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Alvarez A, Bagshaw S, Biccard B, Boccalatte L, Borunda D, Calvache JA, Carmona MJC, Castillo-Huerta NM, Charles S, De-la Medina AR, Delgado-Ramirez MB, Fowler A, Frias M, Hajjar LA, Hewson R, Illescas ML, Kon-Liao K, Lemaire SB, Lincango EP, Martinez MB, Mc Loughlin S, Montoya C, Nakada LN, Ortiz LG, Padmore G, Patel A, Pearse RM, Quintão VC, Riva J, Rosado ID, Shu S, Soza-Argaña R, Stefani LC, Vaca M, Villablanca N, Wijeysundera D, Zachi OB, Pérez A, Roca A, Prieto FP, Villarino LI, Bocci C, Bilos MA, Aredes VE, Masri L, Serafini VH, Currao AV, Feola MV, Leone AI, López AR, Martin PE, Warnes I, Turesso VD, Hudson TE, Bof C, Del Carretto A, Ciccola A, De Nicola FE, Mazzini HA, Dayoub AL, Baldi C, Ceretti M, Risso M, Bacino L, Filisetti JE, Szakura M, Furlan A, Alvarez L, Márquez J, Cragnulini AP, Matassa J, Ballarino B, Albarracin P, Collia AE, Celso N, Boschini VP, Romero CD, Mendez J, Veloso AJ, Saco G, Capurro J, Szmulewicz HE, Montanaro M, Díaz FA, Sanz R, Toscana DM, Lafuente EJ, Boschini VP, Hwang IH, Masnata G, Pedemonte MF, Alfonso B, Felix L, Tano FJ, Vargas SE, Varela RL, Olmedo A, Olivares M, Bottegal M, Fenoglio AB, et alAlvarez A, Bagshaw S, Biccard B, Boccalatte L, Borunda D, Calvache JA, Carmona MJC, Castillo-Huerta NM, Charles S, De-la Medina AR, Delgado-Ramirez MB, Fowler A, Frias M, Hajjar LA, Hewson R, Illescas ML, Kon-Liao K, Lemaire SB, Lincango EP, Martinez MB, Mc Loughlin S, Montoya C, Nakada LN, Ortiz LG, Padmore G, Patel A, Pearse RM, Quintão VC, Riva J, Rosado ID, Shu S, Soza-Argaña R, Stefani LC, Vaca M, Villablanca N, Wijeysundera D, Zachi OB, Pérez A, Roca A, Prieto FP, Villarino LI, Bocci C, Bilos MA, Aredes VE, Masri L, Serafini VH, Currao AV, Feola MV, Leone AI, López AR, Martin PE, Warnes I, Turesso VD, Hudson TE, Bof C, Del Carretto A, Ciccola A, De Nicola FE, Mazzini HA, Dayoub AL, Baldi C, Ceretti M, Risso M, Bacino L, Filisetti JE, Szakura M, Furlan A, Alvarez L, Márquez J, Cragnulini AP, Matassa J, Ballarino B, Albarracin P, Collia AE, Celso N, Boschini VP, Romero CD, Mendez J, Veloso AJ, Saco G, Capurro J, Szmulewicz HE, Montanaro M, Díaz FA, Sanz R, Toscana DM, Lafuente EJ, Boschini VP, Hwang IH, Masnata G, Pedemonte MF, Alfonso B, Felix L, Tano FJ, Vargas SE, Varela RL, Olmedo A, Olivares M, Bottegal M, Fenoglio AB, Varela RL, Molinari M, Chalco W, Featherston E, Mallón G, Nicotera M, Olozaga M, Palumbo H, Valle A, Bravo J, Passone N, Fernandez MS, Marton MP, De Bonis FE, Jauregui EG, Tobio S, Mata-Suarez S, Aspiazu AS, Presinky MN, Silvero MA, Cueli ML, Fernandez LM, Segovia D, Branda G, Caputti C, Nannini F, Quiroga AS, Vergara M, Pizzi LJ, Arabia ED, Saracco C, Baleato LN, Cobeña M, Mateucci JF, Torre M, Fornero JM, Blanco M, Duro A, Matthiess S, Caubet MM, Rius M, González M, Manfredi A, Cian E, Gace MB, Russo E, Bernal N, Martínez R, Letowski T, Acosta JG, Jue MS, Alvarez J, Campuzano LP, Altamirano AR, Angeloni JP, Despuy JP, Priotto A, Siri J, Masino EE, Lenza V, Merialdo MFR, Barboza