Survey of COVID-19 Disease Among Orthopaedic Surgeons in Wuhan, People’s Republic of China
Identifieur interne : 000159 ( 2020/Analysis ); précédent : 000158; suivant : 000160Survey of COVID-19 Disease Among Orthopaedic Surgeons in Wuhan, People’s Republic of China
Auteurs : Xiaodong Guo [République populaire de Chine] ; Jiedong Wang [République populaire de Chine] ; Dong Hu [République populaire de Chine] ; Lisha Wu [République populaire de Chine] ; Li Gu [République populaire de Chine] ; Yang Wang [République populaire de Chine] ; Jingjing Zhao [République populaire de Chine] ; Lian Zeng [République populaire de Chine] ; Jianduan Zhang [République populaire de Chine] ; Yongchao Wu [République populaire de Chine]Source :
- The Journal of Bone and Joint Surgery. American Volume [ 0021-9355 ] ; 2020.
Abstract
Coronavirus disease 2019 (COVID-19) broke out in Wuhan, the People’s Republic of China, in December 2019 and now is a pandemic all around the world. Some orthopaedic surgeons in Wuhan were infected with COVID-19.
We conducted a survey to identify the orthopaedic surgeons who were infected with COVID-19 in Wuhan. A self-administered questionnaire was distributed to collect information such as social demographic variables, clinical manifestations, exposure history, awareness of the outbreak, infection control training provided by hospitals, and individual protection practices. To further explore the possible risk factors at the individual level, a 1:2 matched case-control study was conducted.
A total of 26 orthopaedic surgeons from 8 hospitals in Wuhan were identified as having COVID-19. The incidence in each hospital varied from 1.5% to 20.7%. The onset of symptoms was from January 13 to February 5, 2020, and peaked on January 23, 8 days prior to the peak of the public epidemic. The suspected sites of exposure were general wards (79.2%), public places at the hospital (20.8%), operating rooms (12.5%), the intensive care unit (4.2%), and the outpatient clinic (4.2%). There was transmission from these doctors to others in 25% of cases, including to family members (20.8%), to colleagues (4.2%), to patients (4.2%), and to friends (4.2%). Participation in real-time training on prevention measures was found to have a protective effect against COVID-19 (odds ratio [OR], 0.12). Not wearing an N95 respirator was found to be a risk factor (OR, 5.20 [95% confidence interval (CI), 1.09 to 25.00]). Wearing respirators or masks all of the time was found to be protective (OR, 0.15). Severe fatigue was found to be a risk factor (OR, 4 [95% CI, 1 to 16]) for infection with COVID-19.
Orthopaedic surgeons are at risk during the COVID-19 pandemic. Common places of work could be contaminated. Orthopaedic surgeons have to be more vigilant and take more precautions to avoid infection with COVID-19.
