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Yang WG, Peng YF, Yang YB, Li B, Wei YG, Liu F. Timing of hepatectomy following the Omicron variant infection for vaccinated-patients: A retrospective cohort study. Hepatobiliary Pancreat Dis Int 2024; 23:515-520. [PMID: 38281903 DOI: 10.1016/j.hbpd.2024.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 01/09/2024] [Indexed: 01/30/2024]
Affiliation(s)
- Wu-Gui Yang
- Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Yu-Fu Peng
- Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Yu-Bo Yang
- Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Bo Li
- Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Yong-Gang Wei
- Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Fei Liu
- Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
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Elsayed S, Cabrera A, Ouellette D, Jones PM, Dhami R, Hanage W. Association of body mass index with COVID-19-related neurologic sequelae: a retrospective cohort study. Clin Exp Med 2023; 23:2239-2251. [PMID: 36525126 PMCID: PMC9755765 DOI: 10.1007/s10238-022-00965-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Accepted: 11/27/2022] [Indexed: 12/23/2022]
Abstract
We sought to explore the relationship between body mass index (BMI) and neurologic outcomes following acute COVID-19 infection. We conducted a retrospective electronic medical record-based cohort study enrolling adults with laboratory-confirmed acute COVID-19 infection who presented to 1 of 12 academic and community hospitals in Southwestern Ontario, Canada between April 1, 2020 and July 31, 2021. Primary subjective (anosmia, dysgeusia, and/or headache) and objective (aseptic meningitis, ataxia, delirium, encephalopathy, encephalitis, intracranial hemorrhage, ischemic stroke, and/or seizure) composite neurologic outcomes were assessed, comparing obese and overweight individuals to those with underweight/normal BMI indices, adjusting for baseline characteristics. Secondary outcomes (severity of illness, length of hospital stay, SARS-CoV-2 viral load, mortality) were similarly analyzed. A total of 1437 enrolled individuals, of whom 307 (21%), 456 (32%), and 674 (47%) were underweight/normal, overweight, and obese, respectively. On multivariable analysis, there was no association between BMI category and the composite outcome for subjective (odds ratio [OR] 1.17, 95% CI 0.84-1.64, Bonferroni p = 1.00 for obese; OR 1.02, 95% CI 0.70-1.48; Bonferroni p = 1.00 for overweight) and objective (OR 0.74, 95% CI 0.42-1.30, p = 0.29 for obese; OR = 0.80, 95% CI 0.45-1.43, p = 0.45 for overweight) neurologic manifestations. There was no association between BMI category and any secondary outcome measure and no evidence of effect modification by age or sex. This study demonstrates the absence of an association between BMI and neurologic manifestations following acute COVID-19 illness. Prospective studies using standardized data collection tools and direct measures of body fat are warranted to obtain more valid effect estimates.
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Affiliation(s)
- Sameer Elsayed
- Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
- School of Pharmacy, University of Waterloo, Waterloo, ON, Canada.
- Harvard T.H. Chan School of Public Health, Boston, MA, USA.
| | - Ana Cabrera
- Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Danielle Ouellette
- Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Phil M Jones
- Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Rita Dhami
- Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
- School of Pharmacy, University of Waterloo, Waterloo, ON, Canada
| | - William Hanage
- Harvard T.H. Chan School of Public Health, Boston, MA, USA
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D'Ardes D, Tana C, Salzmann A, Ricci F, Guagnano MT, Giamberardino MA, Cipollone F. Ultrasound assessment of SARS-CoV-2 pneumonia: a literature review for the primary care physician. Ann Med 2022; 54:1140-1149. [PMID: 35465821 PMCID: PMC9045761 DOI: 10.1080/07853890.2022.2067896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
The SARS-CoV-2 pandemic is considered one of the most critical global health emergencies in the last century. The diagnostic approach to the novel coronavirus disease (COVID-19) and its possible complications through a point-of-care-ultrasound (POCUS) evaluation could represent a good solution in the primary care setting. POCUS is a non-invasive technique that can be used outside hospitals to screen COVID-19 patients and their complications safely. Moreover, it offers several applications of diagnostic evaluation not only on lung parenchyma but also to search disease complications, such as the cardiovascular system, even at the patients' home. This narrative review aims to analyse the literature and provide data to primary care physicians engaged in monitoring and treating patients with SARS-CoV-2 infection. Key MessagesPOCUS is an important tool for the diagnostic approach in the primary care setting already before the start of the SARS-CoV-2 pandemic.Portable devices are useful in monitoring the clinical evolution of patients with infection from SARS-CoV-2 at home.The ultrasonographic features can help the general practice physicians to evaluate the presence of lung involvement and to diagnose complications from the SARS-CoV-2 infection involving districts such as the cardiovascular system.
