Nurudeen Toyin Abdulraheem

@unilorin.edu.ng

Lecturer, Faculty of Clinical Sciences
Lecturer, Others
University of Ilorin, Ilorin, Nigeria

RESEARCH, TEACHING, or OTHER INTERESTS

Surgery
11

Scopus Publications

603

Scholar Citations

10

Scholar h-index

10

Scholar i10-index

Scopus Publications

  • Machine Learning Prediction of Hospital Stay in Pediatric Typhoid Intestinal Perforation: Pilot Study
    A.C. Chijioke, S.O. Agodirin, A.A. Nasir, S.O. Olowookere, A.I. Saidu, et al.
    Journal of Surgical Research, 2026
  • Global anaesthesia practice using inguinal hernia surgery as a tracer condition: a secondary analysis of an international prospective cohort study
    Anaesthesia, 2025
    SummaryIntroductionRestoration of surgical capacity is essential to post‐COVID‐19 recovery. This study explored the use and safety of anaesthesia options for inguinal hernia surgery, a common tracer condition, to describe current global practice and highlight opportunities to build the capacity of health systems.MethodsThis is a secondary analysis of an international prospective cohort study of consecutive patients who underwent elective inguinal hernia surgery. We used a consensus process to define generalisable outcomes to measure patient selection, utilisation of hospital capacity and peri‐operative safety in patients who received locoregional, spinal or general anaesthesia for their surgery.ResultsIn total, 16,554 patients from 83 countries were included. Locoregional anaesthesia was performed in 1536 (9.2%) of patients, compared with 9165 (55.4%) who had general and 55,853 (35.4%) who had spinal anaesthesia. Patient selection outcomes were comparable across anaesthesia groups. As a measure of hospital capacity, adjusted day‐case rates were higher for locoregional anaesthesia (OR 6.62, 95%CI 5.13–8.54, p < 0.001) but not for spinal anaesthesia (OR 0.97, 95%CI 0.84–1.12, p = 0.68) compared with general anaesthesia. Complications were lower in patients who underwent locoregional anaesthesia (OR = 0.67, 95%CI 0.52–0.87, p = 0.001) but not for spinal anaesthesia (OR = 0.90, 95%CI 0.77–1.05, p = 0.167) compared with general anaesthesia after risk adjustment.DiscussionThis study has filled knowledge gaps of anaesthesia practice in common surgeries across the world. Locoregional and spinal anaesthesia could be adopted as safe options to increase surgical volume when there is limited access to general anaesthesia.
  • Access to and quality of elective care: a prospective cohort study using hernia surgery as a tracer condition in 83 countries
    A Eylül Dönmez, Aakansha Giri Goswami, Aashna Raheja, Aayush Bhadani, Abd Elrahman Safwat El Kady, et al.
    Lancet Global Health, 2024
  • Global access to technologies to support safe and effective inguinal hernia surgery: prospective, international cohort study
    M Picciochi, A O Ademuyiwa, A Adisa, A E Agbeko, J A Calvache, et al.
    British Journal of Surgery, 2024
  • Is the restoration of bowel sounds a prerequisite for initiating enteral feeding following pediatric laparotomy? A randomized control trial
    N.T. Abdulraheem, A.A. Nasir, L.O. AbdurRahman, A.O. Oyinloye, M.A. Alada, et al.
    Journal of Pediatric Surgery Open, 2024
  • Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
    Naomi Jane Wright, Andrew J.M. Leather, Niyi Ade-Ajayi, Nick Sevdalis, Justine Davies, et al.
    Lancet, 2021
    Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030. Funding Wellcome Trust.
  • Global Initiative for Children’s Surgery: A Model of Global Collaboration to Advance the Surgical Care of Children
    Naomi Wright, Guy Jensen, Etienne St‐Louis, David Grabski, Yasmine Yousef, et al.
    World Journal of Surgery, 2019
