Transmission of Severe Acute Respiratory Syndrome Coronavirus 1 and Severe Acute Respiratory Syndrome Coronavirus 2 During Aerosol-Generating Procedures in Critical Care: A Systematic Review and Meta-Analysis of Observational Studies
To assess the risk of coronavirus transmission to healthcare workers performing aerosol-generating procedures and the potential benefits of personal protective equipment during these procedures. MEDLINE, EMBASE, and Cochrane CENTRAL were searched using a combination of related MeSH terms and keyword...
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| Veröffentlicht in: | Critical care medicine 2021-07, Vol.49 (7), p.1159-1168 |
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| creator | Chan, Vinson Wai-Shun Ng, Helen Hoi-Lam Rahman, Laiba Tang, Audrey Tang, Kwan Pui Mok, Alex Liu, Jeremy Ho Pak Ho, Kenny Shiu Cheong Chan, Shannon Melissa Wong, Sunny Teoh, Anthony Yuen-Bun Chan, Albert Wong, Martin Yuan, Yuhong Teoh, Jeremy Yuen-Chun |
| description | To assess the risk of coronavirus transmission to healthcare workers performing aerosol-generating procedures and the potential benefits of personal protective equipment during these procedures.
MEDLINE, EMBASE, and Cochrane CENTRAL were searched using a combination of related MeSH terms and keywords.
Cohort studies and case controls investigating common anesthetic and critical care aerosol-generating procedures and transmission of severe acute respiratory syndrome coronavirus 1, Middle East respiratory syndrome coronavirus, and severe acute respiratory syndrome coronavirus 2 to healthcare workers were included for quantitative analysis.
Qualitative and quantitative data on the transmission of severe acute respiratory syndrome coronavirus 1, severe acute respiratory syndrome coronavirus 2, and Middle East respiratory syndrome coronavirus to healthcare workers via aerosol-generating procedures in anesthesia and critical care were collected independently. The Risk Of Bias In Non-randomized Studies - of Interventions tool was used to assess the risk of bias of included studies.
Seventeen studies out of 2,676 yielded records were included for meta-analyses. Endotracheal intubation (odds ratio, 6.69, 95% CI, 3.81-11.72; p < 0.001), noninvasive ventilation (odds ratio, 3.65; 95% CI, 1.86-7.19; p < 0.001), and administration of nebulized medications (odds ratio, 10.03; 95% CI, 1.98-50.69; p = 0.005) were found to increase the odds of healthcare workers contracting severe acute respiratory syndrome coronavirus 1 or severe acute respiratory syndrome coronavirus 2. The use of N95 masks (odds ratio, 0.11; 95% CI, 0.03-0.39; p < 0.001), gowns (odds ratio, 0.59; 95% CI, 0.48-0.73; p < 0.001), and gloves (odds ratio, 0.39; 95% CI, 0.29-0.53; p < 0.001) were found to be significantly protective of healthcare workers from contracting severe acute respiratory syndrome coronavirus 1 or severe acute respiratory syndrome coronavirus 2.
Specific aerosol-generating procedures are high risk for the transmission of severe acute respiratory syndrome coronavirus 1 and severe acute respiratory syndrome coronavirus 2 from patients to healthcare workers. Personal protective equipment reduce the odds of contracting severe acute respiratory syndrome coronavirus 1 and severe acute respiratory syndrome coronavirus 2. |
| doi_str_mv | 10.1097/CCM.0000000000004965 |
| format | Article |
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MEDLINE, EMBASE, and Cochrane CENTRAL were searched using a combination of related MeSH terms and keywords.
Cohort studies and case controls investigating common anesthetic and critical care aerosol-generating procedures and transmission of severe acute respiratory syndrome coronavirus 1, Middle East respiratory syndrome coronavirus, and severe acute respiratory syndrome coronavirus 2 to healthcare workers were included for quantitative analysis.