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Affiliation(s)
- Damiano D'Ardes
- "Clinica Medica" Institute, "SS. Annunziata" Hospital of Chieti, Department of Medicine and Aging Sciences, "G. D'Annunzio", University of Chieti, Pescara, Italy
| | - Claudio Tana
- "Geriatric and COVID-19 Unit", "SS. Annunziata" Hospital of Chieti, "G. D'Annunzio" University of Chieti, Pescara, Italy
| | - Alessandro Salzmann
- "Clinica Medica" Institute, "SS. Annunziata" Hospital of Chieti, Department of Medicine and Aging Sciences, "G. D'Annunzio", University of Chieti, Pescara, Italy
| | - Fabrizio Ricci
- Department of Neuroscience, Imaging and Clinical Sciences, "G. d'Annunzio" University, Chieti, Italy
| | - Maria Teresa Guagnano
- "Clinica Medica" Institute, "SS. Annunziata" Hospital of Chieti, Department of Medicine and Aging Sciences, "G. D'Annunzio", University of Chieti, Pescara, Italy
| | - Maria Adele Giamberardino
- "Geriatric and COVID-19 Unit", "SS. Annunziata" Hospital of Chieti, "G. D'Annunzio" University of Chieti, Pescara, Italy
| | - Francesco Cipollone
- "Clinica Medica" Institute, "SS. Annunziata" Hospital of Chieti, Department of Medicine and Aging Sciences, "G. D'Annunzio", University of Chieti, Pescara, Italy
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Torres-Macho J, Sánchez-Fernández M, Arnanz-González I, Tung-Chen Y, Franco-Moreno AI, Duffort-Falcó M, Beltrán-Romero L, Rodríguez-Suaréz S, Bernabeu-Wittel M, Urbano E, Méndez-Bailon M, Roque-Rojas F, García-Guijarro E, García-Casasola G. Prediction Accuracy of Serial Lung Ultrasound in COVID-19 Hospitalized Patients (Pred-Echovid Study). J Clin Med 2021; 10:jcm10214818. [PMID: 34768337 PMCID: PMC8584928 DOI: 10.3390/jcm10214818] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 10/10/2021] [Accepted: 10/16/2021] [Indexed: 12/23/2022] Open
Abstract
The value of serial lung ultrasound (LUS) in patients with COVID-19 is not well defined. In this multicenter prospective observational study, we aimed to assess the prognostic accuracy of serial LUS in patients admitted to hospital due to COVID-19. The serial LUS protocol included two examinations (0–48 h and 72–96 h after admission) using a 10-zones sequence, and a 0 to 5 severity score. Primary combined endpoint was death or the need for invasive mechanical ventilation. Calibration (Hosmer–Lemeshow test and calibration curves), and discrimination power (area under the ROC curve) of both ultrasound exams (SCORE1 and 2), and their difference (DIFFERENTIAL-SCORE) were performed. A total of 469 patients (54.2% women, median age 60 years) were included. The primary endpoint occurred in 51 patients (10.9%). Probability risk tertiles of SCORE1 and SCORE2 (0–11 points, 12–24 points, and ≥25 points) obtained a high calibration. SCORE-2 showed a higher discrimination power than SCORE-1 (AUC 0.72 (0.58–0.85) vs. 0.61 (0.52–0.7)). The DIFFERENTIAL-SCORE showed a higher discrimination power than SCORE-1 and SCORE-2 (AUC 0.78 (0.66–0.9)). An algorithm for clinical decision-making is proposed. Serial lung ultrasound performing two examinations during the first days of hospitalization is an accurate strategy for predicting clinical deterioration of patients with COVID-19.