R, Vaula L, Gutierrez ME, Aquino A, Arancibia JD, Morales RX, Saravia DA, Sanguino CV, Campos JPR, Herrera CL, Gonzales PA, Zamar MO, Luis EN, Cistola VG, Chwat C, Rosato G, Alexandre FA, Valli DJ, Duarte GD, Duarte MR, Lemme G, Bria LM, Pineda F, Ferro S, Sierra AP, Neira DH, Rottari M, Nigro NA, Esquivel CM, Airaldi NA, Garcia M, Lascano FM, Ruggiero LA, Costa M, Laprida AB, Carreras L, Gorganchian F, Fischer J, Castellano MF, Vidal MG, Casanova L, Serafini V, Milagro ZM, Raffa GA, Colas CF, Marcelo V, Martin PE, Delía G, Corsaro AA, Volpe V, Ghezzi MA, Orso N, Zamponi C, Vazquez V, Lago HH, Jimenez LB, Terradillos F, Candel MC, Oyenard C, Gerbaudo PJ, Howell É, Walkes KY, Arthur ER, Springer D, Pembleton DR, Barker D, Smith A, Forter-Chee-A-Tow NM, Forter-Chee-A-Tow C, Chase C, Marshall D, Francis A, Yhap N, Ellis P, Edmee-Kelly M, Pinto IF, Neto JD, Silva C, Zequi S, Meduna R, Nobre J, Kupper BEC, Aguiar S, Alves VS, Kowalski LP, Baiocchi G, Gonçalves BT, Pintor F, Ferreira E, Santos S, Makdissi FB, Gross JL, Marques N, Coimbra FJF, Vartanian JG, Maioli DT, Zaro CC, Menegazzo RL, Piras C, Christo F, Conti R, Azevedo V, Ferreira G, Reis M, Suzart ACB, De Almeida FM, Lorentz MN, Vianna B, Pimenta MN, Pimenta TN, Soares RR, Lança AJ, Beato P, Galdino KT, Rodrigues G, Moisés ECD, Zani ACT, Prado CAC, Yasuda A, Brazan ML, Recife S, Cangiani LH, Vazquez LG, Pereira LFG, Franco T, Murad R, Silva MES, Pontes JPJ, Mourão P, Curci FB, Cardoso R, Cardoso GCL, Matos CF, Pereira NAC, Martins PC, Miranda ISN, Michalick ID, Vilas Boas WW, Gomes MH, de Sena LC, Procópio IA, Lemes JL, Souza TF, Machado M, Carvalho VH, Reis E, Junior PN, Modolo NSP, Braz LG, de Barros GAM, Guirro UB, Brandão A, Nunes RA, de Rinaldis A, Daniachi D, Abrao F, Zuiani G, Ciaralo P, Nishinari K, Costa L, Bueno I, Cavalcante R, Silva G, Vilela ACM, de Abreu LF, Marcondes I, Teixeira YR, Morais R, Coura DAB, Gonçalves JC, Faria K, Sampaio FA, Melgaço JAR, Ferreira N, Gurgel S, Cota GH, Marques NT, Coca WP, Espinoza R, Moralez G, Petronilho DR, Dainez SR, de Freitas GM, Franco GL, Goulart GV, Miksche L, Rebelatto B, Gonçalves AJ, Barbosa RR, Prati B, Pasolini L, Neto VT, Dadalt D, Serpa H, Brandão GA, Joviliano EE, Valera F, Rodrigues Junior AA, Tamashiro E, Reis R, Bisinotto F, da Silva AP, Camargo IR, Martins LB, Caetano AM, Duarte NMC, Dornelles DA, Sirtoli IS, Silva Neto PC, Pando CS, Braulio G, Schiavo CL, Stahlschmidt A, Passos SC, Andre AR, Pereira EA, Leite F, Rodrigues BP, Onari NT, Sousa VM, Chaves RP, Sanches LC, Milani MV, Bueno F, Cattaneo R, Mahl C, Zimmermann L, Cossetin J, Remedil G, Souza S, Park CL, Dusilek C, Lech G, Ferreira CB, Ferreira C, Pazini RN, Tsuchie DM, Guesse HR, Santos AR, Torres GAS, Mochizuki M, Vidotto LM, Vilela MPQ, da Silva PWR, Dias IHR, Florindo HB, Jorge MRF, Slullitel A, Lima L, Andrade V, Campeone MC, Bagio CRR, Avezum VAF, Pereira THS, Benatti M, Santos JP, Assis JA, Vaz E, Sanches M, Ribeiro Junior OD, Herrera PA, Matsuda RS, Silva L, Marin ÉT, dos Santos RCA, da Silva GG, da Silva