Search results for "Coronavirus"
Proning didn't help, may have harmed hospital patients on supplemental oxygen
A nonrandomized trial conducted at two academic medical centers in 2020 encouraged awake inpatients with COVID-19 to position themselves on their stomachs and did not find any associated improvement in risk of worsening hypoxemia.
https://acphospitalist.acponline.org/archives/2022/04/27/free/proning-didnt-help-may-have-harmed-hospital-patients-on-supplemental-oxygen.htm
27 Apr 2022
Risk for DVT, PE, bleeding after COVID-19, but low long-term VTE recurrence risk
One study found increased risk for deep venous thrombosis (DVT) for up to three months after COVID-19, pulmonary embolism (PE) for up to six months, and bleeding for up to two months, while another showed low rates of venous thromboembolism (VTE) recurrence in the year after infection.
https://acphospitalist.acponline.org/archives/2022/04/13/free/risk-for-dvt-pe-bleeding-seen-after-covid-19-long-term-risk-for-vte-recurrence-may-be-low.htm
13 Apr 2022
Rapid testing of health care workers with COVID-19 found many still positive at day 5
Rapid antigen testing for SARS-CoV-2 could be a safe and effective method for guiding return to work, according to the authors of a retrospective study of health care personnel infected in January.
https://acphospitalist.acponline.org/archives/2022/04/06/free/rapid-testing-of-health-care-workers-with-covid-19-found-many-still-positive-at-day-5.htm
6 Apr 2022
Negative trials of prone positioning, antiplatelet therapy for COVID-19
Telling inpatients to lay on their stomachs did not significantly improve outcomes, one study found, while others offered some mixed results on the effects of aspirin and P2Y12 inhibitors. Additional research showed that a commonly used triage score doesn't work for COVID-19 and that hospitalists' worry about catching the virus impaired their well-being.
https://acphospitalist.acponline.org/archives/2022/03/30/free/negative-trials-of-prone-positioning-antiplatelet-therapy-for-covid-19.htm
30 Mar 2022
Advance care planning assessed, therapeutic heparin debated in recent COVID-19 articles
Along with an analysis of the pre-existing conditions of patients who died of COVID-19 and a point/counterpoint on use of heparin in ward patients, the latest inpatient COVID-19 research included negative trials of losartan and a potential monoclonal antibody.
https://acphospitalist.acponline.org/archives/2022/03/23/free/advance-care-planning-assessed-therapeutic-heparin-debated-in-recent-covid-19-articles.htm
23 Mar 2022
Benefits of dedicated COVID-19 hospitals, ECMO; air sampling after aerosol-generating procedures
A health system reported outcomes at two hospitals created to treat only COVID-19. Another found that 42.9% of COVID-19 patients who got ECMO died, compared to 89.1% when it wasn't available. A sampling study compared viral particles in the air with different procedures.
https://acphospitalist.acponline.org/archives/2022/03/09/free/benefits-of-dedicated-covid-19-hospitals-ECMO-air-sampling-after-aerosol-generating-procedures.htm
9 Mar 2022
ACP reviews evidence on remdesivir for inpatients, updates practice points
The College's updated systematic review found that a 10-day course of remdesivir probably results in little to no mortality reduction but does probably moderately increase the proportion of patients recovered by day 29 and may shorten length of stay.
https://acphospitalist.acponline.org/archives/2022/03/02/free/acp-reviews-evidence-on-remdesivir-for-inpatients-updates-practice-points.htm
2 Mar 2022
Model for COVID-19 triage, updated guidelines for inpatients, negative trial of ivermectin
An electronic health record tool used nine variables to predict which inpatients with COVID-19 would deteriorate. Two societies updated their guidelines on inpatient thromboprophylaxis and remdesivir use. A trial found that ivermectin had no effect on disease progression or mortality.
https://acphospitalist.acponline.org/archives/2022/02/23/free/model-for-covid-19-triage-updated-guidelines-for-inpatients.htm
23 Feb 2022
New studies on combating COVID-19 clusters, conserving oxygen, and using telehealth
Enhanced precautions and daily testing helped one hospital stop omicron spreading through its units. A small Belgian trial found benefit from a double-trunk or surgical mask over low-flow nasal cannulas. Community hospitals varied in their use of telehealth for inpatients.
https://acphospitalist.acponline.org/archives/2022/02/16/free/new-studies-on-combating-covid-19-clusters-conserving-oxygen-and-using-telehealth.htm
16 Feb 2022
Hospitals vary in postdischarge info, care for patients with COVID-19
A survey found that 33 of 47 responding hospitals had created a postdischarge outpatient clinic specific to COVID-19. The clinics offered a range of testing and assessments for patients with post-acute sequelae of COVID-19.
https://acphospitalist.acponline.org/archives/2022/02/09/free/hospitals-vary-in-postdischarge-info-care-for-patients-with-COVID-19.htm
9 Feb 2022