Evidence map›Paper›PMID 32671968›Full record

ReviewANZ journal of surgery2020

Personal protective equipment and evidence-based advice for surgical departments during COVID-19.

Lorwai Tan, Joshua G Kovoor, Penny Williamson, David R Tivey, Wendy J Babidge, Trevor G Collinson, Peter J Hewett, Thomas J Hugh, Robert T A Padbury, Sally J Langley and 1 more

Abstract readReview
In one paragraph

Review in ANZ journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. COVID-19, Suffering and Palliative Care: A Review.The American journal of hospice & palliative care · 2022
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Surgery triage during the COVID-19 pandemic.ANZ journal of surgery · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Lorwai TanResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.ORCID 0000-0001-8434-2988
Joshua G KovoorUniversity of Adelaide, Adelaide, South Australia, Australia.ORCID 0000-0002-3880-3840
Penny WilliamsonResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.
David R TiveyResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.ORCID 0000-0003-2213-2576
Wendy J BabidgeResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.ORCID 0000-0002-7063-7192
Trevor G CollinsonGeneral Surgeons Australia, Adelaide, South Australia, Australia.
Peter J HewettDiscipline of Surgery, The Queen Elizabeth Hospital, University of Adelaide, Adelaide, South Australia, Australia.
Thomas J HughNorthern Clinical School, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-6690-342X
Robert T A PadburyFlinders University, Adelaide, South Australia, Australia.
Sally J LangleyPlastic and Reconstructive Surgery Department, Christchurch Hospital, Christchurch, New Zealand.
Guy J MaddernResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.ORCID 0000-0003-2064-181X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInconsistencies regarding the use of appropriate personal protective equipment (PPE) have raised concerns for the safety of surgical staff during the coronavirus disease 2019 (COVID-19) pandemic. This rapid review synthesizes the literature and includes input from clinical experts to provide evidence-based guidance for surgical services.

methodsThe rapid review comprised of targeted searches in PubMed and grey literature. Pertinent findings were discussed by a working group of clinical experts, and consensus recommendations, consistent with Australian and New Zealand Government guidelines, were formulated.

resultsThere was a paucity of high-quality primary studies specifically investigating appropriate surgical PPE for healthcare workers treating patients possibly infected with COVID-19. SARS-CoV-2 is capable of aerosol, droplet and fomite transmission, making it essential to augment standard infection control measures with appropriate PPE, especially during surgical emergencies and aerosol-generating procedures. All biological material should be treated a potential source of SARS-COV-2. Staff must have formal training in the use of PPE and should be supervised by a colleague during donning and doffing. Patients with suspected or confirmed COVID-19 should wear a surgical mask during transfer to and from theatre. Potential solutions exist in the literature to extend the use of surgical P2/N95 respirators in situations of limited supply.

conclusionPPE is advised for all high-risk procedures and when a patient's COVID-19 status is unknown. Surgical departments should facilitate staggered rostering, remote meeting attendance, and self-isolation of symptomatic staff. Vulnerable surgical staff should be identified and excluded from operations with a high risk of COVID-19 infection.

Indexed as

BetacoronavirusPandemicsAustraliaCoronavirus InfectionsCOVID-19Disease Transmission, InfectiousHealth PersonnelHumansInfection ControlNew ZealandPersonal Protective EquipmentPneumonia, ViralSARS-CoV-2COVID-19healthcare workerpersonal protective equipmentSARS-CoV-2surgery

Identifiers

PMID32671968
PMCPMC7404866

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.