geoffrey modest medical blogs

  A new huge VA study found a large array of persistent symptoms in veterans after nonhospitalized Covid-19 infection (see   covid   long covid VA study nature2021  in dropbox, or doi.org/10.1038/s41586-021-03553-9 )    Details:       -- 73,435 people in the VA system who survived at least 30 days after Covid-19 diagnosis and were not hospitalized were compared to 4,990,835 nonhospitalized veterans who did not have covid, from 1March 2020 to 31December 2020  -- covariates assessed included age, race, sex, receipt of long-term care, number of patient encounters, number of hospitalizations, number of outpatient prescriptions, and number of outpatient eGFR measurements in the year before enrollment. They also included the Area Deprivation Index at the residency address of the patients as a surrogate measure for socio-economic issues  --median followup 126 days    Results:  -- non-hospitalized controls had ...

  forewarning (you may not want your children to read these blogs): the next few blogs are really depressing. or, as per Dr Rochelle Walensky, director of CDC, she has a feeling of "impending doom", prompting her comment "right now, i'm scared". which leads to 3 very important messages (actually 4): vaccinate, vaccinate, vaccinate, and vaccinate.... ------------------------------ A large British study reported on the post-hospital sequelae  of Covid-19 patients  who had been admitted to the hospital, finding lots of increased multi-organ dysfunction and mortality afterwards  (see  covid postcovid syndrome BMJ2021  in dropbox, or doi.org/10.1136/bmj.n693 )   Details:  -- 47,780 individuals who were in the hospital with Covid-19 and discharged alive by 31 August 2020 were "exactly matched" with controls, who were determined by accessing 10 years of electronic health records from a pool of 50 million people in England. Controls were matched for ...