21/Nov/2022
Incidence of adhesive capsulitis of the shoulder during the beginning of the COVID-19 pandemic
DOI: 10.31744/einstein_journal/2022AE0163
ABSTRACT Objective Adhesive capsulitis is an inflammatory disease of the joint capsule, clinically manifested as pain, stiffness, and dysfunction of the shoulder. We subjectively observed an increased incidence of adhesive capsulitis, and raised the hypothesis that adhesive capsulitis was more frequent in magnetic resonance imaging examinations performed during the COVID-19 pandemic as compared with examinations prior to this period. Methods Data from medical records and magnetic resonance imaging of the shoulder presenting typical imaging findings of adhesive capsulitis, performed in […]
Keywords: Betacoronavirus; Bursitis; Coronavirus infections; COVID-19; Magnetic resonance imaging; SARS-CoV-2; Shoulder
21/Nov/2022
Hydroxychloroquine for treatment of COVID-19 patients: a systematic review and meta-analysis of randomized controlled trials
DOI: 10.31744/einstein_journal/2022RW0045
ABSTRACT Objective We performed a systematic review of the literature and meta-analysis on the efficacy and safety of hydroxychloroquine to treat COVID-19 patients. Methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, and LILACS (January 2019 to March 2021) for patients aged 18 years or older, who had COVID-19 and were treated with hydroxychloroquine versus placebo or standard of care. We also searched the WHO Clinical Trials Registry for ongoing and recently completed studies, and the […]
Keywords: Coronavirus infections; COVID-19; Disease prevention; Drug-related side effects and adverse reactions; Hydroxychloroquine; SARS-CoV-2; Therapeutics
09/Nov/2022
Post-vaccination incidence and side effects of COVID-19 in a cohort of Brazilian healthcare professionals: an internet-based survey
einstein (São Paulo). 09/Nov/2022;20:eAO0067.
View Article09/Nov/2022
Post-vaccination incidence and side effects of COVID-19 in a cohort of Brazilian healthcare professionals: an internet-based survey
DOI: 10.31744/einstein_journal/2022AO0067
ABSTRACT Objective So far, at least 18 different severe acute respiratory syndrome coronavirus-2 vaccines have been approved. Until October 2022, 12.8 billion doses had been administered all over the world. Vaccination of high-risk groups and healthcare professionals was initially prioritized. This cross-sectional survey aimed to investigate the occurrence of vaccine side effects, as well as the incidence of COVID-19 among vaccinated healthcare professionals. Methods A survey was structured and shared with healthcare professionals using a digital platform to collect data […]
Keywords: CoronaVac; Coronavirus infections; COVID-19; Drug-related side effects and adverse reactions; Health personnel; Vaccines
18/Jul/2022
Effect of lateral decubitus acquisition in accuracy and lung severity estimation of chest computed tomography in children with suspected COVID-19
einstein (São Paulo). 18/Jul/2022;20:eAO0061.
View Article18/Jul/2022
Effect of lateral decubitus acquisition in accuracy and lung severity estimation of chest computed tomography in children with suspected COVID-19
DOI: 10.31744/einstein_journal/2022AO0061
ABSTRACT Objective To compare inter-rater reliability, diagnostic accuracy, and extension of pulmonary involvement in children with suspected COVID-19 submitted to supine or supine and lateral decubitus computed tomography imaging. Methods Retrospective study carried out between March 2020 and March 2021 with patients submitted to reverse transcription-polymerase chain reaction testing and chest computed tomography. Patients were divided into two groups: supine or supine and lateral decubitus imaging. Standardized reporting systems of computed tomographic findings in COVID-19 and chest computed tomography score […]
Keywords: Child; Coronavirus infections; COVID-19; Multidetector computed tomography; Reverse transcriptase polymerase chain reaction; Tomography, x-ray computed
05/Jul/2022
Breastfeeding during the COVID-19 pandemic: what do we know so far?
DOI: 10.31744/einstein_journal/2022RW6609
ABSTRACT Objective This study aimed to conduct a literature review on safety in breastfeeding in mothers with COVID-19. An integrative review of national and international literature was carried out. Methods The search took place in the SciELO, LILACS and MEDLINE® databases. Results A total of 25 scientific articles that specifically addressed the theme of breastfeeding and its risk and protective factors for infection by SARS-CoV-2 were selected. According to the studies analyzed, although the presence of viral RNA had already […]
Keywords: Betacoronavirus; Breast feeding; Child health; Coronavirus infections; COVID-19; Infant, Newborn; Lactation; Milk, human; Protective factors; SARS-CoV-2
20/May/2022
Prognostic factors of worse outcome for hospitalized COVID-19 patients, with emphasis on chest computed tomography data: a retrospective study
einstein (São Paulo). 20/May/2022;20:eAO6953.
