June 2020 Briefing – Critical Care

Here are what the editors at HealthDay consider to be the most important developments in Critical Care for June 2020. This roundup includes the latest research news from journal articles, […]

Here are what the editors at HealthDay consider to be the most important developments in Critical Care for June 2020. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

U.S. Could See 100,000 New Cases of COVID-19 Each Day, Fauci Says

TUESDAY, June 30, 2020 (HealthDay News) — Top U.S. infectious disease expert Anthony Fauci, M.D., warned Congress on Tuesday that COVID-19 infections could climb to 100,000 new cases daily unless ongoing outbreaks are contained.

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Heart Rhythm Disorders Seen in Critically Ill COVID-19 Patients

TUESDAY, June 30, 2020 (HealthDay News) — Critically ill patients with COVID-19 are more likely to develop heart rhythm disorders than other hospitalized patients, according to a study published online June 22 in Heart Rhythm.

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Latinos Have High Rate of Positivity for SARS-CoV-2

TUESDAY, June 30, 2020 (HealthDay News) — The rate of positivity for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is over 40 percent for Latinos in the Baltimore-Washington D.C. region, according to a research letter published online June 18 in the Journal of the American Medical Association.

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COVID-19 Drug Remdesivir Could Cost Up to $3,120 Per Patient

MONDAY, June 29, 2020 (HealthDay News) — Gilead Sciences, the maker of remdesivir, the first drug that showed promise in treating COVID-19 infections, will charge U.S. hospitals $3,120 for a patient with private insurance, the company announced Monday.

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CDC: U.S. COVID-19 Rates Much Higher Than Reported

MONDAY, June 29, 2020 (HealthDay News) — Actual COVID-19 infection rates in many areas of the United States are more than 10 times higher than reported rates, a U.S. Centers for Disease Control and Prevention study suggests.

The New York Times Article
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NY Health Care Workers Report Distress Related to COVID-19 Care

MONDAY, June 29, 2020 (HealthDay News) — Many New York City health care workers are experiencing COVID-19-related psychological distress, especially nurses and advanced practice providers, according to a study published in the upcoming September-October issue of General Hospital Psychiatry.

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Antibody Tests ID COVID-19 Two to Three Weeks After Symptoms

MONDAY, June 29, 2020 (HealthDay News) — Antibody testing may detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, with sensitivity peaking at three weeks since symptom onset, according to a review published online June 25 in the Cochrane Library.

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Factors Linked to Severe COVID-19 in Children Identified

MONDAY, June 29, 2020 (HealthDay News) — COVID-19 generally causes mild disease in children, with 8 percent of children requiring intensive care unit (ICU) admission, according to a study published online June 25 in The Lancet Child & Adolescent Health.

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Altered Mental Status Not Uncommon in Severe COVID-19

MONDAY, June 29, 2020 (HealthDay News) — Altered mental status is the second most common neurological presentation for patients with COVID-19, according to a study published online June 25 in The Lancet Psychiatry.

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Trump Administration Asks Supreme Court to Overturn Affordable Care Act

FRIDAY, June 26, 2020 (HealthDay News) — The Trump administration has asked the Supreme Court to overturn the Affordable Care Act (ACA).

Washington Post Article

Serious Resident Errors Increase When Extended ICU Shifts Are Cut

FRIDAY, June 26, 2020 (HealthDay News) — Resident physicians randomly assigned to schedules that eliminate extended shifts during their intensive care unit rotation make more serious errors than those with extended shifts, according to a study published in the June 25 issue of the New England Journal of Medicine.

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Physician’s Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician’s Briefing chose as the most important COVID-19 developments for you and your practice for the week of June 22 to 26, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Black Americans More Likely to Know Someone Who Has Died of COVID-19

FRIDAY, June 26, 2020 (HealthDay News) — Far more black Americans say they know someone personally who has died of COVID-19 than whites, a new poll finds.

Washington Post Article

U.S. Has Second Day of Record Rise in COVID-19 Cases; Young People Fueling Trend

FRIDAY, June 26, 2020 (HealthDay News) — As the United States reported yet another record-breaking number of COVID-19 cases on Thursday, public health officials warned that younger Americans now account for an ever-growing percentage of infections.

