{"id":"https://openalex.org/W7204685646","doi":"https://doi.org/10.64784/300","title":"Beyond Technical Success: Postoperative Systemic Deterioration and Timely Clinical Rescue in Minimally Invasive Abdominal Surgery","display_name":"Beyond Technical Success: Postoperative Systemic Deterioration and Timely Clinical Rescue in Minimally Invasive Abdominal Surgery","publication_year":2026,"publication_date":"2026-08-30","ids":{"openalex":"https://openalex.org/W7204685646","doi":"https://doi.org/10.64784/300"},"language":"en","primary_location":{"id":"doi:10.64784/300","doi":"https://doi.org/10.64784/300","is_oa":true,"landing_page_url":"https://doi.org/10.64784/300","pdf_url":"https://ieccmexicojournal.com/index.php/publishing/article/download/216/218","source":{"id":"https://openalex.org/S5407051405","display_name":"IECCMEXICO","issn_l":"3061-8045","issn":["3061-8045","3061-8517"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IECCMEXICO","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ieccmexicojournal.com/index.php/publishing/article/download/216/218","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5021618165","display_name":"Jose Eduardo Vallejo Ramirez","orcid":"https://orcid.org/0009-0009-1325-285X","observed_orcids":["https://orcid.org/0009-0009-1325-285X"]},"institutions":[{"id":"https://openalex.org/I8961855","display_name":"Universidad Nacional Aut\u00f3noma de M\u00e9xico","ror":"https://ror.org/01tmp8f25","country_code":"MX","type":"education","lineage":["https://openalex.org/I8961855"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Jos\u00e9 Eduardo Vallejo Ram\u00edrez","raw_affiliation_strings":["Universidad nacional aut\u00f3noma de M\u00e9xico"],"raw_orcid":"https://orcid.org/0009-0009-1325-285X","affiliations":[{"raw_affiliation_string":"Universidad nacional aut\u00f3noma de M\u00e9xico","institution_ids":["https://openalex.org/I8961855"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5144078301","display_name":"Ana Carla Naranjo Gonz\u00e1lez","orcid":"https://orcid.org/0009-0005-5083-8965","observed_orcids":["https://orcid.org/0009-0005-5083-8965"]},"institutions":[{"id":"https://openalex.org/I4210114109","display_name":"Hospital General Dr. Manuel Gea Gonzalez","ror":"https://ror.org/025q7sd17","country_code":"MX","type":"healthcare","lineage":["https://openalex.org/I4210095685","https://openalex.org/I4210114109"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Ana Carla Naranjo Gonz\u00e1lez","raw_affiliation_strings":["Hospital General Dr. Manuel Gea Gonz\u00e1lez"],"raw_orcid":"https://orcid.org/0009-0005-5083-8965","affiliations":[{"raw_affiliation_string":"Hospital General Dr. Manuel Gea Gonz\u00e1lez","institution_ids":["https://openalex.org/I4210114109"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137605211","display_name":"Angie Michelle Junco Aguaiza","orcid":"https://orcid.org/0009-0003-1905-5917","observed_orcids":["https://orcid.org/0009-0003-1905-5917"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Angie Michelle Junco Aguaiza","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0003-1905-5917","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148595560","display_name":"Diego Clemente Moreno","orcid":"https://orcid.org/0009-0003-1784-7486","observed_orcids":["https://orcid.org/0009-0003-1784-7486"]},"institutions":[{"id":"https://openalex.org/I164915025","display_name":"Mexican Social Security Institute","ror":"https://ror.org/03xddgg98","country_code":"MX","type":"government","lineage":["https://openalex.org/I164915025"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Diego Clemente Moreno","raw_affiliation_strings":["IMSS Hospital General Regional No. 2 El Marqu\u00e9s"],"raw_orcid":"https://orcid.org/0009-0003-1784-7486","affiliations":[{"raw_affiliation_string":"IMSS Hospital General Regional No. 2 El Marqu\u00e9s","institution_ids":["https://openalex.org/I164915025"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148696536","display_name":"David Eduardo Espinosa Ortiz","orcid":"https://orcid.org/0000-0002-6016-8804","observed_orcids":["https://orcid.org/0000-0002-6016-8804"]},"institutions":[{"id":"https://openalex.org/I152456871","display_name":"Universidad de Caldas","ror":"https://ror.org/049n68p64","country_code":"CO","type":"education","lineage":["https://openalex.org/I152456871"]}],"countries":["CO"],"is_corresponding":false,"raw_author_name":"David Eduardo Espinosa Ortiz","raw_affiliation_strings":["Universidad de Caldas"],"raw_orcid":"https://orcid.org/0000-0002-6016-8804","affiliations":[{"raw_affiliation_string":"Universidad de