Evidence map›Paper›PMID 34353649›Full record

Observational studyAnnals of emergency medicine2021

Personal Protective Equipment Adherence of Pediatric Resuscitation Team Members During the COVID-19 Pandemic.

Emily C Alberto, Kathleen H McCarthy, Colleen A Hamilton, Jacob Shalkevich, Zachary P Milestone, Rima Izem, Jennifer L Fritzeen, Ivan Marsic, Aleksandra Sarcevic, Karen J O'Connell and 1 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Annals of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review of pediatric emergency care and the COVID-19 pandemic.Journal of the American College of Emergency Physicians open · 2023
    Article
  7. Article
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.

Emily C AlbertoDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC.
Kathleen H McCarthyDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC.
Colleen A HamiltonDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC.
Jacob ShalkevichDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC.
Zachary P MilestoneDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC.
Rima IzemDivision of Biostatistics and Study Methods, Children's National Research Institute, Washington, DC; Department of Pediatrics and the Department of Epidemiology, George Washington University, Washington, DC.
Jennifer L FritzeenDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC.
Ivan MarsicDepartment of Electrical and Computer Engineering, Rutgers University, Piscataway, NJ.
Aleksandra SarcevicCollege of Computing and Informatics, Drexel University, Philadelphia, PA.
Karen J O'ConnellDivision of Emergency Medicine, Children's National Hospital, Washington, DC.
Randall S BurdDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC. Electronic address: rburd@childrensnational.org.

Funding

Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
NCATS NIH HHS UL1 TR001876
6 · The paper itself

Abstract

STUDY

objectiveDuring the COVID-19 pandemic, health care workers have had the highest risk of infection among essential workers. Although personal protective equipment (PPE) use is associated with lower infection rates, appropriate use of PPE has been variable among health care workers, even in settings with COVID-19 patients. We aimed to evaluate the patterns of PPE adherence during emergency department resuscitations that included aerosol-generating procedures.

methodsWe conducted a retrospective, video-based review of pediatric resuscitations involving one or more aerosol-generating procedures during the first 3 months of the COVID-19 pandemic in the United States (March to June 2020). Recommended adherence (complete, inadequate, absent) with 5 PPE items (headwear, eyewear, masks, gowns, gloves) and the duration of potential exposure were evaluated for individuals in the room after aerosol-generating procedure initiation.

resultsAmong the 345 health care workers observed during 19 resuscitations, 306 (88.7%) were nonadherent (inadequate or absent adherence) with the recommended use of at least 1 PPE type at some time during the resuscitation, 23 (6.7%) of whom had no PPE. One hundred and forty health care workers (40.6%) altered or removed at least 1 type of PPE during the event. The aggregate time in the resuscitation room for health care workers across all events was 118.7 hours. During this time, providers had either absent or inadequate eyewear for 46.4 hours (39.1%) and absent or inadequate masks for 35.2 hours (29.7%).

conclusionFull adherence with recommended PPE use was limited in a setting at increased risk for SARS-CoV-2 virus aerosolization. In addition to ensuring appropriate donning, approaches are needed for ensuring ongoing adherence with PPE recommendations during exposure.

Indexed as

Guideline AdherencePandemicsResuscitationChildCOVID-19Emergency Service, HospitalHospitals, PediatricHumansInfection ControlPatient Care TeamPersonal Protective EquipmentPractice Guidelines as TopicRetrospective StudiesSARS-CoV-2

Identifiers

PMID34353649
PMCPMC8164378

What OpenQuestion holds

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Registered trials

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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.