The New York Times Article

Older Age, Obesity, Disability Tied to Severe COVID-19 in MS

FRIDAY, June 26, 2020 (HealthDay News) — For patients with multiple sclerosis (MS), age, obesity, and high Expanded Disability Severity Scale score (EDSS) are significantly associated with increased risk for severe COVID-19, according to a study published online June 26 in JAMA Neurology.

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CDC Updates List of Who Is at Highest Risk for COVID-19

FRIDAY, June 26, 2020 (HealthDay News) — The list of conditions that put people at risk for severe COVID-19 illness has been expanded by the U.S. Centers for Disease Control and Prevention.

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Colchicine May Improve Time to Clinical Deterioration in COVID-19

FRIDAY, June 26, 2020 (HealthDay News) — Hospitalized patients with COVID-19 receiving colchicine have significantly improved time to clinical deterioration, according to a study published online June 24 in JAMA Network Open.

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Genomewide Level Associations Identified for Severe COVID-19

FRIDAY, June 26, 2020 (HealthDay News) — Patients with COVID-19 and severe disease have associations at locus 3p21.31 and 9q34.2, which are significant at the genomewide level, according to a study published online June 17 in the New England Journal of Medicine.

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Texas Pauses Reopening as COVID-19 Cases Rise

THURSDAY, June 25, 2020 (HealthDay News) — As COVID-19 cases surge in Texas, the state is pausing its reopening process and freeing up hospital beds for COVID-19 patients.

The New York Times Article

Risk for Hospitalization Up for Pregnant Women With COVID-19

THURSDAY, June 25, 2020 (HealthDay News) — Among women of reproductive age with COVID-19, pregnant women are more likely to be hospitalized and to be admitted to the intensive care unit, according to research published in the June 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Sex, Ethnic Differential Patterns of COVID-19 Unexplained

THURSDAY, June 25, 2020 (HealthDay News) — Sex and ethnicity differential patterns of COVID-19 positivity are not explained by cardiometabolic, socioeconomic, or behavioral factors, according to a study published online June 19 in the Journal of Public Health.

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Model May Help Predict Risk for Testing Positive for COVID-19

THURSDAY, June 25, 2020 (HealthDay News) — It is possible to predict the likelihood of testing positive for COVID-19, according to a study published online June 10 in CHEST.

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Sanofi Speeds COVID-19 Vaccine Efforts

WEDNESDAY, June 24, 2020 (HealthDay News) — French drugmaker Sanofi has shortened its timeline to get a COVID-19 vaccine on the market.

The New York Times Article

Experts Weigh in on Pace of Reopening, Preventive Measures

WEDNESDAY, June 24, 2020 (HealthDay News) — As states across the country continue to move into different phases of reopening, many are questioning whether the rush to stabilize the economy will result in an influx of new COVID-19 infections. HD Live! sat down with Marjorie Jenkins, M.D., dean of the University of South Carolina School of Medicine Greenville, and Thomas Giordano, M.D., section chief of infectious diseases at the Baylor College of Medicine in Houston, to discuss the health care and economic uncertainty that faces the nation.

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Older Age, Black Race, Diabetes Up Hospitalization in COVID-19

WEDNESDAY, June 24, 2020 (HealthDay News) — Characteristics that are independently associated with hospitalization for COVID-19 include older age, black race, and having diabetes mellitus, according to research published in the June 17 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Patients With COVID-19 Mount Acute Cortisol Stress Response

WEDNESDAY, June 24, 2020 (HealthDay News) — Patients with COVID-19 mount a marked and appropriate acute cortisol stress response, according to a research letter published online June 19 in The Lancet Diabetes & Endocrinology.

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Tocilizumab Shows Promise for Treatment of COVID-19

WEDNESDAY, June 24, 2020 (HealthDay News) — Use of tocilizumab to target cytokine release syndrome (CRS) seems beneficial for patients with COVID-19, according to a study published online June 15 in CHEST.