CHR, Gontijo G, Procopio B, Mesquita TG, Isoni NCF, Araújo FS, Amorim AVC, Coelho VS, Vaz LN, Morato PE, Dias V, Reis V, Furtado T, Nascimento J, Duda SFC, Barchin VF, Cesar DS, Suzuki V, Abdala OA, Perez MV, Pereira JS, Beolchi JP, Martins EV, Gonçalves NB, Ferreira L, Drumond LM, Milagres KDS, Mesquita JV, Rodrigues JAM, Lopes M, Hatanaka D, Torres F, Rodrigues C, de Melo KA, Koyama AJ, Baeta C, Constantino L, Valim LM, Cruz M, Miranda M, Teruya A, Tierno PF, Bocalon BD, Robis SS, Araujo APS, Tierno PF, Bocalon BD, Robis SS, Tigulini M, Burnier V, Damião VP, Costa RF, Fernandes G, Bedin A, Fronza M, Vieira NC, Bedin RAC, Patti MM, Patruni E, Naritomi MK, Ritter V, Sagawa G, Tanaka A, Schmidt AP, Milagre F, Porciúncula AS, Berto M, Scheid R, Paiva ER, Bittencourt JA, Kruger CP, Rossi EP, Pereira RR, Lacerda FH, Pena FM, Bosso CE, Vasconcellos ICM, Damo GPA, Silva A, Miranda C, Silva PB, Pedrosa RP, Rocha E, Zaidan J, Santos R, Nicastro L, Lucchesi SB, Araújo JH, Lopes AT, Rodrigues C, Selegatto G, Marino R, Santana B, Falcão LF, Alves I, Souza CF, Queiroz MRM, Polezi MR, Santos LPS, Bellini AC, Candido SL, Hoffmann J, Silva VS, Martins AN, Burgos G, Pires AL, Santos D, Leal PC, Lima WL, Rocha A, Queiroz Neto PB, Parreao HB, Santos SS, Rios VF, Brito MVA, Mafioleti RL, Lineburger E, Damasio D, Rodrigues A, Moretti D, Silva LM, Silveira S, Bellicieri FN, Santos LB, Nersessian R, Sousa Junior EC, Silva NRF, Cristina A, Schazma SH, Giordani AD, Berton P, Menegasso AS, Martins KM, Tognon A, Gonçalves M, Bogniotti L, Daher M, Segurado A, Baldin S, Bastos MB, Castilho M, Assis R, Silveira Neto WK, Moura G, Fernandes A, Simões CM, Fernandes BA, Sales G, Xavier R, Arap S, de Oliveira LCM, Schneider J, Aranha F, de São Thiago LEK, Lunardeli TL, Cancado TO, Cancado FB, Peral ARS, Nery EP, Gomes TF, de Campos VF, Natal AM, Pavón R, Carvalho CC, Sousa AVM, Ramos IB, Souza ABS, Regueira SA, Filho DL, Gois F, Fonseca MP, Mattos G, Andrade MS, Correia VMS, Azevedo VMS, Lima AVA, Alencar C, Almeida AM, Fontes J, Barreto PVC, Valentim G, Santos FB, Silva ALB, Noal H, Schwarzbold A, Senger R, Barcellos G, Rodrigues GS, Golfetto JG, Nunes T, Araujo L, Dourado D, Guimarães G, Pereira H, Junior CRN, Wannlen K, Coelho GA, Britzke AP, Oliveira AC, Pinheiro R, Reis M, Azi L, Silva R, Mariot EAS, Malanowski J, Montes E, Schleder J, Poppi J, Gonçalves M, Antunes MO, Matos JVS, Romano TG, Dutra M, Maia I, Mazera M, Silva MEK, Murata JYH, Alves FGR, Vieira APZ, Agena F, Burbano RP, Amato VL, Maldi CP, Menezes MP, Friolani S, Garofalo AR, Yao T, Sena K, Oliveira JP, Vieira L, Costa VS, Atik F, Melo LA, Batista TP, Gonçalves AFK, Barbosa FF, Oliveira LRL, Pragana DW, de Melo BCO, Paiva KLS, Santos N, Camara L, Figueira FAS, Freitas DL, de Campos VF, de Almeida JP, Ramos PD, Moreira Junior AJ, Kawahara LT, Barbosa AV, Matos PB, Magnus G, Cordeiro M, Silva YP, Laurentys L, Borin L, Minelli C, Palma T, Vilela RM, Barcelos RB, Mendes FF, Pereira TG, Follador K, Lau VK, Júnior SB, Cardoso GR, Faria NA, Grala CG, Tietz