Nursing
Nurse Home Visiting and Maternal Mental Health: 3-Year Follow-Up of a Randomized Trial
26 Jan, 2021 | 00:42h | UTCNurse Home Visiting and Maternal Mental Health: 3-Year Follow-Up of a Randomized Trial – Pediatrics (link to abstract – $ for full-text)
Randomized trial: Standard vs. long peripheral catheters for multiday IV therapy in children
22 Jan, 2021 | 08:05h | UTCStandard Versus Long Peripheral Catheters for Multiday IV Therapy: A Randomized Controlled Trial – Pediatrics (link to abstract – $ for full-text)
Meta-analysis of randomized trials: Closed incision negative pressure wound therapy decreases surgical site infections compared to standard dressings after revision total joint arthroplasty, but not primary total joint arthroplasty
22 Jan, 2021 | 08:02h | UTCClosed Incision Negative Pressure Wound Therapy for Elective Hip and Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials – Journal of Arthroplasty (link to abstract – $ for full-text)
Study: Crowded ICUs linked to increased mortality from COVID-19
20 Jan, 2021 | 01:53h | UTCCommentaries: Intensive Care Unit Strain and Mortality Risk Among Critically Ill Patients With COVID-19—There Is No “Me” in COVID – JAMA Network Open AND Crowded ICUs tied to higher risk of COVID-19 death – CIDRAP
Meta-analysis: Inconclusive evidence regarding a benefit of systematic early mobilization in mechanically ventilated adult ICU patients
20 Jan, 2021 | 01:24h | UTC
New calculator identifies COVID-19 patients at highest risk of deterioration
19 Jan, 2021 | 01:52h | UTCCommentaries: Improving clinical management of COVID-19: the role of prediction models – The Lancet Respiratory Medicine
Tool identifies COVID-19 patients at highest risk of deterioration – UK Research and Innovation
See calculator: 4C Mortality & 4C Deterioration
Commentary on Twitter
This model helps predict clinical deterioration of hospitalized patients with #COVID19 using 11 commonly measured/identifiable variables at the time of hospital contact.
Validated on ~75000 patients from 260 hospitals in the UK.
Nice.
By @Rishi_K_Gupta: https://t.co/OX8vtLtcVY pic.twitter.com/FEs5gZ9M5U
— Isaac Bogoch (@BogochIsaac) January 13, 2021
WHO: Infection prevention and control guidance for long-term care facilities in the context of COVID-19 update
17 Jan, 2021 | 22:24h | UTC
Meta-analysis: Saliva vs. nasopharyngeal swabs equally sensitive for Covid-19 diagnosis
14 Jan, 2021 | 02:13h | UTCCommentary: Saliva, Nasopharyngeal Samples Equally Sensitive for SARS-CoV-2 – Physician’s Weekly
Commentary on Twitter
Nasopharyngeal swab or saliva to diagnose covid-19?
A systematic review of 37 studies, 7332 paired sampleshttps://t.co/mOTpXSz8I3@AnnalsofIM supports saliva being as sensitive and less costly, "should replace NP swabs in most populations being tested," by @mcgillu pic.twitter.com/cfSKVbFGlw— Eric Topol (@EricTopol) January 11, 2021
Randomized trial: Prophylactic negative pressure wound therapy after laparotomy for gynecologic surgery did not lower the wound complication rate but did increase skin blistering
14 Jan, 2021 | 01:39h | UTC
Masks and face coverings for the lay public: A narrative update
13 Jan, 2021 | 02:23h | UTCMasks and Face Coverings for the Lay Public: A Narrative Update – Annals of Internal Medicine
Commentary on Twitter (thread – click for more)
Masks work.