Qualitative and quantitative data on the transmission of severe acute respiratory syndrome coronavirus 1, severe acute respiratory syndrome coronavirus 2, and Middle East respiratory syndrome coronavirus to healthcare workers via aerosol-generating procedures in anesthesia and critical care were collected independently. The Risk Of Bias In Non-randomized Studies - of Interventions tool was used to assess the risk of bias of included studies.
Seventeen studies out of 2,676 yielded records were included for meta-analyses. Endotracheal intubation (odds ratio, 6.69, 95% CI, 3.81-11.72; p < 0.001), noninvasive ventilation (odds ratio, 3.65; 95% CI, 1.86-7.19; p < 0.001), and administration of nebulized medications (odds ratio, 10.03; 95% CI, 1.98-50.69; p = 0.005) were found to increase the odds of healthcare workers contracting severe acute respiratory syndrome coronavirus 1 or severe acute respiratory syndrome coronavirus 2. The use of N95 masks (odds ratio, 0.11; 95% CI, 0.03-0.39; p < 0.001), gowns (odds ratio, 0.59; 95% CI, 0.48-0.73; p < 0.001), and gloves (odds ratio, 0.39; 95% CI, 0.29-0.53; p < 0.001) were found to be significantly protective of healthcare workers from contracting severe acute respiratory syndrome coronavirus 1 or severe acute respiratory syndrome coronavirus 2.
Specific aerosol-generating procedures are high risk for the transmission of severe acute respiratory syndrome coronavirus 1 and severe acute respiratory syndrome coronavirus 2 from patients to healthcare workers. Personal protective equipment reduce the odds of contracting severe acute respiratory syndrome coronavirus 1 and severe acute respiratory syndrome coronavirus 2.</description><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/CCM.0000000000004965</identifier><identifier>PMID: 33749225</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Aerosols ; Coronavirus Infections - transmission ; Critical Care ; Humans ; Infectious Disease Transmission, Patient-to-Professional - statistics & numerical data ; Middle East Respiratory Syndrome Coronavirus ; Observational Studies as Topic ; Odds Ratio ; Personal Protective Equipment ; Protective Factors ; Risk Factors ; SARS-CoV-2 ; Severe acute respiratory syndrome-related coronavirus</subject><ispartof>Critical care medicine, 2021-07, Vol.49 (7), p.1159-1168</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>Copyright © 2021 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3985-9684efe4c08d33826b7e77ad0a191eb4f11c36ba4d049d333442dbbdec5066543</citedby><cites>FETCH-LOGICAL-c3985-9684efe4c08d33826b7e77ad0a191eb4f11c36ba4d049d333442dbbdec5066543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33749225$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chan, Vinson Wai-Shun</creatorcontrib><creatorcontrib>Ng, Helen Hoi-Lam</creatorcontrib><creatorcontrib>Rahman, Laiba</creatorcontrib><creatorcontrib>Tang, Audrey</creatorcontrib><creatorcontrib>Tang, Kwan Pui</creatorcontrib><creatorcontrib>Mok, Alex</creatorcontrib><creatorcontrib>Liu, Jeremy Ho Pak</creatorcontrib><creatorcontrib>Ho, Kenny Shiu Cheong</creatorcontrib><creatorcontrib>Chan, Shannon Melissa</creatorcontrib><creatorcontrib>Wong, Sunny</creatorcontrib><creatorcontrib>Teoh, Anthony Yuen-Bun</creatorcontrib><creatorcontrib>Chan, Albert</creatorcontrib><creatorcontrib>Wong, Martin</creatorcontrib><creatorcontrib>Yuan, Yuhong</creatorcontrib><creatorcontrib>Teoh, Jeremy Yuen-Chun</creatorcontrib><title>Transmission of Severe Acute Respiratory Syndrome Coronavirus 1 and Severe Acute Respiratory Syndrome Coronavirus 2 During Aerosol-Generating Procedures in Critical Care: A Systematic Review and Meta-Analysis of Observational Studies</title><title>Critical care medicine</title><addtitle>Crit Care Med</addtitle><description>To assess the risk of coronavirus transmission to healthcare workers performing aerosol-generating procedures and the potential benefits of personal protective equipment during these procedures.