PH, Dall Agnese MA, Hinterholz AE, Giampaoli AZ, Duarte FB, Ricchetti M, Silva LR, Nakagawa A, Pinto GA, Soares EC, Carneiro F, Camargos FR, Fernandes ML, Leão WM, Pereira SM, Furletti R, Amaral LN, Vieira F, Gabriel PL, Viana JC, Kayser TFC, de Freitas JF, Pessoa DWR, Fortuna RNI, Gonçalves D, Fonseca MKC, da Silva MER, Souki M, Calixto CA, Marroso CV, Tiburcio R, Lanna AM, Franklin A, de Oliveira WA, Zague J, Rodrigues P, Precoma DB, Barbosa M, Correa C, Nakashima CK, Belinaso L, Yokota M, Sehnem E, Barbosa Neto JO, Vilar DCS, da Fonseca TP, Gomes AV, Carvalho HO, Pereira JEG, Belizário AM, Cestario E, Vilela ACM, Pereira R, Ferreira C, Minei TS, Barchin VF, Rocha E, Martins M, Amar M, Concha C, Manzor M, Palet JC, Figueroa AS, Pellegrino VG, Radich J, Carcamo L, Dieguez F, Kunstmann M, Droguett S, Cornejo RG, Silva DV, Schnettler ÁJ, Inostroza PA, Lattus CR, Caniulao FM, Bettini AI, Miranda DM, Ulloa JIV, Bargetto MN, Roth FB, Altamirano CR, Mantilla L, Colmenares AKG, Garrido AM, Cadena B, Arce C, Pasten D, Salvatierra K, Vergara A, Muñoz DG, Padilla GR, Olivera OA, Munzenmayer DC, Donoso VR, Rangel NR, Palominos JA, Flores MR, Cofre P, Santander AV, Gutierrez N, Herrera H, Cacares R, Letelier M, Mayorga MAC, Leon P, Urzua R, Carvacho P, Rebolledo G, Moret L, Turchan NS, Perozo FM, Aedo R, Zepeda N, Goncalves A, Alvarez JP, Novoa J, Fuentes VC, Yañez M, Paravic N, Guilisasti KS, Almonacid VM, Galleguillo IZ, Gonzales K, Marcano LB, Mejias JE, Guajardo HF, Dube C, Valls N, Pedrero P, Sepulveda V, Valencia JF, Salazar DP, Bocanegra JC, Tenjo M, Beltran PD, Hernández CM, Portilla GD, Malte VR, Casanova RF, Enciso JN, Barrero RG, Saavedra GE, Cárdenas VA, Montufar CA, Aragon CP, Arango J, Barrera MV, Poveda DP, Vargas LH, Borrero LM, Murillo JR, Gómez JS, Puentes CL, Valencia SM, Leon-Giron L, Bocanegra LI, Bravo A, Orozco-Chamorro C, Castellanos C, Quiroga SVO, Paez CAS, Casteñeda ID, Sanches CL, Ceballos DA, Lopez MF, Martinez KMM, Fong LEB, Muñoz DAP, Rivera JP, Montilla AB, Villa MI, Borrero LMG, Ibarra P, Buitrago JDR, Morales F, Olivieri NMG, Gonzales JM, Guevara J, Bulla AP, Rodriguez MCL, Assis FC, Lozano N, Escobar F, Suzarez E, Peñalosa N, Carriel G, Vasquez AFR, Borrero LMG, Diez ME, Echeverry MLR, Cadavid JPB, Escorcia LC, Cardeño D, Penoth AC, Ortegon G, Garcia L, Ramos NA, Dennis MJ, Caballero AF, Fernandez JP, Nieto A, Sinisterra S, Martinez GT, Mafla JC, Guativa NH, Vinueza JF, Archbold G, Corpus WA, Sanchez L, Botero JH, Manrique JFV, Zapata SG, Berrío JGV, Durán AI, Robledo JEW, Gómez MPG, Roldán ZK, Mendiola V, Rodriguez CD, Lambraño HP, Pérez SE, Drago RC, Ríaza VMQ, Agudelo LG, Chacon MCP, Guerrero AF, Pedroza NAC, Martínez EST, Penna FAB, Toro LC, Hernandez EAB, Villaquiran FA, Palomino PH, Mosquera AV, Garcia ME, Micolta LM, Castellanos C, Perdomo JT, Cardozo JT, Perdomo VG, Vega MC, Diaz JMQ, Martínez JFV, Rodríguez A, Orozco A, Garcia AMV, Garcia B, Cotes JCV, Sanin A, Mayor JDA, Dussan K, Useche L, Correa DZ, Bautista GC, Rojas D, Perdomo CE, Sanches-Gomez TA, Daza