表于：The Lancet Global Health · 年份：2025 · DOI：10.1016/s2214-109x(25)00303-1 · 被引用次数：10 · 研究领域：Trauma and Emergency Care Studies、Abdominal Trauma and Injuries、Abdominal Surgery and Complications

BACKGROUND: The trauma laparotomy is a definitive intervention for life-threatening abdominal injuries and a cornerstone of trauma care globally. The ability to perform an emergency laparotomy is a recognised marker of safe and effective surgical care within a health system. However, the global variation in the provision, context, and outcomes of the trauma laparotomy is unknown. This study aimed to identify the variation in patient factors, interventions, and postoperative outcomes of those undergoing a trauma laparotomy worldwide. METHODS: We conducted a prospective international observational study in 187 hospitals across 51 countries between April 1 and Dec 31, 2024. Patients who presented with a blunt or penetrating traumatic injury and underwent a laparotomy within 5 days of presentation were eligible, with information on presentation, interventions, and outcomes collected. Countries were stratified by Human Development Index (HDI) tertile and the primary outcome measure was postoperative in-hospital mortality, measured to 30 days. Adjusted mortality risk was calculated using logistic regression analysis. The study was registered to ClinicalTrials.gov (NCT06180668). FINDINGS: We included 1769 patients, comprising 563 patients (31·8%) from the lower HDI tertile, 714 patients (40·4%) from the middle HDI tertile, and 492 patients (27·8%) from the upper HDI tertile. Median age was 30 years (IQR 23-43) and 1512 patients (85·5%) were male. Patients from upper-HDI countries ha...