Diagnostic
Url:
DOI: 10.2106/JBJS.20.00417
PubMed: 32271208
PubMed Central: 7188039
Affiliations:
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Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Wang, Yang" sort="Wang, Yang" uniqKey="Wang Y" first="Yang" last="Wang">Yang Wang</name><affiliation wicri:level="3"><nlm:aff id="aff3">Department of Orthopedics, Wuhan Central Hospital, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics, Wuhan Central Hospital, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Zhao, Jingjing" sort="Zhao, Jingjing" uniqKey="Zhao J" first="Jingjing" last="Zhao">Jingjing Zhao</name><affiliation wicri:level="3"><nlm:aff id="aff4">Department of Orthopedics, Wuhan Puai Hospital, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics, Wuhan Puai Hospital, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Zeng, Lian" sort="Zeng, Lian" uniqKey="Zeng L" first="Lian" last="Zeng">Lian Zeng</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. 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Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. 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Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Wang, Jiedong" sort="Wang, Jiedong" uniqKey="Wang J" first="Jiedong" last="Wang">Jiedong Wang</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Hu, Dong" sort="Hu, Dong" uniqKey="Hu D" first="Dong" last="Hu">Dong Hu</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Wu, Lisha" sort="Wu, Lisha" uniqKey="Wu L" first="Lisha" last="Wu">Lisha Wu</name><affiliation wicri:level="3"><nlm:aff id="aff2">School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Gu, Li" sort="Gu, Li" uniqKey="Gu L" first="Li" last="Gu">Li Gu</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Wang, Yang" sort="Wang, Yang" uniqKey="Wang Y" first="Yang" last="Wang">Yang Wang</name><affiliation wicri:level="3"><nlm:aff id="aff3">Department of Orthopedics, Wuhan Central Hospital, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics, Wuhan Central Hospital, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Zhao, Jingjing" sort="Zhao, Jingjing" uniqKey="Zhao J" first="Jingjing" last="Zhao">Jingjing Zhao</name><affiliation wicri:level="3"><nlm:aff id="aff4">Department of Orthopedics, Wuhan Puai Hospital, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics, Wuhan Puai Hospital, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Zeng, Lian" sort="Zeng, Lian" uniqKey="Zeng L" first="Lian" last="Zeng">Lian Zeng</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Zhang, Jianduan" sort="Zhang, Jianduan" uniqKey="Zhang J" first="Jianduan" last="Zhang">Jianduan Zhang</name><affiliation wicri:level="3"><nlm:aff id="aff2">School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Wu, Yongchao" sort="Wu, Yongchao" uniqKey="Wu Y" first="Yongchao" last="Wu">Yongchao Wu</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopedics (X.G., J.W., L.G., L.Z., and Y. Wu), and the Center for Stem Cell Research and Application, Institute of Hematology (D.H.), Union Hospital, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author></analytic><series><title level="j">The Journal of Bone and Joint Surgery. American Volume</title><idno type="ISSN">0021-9355</idno><idno type="eISSN">1535-1386</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Background:</title><p>Coronavirus disease 2019 (COVID-19) broke out in Wuhan, the People’s Republic of China, in December 2019 and now is a pandemic all around the world. Some orthopaedic surgeons in Wuhan were infected with COVID-19.</p><sec><title>Methods:</title><p>We conducted a survey to identify the orthopaedic surgeons who were infected with COVID-19 in Wuhan. A self-administered questionnaire was distributed to collect information such as social demographic variables, clinical manifestations, exposure history, awareness of the outbreak, infection control training provided by hospitals, and individual protection practices. To further explore the possible risk factors at the individual level, a 1:2 matched case-control study was conducted.