    BackgroundRecommendations by the Lancet Commission on Global Surgery regarding surgical care in low‐ and middle‐income countries (LMICs) require development to address the needs of children. The Global Initiative for Children’s Surgery (GICS) was founded in 2016 to identify solutions to problems in children’s surgery by utilizing the expertise of practitioners from around the world. This report details this unique process and underlying principles.MethodsThree global meetings convened providers of surgical services for children. Through working group meetings, participants reviewed the status of global children’s surgery to develop priorities and identify necessary resources for implementation. Working groups were formed under LMIC leadership to address specific priorities. By creating networking opportunities, GICS has promoted the development of LMIC‐LMIC and HIC‐LMIC partnerships.ResultsGICS members identified priorities for children’s surgical care within four pillars: infrastructure, service delivery, training and research. Guidelines for provision of care at every healthcare level based on these pillars were created. Seventeen subspecialty, LMIC chaired working groups developed the Optimal Resources for Children’s Surgery (OReCS) document. The guidelines are stratified by subspecialty and level of health care: primary health center, first‐, second‐ and third‐level hospitals, and the national children’s hospital. The OReCS document delineates the personnel, equipment, facilities, procedures, training, research and quality improvement components at all levels of care.ConclusionWorldwide collaboration with leadership by providers from LMICs holds the promise of improving children’s surgical care. GICS will continue to evolve in order to achieve the vision of safe, affordable, timely surgical care for all children.
  • Optimal Resources for Children’s Surgical Care: Executive Summary
    David Grabski, Emmanuel Ameh, Doruk Ozgediz, Keith Oldham, Francis A. Abantanga, et al.
    World Journal of Surgery, 2019
  • Oral fetus-in-fetu: A case report
    Nurudeen Toyin Abdulraheem, Abdulrasheed A. Nasir, Lukman O. Abdur-Rahman, Oluwaseun R. Akanbi, Moses O. Olanrewaju, et al.
    Journal of Pediatric Surgery Case Reports, 2015
  • Experience with full-thickness rectal biopsy in the evaluation of patients with suspected Hirschsprung's disease
    Kayode T. Bamigbola, Abdulrasheed A. Nasir, Lukman O. Abdur-Rahman, Adewale O. Oyinloye, Nurudeen T. Abdulraheem, et al.
    Annals of Pediatric Surgery, 2014
    Background and purposeRectal biopsy is the main modality for the diagnosis of Hirschsprung’s disease (HD). In Africa, transanal full-thickness rectal biopsy is commonly performed. We aimed to audit our practice of rectal biopsy in the evaluation of HD. Materials and methodsA retrospective review was carried out of the records of children (⩽15 years) who were evaluated for HD between 2007 and 2011. Clinical presentation, details of the operation, and histologic result were analyzed using SPSS version 15.0. ResultsFifty-seven children were evaluated for suspected HD during the period. Thirty-six children underwent a rectal biopsy. There were 29 (80.6%) males and nine (19.4%) females, of which two were preterm. Neonates and infants accounted for 72.2% (n=26). The median age at biopsy was 90 days (range, 5 days to 9 years). Delayed passage of meconium was present in 64.7%, constipation in 85.7%, abdominal distension in 88.6%, and bilious vomiting in 55.9%. Thirty biopsies (83.3%) yielded a histologic diagnosis. Twenty-six (72.2%) confirmed HD, whereas four (11.1%) yielded normal rectal histology. In six (16.7%), the sample taken was deemed inadequate for opinion. None of the symptoms assessed was associated significantly with a diagnosis of HD, stalling further analysis. Where a single biopsy was taken, 20% (n=5) were inadequate for analysis; where more than one sample was taken, a histologic diagnosis was possible in 100% (n=11). Consultant surgeons and trainees returned inadequate samples in 15.8% (n=3) and 12.5% (n=2), respectively. An inadequate sample was obtained in four infants (15.4%) and one child older than 1 year of age (10%). Distance of biopsy from the dentate was not indicated in 63.9% (n=23). ConclusionNo clinical parameter can accurately predict a diagnosis of HD. More than one sample at a sitting may improve the diagnostic yield. Larger prospective studies are needed to confirm these findings.
  • Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children?
    AbdulrasheedA Nasir, LukmanO Abdur-Rahman, KayodeT Bamigbola, AdewaleO Oyinloye, NurudeenT Abdulraheem, et al.
    African Journal of Paediatric Surgery, 2013

