El-Boghdadly, K; Wong, DJN; Owen, R; Neuman, MD; Pocock, S; Carlisle, JB; Johnstone, C; Andruszkiewicz, P; Baker, PA; Biccard, BM; +13 more... Bryson, GL; Chan, MTV; Cheng, MH; Chin, KJ; Coburn, M; Jonsson Fagerlund, M; Myatra, SN; Myles, PS; O'Sullivan, E; Pasin, L; Shamim, F; van Klei, WA; Ahmad, I; (2020) Risks to healthcare workers following tracheal intubation of patients with COVID-19: a prospective international multicentre cohort study. Anaesthesia, 75 (11). pp. 1437-1447. ISSN 0003-2409 DOI: https://doi.org/10.1111/anae.15170
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Abstract
Healthcare workers involved in aerosol-generating procedures, such as tracheal intubation, may be at elevated risk of acquiring COVID-19. However, the magnitude of this risk is unknown. We conducted a prospective international multicentre cohort study recruiting healthcare workers participating in tracheal intubation of patients with suspected or confirmed COVID-19. Information on tracheal intubation episodes, personal protective equipment use and subsequent provider health status was collected via self-reporting. The primary endpoint was the incidence of laboratory-confirmed COVID-19 diagnosis or new symptoms requiring self-isolation or hospitalisation after a tracheal intubation episode. Cox regression analysis examined associations between the primary endpoint and healthcare worker characteristics, procedure-related factors and personal protective equipment use. Between 23 March and 2 June 2020, 1718 healthcare workers from 503 hospitals in 17 countries reported 5148 tracheal intubation episodes. The overall incidence of the primary endpoint was 10.7% over a median (IQR [range]) follow-up of 32 (18-48 [0-116]) days. The cumulative incidence within 7, 14 and 21 days of the first tracheal intubation episode was 3.6%, 6.1% and 8.5%, respectively. The risk of the primary endpoint varied by country and was higher in women, but was not associated with other factors. Around 1 in 10 healthcare workers involved in tracheal intubation of patients with suspected or confirmed COVID-19 subsequently reported a COVID-19 outcome. This has human resource implications for institutional capacity to deliver essential healthcare services, and wider societal implications for COVID-19 transmission.
Item Type | Article |
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Faculty and Department | Faculty of Epidemiology and Population Health > Dept of Medical Statistics |
Research Centre | Covid-19 Research |
Elements ID | 148343 |
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Filename: Risks to healthcare workers following tracheal intubation of patients with COVID-19.pdf
Licence: Creative Commons: Attribution-Noncommercial-No Derivative Works 3.0
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