학술논문
Tracheostomies of Patients With COVID-19: A Survey of Infection Reported by Health Care Professionals.
Document Type
Academic Journal
Author
Shreckengost, Constance S. Harrell; Wan, Limeng; Reitz, Alexandra W.; Lin, Alice; Dhamsania, Rohan K.; Spychalski, Julia; Douglas, J. Miller; Lane, Andrea; Amin, Dina; Roser, Steven; Berkowitz, David; Foianini, Jorge Esteban; Moore, Renée; Sreedharan, Jithin K.; Niroula, Abesh; Smith, Randi; Khullar, Onkar V.
Source
Subject
Language
English
ISSN
1062-3264
Abstract
Background: Health care professionals (HCPs) performing tracheostomies in patients with COVID-19 may be at increased risk of infection. Objective: To evaluate factors underlying HCPs' COVID-19 infection and determine whether tracheostomy providers report increased rates of infection. Methods: 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. Results: 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). Conclusions: 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.