International registry of otolaryngologist-head and neck surgeons with COVID-19

Leigh J Sowerby; Kate Stephenson; Alexander Dickie; Federico A Di Lella; Niall Jefferson; Hannah North; R Daniele De Siati; Rebecca Maunsell; Michael Herzog; Raghu Nandhan; Marilena Trozzi; Puya Dehgani-Mobaraki; Antoine Melkane; Claudio Callejas; Harald Miljeteig; Diane Smit; Daniel Dibildox Reynoso; Joao Eloi Moura; Ann Hermansson; Shazia Peer; Lisa Burnell; Nicolas Fakhry; Carlos Chiesa-Estomba; Özlem Önerci Çelebi; Sergei Karpischenko; Steven Sobol; Zoukaa Sargi; Zara M Patel

doi:10.1002/alr.22677

International registry of otolaryngologist-head and neck surgeons with COVID-19

Leigh J Sowerby
, Kate Stephenson
, Alexander Dickie
, Federico A Di Lella
, Niall Jefferson
, Hannah North
, R Daniele De Siati
, Rebecca Maunsell
, Michael Herzog
, Raghu Nandhan
, Marilena Trozzi
, Puya Dehgani-Mobaraki
, Antoine Melkane
, Claudio Callejas
, Harald Miljeteig
, Diane Smit
, Daniel Dibildox Reynoso
, Joao Eloi Moura
, Ann Hermansson
, Shazia Peer

Lisa Burnell, Nicolas Fakhry, Carlos Chiesa-Estomba, Özlem Önerci Çelebi, Sergei Karpischenko, Steven Sobol, Zoukaa Sargi, Zara M Patel

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Abstract

BACKGROUND: It has become clear that healthcare workers are at high risk, and otolaryngology has been theorized to be among the highest risk specialties for coronavirus disease 2019 (COVID-19). The purpose of this study was to detail the international impact of COVID-19 among otolaryngologists, and to identify instructional cases.

METHODS: Country representatives of the Young Otolaryngologists-International Federation of Otolaryngologic Societies (YO-IFOS) surveyed otolaryngologists through various channels. Nationwide surveys were distributed in 19 countries. The gray literature and social media channels were searched to identify reported deaths of otolaryngologists from COVID-19.

RESULTS: A total of 361 otolaryngologists were identified to have had COVID-19, and data for 325 surgeons was available for analysis. The age range was 25 to 84 years, with one-half under the age of 44 years. There were 24 deaths in the study period, with 83% over age 55 years. Source of infection was likely clinical activity in 175 (54%) cases. Prolonged exposure to a colleague was the source for 37 (11%) surgeons. Six instructional cases were identified where infections occurred during the performance of aerosol-generating operations (tracheostomy, mastoidectomy, epistaxis control, dacryocystorhinostomy, and translabyrinthine resection). In 3 of these cases, multiple operating room attendees were infected, and in 2, the surgeon succumbed to complications of COVID-19.

CONCLUSION: The etiology of reported cases within the otolaryngology community appear to stem equally from clinical activity and community spread. Multiple procedures performed by otolaryngologists are aerosol-generating procedures (AGPs) and great care should be taken to protect the surgical team before, during, and after these operations.

Original language	English
Pages (from-to)	1201-1208
Number of pages	8
Journal	International forum of allergy & rhinology
Volume	10
Issue number	11
DOIs	https://doi.org/10.1002/alr.22677
Publication status	Published - Nov 2020

Keywords

COVID-19
aerosol generating procedures (AGPs)
coronavirus
morbidity
mortality
otolaryngology
personal protective equipment (PPE)
physicians

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alr.22677Final published version, 424 KBLicence: Taverne

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Sowerby, L. J., Stephenson, K., Dickie, A., Lella, F. A. D., Jefferson, N., North, H., De Siati, R. D., Maunsell, R., Herzog, M., Nandhan, R., Trozzi, M., Dehgani-Mobaraki, P., Melkane, A., Callejas, C., Miljeteig, H., Smit, D., Reynoso, D. D., Moura, J. E., Hermansson, A., ... Patel, Z. M. (2020). International registry of otolaryngologist-head and neck surgeons with COVID-19. International forum of allergy & rhinology, 10(11), 1201-1208. https://doi.org/10.1002/alr.22677