RECENT SCHOLAR PUBLICATIONS

  • Machine Learning Prediction of Hospital Stay in Pediatric Typhoid Intestinal Perforation: Pilot Study
    AC Chijioke, SO Agodirin, AA Nasir, SO Olowookere, AI Saidu, ...
    Journal of Surgical Research 323, 1-14 , 2026
    2026
  • The outcomes of ventriculoperitoneal shunt insertion for paediatric hydrocephalus in a resource-limited setting: a Nigerian tertiary institution 5-year experience
    NA Adeleke, NT Abdulraheem, OM Adegboye, SO Nnara, FB Bello, ...
    Egyptian Journal of Neurosurgery 41 (1), 75 , 2026
    2026
  • Traumatic right diaphragmatic rupture with pericardial laceration in a toddler: a case report
    SO Olukorode, OA Jimoh, I Olaoye, OT Sayomi, NT Abdulraheem, ...
    Impact Case Reports 2 (1) , 2026
    2026
  • Case report of traumatic interparietal spigelian hernia in a toddler: an unusual presentation
    L Abdur-Rahman, A Lawal, A Jimoh, C Chijoke, N Jimoh, A Olaleye, ...
    Impact Surgery 3 (1), 376-378 , 2026
    2026
  • Global anaesthesia practice using inguinal hernia surgery as a tracer condition: a secondary analysis of an international prospective cohort study
    NIHR Global Health Research Group on Environmentally Sustainable Hospitals ...
    Anaesthesia 80 (11), 1343-1351 , 2025
    2025
    Citations: 1
  • Association of Over-the-Counter Nospamin and Gripe Water Use with Spontaneous Intestinal Perforation in Neonates: A Case Series
    A Lawal, O Sayomi, K Ofozor, T Abe, N Jimoh, A Mahmud, C Chijoke, ...
    Impact Surgery 2 (1), 46-48 , 2025
    2025
  • Comparative Study of Effect of Nasogastric Tube Decompression on Bowel Activity and Time to Oral Intake After Laparotomy in Children,
    MAAAANLOARAOONTAMOODCNJO Adeniran
    J, Clinical Case Repo 6 (1) , 2025
    2025
  • Global access to technologies to support safe and effective inguinal hernia surgery: prospective, international cohort study
    British Journal of Surgery 111 (7), znae164 , 2024
    2024
    Citations: 4
  • Access to and quality of elective care: a prospective cohort study using hernia surgery as a tracer condition in 83 countries
    AE Dönmez, AG Goswami, A Raheja, A Bhadani, AES El Kady, A Alniemi, ...
    The Lancet Global Health 12 (7), e1094-e1103 , 2024
    2024
    Citations: 26
  • Characteristics and clinical outcomes of children with Wilms’ tumour: A 15-year experience in a single centre in Nigeria
    AA Nasir, NT Abdur-Raheem, LO Abdur-Rahman, TT Ibiyeye, TO Sayomi, ...
    Journal of Pediatric Surgery 59 (5), 1009-1014 , 2024
    2024
    Citations: 7
  • Is the restoration of bowel sounds a prerequisite for initiating enteral feeding following pediatric laparotomy? A randomized control trial
    NT Abdulraheem, AA Nasir, LO AbdurRahman, AO Oyinloye, MA Alada, ...
    Journal of Pediatric Surgery Open 6, 100120 , 2024
    2024
    Citations: 1
  • One stage repair of giant inguinal herniae: a feasible option
    ASA Musa-Olomu, TM Musa, NA Adeleke, NT Abdulraheem, AA Ajape
    The Egyptian Journal of Surgery 42 (3), 697-704 , 2023
    2023
  • Vascular Access in the Injured Child
    Van-As AB, Numanoglu A, Abdulraheem NT
    Paediatric Trauma Care in Africa, A Practical Guide 2, 35 - 45 , 2022
    2022
  • Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial
    AO Ademuyiwa, P Hardy, E Runigamugabo, P Sodonougbo, H Behanzin, ...
    The Lancet 398 (10312), 1687-1699 , 2021
    2021
    Citations: 101
  • Paediatric surgical outcomes in sub-Saharan Africa: a multicentre, international, prospective cohort study
    NJ Wright, ER Smith, A Bisquera, AL John-Chukwuemeka, TA Lawal, ...
    BMJ global health 6 (9) , 2021
    2021
    Citations: 47
  • Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective …
    NJ Wright, AJM Leather, N Ade-Ajayi, N Sevdalis, J Davies, D Poenaru, ...
    The Lancet 398 (10297), 325-339 , 2021
    2021
    Citations: 174
  • Towards defining the surgical workforce for children: a geospatial analysis in Brazil
    TAH Rocha, J Vissoci, N Rocha, D Poenaru, M Shrime, ER Smith, ...
    BMJ open 10 (3), e034253 , 2020
    2020
    Citations: 25
  • Short-term outcomes of treatment of boys with posterior urethral valves
    AA Nasir, AO Oyinloye, LO Abdur-Rahman, KT Bamigbola, ...
    Nigerian Medical Journal 60 (6), 306-311 , 2019
    2019
    Citations: 9
  • Global initiative for children’s surgery: a model of global collaboration to advance the surgical care of children
    Global Initiative for Children’s Surgery, N Wright, G Jensen, E St‐Louis, ...
    World Journal of Surgery 43 (6), 1416-1425 , 2019
    2019
    Citations: 68
  • Optimal resources for children’s surgical care: executive summary
    World Journal of Surgery 43 (4), 978-980 , 2019
    2019
    Citations: 53

