Evidence map›Paper›PMID 32883580›Full record

ReviewThe surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland2021

Aerosol generating procedures in trauma and orthopaedics in the era of the Covid-19 pandemic; What do we know?

Anshul Sobti, Mohamed Fathi, Mohamed A Mokhtar, Karim Mahana, Mustafa S Rashid, Ioannis Polyzois, A Ali Narvani, Mohamed A Imam

Abstract readReview
In one paragraph

Review in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Article
  6. Article
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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

8 authors.

Anshul SobtiRowley Bristow Unit, Trauma & Orthopaedics, Ashford and St. Peter's Hospitals NHS Foundation Trust, Guildford Rd, Lyne, Chertsey KT16 0PZ, UK. Electronic address: anshulsobti@gmail.com.
Mohamed FathiFaculty of Medicine, Cairo University, Cairo, Egypt.
Mohamed A MokhtarLiverpool University Hospitals, NHS Trust, Liverpool, UK; Trauma & Orthopedic Surgery Department, Suez Canal University, Egypt.
Karim MahanaRowley Bristow Unit, Trauma & Orthopaedics, Ashford and St. Peter's Hospitals NHS Foundation Trust, Guildford Rd, Lyne, Chertsey KT16 0PZ, UK; Trauma & Orthopedic Surgery Department, Suez Canal University, Egypt.
Mustafa S RashidNuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, UK.
Ioannis PolyzoisRowley Bristow Unit, Trauma & Orthopaedics, Ashford and St. Peter's Hospitals NHS Foundation Trust, Guildford Rd, Lyne, Chertsey KT16 0PZ, UK.
A Ali NarvaniRowley Bristow Unit, Trauma & Orthopaedics, Ashford and St. Peter's Hospitals NHS Foundation Trust, Guildford Rd, Lyne, Chertsey KT16 0PZ, UK.
Mohamed A ImamRowley Bristow Unit, Trauma & Orthopaedics, Ashford and St. Peter's Hospitals NHS Foundation Trust, Guildford Rd, Lyne, Chertsey KT16 0PZ, UK; Trauma & Orthopedic Surgery Department, Suez Canal University, Egypt; University of East Anglia, Norwich, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCOVID-19 pandemic has created havoc all over the globe and spared no one regardless of status, gender, location and ethnicity. There were questions raised if trauma and orthopaedic (T&O) procedures actually generated aerosols? The need for a review of literature highlighting the nature and impact of aerosol generation within T&O surgery was noted.

methodsA comprehensive online search was performed for all published articles in the English language, evaluating AGPs in T&O surgery and the relevant personal protection equipment used.

resultsThe search strategy populated 43 studies. Six studies were identified as duplicates. The shortlisted 37 studies were screened and nine studies were included in the review. An additional four studies were included from the bibliography review.

conclusionMost orthopaedic procedures are high-risk aerosol generating procedures (AGPs). Conventional surgical masks do not offer protection against high-risk AGPs. In the current era of COVID-19 pandemic, there is a significant risk to the transmission of infection to the theatre staff. For protection against airborne transmission, appropriate masks should be used. These need proper fitting and sizing to ensure full protection when used.

Indexed as

AerosolsCOVID-19Global HealthHumansInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalOrthopedic ProceduresPandemicsPersonal Protective EquipmentTraumatologyAerosolsAerosol generating proceduresAGPCorona virusCovid-19Pandemic

Identifiers

PMID32883580
PMCPMC7425761

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.