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

Anaesthesia
K El-BoghdadlyI Ahmad

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 ...Continue Reading

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Citations

Jul 9, 2020·Anaesthesia·C J MullingtonJ Dalton
Jul 13, 2020·Anaesthesia·K El-BoghdadlyUNKNOWN intubateCOVID collaborators
Jul 15, 2020·Annals of Internal Medicine·Roger ChouAnnette M Totten
Aug 19, 2020·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Amy TronnierDavid Yamane
Sep 5, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Imran AhmadKariem El-Boghdadly
Jul 22, 2020·Journal of Anesthesia·David ConradTobias Fink
Aug 8, 2020·Anaesthesia·S M Crawley, B McGuire
Sep 24, 2020·Journal of Clinical Medicine·Romain JouffroyBertrand Prunet
Sep 29, 2020·Journal of Dental Research·L MengZ Bian
Oct 21, 2020·Anesthesia and Analgesia·Andrew BowdleL Silvia Munoz-Price
Oct 14, 2020·Anaesthesia·R S DhillonUNKNOWN Clinical Aerosolisation Study Group
Oct 14, 2020·Resuscitation·Fernando Rosell OrtizUNKNOWN OHSCAR investigators
Jan 13, 2021·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Matteo ParottoUNKNOWN intubateCOVID Canadian collaborators and the intubateCOVID International Coordinating Centre
Jan 12, 2021·Anaesthesia·D F Johnston, L R Turbitt
Aug 26, 2020·Anaesthesia·T M CookW Harrop-Griffiths
Jan 20, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Cristina Martin-VillaresUNKNOWN COVID ORL ESP Collaborative Group
Nov 25, 2020·ANZ Journal of Surgery·Paul S MylesJade Radnor
Jul 18, 2020·Anesthesia and Analgesia·James S Green, Derek Dillane
Dec 31, 2020·Anesthesiology Research and Practice·Ajay GandhiPatrick A Ward
Sep 20, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Jameela AlajmiAbdul-Badi Abou-Samra
Nov 12, 2020·International Journal of Environmental Research and Public Health·Nicola MagnavitaMassimo Antonelli
Feb 17, 2021·ANZ Journal of Surgery·Rana S Dhillon, Sarah Olson
Feb 28, 2021·Postgraduate Medical Journal·Yarrow Scantling-BirchMahmood F Bhutta
Jan 30, 2021·Critical Care Medicine·Kate El BouzidiUNKNOWN COVID-STOICS (Serological Testing Of Intensive Care Staff)
Feb 23, 2021·Anaesthesia·G RatnayakeJ J Pandit
Feb 23, 2021·Anaesthesia·S M White, A Chakladar
Mar 13, 2021·European Journal of Dentistry·Víctor LloroMaria Cristina Manzanares

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