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Affiliation(s)
- Juan Torres-Macho
- Internal Medicine Department, Infanta Leonor-Virgen de la Torre University Hospital, 28031 Madrid, Spain; (A.I.F.-M.); (M.D.-F.)
- Department of Medicine, School of Medicine, Complutense University, 28040 Madrid, Spain; (I.A.-G.); (M.M.-B.); (G.G.-C.)
- Correspondence:
| | | | - Irene Arnanz-González
- Department of Medicine, School of Medicine, Complutense University, 28040 Madrid, Spain; (I.A.-G.); (M.M.-B.); (G.G.-C.)
- Emergency Department, Infanta Leonor-Virgen de la Torre University Hospital, 28031 Madrid, Spain
| | - Yale Tung-Chen
- Emergency Department, La Paz University Hospital, 28046 Madrid, Spain;
- Enfermera Isabel Zendal Emergency Hospital, 28055 Madrid, Spain
| | - Ana Isabel Franco-Moreno
- Internal Medicine Department, Infanta Leonor-Virgen de la Torre University Hospital, 28031 Madrid, Spain; (A.I.F.-M.); (M.D.-F.)
- Department of Medicine, School of Medicine, Complutense University, 28040 Madrid, Spain; (I.A.-G.); (M.M.-B.); (G.G.-C.)
| | - Mercedes Duffort-Falcó
- Internal Medicine Department, Infanta Leonor-Virgen de la Torre University Hospital, 28031 Madrid, Spain; (A.I.F.-M.); (M.D.-F.)
- Department of Medicine, School of Medicine, Complutense University, 28040 Madrid, Spain; (I.A.-G.); (M.M.-B.); (G.G.-C.)
| | - Luis Beltrán-Romero
- Internal Medicine Department, Virgen del Rocío University Hospital, 41013 Sevilla, Spain; (L.B.-R.); (S.R.-S.); (M.B.-W.)
| | - Santiago Rodríguez-Suaréz
- Internal Medicine Department, Virgen del Rocío University Hospital, 41013 Sevilla, Spain; (L.B.-R.); (S.R.-S.); (M.B.-W.)
| | - Máximo Bernabeu-Wittel
- Internal Medicine Department, Virgen del Rocío University Hospital, 41013 Sevilla, Spain; (L.B.-R.); (S.R.-S.); (M.B.-W.)
| | - Elena Urbano
- Internal Medicine Department, Hospital Clínico San Carlos, 28040 Madrid, Spain;
| | - Manuel Méndez-Bailon
- Department of Medicine, School of Medicine, Complutense University, 28040 Madrid, Spain; (I.A.-G.); (M.M.-B.); (G.G.-C.)
- Internal Medicine Department, Hospital Clínico San Carlos, 28040 Madrid, Spain;
| | - Fernando Roque-Rojas
- Internal Medicine Department, Hospital Universitario Infanta Cristina, 28981 Parla, Madrid, Spain; (F.R.-R.); (E.G.-G.)
| | - Elena García-Guijarro
- Internal Medicine Department, Hospital Universitario Infanta Cristina, 28981 Parla, Madrid, Spain; (F.R.-R.); (E.G.-G.)
| | - Gonzalo García-Casasola
- Department of Medicine, School of Medicine, Complutense University, 28040 Madrid, Spain; (I.A.-G.); (M.M.-B.); (G.G.-C.)
- Internal Medicine Department, Hospital Universitario Infanta Cristina, 28981 Parla, Madrid, Spain; (F.R.-R.); (E.G.-G.)
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