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
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
13/Apr/2022
Depression in healthcare workers from the COVID-19 Care and Isolation Center – Villa Panamericana: a single-center prospective study in Peru
einstein (São Paulo). 13/Apr/2022;20:eAO6707.
View Article13/Apr/2022
Depression in healthcare workers from the COVID-19 Care and Isolation Center – Villa Panamericana: a single-center prospective study in Peru
DOI: 10.31744/einstein_journal/2022AO6707
ABSTRACT Objective Depression is a mental problem that affects the well-being of healthcare workers, impacting the quality of care and even leading to commit suicide. We aim to the levels of depression in frontline healthcare workers during the first severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in Peru. Methods A prospective cohort study was designed in the coronavirus disease 2019 (COVID-19) Care and Isolation Center – Villa Panamericana in eastern Lima. Care and Isolation Center-Villa Panamericana houses about 150 […]
Keywords: Betacoronavirus; Coronavirus infections; COVID-19; Depression; Health personnel; Mental Health; Peru; SARS-CoV-2
13/Apr/2022
The effects of COVID-19 stay-at-home orders on physical activity of people with obesity
DOI: 10.31744/einstein_journal/2022AO6727
ABSTRACT Objective To verify the association of changes on physical activity levels during coronavirus disease 2019 (COVID-19) outbreak of individuals with normal weight and overweight/obesity, and the influence of sex in this relationship. Methods This cross-sectional study (survey research) was conducted in Brazil between May 5 and May 17, 2020. Participants (n=1,828 / 1,062 women >18 years) were invited through social media to answer a structured questionnaire via Google Forms. The online assessment included self-reported responses to questions on physical […]
Keywords: Adult; Coronavirus infections; COVID-19; Exercise; Health; Overweight; Sedentary behavior
29/Mar/2022
Neurovascular manifestations in patients with COVID-19: a case series
DOI: 10.31744/einstein_journal/2022AO6562
ABSTRACT Objective To describe cerebrovascular manifestations in patients hospitalized for treatment of severe COVID-19, highlighting the comorbidities observed, and those that may play a relevant role as risk factors for severe outcomes. Methods This case series retrospective analyzed, from June to November, 2020, ten patients admitted to the emergency department, with positive nasopharyngeal swab polymerase chain reaction assay for SARS-CoV-2, presenting with neurological symptoms and positive findings at brain imaging studies. Results In this sample, the clinical severity of the […]
Keywords: Cerebrovascular diseases; Comorbidity; Coronavirus infections; COVID-19; Intracranial hemorrhages; SARS-CoV-2; Stroke
17/Mar/2022
Social isolation: main dermatosis and the impact of stress during the COVID-19 pandemic
DOI: 10.31744/einstein_journal/2022AO6320
ABSTRACT Objective To analyze the pattern of triggering and exacerbation of dermatological diseases between March and July 2020 and to compare this pattern to the corresponding period of 2019. Methods This was a quantitative, descriptive, comparative and documentary study that was carried out through the retrospective analysis of medical records (March to July 2019 and 2020) of individuals assisted at a private dermatology practice service located in the southern area of the city of São Paulo (SP). Results We evaluated […]
Keywords: Coronavirus infections; COVID-19; Pandemics; Skin diseases; Social isolation; Stress, psychological
07/Mar/2022
COVID-19 pandemic: multilevel dental technical guidelines based on new scientific evidence
DOI: 10.31744/einstein_journal/2022AE6307
ABSTRACT The COVID-19 pandemic imposed restrictive measures on dentistry in different regions of the world, ranging from stoppage of care to only permission for urgent and emergency dental services. Thus, new biosafety guidelines for resuming activities, whether in single dental offices, large clinics or dental education activities, are urgently required. In this sense, herein, guidelines that incorporate common points of the main protocols found in the literature for the resumption of dental activities at their different levels, whether in the […]
Keywords: Betacoronavirus; Containment of biohazards; Coronavirus infections; COVID-19; Dental care; Dentistry; Guideline; Pandemics; Personal protective equipment; SARS-CoV-2; Telescreening, medical
07/Mar/2022
COVID-19 containment management strategies in a nursing home
DOI: 10.31744/einstein_journal/2022AO6175
ABSTRACT Objective: To describe the first COVID-19 pandemic at Casa Ondina Lobo, a philanthropic nursing home in São Paulo city, and the containment measures against the pandemic that proved to be effective. Methods: Several preventive measures were taken before and during the pandemic, with emphasis on universal testing by reverse transcription polymerase chain reaction for COVID-19. All residents and employees were tested twice in a D9 period. Results: Among the 62 residents and 55 employees, in both testing, eight residents […]
Keywords: Carrier state; Communicable disease control; Coronavirus infections; COVID-19; Homes for the aged; Infection control; Nursing homes; Polymerase chain reaction; SARS-CoV-2