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Did the COVID lockdowns work? Here’s what we know two years on.

25 Mar, 2022 | 09:44h | UTC

Did the COVID lockdowns work? Here’s what we know two years on – The Conversation

Related:

M-A: Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality.

Is the cure really worse than the disease? The health impacts of lockdowns during COVID-19 – “While there are certainly costs to be expected from intervening against COVID-19—every decision has a cost, after all—the counterfactual of an unmitigated epidemic makes these restrictions far less damaging than some have suggested”.

 


RCT: Among premature infants with a gestational age of less than 30 weeks and intubated for at least 7 days at 14 to 28 days, hydrocortisone did not improve survival without bronchopulmonary dysplasia.

24 Mar, 2022 | 09:58h | UTC

Hydrocortisone to Improve Survival without Bronchopulmonary Dysplasia – New England Journal of Medicine (link to abstract – $ for full-text)

See also: Visual Abstract

Related:

Randomized Trial: Effect of Hydrocortisone on Mortality or Bronchopulmonary Dysplasia Among Very Preterm Infants Receiving Mechanical Ventilation

Systematic Review: Late (after 6 days) systemic postnatal corticosteroids for prevention of bronchopulmonary dysplasia in preterm infants.

Systematic Review: Early (started within six days) systemic postnatal corticosteroids for preventing bronchopulmonary dysplasia in preterm infants.

State of the Art Review: Diagnosis and management of bronchopulmonary dysplasia.

M-A: Assessment of postnatal corticosteroids for the prevention of bronchopulmonary dysplasia in preterm neonates

ERS Guideline on Long-term Management of Children with Bronchopulmonary Dysplasia

 

Commentary on Twitter

 


Observational study suggests antidopaminergic antiemetics (domperidone, metopimazine, and metoclopramide) are associated with increased stroke risk.

24 Mar, 2022 | 09:51h | UTC

Risk of first ischaemic stroke and use of antidopaminergic antiemetics: nationwide case-time-control study – The BMJ

News Release: Widely used nausea drugs linked to heightened risk of stroke – BMJ

 


RCT: Single-dose Liposomal Amphotericin B treatment for Cryptococcal Meningitis.

24 Mar, 2022 | 09:56h | UTC

Single-Dose Liposomal Amphotericin B Treatment for Cryptococcal Meningitis – New England Journal of Medicine (link to abstract – $ for full-text)

 

Commentary on Twitter

 


Test-negative, case-control study: effectiveness of the Pfizer vaccine against COVID-19 in adolescents.

24 Mar, 2022 | 09:44h | UTC

Effectiveness of BNT162b2 against COVID-19 in adolescents – The Lancet Infectious Diseases

 

Commentary on Twitter

 


RCT: Safety and efficacy of a third dose of the Pfizer Covid-19 vaccine during the Delta wave.

24 Mar, 2022 | 09:46h | UTC

Safety and Efficacy of a Third Dose of BNT162b2 Covid-19 Vaccine – New England Journal of Medicine

 

Commentary on Twitter

 


Systematic Review: Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19.

24 Mar, 2022 | 08:53h | UTC

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review – The Lancet Digital Health

Commentaries:

Home blood oxygen monitoring can help COVID patients spot early warning signs – Imperial College London

Simple home oxygen monitors signal when to seek COVID care – CIDRAP

 


RCT: Awake prone positioning did not improve outcomes in patients with moderate hypoxemia due to covid-19.

24 Mar, 2022 | 09:48h | UTC

Prone positioning of patients with moderate hypoxaemia due to covid-19: multicentre pragmatic randomised trial (COVID-PRONE) – The BMJ

Editorial: Awake prone positioning for patients with covid-19

News Release: Lying prone long enough to improve outcomes is difficult for many covid-19 patients – BMJ

 


Estimating overdiagnosis of melanoma using trends among black and white patients in the US.

24 Mar, 2022 | 08:52h | UTC

Estimating Overdiagnosis of Melanoma Using Trends Among Black and White Patients in the US – JAMA Dermatology (link to abstract – $ for full-text)

Commentary: Deadly form of skin cancer ‘overdiagnosed’ in some patients, study finds – UPI

 

Commentary from the author on Twitter (thread – click for more)

 


RCT: Multivitamins not beneficial for the prevention of cancer.

24 Mar, 2022 | 08:49h | UTC

Multivitamins in the prevention of cancer and cardiovascular disease: The COSMOS randomized clinical trial – American Journal of Clinical Nutrition

Commentary: Daily Multivitamin Does Not Cut Cancer Incidence in Older Adults – HealthDay

Related: USPSTF Draft Statement: Insufficient evidence to recommend multivitamin supplements for the prevention of CVD or cancer. The statement also recommends against the use of beta-carotene (increases risk of CVD mortality and lung cancer) or vitamin E (clear evidence of no benefit)

 


[News release – not published yet] RCT: Minimally invasive approach to hysterectomy in cervical cancer is associated with poorer disease-free survival than open surgery.

