Evidence map›Paper›PMID 32162212›Full record

ReviewCanadian journal of anaesthesia = Journal canadien d'anesthesie2020

Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore.

Jolin Wong, Qing Yuan Goh, Zihui Tan, Sui An Lie, Yoong Chuan Tay, Shin Yi Ng, Chai Rick Soh

Abstract readReview
In one paragraph

Review in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 322 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
322citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

322 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Pooled it
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  4. CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2020
    Guideline
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  7. Guideline
  8. Laminar air flow reduces particle load in TKA-even outside the LAF panel: a prospective, randomized cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
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262 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Jolin WongDivision of Anaesthesiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore. jolin.wong@singhealth.com.sg.ORCID http://orcid.org/0000-0001-8318-5685
Qing Yuan GohDivision of Anaesthesiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.ORCID http://orcid.org/0000-0002-3856-8342
Zihui TanDivision of Anaesthesiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
Sui An LieDivision of Anaesthesiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.ORCID http://orcid.org/0000-0001-8565-1934
Yoong Chuan TayDivision of Anaesthesiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
Shin Yi NgDivision of Anaesthesiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
Chai Rick SohDivision of Anaesthesiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The coronavirus disease 2019 (COVID-19) outbreak has been designated a public health emergency of international concern. To prepare for a pandemic, hospitals need a strategy to manage their space, staff, and supplies so that optimum care is provided to patients. In addition, infection prevention measures need to be implemented to reduce in-hospital transmission. In the operating room, these preparations involve multiple stakeholders and can present a significant challenge. Here, we describe the outbreak response measures of the anesthetic department staffing the largest (1,700-bed) academic tertiary level acute care hospital in Singapore (Singapore General Hospital) and a smaller regional hospital (Sengkang General Hospital). These include engineering controls such as identification and preparation of an isolation operating room, administrative measures such as modification of workflow and processes, introduction of personal protective equipment for staff, and formulation of clinical guidelines for anesthetic management. Simulation was valuable in evaluating the feasibility of new operating room set-ups or workflow. We also discuss how the hierarchy of controls can be used as a framework to plan the necessary measures during each phase of a pandemic, and review the evidence for the measures taken. These containment measures are necessary to optimize the quality of care provided to COVID-19 patients and to reduce the risk of viral transmission to other patients or healthcare workers.

Indexed as

PandemicsCoronavirus InfectionsCOVID-19Disease OutbreaksDisease Transmission, InfectiousHumansInfection ControlOperating RoomsPneumonia, ViralSingaporeTertiary Care Centers

Identifiers

PMID32162212
PMCPMC7090449

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.