SARS-CoV-2 transmission risk to healthcare workers performing tracheostomies: a systematic review.

Background: Tracheostomy is a commonly performed procedure in patients with coronavirus disease 2019 (COVID-19) receiving mechanical ventilation (MV). This review aims to investigate the occurrence of SARS-CoV-2 transmission from patients to healthcare workers (HCWs) when tracheostomies are performed.

Methods: This systematic review used the preferred reporting items for systematic reviews and meta-analysis framework.

Timely goals of care documentation in patients with frailty in the COVID-19 era: a retrospective multi-site study.

Background: Older frail patients are more likely to have timely goals of care (GOC) documentation than non-frail patients.

Aims: To investigate whether timely documentation of GOC within 72 h differed in the context of the COVID-19 pandemic (2020), compared with the pre-COVID-19 era (2019) for older frail patients.

Methods: Multi-site retrospective cohort study was conducted in two public hospitals where all consecutive frail adult patients aged ≥65 years were admitted under medical units for at least 24 h between 1 March 31 and October in 2019 and between 1 March and 31 October 2020 were included.