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Black, Hispanic Medicare Patients Much More Likely to Be Hospitalized With COVID-19

TUESDAY, June 23, 2020 (HealthDay News) — Black Medicare recipients are nearly four times more likely and Hispanics are nearly two times more likely than whites to be hospitalized with COVID-19, according to the U.S. government.

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COVID-19 Vaccine May Be Available by Late 2020, Early 2021: Fauci

TUESDAY, June 23, 2020 (HealthDay News) — There could be a COVID-19 vaccine by the end of this year or early next year, according to Anthony Fauci, M.D., infectious diseases chief at the U.S. National Institutes of Health.

AP News Article

Asthma Seems Not to Be Linked to COVID-19 Hospitalization

TUESDAY, June 22, 2020 (HealthDay News) — Asthma seems not to be associated with COVID-19 hospitalization, according to a study published online June 9 in the Journal of Allergy and Clinical Immunology.

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Convalescent Plasma Safe for Diverse Patients With COVID-19

TUESDAY, June 23, 2020 (HealthDay News) — Convalescent plasma seems safe for COVID-19 patients based on data from the first 20,000 transfused patients, according to a study published online June 9 in the Mayo Clinic Proceedings.

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COVID-19 Hospitalization Up With Prednisone in Rheumatic Disease

TUESDAY, June 23, 2020 (HealthDay News) — For patients with rheumatic disease with COVID-19, glucocorticoids are associated with increased odds of hospitalization, according to a study published in the July issue of the Annals of Rheumatic Diseases.

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Costs for COVID-19 High With Consumer-Directed Health Plans

MONDAY, June 22, 2020 (HealthDay News) — COVID-19 hospitalizations could result in high out-of-pocket spending for commercially insured consumer-directed health plan enrollees, according to a study published online June 15 in the American Journal of Preventive Medicine.

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Safety Climate Perceptions Linked to Health Provider Stress

MONDAY, June 22, 2020 (HealthDay News) — Safety climate perceptions are associated with care practitioner-reported stress and job satisfaction, according to a study published in the May-June issue of the Journal of Healthcare Management.

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NIH Stops Hydroxychloroquine Trial

MONDAY, June 22, 2020 (HealthDay News) — The National Institutes of Health announced Saturday that a clinical trial evaluating hydroxychloroquine for the treatment of COVID-19 has been stopped because the drug likely provides no benefit.

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Transmissibility of SARS-CoV-2 High Within Households

MONDAY, June 22, 2020 (HealthDay News) — Severe acute respiratory syndrome coronavirus 2 has high transmissibility within households, according to a study published online June 17 in The Lancet Infectious Diseases.

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Many U.S. Counties Lack Infectious Disease Specialists

MONDAY, June 22, 2020 (HealthDay News) — The distribution of infectious disease (ID) physicians in the United States is geographically skewed, with 90 percent of U.S. counties having below-average ID physician density or no ID physicians at all, according to a research letter published online June 3 in the Annals of Internal Medicine.

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Physician’s Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician’s Briefing chose as the most important COVID-19 developments for you and your practice for the week of June 15 to 19, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Early Data Show No Protest-Related Increases in COVID-19 Infections

FRIDAY, June 19, 2020 (HealthDay News) — Antiracism protests in the United States have not led to increases in new cases of the coronavirus that causes COVID-19, early data show.

The Wall Street Journal Article

Scientists Say Journal Should Retract Mask Study

FRIDAY, June 19, 2020 (HealthDay News) — A study on the use of masks to protect against the new coronavirus should be retracted by the Proceedings of the National Academy of Sciences because it contains “egregious errors” and “verifiably false” statements, a group of scientists say in a letter to the journal’s editors.

The New York Times Article

Stay-at-Home Orders Tied to Slowing of COVID-19 Hospitalizations

FRIDAY, June 19, 2020 (HealthDay News) — Statewide stay-at-home orders are associated with decreases in COVID-19 hospitalizations, according to a research letter recently published in the Journal of the American Medical Association.

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Heart Transplant Patients May Have Higher COVID-19 Mortality

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