A new and comprehensive update from @trishgreenhalgh
et al."Evidence that the virus can be airborne (and therefore be inhaled) and that masking policies, when effectively delivered, save lives is now strong."https://t.co/Tl9VrmPNlW pic.twitter.com/zfuV774jyN
— Laura McCall #Code Zwart (@equibotanica) December 29, 2020
An evidence review of face masks against COVID-19
13 Jan, 2021 | 02:26h | UTCAn evidence review of face masks against COVID-19 – Proceedings of the National Academy of Sciences
Commentary on Twitter
https://mobile.twitter.com/jeremyphoward/status/1348771993949151232
Opinion: Even during a pandemic, hospitals must make family visits and communication the standard of care
12 Jan, 2021 | 01:58h | UTC
Randomized trial: Effectiveness of a nurse-led multidisciplinary intervention vs. usual care on advance care planning for vulnerable older adults
12 Jan, 2021 | 01:45h | UTCEditorial: Advance Care Planning and the Cost of Pragmatism (free for a limited period)
Commentary: Nurse Navigation Increases Advance Care Planning – Oncology Nursing News
Commentary on Twitter
End-of-Life Planning: JAMA
RCT of N=759 pts avg 78 y/o. Usual Care vs. Nurse-led Advance Care Planning (ACP) ⬆️ ACP documentation from 4% to 43%. Wow. As @AngeloVolandes says, “Just HAVE the CONVERSATION!”https://t.co/ISeh7y8hXW#medtwitter #meded #pallipulm #geriatrics pic.twitter.com/4Ae2QlETOl— WesElyMD (@WesElyMD) January 11, 2021
Randomized trial: Early interdisciplinary supportive care in patients with previously untreated metastatic esophagogastric cancer
12 Jan, 2021 | 01:36h | UTC
Commentaries on Twitter
RCT of early interdisciplinary supportive care (ESC) in metastatic esophagogastric cancer
ESC by oncologists, dietitians & psychologists
⬆️ chemo cycles from 4 to 5
⬆️ OS HR=0.68
➡️ PFS
↗️ QoL
To be considered in radiochemotherapy #radonchttps://t.co/G6WQS8ULCb— Matthias Guckenberger (@Mat_Guc) January 10, 2021
Impressive survival benefit for early integrated multidisciplinary nutritional and psychological support vs. standard of care in Phase III trial for metastatic esophagogastric cancers in @ASCO_pubs. Intervention 14.8 mo vs. SOC 11.9 mo. https://t.co/FWE6xlPH8v
— Michael Shusterman, MD (@guildsman) January 9, 2021
Open Access: Textbook of Patient Safety and Clinical Risk Management
10 Jan, 2021 | 20:34h | UTCTextbook of Patient Safety and Clinical Risk Management – Springer
Commentary on Twitter
Sir Liam Donaldson, pioneer of patient safety, & colleagues have published "Textbook of Patient Safety & Clinical Risk Management" (2021). It's open access & free. The content is outstanding, written by leading thinkers & practitioners globally: https://t.co/piHNwYNKOn TY @PIPSQC pic.twitter.com/vNvtttg8c1
— Helen Bevan ? (@helenbevan) December 27, 2020
Editorial – Two decades since “To Err Is Human”: Progress, but still a “chasm”
10 Jan, 2021 | 20:33h | UTCTwo Decades Since “To Err Is Human”: Progress, but Still a “Chasm” – JAMA
Author interview: To Err Is Human: 20 Years of Health Care Quality
Meta-analysis: Effectiveness of bundle interventions on ICU delirium
10 Jan, 2021 | 20:16h | UTCEffectiveness of Bundle Interventions on ICU Delirium: A Meta-Analysis – Critical Care Medicine
Commentary: ICU bundles do not appear to improve delirium but may help other outcomes – ACP Hospitalist
Commentary on Twitter
Meta-Analysis incl 11 studies and 26,384 patients for bundle-interventions of delirium treatment showed no effects on delirum duration ( –1.42 d; 95% CI –3.06 to 0.22) or prevalence (risk ratio = 0.92; 95% CI, 0.68–1.24)https://t.co/PzZBGttOL8
— Peter Nydahl (@NydahlPeter) December 18, 2020