MXS, Gustin DA, Quiñonez JD, Fernandez JPQ, Botero JHA, Arbelaez-Monsalve EA, Zuñiga SM, Deossa MF, Vasco M, Araya D, Coto JF, Vargas M, Alemany M, Fuentes JE, Batista SS, Villegas A, Cabreja D, Diaz SA, Rodriguez J, Castellanos HG, Mejía D, Tolari RA, Cedeño-Bruzual MF, Baleta M, Guaba AC, Schnirpel VM, Orta D, Vargas GC, Lantigua GC, Heredia RE, Santana BDG, Matos M, Sosa Y, Perez AMS, Valdez ER, Figueroa J, Ortiz F, Ghazanfari H, Ramírez JAR, Gabriel J, Contreras MA, Jiménez MG, Garcia LI, Pimentel HJ, Garcia JM, De Liu LM, Rodriguez M, Diaz S, Perez D, Diaz K, Cabrera S, Castellanos J, Encarnacion O, Campuzano N, Otañez E, Enriquez JAR, Martinez JC, Flores L, Velepucha-Iniguez J, Escalante HT, Ludeño S, Rodrigue-Maya V, Quisiguina SI, Quisiguina R, Ibarra C, Puente M, Silva D, Rivadeneira F, Sarzosa M, Calderon A, Caceres V, Vacacela JP, Vega MM, Montenegro D, Velasco S, Ron M, Taco RA, Díaz MS, Alegria N, Fuenmayor L, Brandt FJ, Saltos GP, Salazar-Robalino M, Tzic R, Cerezo MV, Chamorro MI, Cermeño RC, Mahecha FA, Muralles IL, Sanchez R, Alonso AG, Herrera JD, Alvarado A, Solis JJC, Noack A, Barillas S, Moralea K, Ardebol J, Recinos S, Lopez BH, Guevara M, Nasser W, Suazo S, Pineda GP, Gross G, Sanchez H, Aguiar MO, Lopez ME, Barahoma S, Villeda CWR, Cordera F, Morales JE, Amaro LP, Juarez MM, Vargas RL, Alvarez MR, Maffuz-Aziz A, Tencio FB, Cisneros JR, Rodríguez YR, Aboumrad A, Almazo RR, Trigos JC, Zarete M, Dhaity GD, Bustamante-Silva LA, Almeida ER, Cabrera JA, Santamaría KL, Cazarez-Huazano S, Quiroz O, Nuño-Guzmán CM, Gonzáles ME, Flores-Fonseca ER, Ulloa Robles JJ, Martín-del Campo FM, Loza-Salazar AD, Nava-Franco AM, Bravo-Cuéllar L, Mora-Huerta AM, Ambriz-Plascencia AA, Ibarra-Hurtado TI, Ibarra-Tapia MI, Núñes-Velasco SN, Vazquez-Limón JC, Luna-Hernández EA, Valadez-Correa FV, Becerra-Cárdenas J, López-Taylor JG, Ballesteros-Manzo A, Becerra-Cota MG, Tafoya-Arreguín G, Beristain-Hernandez JL, Diaz-Baez D, Rivera-Salas D, Guillen-Gonzales MA, Ojeda AG, Orozco CF, Valadez AE, Valadez TA, Perez IV, Ponce FY, Tellez MP, Casas MF, Diaz KV, Camargo SA, Ruvalcaba MJ, Ramírez BG, Camacho FJ, Bravo CR, Ciociano JM, Guevara GC, Perez EC, Cardona GC, Gonzales LR, Torres EC, Villaseñor AA, Flores AOC, Cardiel GC, Martínez JA, Gastelum JO, Lopez NG, Bernal NE, Aguado RA, Prado JF, Palomino AF, Díaz JG, Mejia EG, Rodríguez IO, Najar R, Lara MJM, Durán I, Martínez L, Vázquez DS, Quiroga FP, Zarraluqui AM, Sánchez ID, Martínez GE, Trejo-Avila M, Gutiérrez KE, Morales MF, Hernandez AI, Lozano-Salazar RR, Ruiz-Casanova E, Gonzales MT, Aguilar JL, Mortera RJ, Ferro OB, Rodríguez RG, Vallejo AC, Contreras JM, Domínguez DR, Ahuatzin AC, Medina LG, Robles EE, Flores EC, Guzman ZT, Hernandez EL, Perez MN, Pardo CD, Rea B, Galaz FP, Flores AO, Garcia KJ, Lopez ZM, Namur LDCM, Lores JRM, Alvarez-Lozada LA, Guerrero-Zertuche JT, Gonzáles-García PL, Orta-Guerra EV, Cisneros-Barrios SJ, Arrambide-Garza FJ, Durán-Castro DG, Méndez-Morente GA, Maldonado-Calderón JL, Verduzco-Sierra OA, Garza AQ, Omaña