06/Jun/2023
Effects of statin therapy in hospitalized adult COVID-19 patients: a systematic review and meta-analysis of randomized controlled trials
einstein (São Paulo). 06/Jun/2023;21:eRW0351.
View Article06/Jun/2023
Effects of statin therapy in hospitalized adult COVID-19 patients: a systematic review and meta-analysis of randomized controlled trials
DOI: 10.31744/einstein_journal/2023RW0351
ABSTRACT Introduction COVID-19 is associated with endothelial activation and systemic inflammation; consequently, statins can be used in its treatment as they have anti-inflammatory, antithrombotic, and profibrinolytic properties and may interfere with COVID-19 viral entry into cells through disruption of cell membrane lipid rafts. Objective We performed a meta-analysis of randomized clinical trials that compared statin therapy to placebo or to standard care in adult patients hospitalized for COVID-19. Methods We searched the MEDLINE, EMBASE, and Cochrane Library databases for all-cause […]
Keywords: Atorvastatin; Coronavirus infections; COVID-19; Hydroxymethylglutaryl-CoA reductase inhibitors; SARS-CoV-2
19/Apr/2023
Personal protective equipment simulation training is associated with lower COVID-19 infection among healthcare workers
einstein (São Paulo). 19/Apr/2023;21:eAO0300.
View Article19/Apr/2023
Personal protective equipment simulation training is associated with lower COVID-19 infection among healthcare workers
DOI: 10.31744/einstein_journal/2023AO0300
Highlights All kinds of personal protective equipment training decreased the odds of COVID-19 infection among healthcare professionals.۪ We found lower odds of infection in participants who underwent face-to-face simulation-based training.۪ Simulation-based personal protective equipment training is feasible, effective, and safe, even during the COVID-19 pandemic. ABSTRACT Objective To describe the personal protective equipment training strategies during the beginning of the pandemic and to investigate the association between training and COVID-19 infection among healthcare workers. Methods This cross-sectional study conducted between […]
Keywords: Coronavirus infections; COVID-19; Education, distance; Health personnel; Inservice training; Pandemics; Personal protective equipment; Simulation training
07/Mar/2023
Cancer patients with COVID-19: does prior nutritional risk associated with cancer indicate a poor prognosis for COVID-19?
einstein (São Paulo). 07/Mar/2023;31:eAO0172.
View Article07/Mar/2023
Cancer patients with COVID-19: does prior nutritional risk associated with cancer indicate a poor prognosis for COVID-19?
DOI: 10.31744/einstein_journal/2023AO0172
Highlights Patients at nutritional risk had a lower survival than those not at nutritional risk. Nutritional risk had good discriminatory accuracy to predict death. Nutritional screening should be included as an essential part of care for these patients. ABSTRACT Objective To verify whether the presence of related nutritional risk indicators prior to COVID-19 diagnosis is associated with poor survival in patients with cancer. Methods We retrospectively analyzed the data of hospitalized cancer patients who tested positive for COVID-19 between […]
Keywords: Coronavirus; Coronavirus infections; COVID-19; Malnutrition; Neoplasms; Nutritional status; Prognosis
07/Mar/2023
Immunogenicity profile after COVID-19 vaccination in patients with onco-hematological diseases
DOI: 10.31744/einstein_journal/2023AO0089
Highlights Lymphoproliferative disorders were associated with lower vaccine response rates than other disorders. Previous exposure to COVID-19 before vaccination was associated with higher antibody values. The duration of anti-B-lymphocyte therapy related to vaccination had an effect on response rates. The incidence of adverse effects of patients with onco-hematological diseases was similar to that of the healthy population. ABSTRACT Objective To evaluate the influence of onco-hematological pathologies on seroconversion to COVID-19 vaccines, in addition to the effects of chemotherapy treatment […]
Keywords: Coronavirus infections; COVID-19; Immunogenicity; Lymphoproliferative disorders; Multiple myeloma; Myelodysplastic-myeloproliferative diseases; SARS-CoV-2; Seroconversion; Vaccines
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
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