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Risks to healthcare workers following tracheal intubation of patients with COVID‐19: a prospective international multicentre cohort study

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Titel: Risks to healthcare workers following tracheal intubation of patients with COVID‐19: a prospective international multicentre cohort study
Autoren: Bruce M Biccard, M. H. Cheng, Ruth Owen, E.P. O’Sullivan, Stuart J. Pocock, Paul A. Baker, Kariem El-Boghdadly, Imran Ahmad, Gregory L. Bryson, Danny J.N. Wong, M. Coburn, C. Johnstone, W.A. van Klei, M. Jonsson Fagerlund, Ki Jinn Chin, Mark D. Neuman, J. B. Carlisle, P. Andruszkiewicz, Matthew T. V. Chan, Sheila Nainan Myatra, Faisal Shamim, Paul S. Myles, Laura Pasin
Weitere Verfasser: Onderzoek Radiotherapie, Cancer, Medische staf Anesthesiologie, Circulatory Health, Management Vitale Functies
Quelle: Anaesthesia
Verlagsinformationen: Wiley, 2020.
Publikationsjahr: 2020
Schlagwörter: Adult, Male, Risk, Health Personnel, Pneumonia, Viral, coronavirus, intubation, Betacoronavirus, 03 medical and health sciences, 0302 clinical medicine, Occupational Exposure, Journal Article, Intubation, Intratracheal, Humans, Prospective Studies, Pneumonia, Viral/epidemiology, Pandemics, Proportional Hazards Models, healthcare workers, SARS-CoV-2, Research Support, Non-U.S. Gov't, Occupational Exposure/adverse effects, COVID-19, Original Articles, Middle Aged, 3. Good health, Multicenter Study, Anesthesiology and Pain Medicine, airway, Coronavirus Infections/epidemiology, Female, Coronavirus Infections
Beschreibung: SummaryHealthcare 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.
Publikationsart: Article
Other literature type
Dateibeschreibung: application/pdf
Sprache: English
ISSN: 1365-2044
0003-2409
DOI: 10.1111/anae.15170
Zugangs-URL: https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/anae.15170
https://pubmed.ncbi.nlm.nih.gov/32516833
https://dspace.library.uu.nl/handle/1874/440085
https://discovery-pp.ucl.ac.uk/id/eprint/10108610/
Rights: CC BY NC
CC BY NC ND
Wiley TDM
Dokumentencode: edsair.doi.dedup.....ec44f71b42a85c55e65f6be9c6c7f0c4
Datenbank: OpenAIRE
Beschreibung
Abstract:SummaryHealthcare 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.
ISSN:13652044
00032409
DOI:10.1111/anae.15170