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SAN ANTONIO Surgically opening the windpipe, or trachea, within the first seven days of the start of mechanical ventilation decreases the time patients spend on ventilators, shortens their ICU stay and lowers their risk of ventilator-associated pneumonia, according to a systematic review published Thursday (March 11) in
JAMA Otolaryngology-Head & Neck Surgery. We analyzed the existing medical literature to unravel a question that is very pertinent to adult critical care, said senior author Alvaro Moreira, MD, MSc, of The University of Texas Health Science Center at San Antonio (UT Health San Antonio). At what point should surgeons open the trachea in critical care patients to most benefit them?
Omitting ethnic minorities from the vaccine priority list is putting these groups at a significantly higher risk of COVID-19 illness and death. Public health doctors, writing in a commentary published by the Journal of the Royal Society of Medicine, say that the UK s colour-blind vaccination model disregards the unequal impact of the pandemic on minority ethnic groups and is worsening the racial inequalities that the pandemic and the wider governmental and societal response have harshly exposed and amplified.
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What The Study Did: In a study of Italian close contacts of patients with confirmed SARS-CoV-2 infection, most infected contacts (1,948 of 2,824 individuals or 69%) didn t develop respiratory symptoms or fever 37.5 degrees Celsius (99.5 degrees Fahrenheit) or higher; 26.1% of infected individuals younger than 60 developed respiratory symptoms or fever 37.5 degrees Celsius (99.5 degrees Fahrenheit); and 6.6% of infected participants age 60 or older developed critical disease.
Authors: Piero Poletti, Ph.D., of Fondazione Bruno Kessler in Trento, Italy, and Marcello Tirani, M.D., Directorate General for Health, Lombardy Region, in Milan, Italy, are the corresponding authors.
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(doi:10.1001/jama.2020.25770)
Editor s Note: The article includes conflicts of interest and funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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Media advisory: The full study is linked to this news release.
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