Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low-or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI).Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression.

The dominant foliation (S2) in the metapelites of the Southalpine basement, near the western side of the Tertiary Adamello intrusive stock, is a Variscan greenschist facies planar fabric, slightly reworked during thick‐skin Alpine tectonics. S2 is defined by muscovite and chlorite and was formed by decrenulation of pre‐existing foliations, which are confined to metre‐size, less‐deformed domains and defined by biotite and white mica. The pre‐S2 fabric is composite (D1a & D1b) and defined by contrasting amphibolite facies metamorphic assemblages in different residual sites. Cld+BtI+Grt+MsI+Pl+Qtz and St+BtII+Grt+MsII+Pl+Qtz assemblages mark D1a and D1b fabrics respectively; these developed during successive steps of a single, temperature‐prograde polyphase event, rather than during separate tectonometamorphic imprints affecting different tectonic units, later coupled during a D2 greenschist facies stage. Thermobarometric estimates of assemblages formed during D1a, D1b and D2 show a transition from T =480–540 °C (during D1a) to T =570–660 °C (during D1b), corresponding to a slight pressure‐increase from 0.75–0.95 GPa to 0.85–1.15 GPa. D2 greenschist retrogression corresponds to a pressure and temperature decrease (T <400–550 °C and P<0.3–0.4 GPa). This P–T–deformation–time path is inferred to be the result of uplift from a depth of c. 35 km, after Palaeozoic subduction and continental collision; it is consistent with models postulated for other metamorphic units of the Variscan Belt in Europe. This is the first documented example in the Southern Alps of temperature‐prograde metamorphism before Palaeozoic collision.