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Why do COVID death rates seem to be falling? Correct use of corticosteroids, hard-won experience, younger patients, and reduced strain on hospitals are all possibilities

[Preprint] Validation of home oxygen saturation as a marker of clinical deterioration in patients with suspected COVID-19: Even small deflections in oxygen saturations of 1-2% below 96% confer an increased mortality risk.

Validation of home oxygen saturations as a marker of clinical deterioration in patients with suspected COVID-19 – medRxiv   Commentary on Twitter *BREAKING* First paper examining home oxygen saturation in COVID confirmed cases as a trigger for initial hospital assessment. We need to rapidly implement a hybrid community-hospital COVID Oximetry@home #COVIDvirtualward @richardhorton1 @bmj_latest https://t.co/0SjrUT0Tjw pic.twitter.com/0TgPPRUBqv […]

The post [Preprint] Validation of home oxygen saturation as a marker of clinical deterioration in patients with suspected COVID-19: Even small deflections in oxygen saturations of 1-2% below 96% confer an increased mortality risk. appeared first on Links Medicus.

Wearing cloth or disposable surgical face masks has no effect on vigorous exercise performance in healthy individuals

Wearing of Cloth or Disposable Surgical Face Masks has no Effect on Vigorous Exercise Performance in Healthy Individuals – International Journal of Environmental Research and Public Health Commentary: Face masks don’t hinder breathing during exercise, study finds – University of Saskatchewan  

The post Wearing cloth or disposable surgical face masks has no effect on vigorous exercise performance in healthy individuals appeared first on Links Medicus.

Older age and frailty are frequently associated with atypical and unspecific COVID-19 presentations, including functional decline, acute mental change, and hypotension

Divergent: age, frailty, and atypical presentations of COVID-19 in hospitalized patients – The Journals of Gerontology   Commentary on Twitter DIVERGENT: age, #frailty, and presentations of #COVID19 Typical symptoms were uncommon in frail and olderpatients; they were more likely to experience functional decline and key features of delirium. #geriatrics @geronsociety @OxfordJournals #gerontolhttps://t.co/jRhwvacsVm pic.twitter.com/9zhHZjsSoy — Marlon […]

The post Older age and frailty are frequently associated with atypical and unspecific COVID-19 presentations, including functional decline, acute mental change, and hypotension appeared first on Links Medicus.

Podcast on chronic cough. Don’t be afraid to try empiric therapies! PPIs for GERD, antihistamines and intranasal steroids for post-nasal drip, and inhaled corticosteroids for post-viral cough are generally low-risk and will treat many cases.

Derivation and validation of the HA2T2 (Hypoxia, Age, Troponin) COVID‐19 mortality risk score

Troponin and Other Biomarker Levels and Outcomes Among Patients Hospitalized with COVID‐19: Derivation and Validation of the HA2T2 COVID‐19 Mortality Risk Score – Journal of the American Heart Association   Commentary on Twitter Predicting in-hospital mortality among patients with #COVID19 using the simple HA2T2 (hypoxia, age and troponin) score. https://t.co/FTDceIijZl @KevinManocha @bradpeltzer @MonikaSafford @ParagGoyalMD @JAHA_AHA @WeillCornell […]

The post Derivation and validation of the HA2T2 (Hypoxia, Age, Troponin) COVID‐19 mortality risk score appeared first on Links Medicus.

Current and evolving standards of care for patients with acute respiratory distress syndrome (ARDS). Definition, ventilatory support, fluid management, use of corticosteroids, indications of prone positioning and ECMO, and more.

Current and evolving standards of care for patients with ARDS – Annals of Intensive Care   Commentary on Twitter #ARDS current & evolving standards of care➡️ definition 10y after Berlin ➡️ MV: P/volume limits; PEEP & recruitment; spontaneous breathing➡️ adjuncts: proning; NMBAs; iNO; #ECMO➡️ pharmacotherapy: steroids; fluids; specific agents➡️ #COVID19#FOAMcc https://t.co/rXGsAs2M4D pic.twitter.com/6FRWXtBiME — Intens Care […]

The post Current and evolving standards of care for patients with acute respiratory distress syndrome (ARDS). Definition, ventilatory support, fluid management, use of corticosteroids, indications of prone positioning and ECMO, and more. appeared first on Links Medicus.

Aspirin to be investigated as a possible treatment for COVID-19 in the RECOVERY trial

Aspirin to be investigated as a possible treatment for COVID-19 in the RECOVERY trial – University of Oxford Commentary: Aspirin to be tested as potential COVID-19 drug in UK study – Reuters  

The post Aspirin to be investigated as a possible treatment for COVID-19 in the RECOVERY trial appeared first on Links Medicus.

In patients hospitalized with COVID-19, right ventricular dilation or dysfunction was independently associated with a >2-fold increase in risk for mortality

Prognostic Utility of Right Ventricular Remodeling Over Conventional Risk Stratification in Patients With COVID-19 – Journal of the American College of Cardiology Commentaries: Utility of RV Remodeling Over Risk Stratification in COVID-19 – American College of Cardiology AND Damage to heart’s right ventricle predicts a greater chance of death from COVID-19 – Weill Cornell Medical […]

The post In patients hospitalized with COVID-19, right ventricular dilation or dysfunction was independently associated with a >2-fold increase in risk for mortality appeared first on Links Medicus.

Patients with Covid-19 and myocardial injury have increased in-hospital mortality, particularly if echocardiographic abnormalities are present

Characterization of Myocardial Injury in Patients With COVID-19 – Journal of the American College of Cardiology Commentary: Study identifies cardiac structural damage experienced by COVID-19 patients – Mount Sinai Health System / News Medical  

The post Patients with Covid-19 and myocardial injury have increased in-hospital mortality, particularly if echocardiographic abnormalities are present appeared first on Links Medicus.

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