MEDLINE, EMBASE, and Cochrane CENTRAL were searched using a combination of related MeSH terms and keywords.
Cohort studies and case controls investigating common anesthetic and critical care aerosol-generating procedures and transmission of severe acute respiratory syndrome coronavirus 1, Middle East respiratory syndrome coronavirus, and severe acute respiratory syndrome coronavirus 2 to healthcare workers were included for quantitative analysis.
Qualitative and quantitative data on the transmission of severe acute respiratory syndrome coronavirus 1, severe acute respiratory syndrome coronavirus 2, and Middle East respiratory syndrome coronavirus to healthcare workers via aerosol-generating procedures in anesthesia and critical care were collected independently. The Risk Of Bias In Non-randomized Studies - of Interventions tool was used to assess the risk of bias of included studies.
Seventeen studies out of 2,676 yielded records were included for meta-analyses. Endotracheal intubation (odds ratio, 6.69, 95% CI, 3.81-11.72; p < 0.001), noninvasive ventilation (odds ratio, 3.65; 95% CI, 1.86-7.19; p < 0.001), and administration of nebulized medications (odds ratio, 10.03; 95% CI, 1.98-50.69; p = 0.005) were found to increase the odds of healthcare workers contracting severe acute respiratory syndrome coronavirus 1 or severe acute respiratory syndrome coronavirus 2. The use of N95 masks (odds ratio, 0.11; 95% CI, 0.03-0.39; p < 0.001), gowns (odds ratio, 0.59; 95% CI, 0.48-0.73; p < 0.001), and gloves (odds ratio, 0.39; 95% CI, 0.29-0.53; p < 0.001) were found to be significantly protective of healthcare workers from contracting severe acute respiratory syndrome coronavirus 1 or severe acute respiratory syndrome coronavirus 2.
Specific aerosol-generating procedures are high risk for the transmission of severe acute respiratory syndrome coronavirus 1 and severe acute respiratory syndrome coronavirus 2 from patients to healthcare workers. Personal protective equipment reduce the odds of contracting severe acute respiratory syndrome coronavirus 1 and severe acute respiratory syndrome coronavirus 2.</description><subject>Aerosols</subject><subject>Coronavirus Infections - transmission</subject><subject>Critical Care</subject><subject>Humans</subject><subject>Infectious Disease Transmission, Patient-to-Professional - statistics & numerical data</subject><subject>Middle East Respiratory Syndrome Coronavirus</subject><subject>Observational Studies as Topic</subject><subject>Odds Ratio</subject><subject>Personal Protective Equipment</subject><subject>Protective Factors</subject><subject>Risk Factors</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome-related coronavirus</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVUstu1DAUtRCIDoU_QMhLNil-5cVuFKAgtSpiyjpy7BtqcOzhOpnRfDJ_gactD7HDG0vWeVyfcwl5ztkZZ239qusuz9hfR7VV-YCseClZwUQrH5IVYy0rpGrlCXmS0lfGuCpr-ZicSFmrVohyRX5cow5pcim5GGgc6QZ2gEDXZpmBfoK0dajniAe6OQSLcQLaRYxB7xwuiXKqg_1PjqBvFnThC10DxhR9cQ4BMuH49BGjAbsgJOoC7dDNzmhPO43wmq6zXpphylCTbXYO9rf2lzDrYh20PySXjn-4GhLgLsOyp6ebebEO0lPyaNQ-wbP7-5R8fvf2untfXFydf-jWF4WRbVMWbdUoGEEZ1lgpG1ENNdS1tkzzlsOgRs6NrAatbE48I6RSwg6DBVOyqiqVPCUv73S3GL8vkOY-p2vAex0gLqkXJZNVzVjdZKi6g5ocREIY-y26SeOh56w_ltznkvt_S860F_cOyzCB_U361eof3X30M2D65pc9YH8D2s83t3pSqKoQTHCWJ8n7klejlD8B0p624g</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Chan, Vinson Wai-Shun</creator><creator>Ng, Helen Hoi-Lam</creator><creator>Rahman, Laiba</creator><creator>Tang, Audrey</creator><creator>Tang, Kwan Pui</creator><creator>Mok, Alex</creator><creator>Liu, Jeremy Ho Pak</creator><creator>Ho, Kenny Shiu Cheong</creator><creator>Chan, Shannon Melissa</creator><creator>Wong, Sunny</creator><creator>Teoh, Anthony Yuen-Bun</creator><creator>Chan, Albert</creator><creator>Wong, Martin</creator><creator>Yuan, Yuhong</creator><creator>Teoh, Jeremy Yuen-Chun</creator><general>Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20210701</creationdate><title>Transmission of Severe Acute Respiratory Syndrome Coronavirus 1 and Severe Acute Respiratory Syndrome Coronavirus 2 During Aerosol-Generating Procedures in Critical Care: A Systematic Review and Meta-Analysis of Observational Studies</title><author>Chan, Vinson Wai-Shun ; 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MEDLINE, EMBASE, and Cochrane CENTRAL were searched using a combination of related MeSH terms and keywords.
