<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902021000301204</article-id>
<article-id pub-id-type="doi">10.29193/rmu.37.3.4</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morbimortalidad asociada al Departamento de Neurocirugía del Hospital de Clínicas. Estudio longitudinal retrospectivo durante abril 2017-abril 2019]]></article-title>
<article-title xml:lang="en"><![CDATA[Morbidity and mortality associated to the Neurosurgery Department at the Clinicas University Hospital. Longitudinal retrospective study between April 2017 and 2019]]></article-title>
<article-title xml:lang="pt"><![CDATA[Morbimortalidade associada ao Serviço de Neurocirurgia do Hospital de Clínicas. Estudo longitudinal retrospectivo durante o período abril de 2017-2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bertullo]]></surname>
<given-names><![CDATA[Gonzalo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moragues]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lanning]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardozo]]></surname>
<given-names><![CDATA[Cristian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Veiga]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902021000301204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902021000301204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902021000301204&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: la morbimortalidad permite evaluar la calidad asistencial, outcome y comparar diferentes centros asistenciales. Éste es el primer estudio de morbimortalidad en neurocirugía realizado en Uruguay.  Objetivo:  determinar la morbimortalidad global y específica en el Departamento de Neurocirugía del Hospital de Clínicas y la asociación entre complicación y morbimortalidad.  Metodología: estudio observacional, descriptivo-analítico, longitudinal, retrospectivo de todos los pacientes &gt;15 años que requirieron cirugía entre abril de 2017 y abril de 2019. Los datos se obtuvieron de historias clínicas y se analizaron las siguientes variables: edad, sexo, comorbilidad, clínica, diagnóstico, oportunidad quirúrgica, complicación, tipo de complicación, mortalidad, causa de mortalidad, outcome y tiempo quirúrgico.  Resultados: 477 pacientes fueron intervenidos, 72 complicados. La mortalidad global fue 5,5% (26/477) y la morbilidad 15% (72/477). 36% de los pacientes complicados fallecieron (26/72). La patología vascular fue la morbilidad específica que más se complicó (20%, 14/69). La infección fue el tipo de complicación más frecuente (46%, 39/84). La propia evolución de la enfermedad y el terreno causó la muerte del 90% de los pacientes complicados operados de urgencia (19/21), siendo ésta última factor de riesgo independiente de fallecer (p=0,018). En coordinaciones, la causa de muerte estuvo vinculada al acto quirúrgico (80%). Hubo asociación entre patología vascular y morbimortalidad (p=0,015) y entre complicación isquémica y morbimortalidad (p=0,024). La presencia de hipertensión endocraneana (HEC) se asoció a un mal resultado (p=0,003).  Conclusiones:  los resultados muestran una buena calidad de atención comparado con otros centros. Aún existen aspectos a corregir para reducir la morbimortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  morbidity and mortality rates allow for the evaluation of the quality of care and outcome and they also make it possible to compare different healthcare centers. This is the first morbidity and mortality study in neurosurgery carried out in Uruguay.  Objective:  to determine the global and specific morbidity and mortality rates in the Neurosurgery Department at the Clínicas University Hospital, and to determine if mortality and morbidity are associated to surgical complications.  Method:  retrospective, longitudinal, observational and descriptive analysis of all patients &gt;15 years old that underwent a neurosurgical procedure between April 2017 and 2019. Data were obtained from patient medical records. The following variables were analyzed: age, sex, comorbidity, clinical data, diagnosis, opportunity of surgical procedure, complications, type of complication, mortality, cause of mortality, outcome and surgical time.  Results:  477 patients underwent neurosurgical procedure, 72 of which were complicated surgeries. Overall mortality was 5.5% (26/477) and morbidity 15% (72/477). 36% of complicated patients died (26/72). Vascular pathology was the specific morbidity that complicated patients the most 20% (14/69). Infection was the most frequent type of complication 46% (39/84). The evolution of the disease itself and the terrain caused the death of 90% of complicated patients undergoing emergency surgery (19/21), being the latter an independent risk factor for death (p = 0.018). As to coordinated surgeries, the cause of death was associated to the surgical act (80%). Association was found between vascular pathology and morbidity and mortality (p = 0.015) and between ischemic complication and morbidity and mortality (p = 0.024). The presence of intracranial hypertension (IH) was associated with a bad outcome (p= 0.003).  Conclusions:  the results show a good quality of care compared to other centers. There are still aspects to correct to reduce morbidity and mortality rates.