NICE Guideline: Managing the long-term effects of COVID-19
18 Dec, 2020 | 10:27h | UTC
“Racial Bias in Pulse Oximetry Measurement”. In two large cohorts, Black patients had nearly three times the frequency of occult hypoxemia that was not detected by pulse oximetry as White patients
18 Dec, 2020 | 10:01h | UTCRacial Bias in Pulse Oximetry Measurement – New England Journal of Medicine
Commentary: Devices Used In COVID-19 Treatment Can Give Errors For Patients With Dark Skin – NPR
Commentary on Twitter (thread – click for more)
1/ Our research letter on racial bias in pulse oximetry measurement, out today in NEJM https://t.co/6dLuNGosxp pic.twitter.com/XXsfWfc5dv
— Michael Sjoding (@msjoding) December 17, 2020
Survey: Around 1 in 5 COVID-19 patients exhibit symptoms for a period of 5 weeks or longer; Around 1 in 10 COVID-19 patients exhibit symptoms for a period of 12 weeks or longer
18 Dec, 2020 | 09:49h | UTCThe prevalence of long COVID symptoms and COVID-19 complications – Office of National Statistics
Commentary on Twitter
The prevalence of long COVID symptoms & COVID-19 complications published by @ONS
10% of covid positive patients exhibit symptoms for a period of > 12 weeks
20% for > 5 weeksGreat work by @DanAyoubkhani @Vnafilyan https://t.co/8YgxkCG847
@martinmckee pic.twitter.com/Itizxkk8xC
— Kamlesh Khunti (@kamleshkhunti) December 17, 2020
Randomized trial: In surgical patients at moderate or high risk of venous thromboembolism, pharmaco-thromboprophylaxis alone is as good as the combination of pharmaco-thromboprophylaxis and graduated compression stockings
16 Dec, 2020 | 10:00h | UTC
Systematic review: Infection and mortality of healthcare workers worldwide from COVID-19
17 Dec, 2020 | 08:40h | UTC
Commentary on Twitter
Just In from @GlobalHealthBMJ
•152,888 healthcare workers had #COVID19 by May 2020 already
•Infections in women (71.6%) & nurses(38.6%)
•Deaths in men (70.8%) & doctors(51.4%)
•Europe massively failed in infection control
• >70 years high deathshttps://t.co/wGlPwzzICe pic.twitter.com/Hj64nw9Nx6— Soumyadeep Bhaumik | সৌম্যদীপ ভৌমিক (@DrSoumyadeepB) December 5, 2020
Study: Filtration efficiency of face masks used by the public during the COVID-19 pandemic are, in many cases, nearly equivalent to or better than their non-N95 respirator medical mask counterparts
17 Dec, 2020 | 08:43h | UTCEditorial: Filtration Efficiency of Face Masks Used by the Public During the COVID-19 Pandemic
Commentary on Twitter
Marked reassurance on the value of cloth masks.
A new @JAMAInternalMed assessment today https://t.co/bTrurKeG71 Attention to fit is key, such as aluminum nose bridge, ties, no beard, etc ?? @Phillip_Clapp @UNC_SOM pic.twitter.com/ZCMTT2OWXc— Eric Topol (@EricTopol) December 11, 2020
Healthcare workers 7 times as likely to have severe COVID-19 as other workers
11 Dec, 2020 | 09:29h | UTCCommentary: Healthcare workers 7 times as likely to have severe COVID-19 as other workers – BMJ
Commentary on Twitter
Of essential workers, who has the highest risk of severe #COVID19?
Healthcare workforce >7X.
Non-white >8X.https://t.co/ZBUJYccXlT (compared with non-essential workers)
A @uk_biobank study from >120,000 participants
[NB: current issue with link] pic.twitter.com/UZmIO69G4O— Eric Topol (@EricTopol) December 9, 2020
CDC releases new ventilation guidelines for indoor environments to reduce Covid-19 risk
9 Dec, 2020 | 08:23h | UTCCDC Releases New Ventilation Guidelines For Indoor Environments To Reduce Covid-19 Risk – Forbes
CDC Guideline: Ventilation
Related podcast: Air Handling Standards for Increasing the Safety of Indoor Spaces During the COVID-19 Pandemic – JAMA