geoffrey modest medical blogs

  A recent observational study found that a substantial number of patients who had long COVID (also called post COVID condition, PCC) had prolonged disability that was activity-limiting: see   covid postcovid disability prevalence  JAMA2024 , or doi:10.1001/jamanetworkopen.2024.51151   Details : --Data from the 2023 National Health Interview Survey (NHIS) included 29,522 respondents (NHIS response rate 47%) in this survey which was nationally representative of a civilian noninstitutionalized population residing in the US     -- this survey included a new question to ascertain the degree to which these long-term symptoms reduced their ability to carry out day-to-day activities, as compared to a time prior to COVID     -- all estimates below were based on self-report, which was weighted to be nationally representative -- the researchers included individuals who had symptoms lasting 3 months or longer as the definition of long COVID (PCC), ...

  Two interesting articles came out on long Covid, one finding increased type II diabetes in kids and the other finding residual spike protein in many patients that might lead to continued immunologic response and long covid   A retrospective cohort study found that new diagnoses of type II diabetes were significantly increased up to six months after Covid diagnosis (see  covid diabetes in kids JAMA2024  in dropbox, or doi:10.1001/jamanetworkopen.2024.39444)   Details : --a retrospective cohort study using electronic health records from the TriNetX Global clinical analytics platform used specifically for research (a de-identified database of over 100 million patients from 60 large healthcare organizations across the country and representing diverse geographic areas, self-reported race and ethnicity, age, income, and insurance types including Medicare and Medicaid), between 2020-2023     -- 613,602 patients were evaluated who were aged 10 to 19 wit...