dc.contributor.author |
El-Boghdadly, K |
|
dc.contributor.author |
Wong, DJN |
|
dc.contributor.author |
Owen, R |
|
dc.contributor.author |
Neuman, MD |
|
dc.contributor.author |
Pocock, S |
|
dc.contributor.author |
Carlisle, JB |
|
dc.contributor.author |
Johnstone, C |
|
dc.contributor.author |
Andruszkiewicz, P |
|
dc.contributor.author |
Baker, PA |
|
dc.contributor.author |
Biccard, BM |
|
dc.contributor.author |
Bryson, GL |
|
dc.contributor.author |
Chan, MTV |
|
dc.contributor.author |
Cheng, MH |
|
dc.contributor.author |
Chin, KJ |
|
dc.contributor.author |
Coburn, M |
|
dc.contributor.author |
Jonsson Fagerlund, M |
|
dc.contributor.author |
Myatra, SN |
|
dc.contributor.author |
Myles, PS |
|
dc.contributor.author |
O'Sullivan, E |
|
dc.contributor.author |
Pasin, L |
|
dc.contributor.author |
Shamim, F |
|
dc.contributor.author |
van Klei, WA |
|
dc.contributor.author |
Ahmad, I |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2021-04-15T23:56:11Z |
|
dc.date.available |
2021-04-15T23:56:11Z |
|
dc.date.issued |
2020-11 |
|
dc.identifier.citation |
Anaesthesia 75(11):1437-1447 Nov 2020 |
|
dc.identifier.issn |
0003-2409 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/54899 |
|
dc.description.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. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Wiley |
|
dc.relation.ispartofseries |
Anaesthesia |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Pneumonia, Viral |
|
dc.subject |
Coronavirus Infections |
|
dc.subject |
Proportional Hazards Models |
|
dc.subject |
Risk |
|
dc.subject |
Prospective Studies |
|
dc.subject |
Intubation, Intratracheal |
|
dc.subject |
Occupational Exposure |
|
dc.subject |
Adult |
|
dc.subject |
Middle Aged |
|
dc.subject |
Health Personnel |
|
dc.subject |
Female |
|
dc.subject |
Male |
|
dc.subject |
Pandemics |
|
dc.subject |
Betacoronavirus |
|
dc.subject |
COVID-19 |
|
dc.subject |
SARS-CoV-2 |
|
dc.subject |
COVID-19 |
|
dc.subject |
airway |
|
dc.subject |
coronavirus |
|
dc.subject |
healthcare workers |
|
dc.subject |
intubation |
|
dc.subject |
Adult |
|
dc.subject |
Betacoronavirus |
|
dc.subject |
COVID-19 |
|
dc.subject |
Coronavirus Infections |
|
dc.subject |
Female |
|
dc.subject |
Health Personnel |
|
dc.subject |
Humans |
|
dc.subject |
Intubation, Intratracheal |
|
dc.subject |
Male |
|
dc.subject |
Middle Aged |
|
dc.subject |
Occupational Exposure |
|
dc.subject |
Pandemics |
|
dc.subject |
Pneumonia, Viral |
|
dc.subject |
Proportional Hazards Models |
|
dc.subject |
Prospective Studies |
|
dc.subject |
Risk |
|
dc.subject |
SARS-CoV-2 |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
Population & Society |
|
dc.subject |
Clinical Medicine and Science |
|
dc.subject |
Health Services |
|
dc.subject |
Behavioral and Social Science |
|
dc.subject |
Clinical Research |
|
dc.subject |
Prevention |
|
dc.subject |
2.4 Surveillance and distribution |
|
dc.subject |
1103 Clinical Sciences |
|
dc.subject |
1109 Neurosciences |
|
dc.title |
Risks to healthcare workers following tracheal intubation of patients with COVID-19: a prospective international multicentre cohort study. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1111/anae.15170 |
|
pubs.issue |
11 |
|
pubs.begin-page |
1437 |
|
pubs.volume |
75 |
|
dc.date.updated |
2021-03-01T09:03:05Z |
|
dc.rights.holder |
Copyright: The authors |
en |
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/32516833 |
|
pubs.end-page |
1447 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
research-article |
|
pubs.subtype |
Multicenter Study |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
805526 |
|
dc.identifier.eissn |
1365-2044 |
|
pubs.online-publication-date |
2020-7-9 |
|