@article{1b4af406adac4c69b72aa0819ee0a233,

title = "International registry of otolaryngologist-head and neck surgeons with COVID-19",

abstract = "BACKGROUND: It has become clear that healthcare workers are at high risk, and otolaryngology has been theorized to be among the highest risk specialties for coronavirus disease 2019 (COVID-19). The purpose of this study was to detail the international impact of COVID-19 among otolaryngologists, and to identify instructional cases.METHODS: Country representatives of the Young Otolaryngologists-International Federation of Otolaryngologic Societies (YO-IFOS) surveyed otolaryngologists through various channels. Nationwide surveys were distributed in 19 countries. The gray literature and social media channels were searched to identify reported deaths of otolaryngologists from COVID-19.RESULTS: A total of 361 otolaryngologists were identified to have had COVID-19, and data for 325 surgeons was available for analysis. The age range was 25 to 84 years, with one-half under the age of 44 years. There were 24 deaths in the study period, with 83\% over age 55 years. Source of infection was likely clinical activity in 175 (54\%) cases. Prolonged exposure to a colleague was the source for 37 (11\%) surgeons. Six instructional cases were identified where infections occurred during the performance of aerosol-generating operations (tracheostomy, mastoidectomy, epistaxis control, dacryocystorhinostomy, and translabyrinthine resection). In 3 of these cases, multiple operating room attendees were infected, and in 2, the surgeon succumbed to complications of COVID-19.CONCLUSION: The etiology of reported cases within the otolaryngology community appear to stem equally from clinical activity and community spread. Multiple procedures performed by otolaryngologists are aerosol-generating procedures (AGPs) and great care should be taken to protect the surgical team before, during, and after these operations.",

keywords = "COVID-19, aerosol generating procedures (AGPs), coronavirus, morbidity, mortality, otolaryngology, personal protective equipment (PPE), physicians",

author = "Sowerby, \{Leigh J\} and Kate Stephenson and Alexander Dickie and Lella, \{Federico A Di\} and Niall Jefferson and Hannah North and \{De Siati\}, \{R Daniele\} and Rebecca Maunsell and Michael Herzog and Raghu Nandhan and Marilena Trozzi and Puya Dehgani-Mobaraki and Antoine Melkane and Claudio Callejas and Harald Miljeteig and Diane Smit and Reynoso, \{Daniel Dibildox\} and Moura, \{Joao Eloi\} and Ann Hermansson and Shazia Peer and Lisa Burnell and Nicolas Fakhry and Carlos Chiesa-Estomba and \{{\"O}nerci {\c C}elebi\}, {\"O}zlem and Sergei Karpischenko and Steven Sobol and Zoukaa Sargi and Patel, \{Zara M\}",

note = "Publisher Copyright: {\textcopyright} 2020 ARS-AAOA, LLC",

year = "2020",

month = nov,

doi = "10.1002/alr.22677",

language = "English",

volume = "10",

pages = "1201--1208",

journal = "International forum of allergy \& rhinology",

issn = "2042-6976",

publisher = "John Wiley \& Sons Inc.",

number = "11",

}

Sowerby, LJ, Stephenson, K, Dickie, A, Lella, FAD, Jefferson, N, North, H, De Siati, RD, Maunsell, R, Herzog, M, Nandhan, R, Trozzi, M, Dehgani-Mobaraki, P, Melkane, A, Callejas, C, Miljeteig, H, Smit, D, Reynoso, DD, Moura, JE, Hermansson, A, Peer, S, Burnell, L, Fakhry, N, Chiesa-Estomba, C, Önerci Çelebi, Ö, Karpischenko, S, Sobol, S, Sargi, Z & Patel, ZM 2020, 'International registry of otolaryngologist-head and neck surgeons with COVID-19', International forum of allergy & rhinology, vol. 10, no. 11, pp. 1201-1208. https://doi.org/10.1002/alr.22677

TY - JOUR

T1 - International registry of otolaryngologist-head and neck surgeons with COVID-19

