New algorithm helps select patients for urgent surgery or chemotherapy during pandemic

A new approach to better select breast cancer patients in need of urgent surgery or chemotherapy during the COVID-19 pandemic has been developed by researchers at The Royal Marsden and the Breast Cancer Now Research Centre at The Institute of Cancer Research, London, in collaboration with colleagues in the UK, Germany and US. The innovative […]

Canadian study of critically ill patients with COVID-19 found lower death rate

A Canadian case series of all patients with COVID-19 admitted to six intensive care units (ICUs) in Metro Vancouver found patient outcomes were substantially better than reported in other jurisdictions. The paper is published in CMAJ (Canadian Medical Association Journal). Researchers looked at outcomes for 117 patients with COVID-19 admitted to one of six hospitals […]

Expert reaction to high proportion of blood clotting in COVID-19 patients

Earlier this week, the BBC reported that one third of COVID-19 patients developed dangerous blood clots. While current treatments are mainly focusing on anti-viral and potentially anti-inflammatory treatments, these only address the direct effects of the virus. If the virus is a flood, these treatments controlling the flood but not considering damage caused. In addition […]

Direct oral anticoagulants associated with lower risk of fracture compared with warfarin for patients with AF

Direct oral anticoagulants (DOAC) are associated with lower risk of osteoporotic fracture compared with warfarin for patients with atrial fibrillation (AF). No difference was found between DOACs for greater fracture reduction. Findings from a population-based cohort study are published in Annals of Internal Medicine. Osteoporotic fracture is a known serious complication of anticoagulants among patients […]

Asthma is associated with longer time on ventilators for younger COVID-19 patients

New data suggests that asthma is associated with longer time on ventilators for hospitalized younger patients with COVID-19. Patients with COVID-19 between the ages of 20 and 59 years old who also had asthma needed a ventilator to assist with breathing for five days more on average than non-asthmatic patients with COVID-19, according to researchers […]

Patients with intermediate left main disease experience worse cardiovascular events

A new study shows that when compared with patients without intermediate left main coronary artery disease, those with intermediate left main disease have greater risk of cardiovascular events. The findings of the ISCHEMIA trial sub study were presented during the SCAI 2020 Scientific Sessions Virtual Conference as featured clinical research. The presence of left main […]

More rural stroke patients now treated at certified stroke centers

(HealthDay)—In the last decade, there has been a shift toward care in certified stroke centers for rural residents with acute ischemic stroke and transient ischemic attack, according to a study published online May 4 in JAMA Neurology. Andrew D. Wilcock, Ph.D., from the University of Vermont in Burlington, and colleagues analyzed claims for beneficiaries of […]

Patients aged 60 to 69 most often hospitalized with COVID-19

(HealthDay)—Persons aged 60 to 69 years with COVID-19 are the most commonly hospitalized, according to a research letter published online April 24 in the Journal of the American Medical Association. Laura C. Myers, M.D., M.P.H., from Kaiser Permanente Northern California (KPNC) in Oakland, and colleagues characterized adults with nasal/throat swabs positive for severe acute respiratory […]