MOST CITED SCHOLAR PUBLICATIONS

  • Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective …
    NJ Wright, AJM Leather, N Ade-Ajayi, N Sevdalis, J Davies, D Poenaru, ...
    The Lancet 398 (10297), 325-339 , 2021
    2021
    Citations: 174
  • Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial
    AO Ademuyiwa, P Hardy, E Runigamugabo, P Sodonougbo, H Behanzin, ...
    The Lancet 398 (10312), 1687-1699 , 2021
    2021
    Citations: 101
  • Global initiative for children’s surgery: a model of global collaboration to advance the surgical care of children
    Global Initiative for Children’s Surgery, N Wright, G Jensen, E St‐Louis, ...
    World Journal of Surgery 43 (6), 1416-1425 , 2019
    2019
    Citations: 68
  • Optimal resources for children’s surgical care: executive summary
    World Journal of Surgery 43 (4), 978-980 , 2019
    2019
    Citations: 53
  • Paediatric surgical outcomes in sub-Saharan Africa: a multicentre, international, prospective cohort study
    NJ Wright, ER Smith, A Bisquera, AL John-Chukwuemeka, TA Lawal, ...
    BMJ global health 6 (9) , 2021
    2021
    Citations: 47
  • Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children?
    AA Nasir, LO Abdur-Rahman, KT Bamigbola, AO Oyinloye, ...
    African Journal of Paediatric Surgery 10 (3) , 2013
    2013
    Citations: 37
  • Access to and quality of elective care: a prospective cohort study using hernia surgery as a tracer condition in 83 countries
    AE Dönmez, AG Goswami, A Raheja, A Bhadani, AES El Kady, A Alniemi, ...
    The Lancet Global Health 12 (7), e1094-e1103 , 2024
    2024
    Citations: 26
  • Towards defining the surgical workforce for children: a geospatial analysis in Brazil
    TAH Rocha, J Vissoci, N Rocha, D Poenaru, M Shrime, ER Smith, ...
    BMJ open 10 (3), e034253 , 2020
    2020
    Citations: 25
  • Oral fetus-in-fetu: a case report
    NT Abdulraheem, AA Nasir, LO Abdur-Rahman, OR Akanbi, ...
    Journal of Pediatric Surgery Case Reports 3 (4), 171-173 , 2015
    2015
    Citations: 18
  • Pediatric laparoscopic surgery in North-Central Nigeria: Achievements and challenges
    LO Abdur-Rahman, KT Bamigbola, AA Nasir, AO Oyinloye, ...
    Journal of Clinical Sciences 13 (4), 158-162 , 2016
    2016
    Citations: 12
  • Short-term outcomes of treatment of boys with posterior urethral valves
    AA Nasir, AO Oyinloye, LO Abdur-Rahman, KT Bamigbola, ...