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  a análise da morbimortalidade permite avaliar a qualidade do atendimento e dos resultados e comparar diferentes centros de saúde. Este é o primeiro estudo de morbimortalidade em neurocirurgia realizado no Uruguai.  Objetivo:  determinar a morbimortalidade global e específica no Departamento de Neurocirurgia do Hospital de Clínicas e a associação entre complicação e morbimortalidade.  Metodologia:  estudo observacional, descritivo-analítico, longitudinal, retrospectivo de todos os pacientes &gt;15 anos que necessitaram de cirurgia entre abril de 2017 e 2019. Os dados foram obtidos dos prontuários dos pacientes e as variáveis analisadas foram: idade, sexo, comorbidade, aspectos clínicos, diagnóstico, oportunidade cirúrgica, complicação, tipo de complicação, mortalidade, causa da mortalidade, resultado e tempo cirúrgico.  Resultados:  477 pacientes foram operados dos quais 72 apresentaram complicações. A mortalidade geral foi de 5,5% (26/477) e a morbidade de 15% (72/477). 36% dos pacientes com complicações morreram (26/72). A patologia vascular foi a causa específica de mortalidademorbidade específica mais freqüente 20% (14/69). A infecção foi o tipo de complicação mais freqüente 46% (39/84). A evolução da própria doença e do local da cirurgia ocasionou a morte de 90% dos pacientes com complicações submetidas a cirurgias de urgência (19/21), sendo este último fator de risco independente para óbito (p = 0,018). Nas cirurgias eletivas, a causa da morte esteve ligada ao ato cirúrgico (80%). Houve associação entre patologia vascular e morbimortalidade (p = 0,015) e entre complicação isquêmica e morbimortalidade (p = 0,024). A presença de hipertensão intracraniana (HEC) foi associada a um desfecho ruim (p = 0,003).  Conclusões:  os resultados mostram uma boa qualidade de atendimento em comparação com outros centros. Ainda há aspectos a serem corrigidos para reduzir a morbimortalidade.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Morbimortalidad]]></kwd>
<kwd lng="es"><![CDATA[Neurocirugía]]></kwd>
<kwd lng="es"><![CDATA[Hospitales universitarios]]></kwd>
<kwd lng="es"><![CDATA[Uruguay]]></kwd>
<kwd lng="en"><![CDATA[Morbidity and mortality]]></kwd>
<kwd lng="en"><![CDATA[Neurosurgery]]></kwd>
<kwd lng="en"><![CDATA[Hospitals, university]]></kwd>
<kwd lng="en"><![CDATA[Uruguay]]></kwd>
<kwd lng="pt"><![CDATA[Morbimortalidade]]></kwd>
<kwd lng="pt"><![CDATA[Neurocirurgia]]></kwd>
<kwd lng="pt"><![CDATA[Hospitais universitários]]></kwd>
<kwd lng="pt"><![CDATA[Uruguai]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lassen]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Helseth]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Rønning]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Scheie]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Johannesen]]></surname>
<given-names><![CDATA[TB]]></given-names>
</name>
<name>
<surname><![CDATA[Mæhlen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical mortality at 30 days and complications leading to recraniotomy in 2630 consecutive craniotomies for intracranial tumors]]></article-title>
<source><![CDATA[Neurosurgery]]></source>
<year>2011</year>
<volume>68</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1259-68</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hammers]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Anzalone]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sinacore]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Origitano]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neurosurgical mortality rates: what variables affect mortality within a single institution and within a national database?]]></article-title>
<source><![CDATA[J Neurosurg]]></source>
<year>2010</year>
<volume>112</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>257-64</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Campbell]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Beez]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Todd]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prospective review of 30-day morbidity and mortality in a paediatric neurosurgical unit]]></article-title>
<source><![CDATA[Childs Nerv Syst]]></source>
<year>2017</year>
<volume>33</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>483-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saver]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Filip]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Hamilton]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Yanes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Craig]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Cho]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Improving the reliability of stroke disability grading in clinical trials and clinical practice: the Rankin Focused Assessment (RFA)]]></article-title>
<source><![CDATA[Stroke]]></source>
<year>2010</year>
<volume>41</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>992-5</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bydon]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Abt]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[De la Garza-Ramos]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Macki]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Witham]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Gokaslan]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients]]></article-title>