Caldas","institution_ids":["https://openalex.org/I152456871"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148584030","display_name":"Pablo Eduardo Navarro L\u00f3pez","orcid":"https://orcid.org/0009-0009-3948-0164","observed_orcids":["https://orcid.org/0009-0009-3948-0164"]},"institutions":[{"id":"https://openalex.org/I164915025","display_name":"Mexican Social Security Institute","ror":"https://ror.org/03xddgg98","country_code":"MX","type":"government","lineage":["https://openalex.org/I164915025"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Pablo Eduardo Navarro L\u00f3pez","raw_affiliation_strings":["instituto Mexicano del Seguro social"],"raw_orcid":"https://orcid.org/0009-0009-3948-0164","affiliations":[{"raw_affiliation_string":"instituto Mexicano del Seguro social","institution_ids":["https://openalex.org/I164915025"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148618737","display_name":"Vicente Trevi\u00f1o Caballero","orcid":"https://orcid.org/0009-0005-6918-843X","observed_orcids":["https://orcid.org/0009-0005-6918-843X"]},"institutions":[{"id":"https://openalex.org/I882076700","display_name":"Institute for Social Security and Services for State Workers","ror":"https://ror.org/02d93ae38","country_code":"MX","type":"government","lineage":["https://openalex.org/I882076700"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Vicente Trevi\u00f1o Caballero","raw_affiliation_strings":["Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Regional de Monterrey"],"raw_orcid":"https://orcid.org/0009-0005-6918-843X","affiliations":[{"raw_affiliation_string":"Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Regional de Monterrey","institution_ids":["https://openalex.org/I882076700"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148602125","display_name":"Justin Santiago Palacios Moreira","orcid":"https://orcid.org/0009-0004-0776-9418","observed_orcids":["https://orcid.org/0009-0004-0776-9418"]},"institutions":[{"id":"https://openalex.org/I4210122070","display_name":"Ministerio de Salud P\u00fablica","ror":"https://ror.org/02t46gq94","country_code":"EC","type":"government","lineage":["https://openalex.org/I4210122070"]}],"countries":["EC"],"is_corresponding":false,"raw_author_name":"Justin Santiago Palacios Moreira","raw_affiliation_strings":["Ministerio de Salud Publica del Ecuador"],"raw_orcid":"https://orcid.org/0009-0004-0776-9418","affiliations":[{"raw_affiliation_string":"Ministerio de Salud Publica del Ecuador","institution_ids":["https://openalex.org/I4210122070"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5035577242","display_name":"Aldo Bolivar Zavala Segovia","orcid":"https://orcid.org/0000-0002-0846-1333","observed_orcids":["https://orcid.org/0000-0002-0846-1333"]},"institutions":[{"id":"https://openalex.org/I4405269055","display_name":"SOLCA N\u00facleo de Quito","ror":"https://ror.org/02yvww109","country_code":"EC","type":"healthcare","lineage":["https://openalex.org/I4405269055"]}],"countries":["EC"],"is_corresponding":false,"raw_author_name":"Aldo Bolivar Zavala Segovia","raw_affiliation_strings":["Universidad Indoam\u00e9rica - SOLCA N\u00facleo de Quito"],"raw_orcid":"https://orcid.org/0000-0002-0846-1333","affiliations":[{"raw_affiliation_string":"Universidad Indoam\u00e9rica - SOLCA N\u00facleo de Quito","institution_ids":["https://openalex.org/I4405269055"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":7,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"5","issue":"2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12333","display_name":"Abdominal Surgery and Complications","score":0.4099000096321106,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12333","display_name":"Abdominal Surgery and Complications","score":0.4099000096321106,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.33959999680519104,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.14270000159740448,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.7319999933242798},{"id":"https://openalex.org/keywords/laparoscopic-surgery","display_name":"laparoscopic surgery","score":0.9710000157356262},{"id":"https://openalex.org/keywords/robotic-surgery","display_name":"robotic surgery","score":0.9909999966621399},{"id":"https://openalex.org/keywords/respiratory-complications","display_name":"respiratory complications","score":0.6710000038146973},{"id":"https://openalex.org/keywords/multidisciplinary-response","display_name":"multidisciplinary response","score":0.5460000038146973},{"id":"https://openalex.org/keywords/early-warning-signs","display_name":"early warning