    Nigerian Medical Journal 60 (6), 306-311 , 2019
    2019
    Citations: 9
  • Efficacy of bleomycin for non-operative treatment of cervical lymphangioma in University of Ilorin Teaching Hospital, Nigeria
    Abdur-Rahman LO, Awolaran O, Nasir AA, Bamigbola KT, Abdulraheem NT ...
    Journal of Medicine in the Tropics 19 (2), 93 - 97 , 2017
    2017
    Citations: 8
  • Characteristics and clinical outcomes of children with Wilms’ tumour: A 15-year experience in a single centre in Nigeria
    AA Nasir, NT Abdur-Raheem, LO Abdur-Rahman, TT Ibiyeye, TO Sayomi, ...
    Journal of Pediatric Surgery 59 (5), 1009-1014 , 2024
    2024
    Citations: 7
  • Experience with full-thickness rectal biopsy in the evaluation of patients with suspected Hirschsprung’s disease
    KT Bamigbola, AA Nasir, LO Abdur-Rahman, AO Oyinloye, ...
    Annals of Pediatric Surgery 10 (2), 42-45 , 2014
    2014
    Citations: 7
  • Global access to technologies to support safe and effective inguinal hernia surgery: prospective, international cohort study
    British Journal of Surgery 111 (7), znae164 , 2024
    2024
    Citations: 4
  • A rare form of domestic accidents: Penetrating abdominal injuries with evisceration of abdominal viscus
    NT Abdulraheem, RI Osuoji, OR Akanbi, LO Abdur-Rahman, AA Nasir
    African Journal of Trauma 4 (1), 30-33 , 2015
    2015
    Citations: 4
  • Global anaesthesia practice using inguinal hernia surgery as a tracer condition: a secondary analysis of an international prospective cohort study
    NIHR Global Health Research Group on Environmentally Sustainable Hospitals ...
    Anaesthesia 80 (11), 1343-1351 , 2025
    2025
    Citations: 1
  • Is the restoration of bowel sounds a prerequisite for initiating enteral feeding following pediatric laparotomy? A randomized control trial
    NT Abdulraheem, AA Nasir, LO AbdurRahman, AO Oyinloye, MA Alada, ...
    Journal of Pediatric Surgery Open 6, 100120 , 2024
    2024
    Citations: 1
  • Infantile Chylous Ascites: A Case Report
    Abdulraheem NT, Nasir AA, Oyesanya OO, Abdur-Rahman LO, Nwosu DC, Ibiyeye TT ...
    Savannah Journal of Medical Research and Practice 8 (1), 17-21 , 2019
    2019
    Citations: 1
  • Machine Learning Prediction of Hospital Stay in Pediatric Typhoid Intestinal Perforation: Pilot Study
    AC Chijioke, SO Agodirin, AA Nasir, SO Olowookere, AI Saidu, ...
    Journal of Surgical Research 323, 1-14 , 2026
    2026