RE, López SG, Baca GJ, Mercado MP, Juárez YA, Isais JR, Ramos-Morales PE, Hernández-García KF, Treviño AZ, Garza MS, Morán LL, Reyes BA, Wong-Arce NA, Guajardo-Aspiazu GI, Alvarez YS, Peña-Campos GV, Compte DV, Ruan JM, Hirata GM, Navarrete J, Garcia ML, Figueroa AR, Navarrete ER, Peón AN, Del Arenal AM, del Angel AL, Escorcia AE, Medécigo MJ, Baca HP, Aguilar MR, Hernandez IK, Lorenzo DL, Torres AR, Noya CC, Islas SA, Arteaga SP, Montiel BR, Meníndez RL, Acosta AM, Gonzáles HM, Santamaría JR, Velázquez JS, Roque LE, Callejas KG, Mejia A, García N, Garcia AL, McKay G, De Salas K, Barria D, Lara T, Pasquel M, Arrocha N, Adames O, Sanchez T, Alvarez AD, Miranda A, Him L, Ruiz HI, Nereira A, Isaza AM, Tuñon GP, Esquivel M, Gomez M, Burgos-Caballero R, Flores M, Moreno E, Chong W, Aguirre AN, Pirro L, Orobio A, Gómez TR, Ruiz MY, Bejerano E, Olivares JA, Barba R, Mora J, Hernández YI, de Gracia R, Botello KM, Quiodettis M, De Leon E, Guerra EG, Jaén I, Diaz YE, Gonzalez JI, Ortega DK, Quinzada MD, Diaz M, Centurión S, Ayvar A, Zevallos-Ventura AS, Corcuera-Ciudad R, Vela LV, Salas AH, Velasquez R, Landeo CF, Cydejko CL, Valencia MR, Carpio Y, Palomino F, Camacho FJ, Acero G, Betalleluz J, Menacho D, Romani A, Loyola CC, Alarcon DA, Acuña AP, Purizaca-Rosillo CV, Morocho-Alburqueque N, Ramírez-Hernández H, Valdiviezo-Morales CG, Soldevilla B, Miyasato HR, Bueno FC, Delgado J, Vásquez LV, Castro CO, Espinoza A, Llontop E, Arevalo GE, Caceres C, Alvarado CH, Caballero VD, Cruz CE, Wust JM, Reyna RR, Jara JG, Pinillos L, Torres-Alvarado E, Cabrera-Sanchez J, Llana JE, Sanchez-Gonzalez C, Pacheco GM, Condori EP, Chagua AO, Gonzales J, Condor MO, Solano VN, Sanchez MA, Asto RR, Reyna YJ, García JP, Colonio RY, Mascaro YS, Mendiola G, Salazar A, Melgarejo EG, Barrionuevo LA, Venegas S, Ruben B, Moonilal S, Pilwah M, Chackan SK, Maharaj V, Duncan J, Charles J, Singh D, Peters R, Caton KR, Sookoo A, Austin T, Riva J, Illescas ML, Penza PA, Ramos G, Monteiro M, Torrado MJ, Brandolino A, Galarraga F, Maryana MN, Lotito M, Cavalliere V, Berrutti M, Gallo A, Dutra M, Duarte L, Andrade B, Rañon DP, Bentancur E, Schwartzmann A, Vazquez T, Gimenez RC, Ingold G, Magela P, Ettlin A, Perez AM, De Palleja MP, Bonelli MC, Pedrón R, Quintela V, Castelgrande L, Segredo M, Pires A, Bentancor V, Ibarra NM, Alvarez G, Castro A, Trinidad E, Pastor M, Altez S, Guerra F, Da Rosa V, Marchetti J, Sorbara C, Lagurara GM, Alvarez G, Cebriá AL, Perdomo M, Bonilla F, Dominguez F, De Leon C, Irizaga G, Carro S, Avellaneda F, Gonzalez V, Gûida AM, Sosa F, Martinez G, Plà G, De Leòn D, Batalla P, Dabarca DS, Alfaro C, Alvez B, Falero MJO, Ami AO, Hornos J, Pequeño A, Rey J, Alberti L, Ramade P, Recoba J, Olivera L, Godoy C, Castro S, Soria M, Estefanell R, Dotti S, Correa S, Ducan L, Franklin B, Maria L, Bouchacourt JP, Vanerio P, Sambucetti IS, Noya B, Méndez G, Urioste G, Landín E, Martinez LR, González D, Moreira E, González R, Cateura FM, Solla G, Malet MV, Turconi L, Miranda A, Cruz SM, Sosa SG, Formoso V, Pereira L, Asteggiante D, Ettlin A, de Santa Ana P, Hankus V, Martinez-Millan S, Díaz A, Sanchez O, Guerrero MDR, Diaz D. Patient outcomes after surgery in 17 Latin American countries (LASOS): a 7 day prospective cohort study. Lancet Glob Health 2025; 13:e635-e645. [PMID: 40155102 DOI: 10.1016/s2214-109x(24)00558-8] [Show More Authors] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2024] [Revised: 10/13/2024] [Accepted: 12/16/2024] [Indexed: 04/01/2025]