signs","score":0.8450000286102295},{"id":"https://openalex.org/keywords/tachycardia","display_name":"tachycardia","score":0.9070000052452087},{"id":"https://openalex.org/keywords/tachypnea","display_name":"tachypnea","score":0.8130000233650208},{"id":"https://openalex.org/keywords/clavien-dindo-classification","display_name":"Clavien-Dindo classification","score":0.8320000171661377},{"id":"https://openalex.org/keywords/escalation-pathways","display_name":"escalation pathways","score":0.5759999752044678},{"id":"https://openalex.org/keywords/intensive-care-unit-admission","display_name":"intensive care unit admission","score":0.8700000047683716},{"id":"https://openalex.org/keywords/reintervention","display_name":"reintervention","score":0.8100000023841858},{"id":"https://openalex.org/keywords/postoperative-follow-up","display_name":"postoperative follow-up","score":0.4620000123977661}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9581000208854675},{"id":"https://openalex.org/C2778312941","wikidata":"https://www.wikidata.org/wiki/Q570920","display_name":"Tachypnea","level":3,"score":0.6069999933242798},{"id":"https://openalex.org/C2780120127","wikidata":"https://www.wikidata.org/wiki/Q743664","display_name":"Abdominal surgery","level":2,"score":0.5598999857902527},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5029000043869019},{"id":"https://openalex.org/C2781090800","wikidata":"https://www.wikidata.org/wiki/Q776030","display_name":"Systemic inflammatory response syndrome","level":3,"score":0.47429999709129333},{"id":"https://openalex.org/C2776888751","wikidata":"https://www.wikidata.org/wiki/Q767485","display_name":"Respiratory failure","level":2,"score":0.41659998893737793},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.41609999537467957},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.4009999930858612},{"id":"https://openalex.org/C2777379000","wikidata":"https://www.wikidata.org/wiki/Q308292","display_name":"Abdominal trauma","level":3,"score":0.3790000081062317},{"id":"https://openalex.org/C2776890885","wikidata":"https://www.wikidata.org/wiki/Q1067560","display_name":"Vital signs","level":2,"score":0.37770000100135803},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.3767000138759613},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3677000105381012},{"id":"https://openalex.org/C2778931659","wikidata":"https://www.wikidata.org/wiki/Q4665123","display_name":"Abdominal compartment syndrome","level":3,"score":0.3571999967098236},{"id":"https://openalex.org/C2779983558","wikidata":"https://www.wikidata.org/wiki/Q9597","display_name":"Abdomen","level":2,"score":0.3336000144481659},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.32989999651908875},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.3253999948501587},{"id":"https://openalex.org/C2778426790","wikidata":"https://www.wikidata.org/wiki/Q1649580","display_name":"Organ dysfunction","level":3,"score":0.31060001254081726},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.3037000000476837},{"id":"https://openalex.org/C2777945365","wikidata":"https://www.wikidata.org/wiki/Q1891441","display_name":"Convalescence","level":2,"score":0.29899999499320984},{"id":"https://openalex.org/C2778789114","wikidata":"https://www.wikidata.org/wiki/Q235007","display_name":"Cardiac surgery","level":2,"score":0.2953000068664551},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.2946000099182129},{"id":"https://openalex.org/C203092338","wikidata":"https://www.wikidata.org/wiki/Q1340863","display_name":"Clinical endpoint","level":3,"score":0.2809000015258789},{"id":"https://openalex.org/C2776348555","wikidata":"https://www.wikidata.org/wiki/Q344873","display_name":"ARDS","level":3,"score":0.27889999747276306},{"id":"https://openalex.org/C2780047204","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopy","level":2,"score":0.2754000127315521},{"id":"https://openalex.org/C160022790","wikidata":"https://www.wikidata.org/wiki/Q2964004","display_name":"Cardiothoracic surgery","level":2,"score":0.272599995136261},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.27230000495910645},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.2676999866962433},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.2669999897480011},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.2662999927997589},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.2540000081062317},{"id":"https://openalex.org/C2776111594","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopic surgery","level":3,"score":0.25360000133514404}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64784/300","doi":"https://doi.org/10.64784/300","is_oa":true,"landing_page_url":"https://doi.org/10.64784/300","pdf_url":"https://ieccmexicojournal.com/index.php/publishing/article/download/216/218","source":{"id":"https://openalex.org/S5407051405","display_name":"IECCMEXICO","issn_l":"3061-8045","issn":["3061-8045","3061-8517"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IECCMEXICO","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.64784/300","doi":"https://doi.org/10.64784/300","is_oa":true,"landing_page_url":"https://doi.org/10.64784/300","pdf_url":"https://ieccmexicojournal.com/index.php/publishing/article/download/216/218","source":{"id":"https://openalex.org/S5407051405","display_name":"IECCMEXICO","issn_l":"3061-8045","issn":["3061-8045","3061-8517"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IECCMEXICO","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204685646.pdf","grobid_xml":"https://content.openalex.org/works/W7204685646.grobid-xml"},"referenced_works_count":3,"referenced_works":["https://openalex.org/W1964905091","https://openalex.org/W2121499426","https://openalex.org/W2908031798"],"related_works":["https://openalex.org/W2426860002","https://openalex.org/W2437051088","https://openalex.org/W3009512778","https://openalex.org/W3126173857","https://openalex.org/W2035171170","https://openalex.org/W7219387153","https://openalex.org/W1439256453","https://openalex.org/W4412832778","https://openalex.org/W4281761764","https://openalex.org/W4404382401"],"abstract_inverted_index":{"Minimally":[0],"invasive":[1,252],"abdominal":[2,44,253],"surgery":[3],"reduces":[4],"surgical":[5],"trauma":[6],"and":[7,34,42,72,88,123,142,164,184,219,238,248],"facilitates":[8],"postoperative":[9,62,225],"recovery;":[10],"however,":[11],"it":[12],"does":[13],"not":[14],"eliminate":[15],"the":[16,29,60,81,107,132,167,246],"risk":[17],"of":[18,37,161,166,175,187,203,250],"systemic":[19,38,102],"complications":[20,39,105,154,171,205],"or":[21,145],"progression":[22],"to":[23],"organ":[24],"dysfunction.":[25],"This":[26],"study":[27],"evaluated":[28],"frequency,":[30],"early":[31,85],"manifestations,":[32],"severity,":[33],"multidisciplinary":[35,89,179,240],"management":[36],"following":[40],"laparoscopic":[41],"robot-assisted":[43],"procedures.":[45],"A":[46,193],"prospective":[47],"observational":[48],"cohort":[49],"design":[50],"was":[51,131,198],"used,":[52],"including":[53],"263":[54],"adult":[55],"patients":[56,96,163,176],"with":[57,189,200],"follow-up":[58],"from":[59],"immediate":[61],"period":[63],"through":[64,229],"30":[65],"days.":[66],"Clinical,":[67],"surgical,":[68],"anesthetic,":[69],"physiological,":[70],"laboratory,":[71],"outcome":[73],"variables":[74],"were":[75,78,92,106],"collected.":[76],"Complications":[77],"classified":[79],"using":[80],"Clavien\u2013Dindo":[82,151],"system,":[83],"while":[84],"warning":[86,135],"signs":[87],"response":[90,180,194],"times":[91],"documented.":[93],"Overall,":[94],"83":[95],"(31.6%)":[97],"developed":[98,172],"at":[99],"least":[100],"one":[101],"complication.":[103],"Respiratory":[104],"most":[108,133],"frequent":[109],"(17.1%),":[110],"followed":[111,138],"by":[112,139],"infectious":[113],"(11.0%),":[114],"cardiovascular":[115],"(9.1%),":[116],"renal":[117],"(7.6%),":[118],"metabolic":[119],"(6.5%),":[120],"neurological":[121],"(4.9%),":[122],"thromboembolic":[124],"events":[125],"(2.7%).":[126],"Among":[127],"affected":[128,162],"patients,":[129,158],"tachycardia":[130],"common":[134],"sign":[136],"(71.1%),":[137],"tachypnea":[140],"(54.2%)":[141],"a":[143,178,190],"new":[144],"increased":[146],"oxygen":[147],"requirement":[148],"(48.2%).":[149],"Severe":[150,170],"Grade":[152],"III\u2013V":[153],"occurred":[155],"in":[156,173,185],"27":[157],"representing":[159],"32.5%":[160],"10.3%":[165],"complete":[168],"cohort.":[169],"14.3%":[174],"receiving":[177],"within":[181],"60":[182,196],"minutes":[183,197],"58.8%":[186],"those":[188],"delayed":[191],"response.":[192],"exceeding":[195],"associated":[199],"greater":[201],"odds":[202],"severe":[204],"(OR":[206],"=":[207],"8.57;":[208],"95%":[209],"CI:":[210],"2.99\u201324.54;":[211],"p":[212],"<":[213],".001),":[214],"unplanned":[215],"intensive":[216],"care":[217],"admission,":[218],"reintervention.":[220],"These":[221],"findings":[222],"demonstrate":[223],"that":[224],"deterioration":[226],"frequently":[227],"presents":[228],"combined":[230],"multisystem":[231],"abnormalities.":[232],"Structured":[233],"surveillance,":[234],"standardized":[235],"escalation":[236],"pathways,":[237],"timely":[239],"intervention":[241],"are":[242],"essential":[243],"for":[244],"preserving":[245],"benefits":[247],"safety":[249],"minimally":[251],"surgery.":[254]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-08-31T00:00:00"}