AU - Sowerby, Leigh J

AU - Stephenson, Kate

AU - Dickie, Alexander

AU - Lella, Federico A Di

AU - Jefferson, Niall

AU - North, Hannah

AU - De Siati, R Daniele

AU - Maunsell, Rebecca

AU - Herzog, Michael

AU - Nandhan, Raghu

AU - Trozzi, Marilena

AU - Dehgani-Mobaraki, Puya

AU - Melkane, Antoine

AU - Callejas, Claudio

AU - Miljeteig, Harald

AU - Smit, Diane

AU - Reynoso, Daniel Dibildox

AU - Moura, Joao Eloi

AU - Hermansson, Ann

AU - Peer, Shazia

AU - Burnell, Lisa

AU - Fakhry, Nicolas

AU - Chiesa-Estomba, Carlos

AU - Önerci Çelebi, Özlem

AU - Karpischenko, Sergei

AU - Sobol, Steven

AU - Sargi, Zoukaa

AU - Patel, Zara M

PY - 2020/11

Y1 - 2020/11

N2 - BACKGROUND: It has become clear that healthcare workers are at high risk, and otolaryngology has been theorized to be among the highest risk specialties for coronavirus disease 2019 (COVID-19). The purpose of this study was to detail the international impact of COVID-19 among otolaryngologists, and to identify instructional cases.METHODS: Country representatives of the Young Otolaryngologists-International Federation of Otolaryngologic Societies (YO-IFOS) surveyed otolaryngologists through various channels. Nationwide surveys were distributed in 19 countries. The gray literature and social media channels were searched to identify reported deaths of otolaryngologists from COVID-19.RESULTS: A total of 361 otolaryngologists were identified to have had COVID-19, and data for 325 surgeons was available for analysis. The age range was 25 to 84 years, with one-half under the age of 44 years. There were 24 deaths in the study period, with 83% over age 55 years. Source of infection was likely clinical activity in 175 (54%) cases. Prolonged exposure to a colleague was the source for 37 (11%) surgeons. Six instructional cases were identified where infections occurred during the performance of aerosol-generating operations (tracheostomy, mastoidectomy, epistaxis control, dacryocystorhinostomy, and translabyrinthine resection). In 3 of these cases, multiple operating room attendees were infected, and in 2, the surgeon succumbed to complications of COVID-19.CONCLUSION: The etiology of reported cases within the otolaryngology community appear to stem equally from clinical activity and community spread. Multiple procedures performed by otolaryngologists are aerosol-generating procedures (AGPs) and great care should be taken to protect the surgical team before, during, and after these operations.

AB - BACKGROUND: It has become clear that healthcare workers are at high risk, and otolaryngology has been theorized to be among the highest risk specialties for coronavirus disease 2019 (COVID-19). The purpose of this study was to detail the international impact of COVID-19 among otolaryngologists, and to identify instructional cases.METHODS: Country representatives of the Young Otolaryngologists-International Federation of Otolaryngologic Societies (YO-IFOS) surveyed otolaryngologists through various channels. Nationwide surveys were distributed in 19 countries. The gray literature and social media channels were searched to identify reported deaths of otolaryngologists from COVID-19.RESULTS: A total of 361 otolaryngologists were identified to have had COVID-19, and data for 325 surgeons was available for analysis. The age range was 25 to 84 years, with one-half under the age of 44 years. There were 24 deaths in the study period, with 83% over age 55 years. Source of infection was likely clinical activity in 175 (54%) cases. Prolonged exposure to a colleague was the source for 37 (11%) surgeons. Six instructional cases were identified where infections occurred during the performance of aerosol-generating operations (tracheostomy, mastoidectomy, epistaxis control, dacryocystorhinostomy, and translabyrinthine resection). In 3 of these cases, multiple operating room attendees were infected, and in 2, the surgeon succumbed to complications of COVID-19.CONCLUSION: The etiology of reported cases within the otolaryngology community appear to stem equally from clinical activity and community spread. Multiple procedures performed by otolaryngologists are aerosol-generating procedures (AGPs) and great care should be taken to protect the surgical team before, during, and after these operations.

KW - COVID-19

KW - aerosol generating procedures (AGPs)

KW - coronavirus

KW - morbidity

KW - mortality

KW - otolaryngology

KW - personal protective equipment (PPE)

KW - physicians

UR - https://www.scopus.com/pages/publications/85089736523

U2 - 10.1002/alr.22677

DO - 10.1002/alr.22677

M3 - Article

C2 - 32735062

SN - 2042-6976

VL - 10

SP - 1201

EP - 1208

JO - International forum of allergy & rhinology

JF - International forum of allergy & rhinology

IS - 11

ER -

International registry of otolaryngologist-head and neck surgeons with COVID-19

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