Journal article
Tracheostomies of Patients With COVID-19: A Survey of Infection Reported by Health Care Professionals
American journal of critical care, v 32(1)
01 Jan 2023
PMID: 36065019
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Health care professionals (HCPs) performing tracheostomies in patients with COVID-19 may be at increased risk of infection.
To evaluate factors underlying HCPs' COVID-19 infection and determine whether tracheostomy providers report increased rates of infection.
An anonymous international survey examining factors associated with COVID-19 infection was made available November 2020 through July 2021 to HCPs at a convenience sample of hospitals, universities, and professional organizations. Infections reported were compared between HCPs involved in tracheostomy on patients with COVID-19 and HCPs who were not involved.
Of the 361 respondents (from 33 countries), 50% (n = 179) had performed tracheostomies on patients with COVID-19. Performing tracheostomies on patients with COVID-19 was not associated with increased infection in either univariable (P = .06) or multivariable analysis (odds ratio, 1.48; 95% CI, 0.90-2.46; P = .13). Working in a low- or middle-income country (LMIC) was associated with increased infection in both univariable (P < .001) and multivariable analysis (odds ratio, 2.88; CI, 1.50-5.53; P = .001).
Performing tracheostomy was not associated with COVID-19 infection, suggesting that tracheostomies can be safely performed in infected patients with appropriate precautions. However, HCPs in LMICs may face increased infection risk.
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Details
- Title
- Tracheostomies of Patients With COVID-19: A Survey of Infection Reported by Health Care Professionals
- Creators
- Constance S Harrell Shreckengost - Emory UniversityLimeng Wan - Emory UniversityAlexandra W Reitz - Emory UniversityAlice Lin - Emory UniversityRohan K Dhamsania - Philadelphia College of Osteopathic MedicineJulia Spychalski - Emory UniversityJ Miller Douglas - Emory UniversityAndrea Lane - Emory UniversityDina Amin - Grady Memorial HospitalSteven Roser - Grady Memorial HospitalDavid Berkowitz - Emory UniversityJorge Esteban Foianini - Jorge Esteban Foianini is a surgeon, Department of Surgery, Clínica Foianini, BoliviaRenée Moore - Emory UniversityJithin K Sreedharan - Jithin K. Sreedharan is general secretary, Indian Association of Respiratory Care, Kochi, IndiaAbesh Niroula - Emory UniversityRandi Smith - Grady Memorial HospitalOnkar V Khullar - Emory UniversityPTS-COVIDTrach Collaborative
- Publication Details
- American journal of critical care, v 32(1)
- Grant note
- UL1 TR000424 / NCATS NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000920517200001
- Scopus ID
- 2-s2.0-85145424970
- Other Identifier
- 991021448177704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Critical Care Medicine
- Nursing