Cohort studies and case controls investigating common anesthetic and critical care aerosol-generating procedures and transmission of severe acute respiratory syndrome coronavirus 1, Middle East respiratory syndrome coronavirus, and severe acute respiratory syndrome coronavirus 2 to healthcare workers were included for quantitative analysis.
Qualitative and quantitative data on the transmission of severe acute respiratory syndrome coronavirus 1, severe acute respiratory syndrome coronavirus 2, and Middle East respiratory syndrome coronavirus to healthcare workers via aerosol-generating procedures in anesthesia and critical care were collected independently. The Risk Of Bias In Non-randomized Studies - of Interventions tool was used to assess the risk of bias of included studies.
Seventeen studies out of 2,676 yielded records were included for meta-analyses. Endotracheal intubation (odds ratio, 6.69, 95% CI, 3.81-11.72; p < 0.001), noninvasive ventilation (odds ratio, 3.65; 95% CI, 1.86-7.19; p < 0.001), and administration of nebulized medications (odds ratio, 10.03; 95% CI, 1.98-50.69; p = 0.005) were found to increase the odds of healthcare workers contracting severe acute respiratory syndrome coronavirus 1 or severe acute respiratory syndrome coronavirus 2. The use of N95 masks (odds ratio, 0.11; 95% CI, 0.03-0.39; p < 0.001), gowns (odds ratio, 0.59; 95% CI, 0.48-0.73; p < 0.001), and gloves (odds ratio, 0.39; 95% CI, 0.29-0.53; p < 0.001) were found to be significantly protective of healthcare workers from contracting severe acute respiratory syndrome coronavirus 1 or severe acute respiratory syndrome coronavirus 2.
Specific aerosol-generating procedures are high risk for the transmission of severe acute respiratory syndrome coronavirus 1 and severe acute respiratory syndrome coronavirus 2 from patients to healthcare workers. Personal protective equipment reduce the odds of contracting severe acute respiratory syndrome coronavirus 1 and severe acute respiratory syndrome coronavirus 2.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>33749225</pmid><doi>10.1097/CCM.0000000000004965</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0090-3493 |
| ispartof | Critical care medicine, 2021-07, Vol.49 (7), p.1159-1168 |
| issn | 0090-3493 1530-0293 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2503670078 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aerosols Coronavirus Infections - transmission Critical Care Humans Infectious Disease Transmission, Patient-to-Professional - statistics & numerical data Middle East Respiratory Syndrome Coronavirus Observational Studies as Topic Odds Ratio Personal Protective Equipment Protective Factors Risk Factors SARS-CoV-2 Severe acute respiratory syndrome-related coronavirus |
| title | Transmission of Severe Acute Respiratory Syndrome Coronavirus 1 and Severe Acute Respiratory Syndrome Coronavirus 2 During Aerosol-Generating Procedures in Critical Care: A Systematic Review and Meta-Analysis of Observational Studies |
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