View Article20/May/2022
Prognostic factors of worse outcome for hospitalized COVID-19 patients, with emphasis on chest computed tomography data: a retrospective study
DOI: 10.31744/einstein_journal/2022AO6953
ABSTRACT Objective: To evaluate anthropometric and clinical data, muscle mass, subcutaneous fat, spine bone mineral density, extent of acute pulmonary disease related to COVID-19, quantification of pulmonary emphysema, coronary calcium, and hepatic steatosis using chest computed tomography of hospitalized patients with confirmed diagnosis of COVID-19 pneumonia and verify its association with disease severity. Methods: A total of 123 adults hospitalized due to COVID-19 pneumonia were enrolled in the present study, which evaluated the anthropometric, clinical and chest computed tomography data […]
Keywords: Coronavirus infections; COVID-19; Multidetector computed tomography; Obesity; Pneumonia; Prognosis; Tomography; X-ray computed
20/May/2022
Bronchoscopy in COVID-19 inpatients: experience of a university hospital in the first outbreak of the disease in Brazil
einstein (São Paulo). 20/May/2022;20:eAO6858.
View Article20/May/2022
Bronchoscopy in COVID-19 inpatients: experience of a university hospital in the first outbreak of the disease in Brazil
DOI: 10.31744/einstein_journal/2022AO6858
ABSTRACT Objective: To describe the indications and endoscopic findings of bronchoscopy performed at a reference university hospital for inpatients diagnosed with COVID-19 during the first outbreak of the disease in Brazil. Methods: A retrospective analysis of medical records of adult patients diagnosed with COVID-19 who underwent bronchoscopy at the intensive care units of Instituto do Coração and Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, from March to August 2020. Results: A total of 132 bronchoscopies […]
Keywords: artificial; Betacoronavirus; Bronchoalveolar lavage; Bronchoscopy; Coronavirus infections; COVID-19; intratracheal; Intubation; Respiration; SARS-CoV-2
18/May/2022
Palliative care to cancer patients: how COVID-19 pandemic could affect quality of care
DOI: 10.31744/einstein_journal/2022AO6459
ABSTRACT Objective To evaluate the impact of COVID-19 pandemic on the care delivered to hospitalized cancer patients in end-of-life. Methods A retrospective analysis of data of hospitalized patients with advanced solid tumors, who died under exclusive palliative care during first wave (March 2020 to July 2020) compared with the period previous pandemic (January 2018 to February 2020). Results A total of 190 oncologic patients were included, 161 patients before the pandemic, and 29 in the period from March 2020 to […]
Keywords: Betacoronavirus; Coronavirus infections; COVID-19; Neoplasms; Palliative care; Quality of Health Care; SARS-CoV-2
18/May/2022
Telemedicine diagnosis of acute respiratory tract infection patients is not inferior to face-to-face consultation: a randomized trial
einstein (São Paulo). 18/May/2022;20:eAO6800.
View Article18/May/2022
Telemedicine diagnosis of acute respiratory tract infection patients is not inferior to face-to-face consultation: a randomized trial
DOI: 10.31744/einstein_journal/2022AO6800
ABSTRACT Objective To analyze telemedicine diagnostic accuracy in patients with respiratory infections during COVID-19 pandemic compared to face-to-face evaluation in the emergency department. Methods Randomized, unicentric study between September 2020 and November 2020 in patients with any respiratory symptom (exclusion criteria: age >65 years, chronic heart or lung diseases, immunosuppressed). Patients were randomized 1:1 for brief telemedicine followed by face-to-face consultation or direct face-to-face evaluation. The primary endpoint was the International Classification of Diseases code. The secondary analysis comprised length […]
Keywords: Coronavirus infections; COVID-19; Emergency medical services; Referral and consultation; Respiratory tract infections; Telemedicine
02/May/2022
Impacts of the COVID-19 pandemic on elective cataract surgeries
DOI: 10.31744/einstein_journal/2022AO6687
ABSTRACT Objective To evaluate the standards of practice of Brazilian cataract surgeons in relation to the protective measures adopted to mitigate the risks of transmission of COVID-19 during cataract surgery, in asymptomatic patients. Methods A descriptive, cross-sectional, quantitative paradigm study, developed from a self-administered electronic questionnaire sent to ophthalmologists and residents/specialists in ophthalmology in Brazil, who performed cataract surgeries in 2019 and 2020, connected through social media and mail listing from local societies. Results Of the 303 participating surgeons, 159 […]
Keywords: Cataract; Cataract extraction; Coronavirus infections; COVID-19; Phacoemulsification