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Risks to healthcare workers following tracheal intubation of patients with COVID‐19: a prospective international multicentre cohort study
Open accessAbstract
Summary: 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.
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Self-citationCOVID-19 and Italy: what next?
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Self-citationThe Italian coronavirus disease 2019 outbreak: recommendations from clinical practice
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Cited by
Gómez-Ochoa, S. A., Franco, O. H., Rojas, L. Z., Raguindin, P. F., Roa-Díaz, Z. M., Wyssmann, B. M., Guevara, S. L. R., Echeverría, L. E., Glisic, M., & Muka, T. (2021) · American Journal of Epidemiology · doi:10.1093/aje/kwaa191 · Cited by 785
European Resuscitation Council Guidelines 2021: Executive summary
Perkins, G. D., Gräsner, J.-T., Semeraro, F., Olasveengen, T., Soar, J., Lott, C., Van de Voorde, P., Madar, J., Zideman, D., Mentzelopoulos, S., et al. (2021) · Resuscitation · doi:10.1016/j.resuscitation.2021.02.003 · Cited by 649
Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults
Prekker, M. E., Driver, B. E., Trent, S. A., Resnick-Ault, D., Seitz, K. P., Russell, D. W., Gaillard, J. P., Latimer, A. J., Ghamande, S. A., Gibbs, K. W., et al. (2023) · New England Journal of Medicine · doi:10.1056/nejmoa2301601 · Cited by 346
Metadata
- Authors
- El‐Boghdadly, K., Wong, D. J. N., Owen, R., Neuman, M. D., Pocock, S., Carlisle, J. B., Johnstone, C., Andruszkiewicz, P., Baker, P. A., Biccard, B. M., Bryson, G. L., Chan, M. T. V., Cheng, M. H., Chin, K. J., Coburn, M., Jonsson Fagerlund, M., Myatra, S. N., Myles, P. S., O’Sullivan, E., Pasin, L., Shamim, F., van Klei, W. A., & Ahmad, I.
- Venue
- Anaesthesia
- Publisher
- Wiley
- Published
- 2020-07-09
- Volume
- 75
- Issue
- 11
- Pages
- 1437-1447
- ISSN
- 0003-2409 (ISSN-L)
- 1365-2044
- OpenAlex
- W3033165678
- Cited by
- 266
- References
- 16
- FWCI
- 30.41
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- El‐Boghdadly, K., Wong, D. J. N., Owen, R., Neuman, M. D., Pocock, S., Carlisle, J. B., Johnstone, C., Andruszkiewicz, P., Baker, P. A., Biccard, B. M., Bryson, G. L., Chan, M. T. V., Cheng, M. H., Chin, K. J., Coburn, M., Jonsson Fagerlund, M., Myatra, S. N., Myles, P. S., O’Sullivan, E., . . . Ahmad, I. (2020). Risks to healthcare workers following tracheal intubation of patients with COVID‐19: a prospective international multicentre cohort study. Anaesthesia. https://doi.org/10.1111/anae.15170
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
