ArticleAnaesthesia2020
Risks to healthcare workers following tracheal intubation of patients with COVID-19: a prospective international multicentre cohort study.
Article in Anaesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
125 citing papers in PubMed, 5 syntheses or guidelines pooled it, 274 citations in OpenAlex.
- Comparison of video laryngoscopy with direct laryngoscopy in critically ill patients: a systematic review and meta-analysis of randomized controlled trials.European journal of medical research · 2025Pooled it
- Efficacy of personal protective equipment to prevent environmental infection of COVID-19 among healthcare workers: a systematic review.Environmental health and preventive medicine · 2023Pooled it
- SARS-CoV-2 transmission risk to healthcare workers performing tracheostomies: a systematic review.ANZ journal of surgery · 2022Pooled it
- Personal protective equipment for reducing the risk of COVID-19 infection among health care workers involved in emergency trauma surgery during the pandemic: An umbrella review.The journal of trauma and acute care surgery · 2021Pooled it
- Use of powered air-purifying respirator (PAPR) by healthcare workers for preventing highly infectious viral diseases-a systematic review of evidence.Systematic reviews · 2020Pooled it
- Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults.The New England journal of medicine · 2023Trial
- Evaluation of the conventional and modified aerosol boxes during tracheal intubation in normal and difficult airways: a randomized, crossover, manikin simulation study.Journal of clinical monitoring and computing · 2022Trial
- Comparison of the Efficiency and Usability of Aerosol Box and Intubation Tent on Intubation of a Manikin Using Personal Protective Equipment: A Randomized Crossover Study.The Journal of emergency medicine · 2021Trial
- Intraoperative aerosol box use: does an educational visual aid reduce contamination?Korean journal of anesthesiology · 2021Trial
- A Portable, Foldable Negative-Pressure Aerosol-Containment System (FNPACS) for Aerosol Control During Aerosol-Generating Procedures.Bioengineering (Basel, Switzerland) · 2026Article
- Investigating obstacles to the routine use of videolaryngoscopy: A national survey in Scotland.European journal of anaesthesiology and intensive care · 2025Article
- Video laryngoscopy versus direct laryngoscopy in a UK pre-hospital physician/critical care paramedic helicopter emergency medical service.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Use of portable air cleaners within an ambulance workspace.Journal of occupational and environmental hygiene · 2025Article
- Difficult Airway Response Team Outcomes in an Academic Emergency Department: A Prospective, Multidisciplinary Airway Management Cohort Study.Tracheostomy (Warrenville, Ill.) · 2024Article
- Health Workers' Mindfulness-Based Stress Reduction and Resilience During COVID-19 Pandemic.Journal of multidisciplinary healthcare · 2024Article
- Tracheal tube infections in critical care: A narrative review of influencing factors, microbial agents, and mitigation strategies in intensive care unit settings.SAGE open medicine · 2024Review
- Response to: Respiratory protection for airway operators - Response to "aerosol generation during percutaneous tracheostomy insertion".Journal of the Intensive Care Society · 2023Article
- Academic anaesthesiology: a global perspective on training, support, and future development of early career researchers.British journal of anaesthesia · 2023Article
- Transmission and Risk Factors of COVID-19 among Health Care Workers.Seminars in respiratory and critical care medicine · 2023Review
- Lessons Learned in Mechanical Ventilation/Oxygen Support in Coronavirus Disease 2019.Clinics in chest medicine · 2023Review
65 more citing papers are in PubMed but not listed here.
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Authors and funding
23 authors at 20 institutions in 17 countries.
Funding
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 8.5%, respectively. The risk of the primary endpoint varied by country and was higher in women, but was not associated with other factors. Around 1 in 10 healthcare workers involved in tracheal intubation of patients with suspected or confirmed COVID-19 subsequently reported a COVID-19 outcome. This has human resource implications for institutional capacity to deliver essential healthcare services, and wider societal implications for COVID-19 transmission.
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What OpenQuestion holds
Registered trials
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.