<source><![CDATA[J Neurosurg]]></source>
<year>2015</year>
<volume>122</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>955-61</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fuller]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
</person-group>
<source><![CDATA[Neurosurgical outcomes following establishment of a twinning program at Mulago Hospital in Uganda (Tesis de Maestría).]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Durham ]]></publisher-loc>
<publisher-name><![CDATA[Global Health Institute in the Graduate School of Duke University]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Theodosopoulos]]></surname>
<given-names><![CDATA[PV]]></given-names>
</name>
<name>
<surname><![CDATA[Ringer]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[McPherson]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Warnick]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Kuntz 4th]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Zuccarello]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Measuring surgical outcomes in neurosurgery: implementation, analysis, and auditing a prospective series of more than 5000 procedures]]></article-title>
<source><![CDATA[J Neurosurg]]></source>
<year>2012</year>
<volume>117</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>947-54</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bederson]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
<name>
<surname><![CDATA[Connolly Jr]]></surname>
<given-names><![CDATA[ES]]></given-names>
</name>
<name>
<surname><![CDATA[Batjer]]></surname>
<given-names><![CDATA[HH]]></given-names>
</name>
<name>
<surname><![CDATA[Dacey]]></surname>
<given-names><![CDATA[RG]]></given-names>
</name>
<name>
<surname><![CDATA[Dion]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Diringer]]></surname>
<given-names><![CDATA[MN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guidelines for the management of aneurysmal subarachnoid hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association]]></article-title>
<source><![CDATA[Stroke]]></source>
<year>2009</year>
<volume>40</volume>
<page-range>994-1025</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Broggi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Zattra]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ferroli]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[How to compare outcomes and complications in neurosurgery: we must make the mission possible!]]></article-title>
<source><![CDATA[Surg Neurol Int]]></source>
<year>2018</year>
<volume>9</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>65</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brennan]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Leape]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
<name>
<surname><![CDATA[Laird]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
<name>
<surname><![CDATA[Hebert]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Localio]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Lawthers]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>1991</year>
<volume>324</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>370-6</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bonsanto]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Hamer]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Tronnier]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Kunze]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A complication conference for internal quality control at the Neurosurgical Department of the University of Heidelberg]]></article-title>
<source><![CDATA[Acta Neurochir Suppl]]></source>
<year>2001</year>
<volume>78</volume>
<page-range>139-45</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Houkin]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Baba]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Minamida]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Nonaka]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Koyanagi]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Iiboshi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quantitative analysis of adverse events in neurosurgery]]></article-title>
<source><![CDATA[Neurosurgery]]></source>
<year>2009</year>
<volume>65</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>587-94</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kashiwazaki]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Saito]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Uchino]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Akioka]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Hori]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Shibata]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morbidity and mortality conference can reduce avoidable morbidity in neurosurgery: its educational effect on residents and surgical safety outcomes]]></article-title>
<source><![CDATA[World Neurosurg]]></source>
<year>2020</year>
<volume>133</volume>
<page-range>e348-55</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