</p></sec><sec><title>Results:</title><p>A total of 26 orthopaedic surgeons from 8 hospitals in Wuhan were identified as having COVID-19. The incidence in each hospital varied from 1.5% to 20.7%. The onset of symptoms was from January 13 to February 5, 2020, and peaked on January 23, 8 days prior to the peak of the public epidemic. The suspected sites of exposure were general wards (79.2%), public places at the hospital (20.8%), operating rooms (12.5%), the intensive care unit (4.2%), and the outpatient clinic (4.2%). There was transmission from these doctors to others in 25% of cases, including to family members (20.8%), to colleagues (4.2%), to patients (4.2%), and to friends (4.2%). Participation in real-time training on prevention measures was found to have a protective effect against COVID-19 (odds ratio [OR], 0.12). Not wearing an N95 respirator was found to be a risk factor (OR, 5.20 [95% confidence interval (CI), 1.09 to 25.00]). Wearing respirators or masks all of the time was found to be protective (OR, 0.15). Severe fatigue was found to be a risk factor (OR, 4 [95% CI, 1 to 16]) for infection with COVID-19.</p></sec><sec><title>Conclusions:</title><p>Orthopaedic surgeons are at risk during the COVID-19 pandemic. Common places of work could be contaminated. Orthopaedic surgeons have to be more vigilant and take more precautions to avoid infection with COVID-19.</p></sec><sec><title>Level of Evidence:</title><p>Diagnostic <underline>Level IV</underline>. See Instructions for Authors for a complete description of levels of evidence.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Guan, Wj" uniqKey="Guan W">WJ Guan</name></author><author><name sortKey="Ni, Zy" uniqKey="Ni Z">ZY Ni</name></author><author><name sortKey="Hu, Y" uniqKey="Hu Y">Y Hu</name></author><author><name sortKey="Liang, Wh" uniqKey="Liang W">WH Liang</name></author><author><name sortKey="Ou, Cq" uniqKey="Ou C">CQ Ou</name></author><author><name sortKey="He, Jx" uniqKey="He J">JX He</name></author><author><name sortKey="Liu, L" uniqKey="Liu L">L Liu</name></author><author><name sortKey="Shan, H" uniqKey="Shan H">H Shan</name></author><author><name sortKey="Lei, Cl" uniqKey="Lei C">CL Lei</name></author><author><name sortKey="Hui, Dsc" uniqKey="Hui D">DSC Hui</name></author><author><name sortKey="Du, B" uniqKey="Du B">B Du</name></author><author><name sortKey="Li, Lj" uniqKey="Li L">LJ 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uniqKey="Zhao Y">Y Zhao</name></author><author><name sortKey="Li, Y" uniqKey="Li Y">Y Li</name></author><author><name sortKey="Wang, X" uniqKey="Wang X">X Wang</name></author><author><name sortKey="Peng, Z" uniqKey="Peng Z">Z Peng</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Li, R" uniqKey="Li R">R Li</name></author><author><name sortKey="Pei, S" uniqKey="Pei S">S Pei</name></author><author><name sortKey="Chen, B" uniqKey="Chen B">B Chen</name></author><author><name sortKey="Song, Y" uniqKey="Song Y">Y Song</name></author><author><name sortKey="Zhang, T" uniqKey="Zhang T">T Zhang</name></author><author><name sortKey="Yang, W" uniqKey="Yang W">W Yang</name></author><author><name sortKey="Shaman, J" uniqKey="Shaman J">J Shaman</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Adalja, Aa" uniqKey="Adalja A">AA Adalja</name></author><author><name sortKey="Toner, E" uniqKey="Toner E">E Toner</name></author><author><name sortKey="Inglesby, Tv" uniqKey="Inglesby T">TV Inglesby</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country><region><li>Hubei</li></region><settlement><li>Wuhan</li></settlement></list><tree><country name="République populaire de Chine"><region name="Hubei"><name sortKey="Guo, Xiaodong" sort="Guo, Xiaodong" uniqKey="Guo X" first="Xiaodong" last="Guo">Xiaodong Guo</name></region><name sortKey="Gu, Li" sort="Gu, Li" uniqKey="Gu L" first="Li" last="Gu">Li Gu</name><name sortKey="Hu, Dong" sort="Hu, Dong" uniqKey="Hu D" first="Dong" last="Hu">Dong Hu</name><name sortKey="Wang, Jiedong" sort="Wang, Jiedong" uniqKey="Wang J" first="Jiedong" last="Wang">Jiedong Wang</name><name sortKey="Wang, Yang" sort="Wang, Yang" uniqKey="Wang Y" first="Yang" last="Wang">Yang Wang</name><name sortKey="Wu, Lisha" sort="Wu, Lisha" uniqKey="Wu L" first="Lisha" last="Wu">Lisha Wu</name><name sortKey="Wu, Yongchao" sort="Wu, Yongchao" uniqKey="Wu Y" first="Yongchao" last="Wu">Yongchao Wu</name><name sortKey="Zeng, Lian" sort="Zeng, Lian" uniqKey="Zeng L" first="Lian" last="Zeng">Lian Zeng</name><name sortKey="Zhang, Jianduan" sort="Zhang, Jianduan" uniqKey="Zhang J" first="Jianduan" last="Zhang">Jianduan Zhang</name><name sortKey="Zhao, Jingjing" sort="Zhao, Jingjing" uniqKey="Zhao J" first="Jingjing" last="Zhao">Jingjing Zhao</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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