Elderly covid-19 patients on ventilators usually do not survive, New York hospitals report
A new study also finds that 71 percent of critically ill coronavirus patients under 50 were obese.
Abstract The severity and outcome of coronavirus disease 2019 (COVID-19) largely depends on a patient's age. Adults over 65 years of age represent 80% of hospitalizations and have a 23-fold greater risk of death than those 65. In the clinic, COVID-19 patients most commonly present with fever, cough and dyspnea, and from there the disease can progress to acute respiratory distress syndrome, lung consolidation, cytokine release syndrome, endotheliitis, coagulopathy, multiple organ failure and death. Comorbidities such as cardiovascular disease, diabetes and obesity increase the chances of fatal disease, but they alo...
This article discusses the potential mechanisms by which SARS-CoV-2 modulates the RAS and energy metabolism in individuals with obesity and diabetes mellitus. The article aims to highlight the appropriate strategies for combating the COVID-19 pandemic in the clinical setting and emphasize on the areas that require further investigation in relation to COVID-19 infections in patients with obesity and diabetes mellitus, from the viewpoint of endocrinology and metabolism. PMID: 32469255 [PubMed - as supplied by publisher]
Public Health England (PHE) has been unable to confirm if its report into how factors including ethnicity, gender and obesity affect outcomes in patients and NHS staff infected with COVID-19 will be published by its end of May deadline.
During these unprecedented times with the COVID-19 pandemic, it has become clear that some populations are at increased risk of severe illness, complications, and death once contracting the novel coronavirus. This is particularly the case for patients with obesity and type 2 diabetes.1-5 Treatment of people with the disease of obesity and related disease is critical in the strategy to decrease risk of poor outcomes and death following COVID-19. Metabolic/bariatric surgery is the only proven, long-term, successful intervention for patients suffering from clinically severe obesity.
Compared to white or Hispanic patients, black patients seeking care have more advanced cases of Covid-19, researchers reported.
CONCLUSIONS Proportion and total number of adults at risk of severe Covid-19 are high in Brazil, with wide variation across states and adult subgroups. T hese findings should be considered while designing and implementing prevention measures in Brazil. We argue that these results support broad social isolation measures, particularly when testing capacity for SARS-CoV-2 is limited.
We present a case report on a 55 ‐year‐old male with obstructive sleep apnoea (OSA), diabetes, and obesity requiring escalation to high‐flow oxygen by high‐velocity nasal insufflation (HVNI; Vapotherm). As this patient required frequent clinician interaction and use of personal protective equipment (PPE) to control flow rat e and oxygen fraction due to lability, and the patient was alert, we instructed the patient to modify the oxygen to maintain an SpO2 (peripheral capillary oxygen saturation) target range and flow rate, to address dyspnoea as well as reduction of flow, as tolerated, when other staff entered the r...
A novel small enveloped RNA virus with the typical characteristic of the family to which it belongs, a crown, hence the name coronavirus, appeared in December 2019 in Wuhan, China, and subdued the world to its influence. The particular severity of the disease and higher mortality rates in patients with associated morbidities, including hypertension, obesity and diabetes, increases the concern over the consequences of this pandemic. In this review, the features of SARS-CoV-2 will be addressed, as well as the reasons why it poses a particular challenge to diabetic patients.
President Donald Trump said he's been taking hydroxychloroquine for the past week and a half in case he gets the coronavirus despite warnings from his own administration about it.
CONCLUSION: Increased ACE2 expression may cause increased SARS-CoV-2 infection of the respiratory tract. COPD patients who are overweight may be at greater risk of developing severe COVID-19. PMID: 32428380 [PubMed - as supplied by publisher]