24 Mar, 2022 | 08:47h | UTC

Minimally Invasive Approach to Hysterectomy in Cervical Cancer Associated with Poorer Disease-Free Survival Than Open Surgery – Society of Gynecologic Oncology

 


Oxford Covid jab gears up for final act: saving the rest of the world.

23 Mar, 2022 | 10:35h | UTC

Oxford Covid jab gears up for final act: saving the rest of the world – The Guardian

 


WHO releases clinical management guidelines for influenza.

23 Mar, 2022 | 10:41h | UTC

News Release: WHO releases clinical management guidelines for influenza – World Health Organization

Original Report: Guidelines for the clinical management of severe illness from influenza virus infections – World Health Organization

 


Collaboration and shared decision-making between patients and clinicians in preventive health care decisions and US Preventive Services Task Force Recommendations.

23 Mar, 2022 | 10:39h | UTC

Collaboration and Shared Decision-Making Between Patients and Clinicians in Preventive Health Care Decisions and US Preventive Services Task Force Recommendations – JAMA

 


RCT: Among critically ill patients with Covid-19, treatment with an antiplatelet agent had a low likelihood of improving organ support–free days within 21 days.

23 Mar, 2022 | 10:38h | UTC

Effect of Antiplatelet Therapy on Survival and Organ Support–Free Days in Critically Ill Patients With COVID-19: A Randomized Clinical Trial – JAMA

Editorial: Thromboinflammation and Antithrombotics in COVID-19: Accumulating Evidence and Current Status – JAMA

Commentary: Aspirin may improve 3-month survival for patients critically ill with COVID-19 – Imperial College London

 

Commentaries on Twitter

 


Cohort Study: Perinatal complications in individuals in California with or without SARS-CoV-2 infection during pregnancy.

23 Mar, 2022 | 10:33h | UTC

Perinatal Complications in Individuals in California With or Without SARS-CoV-2 Infection During Pregnancy – JAMA Internal Medicine

News Release: Coronavirus may double severe complications in pregnancy – Kaiser Permanente

Commentary: COVID-19 in pregnancy tied to poor maternal outcomes, preterm birth, fetal death – CIDRAP

 


Review | Psychological stress and heart disease: fact or folklore?

23 Mar, 2022 | 10:30h | UTC

Psychological Stress and Heart Disease: Fact or Folklore? – The American Journal of Medicine

 


Cohort Study: Risks and burdens of incident diabetes in long COVID.

23 Mar, 2022 | 10:32h | UTC

Risks and burdens of incident diabetes in long COVID: a cohort study – The Lancet Diabetes & Endocrinology

 


Review: Broadening risk factor or disease definition as a driver for overdiagnosis.

23 Mar, 2022 | 10:28h | UTC

Broadening risk factor or disease definition as a driver for overdiagnosis: A narrative review – Journal of Internal Medicine

 


Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care.

23 Mar, 2022 | 10:24h | UTC

Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care – Journal of Internal Medicine

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 


Systematic Review: Economic evaluation guidelines in low- and middle-income countries.

23 Mar, 2022 | 10:22h | UTC

Economic evaluation guidelines in low- and middle-income countries: a systematic review – International Journal of Technology Assessment in Health Care

 


ANN Guideline: Stroke prevention in symptomatic large artery intracranial atherosclerosis practice advisory.

22 Mar, 2022 | 09:51h | UTC

Stroke Prevention in Symptomatic Large Artery Intracranial Atherosclerosis Practice Advisory: Report of the AAN Guideline Subcommittee – Neurology

News Release: AAN issues guidance on preventing second stroke in those with plaque in brain arteries – American Academy of Neurology

 


New WHO guidelines on the management of tuberculosis in children and adolescents.

22 Mar, 2022 | 09:52h | UTC

WHO consolidated guidelines on tuberculosis Module 5: Management of tuberculosis in children and adolescents – World Health Organization

Commentary: New Children’s TB Guidelines a ‘Game-Changer’ With Non-Invasive Tests, Shortened Treatments – Health Policy Watch

Related: RCT: In children with nonsevere, drug-susceptible tuberculosis, treatment for 4 months is noninferior to treatment for 6 months.

 


AHA Scientific Statement: Understanding the importance of the lay responder experience in out-of-hospital cardiac arrest.

22 Mar, 2022 | 09:49h | UTC

Understanding the Importance of the Lay Responder Experience in Out-of-Hospital Cardiac Arrest: A Scientific Statement From the American Heart Association – Circulation

News Release: Lay rescuers who do CPR are heroes and survivors, new statement addresses their perspective – American Heart Association

Commentary: AHA News: CPR ‘Heroes’ Need More Support, Report Says – HealthDay

Related study: Pre-post study: The introduction of a text-message alert system to alert volunteers close to a cardiac arrest patient at home was associated with increased survival to hospital discharge.

 


Review: When to operate after SARS-CoV-2 infection?

22 Mar, 2022 | 09:44h | UTC

When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA – Langenbeck’s Archives of Surgery

Related:

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

 


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