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Academic Journal

Comparison of Hospitalized Patients With ARDS Caused by COVID-19 and H1N1

  • Source: In Chest July 2020 158(1):195-205

  • Abstract: Background Since the outbreak of coronavirus disease 2019 (COVID-19) in China in December 2019, considerable attention has been focused ... Study Design and Methods This analysis was a retrospective case-control study. Two independent cohorts of patients with ARDS infected with either COVID-19Results The median age of patients with COVID-19 was higher than that of patients with H1N1, and there was a ... Interpretation There were many differences in clinical presentations between patients with ARDS infected with either COVID-19 or H1N1. Compared with ...

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Academic Journal

Use of Tracheostomy During the COVID-19 Pandemic: American College of Chest Physicians/American Association for Bronchology and Interventional Pulmonology/Association of Interventional Pulmonology Program Directors Expert Panel Report

  • Source: In Chest October 2020 158(4):1499-1514

  • Abstract: Background The role of tracheostomy during the coronavirus disease 2019 (COVID-19) pandemic remains unknown. The goal of this ... Results Eight key questions, corresponding to 14 decision points, were rated by the panel. The results were aggregated, resulting in eight main recommendations and five additional ... Conclusion This panel suggests performing tracheostomy in patients expected to require prolonged mechanical ventilation. A specific timing of tracheostomy cannot be recommended. There is no ...

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Academic Journal

Management of Lung Nodules and Lung Cancer Screening During the COVID-19 Pandemic: CHEST Expert Panel Report

  • Source: In Chest July 2020 158(1):406-415

  • Abstract: Background The risks from potential exposure to coronavirus disease 2019 (COVID-19), and resource reallocation that has occurred to ... Results Twelve statements related to baseline and annual lung cancer screening (n = 2), surveillance of a previously detected lung nodule (n = 5), evaluation of intermediate and high-risk ... Conclusions There was consensus that during the COVID-19 pandemic, it is appropriate to defer enrollment in lung cancer screening and modify ...

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Academic Journal

Incidence of venous thromboembolism and bleeding among hospitalized patients with COVID-19: a systematic review and meta-analysis

  • Source: In Chest January 2020

  • Abstract: Background Individual studies have reported widely variable rates for venous thromboembolism (VTE) and bleeding among hospitalized patients with coronavirus disease 2019 (Methods In this systematic review and meta-analysis we searched 15 standard and COVID-19 specific sources between January 1, 2020 and July 31, 2020, with no restriction ... Results The pooled incidence was 17.0% (95% confidence interval [CI], 13.4%-20.9%) for VTE, 12.1% (95% CI, 8.4%-16.4%) for DVT, 7.1% (95% CI, 5.3%-9.1%) for PE, 7.8% (95% CI, 2.6%-15.3%) for bleeding, and 3.9% (95% CI, 1.2%... Interpretation Among hospitalized patients with COVID-19, the overall estimated pooled incidence of VTE was 17.0%, with higher rates with routine screening, inclusion ...

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Academic Journal

Frequency, risk factors, clinical characteristics and outcomes of spontaneous pneumothorax in patients with Covid-19: A case-control, emergency medicine-based multicenter study

  • Source: In Chest January 2020

  • Abstract: Background Recent reports of COVID-19 patients developing pneumothorax mainly correspond to case reports in mechanically-ventilated patients. The real incidence, clinical characteristics ... Study design and methods: This case-control study retrospectively reviewed all COVID patients diagnosed with SP(case group) in 61 Spanish EDs(20% of Spanish EDs) and compared ... Results We identified 40 SP in 71,904 patients with COVID-19 attending EDs(0.56‰, 95%CI=0.40-0.76‰). This relative frequency was higher than that of non-COVID ... Interpretation SP as a form of COVID presentation at the ED is unusual (

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Academic Journal

The Role of Chest Imaging in Patient Management During the COVID-19 Pandemic: A Multinational Consensus Statement From the Fleischner Society.

Subjects: COVID-19 pandemic; RESPIRATORY infections; COVID-19

  • Source: CHEST; Jul2020, Vol. 158 Issue 1, p106-116, 11p

  • Abstract: With more than 900,000 confirmed cases worldwide and nearly 50,000 deaths during the first 3 months of 2020, the coronavirus disease 2019 (COVID-19Copyright of CHEST is the property of American College of Chest Physicians and its content may ...

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Academic Journal

Chest CT Imaging Signature of Coronavirus Disease 2019 Infection: In Pursuit of the Scientific Evidence

  • Source: In Chest November 2020 158(5):1885-1895

  • Abstract: Background Chest CT may be used for the diagnosis of coronavirus disease 2019 (COVID-19), ... Study Design and Methods A systematic literature search was performed for original studies on chest CT imaging findings in patients with Results Twenty-eight studies were included. The median number of patients with COVID-19 per study was 124 (range, 50-476), comprising a total of 3,466 ... Interpretation Studies on chest CT imaging findings in COVID-19 suffer from methodologic quality concerns. More high-quality research ...

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Academic Journal

Triage of Scarce Critical Care Resources in COVID-19 An Implementation Guide for Regional Allocation: An Expert Panel Report of the Task Force for Mass Critical Care and the American College of Chest Physicians.

Subjects: COVID-19; CRITICAL care medicine; TASK forces

  • Source: CHEST. Jul2020, Vol. 158 Issue 1, p212-225. 14p.

  • Abstract: Public health emergencies have the potential to place enormous strain on health systems. The current pandemic of the novel 2019 coronavirus disease ...

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Academic Journal

Diagnosis and Treatment of Pulmonary Embolism During the Coronavirus Disease 2019 Pandemic: A Position Paper From the National PERT Consortium

Subjects: 15

  • Source: In Chest December 2020 158(6):2590-2601

  • Abstract: The coexistence of coronavirus disease 2019 (COVID-19) and pulmonary embolism (PE), two life-threatening illnesses, in the same patient ...

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