Abstract
BACKGROUND Access to safe surgical treatment across Latin America is limited by underfunded and fragmented health systems. Epidemiological data are required to describe surgical activity and patient outcomes. METHODS We did this 7 day prospective cohort study in 17 Latin American countries, collecting data describing inpatient surgery in adults (aged ≥18 years). The primary outcome was in-hospital postoperative complications within 30 days after surgery. Secondary outcomes were in-hospital mortality, duration of hospital stay, and admission to critical care within 30 days after surgery. This study is registered with ClinicalTrials.gov, NCT05169164. FINDINGS Between June 1, 2022, and April 30, 2023, we included 22 126 patients (mean age 49·7 years [SD 18·2]; 9260 [41·9%] male and 12 866 [58·1%] female; 10 180 [46·0%] White) from 284 hospitals. Of the 22 126 patients, 657 (3·0%) patients for the outcome of complications and 380 (1·7%) patients for mortality had missing data. Most patients were low risk (American Society of Anesthesiologists [ASA] grade I or II: 17 311 [78·7%] of 21 979 patients), undergoing non-major surgery (14 944 [68·0%] of 21 986 patients), and on an elective basis (14 837 [67·5%] of 21 988 patients). Despite this low-risk profile, 3163 (14·6%) of 21 632 patients developed postoperative complications resulting in 477 (2·2%) deaths. The most frequent complication category was infection, affecting 1795 (8·2%) patients. The high mortality from complications (failure to rescue) of 15·1% (477 deaths in 3163 patients with complications) suggests significant problems with postoperative care. 2978 (13·6%) patients were admitted to a critical unit immediately after surgery, but 180 (37·7%) of 477 patients who died never received critical care. Patients with complications had a median hospital stay of 8 days (IQR 3-18), compared with 2 days (1-3) for patients without complications. Postoperative mortality and complications were strongly associated with increasing ASA grade, urgency of surgery, and grade of surgery (intermediate and major). INTERPRETATION Patients receiving inpatient surgery in Latin America experienced high mortality rates, likely relating to standards of ward care after surgery. Given the rising demand for surgical treatments, resource-efficient measures are urgently needed to improve patient outcomes after surgery across Latin America. FUNDING None. TRANSLATIONS For the Spanish and Portuguese translations of the abstract see Supplementary Materials section.
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