Impact of the digital divide in the age of COVID-19 ††45 C.F.R. 07/16/2021 - Inslee issues, ... 03/06/2020 - A special COVID-19 message to Washington state businesses and workers from Governor Jay Inslee. **Data from subset of 655 hospitals in Premier Healthcare Database Special COVID-19 Release. Sebastian D. Romano, MPH1, Anna J. Blackstock, PhD1, Ethel V. Taylor, DVM1, Suad El Burai Felix, MPH1, Stacey Adjei, MPH1, Christa-Marie Singleton, MD1, Jennifer Fuld, PhD1, Beau B. Bruce, MD, PhD1 and Tegan K. Boehmer, PhD1 1CDC COVID-19 Response Team. The sample was defined as children aged 18 years or younger with a COVID-19 diagnosis during an emergency department or inpatient encounter in hospitals that reported both emergency department and inpatient encounters to Premier Healthcare Database Special COVID-19 Release, March 2020 through ⦠Obesity* is a recognized risk factor for severe COVID-19 (1,2), possibly related to chronic inflammation that disrupts immune and thrombogenic responses to pathogens (3) as well as to impaired lung function from excess weight (4). Ischemic Stroke May Hint at Underlying Cancer, Topol: US Betrays Healthcare Workers in Coronavirus Disaster, The 6 Dietary Tips Patients Need to Hear From Their Clinicians. Questions or messages regarding errors in formatting should be addressed to All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. Why Don't Kids Tend To Get as Sick From COVID-19? This volume will provide the latest knowledge to help neurosurgeons, otolaryngologists, head and neck surgeons as well as craniofacial surgeons understand the applications and practice of this important technique. Other group includes persons who were a race other than Asian, Black, or White, including American Indian/Alaska Native, Native Hawaiian/Pacific Islander, and multiple races. Please use this form to submit your questions or comments on how to make this article more useful to clinicians. 2021;70(15):560-565. Digital Journal is not responsible for the content of external sites. The aPHRs declined for most racial and ethnic groups during July–November 2020 but increased for some racial and ethnic groups in some regions during December. Patients with unknown race/ethnicity were not included in the trend analyses. Obesity increases the risk for severe COVID-19–associated illness. One half (50.8%) of adult COVID-19 patients in this analysis had obesity, compared with 43.1% in the total PHD-SR sample and 42.4% nationally (5), suggesting that adults with COVID-19–associated illness and obesity might commonly receive acute care in EDs or hospitals. Complete with high-quality color images, this book is written and edited by leaders in the field and is geared towards ophthalmologists, including residents and fellows in training, glaucoma and cataract specialists, and vitreoretinal ... Among 148,494 adults who received a COVID-19 diagnosis during an emergency department (ED) or inpatient visit at 238 U.S. hospitals during March–December 2020, 28.3% had overweight and 50.8% had obesity. and/or the original MMWR paper copy for printable versions of official text, figures, and tables. 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Abbreviations: ICU = intensive care or stepdown unit; IMV = invasive mechanical ventilation. In every region, Hispanic patients represented the highest cumulative proportion of hospitalized patients with COVID-19 and highest cumulative aPHR relative to White patients. Summary report published as technical document with reference number: WHO/HSE/PED/AIP/2014.2. of pages found at these sites. COVID-19: Does Infection in Pregnant Women Result in Premature Birth? What are the implications for public health practice? Disparities in COVID-19 hospitalization by race/ethnicity varied by region and became less pronounced over the course of the pandemic, as COVID-19 hospitalizations increased among non-Hispanic White persons. Overweight and obesity were risk factors for invasive mechanical ventilation. Estimated risk for invasive mechanical ventilation increased over the full range of BMIs, from 15 kg/m2 to 60 kg/m2. Sect. Identification of specific social determinants of health that contribute to geographic and temporal differences in racial and ethnic disparities at the local level can help guide tailored public health prevention strategies and equitable allocation of resources, including COVID-19 vaccination, to address COVID-19–related health disparities and can inform approaches to achieve greater health equity during future public health threats. Found insideThis timely volume is the first comprehensive textbook to deal with the medical complications of intravenous drug users, who are uniquely susceptible to bacterial infection. Lyudmyla Kompaniyets, PhD1,2; Alyson B. Goodman, MD1; Brook Belay, MD1,2; David S. Freedman, PhD1; Marissa S. Sucosky, MPH1; Samantha J. Lange, MPH1; Adi V. Gundlapalli, MD, PhD2; Tegan K. Boehmer, PhD2; Heidi M. Blanck, PhD1 (View author affiliations). These results highlight the need to promote and support a healthy BMI, which might be especially important for populations disproportionately affected by obesity, particularly Hispanic or Latino and non-Hispanic Black adults and persons from low-income households, which are populations who have a higher prevalence of obesity and are more likely to have worse outcomes from COVID-19 compared with other populations.¶¶¶. Chapters 3, 24, 49 and 51 of this book are open access under a CC BY 4.0 license. The book contains the refereed contributions from the 45th Annual Meeting of the International Society on Oxygen Transport to Tissue (ISOTT) 2017. Clin Nutr 2021;S0261–5614(21)00012–1. However, results of a sensitivity analysis using multiple imputation for missing BMIs were consistent with the primary findings. Same Time as COVID Vaccine? Estimated risks for hospitalization and death were consistently higher for older age groups; however, within each age group, risk increased with higher BMIs. §§§ 45 C.F.R. part 46, 21 C.F.R. Monthly age-adjusted* COVID-19 proportionate hospitalization ratios comparing racial and ethnic minority patients† with White patients, by U.S. Census region§ — United States, March–December 2020¶ *Adjusted for age group using Poisson regression. 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In The Art of Statistics, David Spiegelhalter guides the reader through the essential principles we need in order to derive knowledge from data. You will receive email when new content is published. The findings in this study are subject to at least five limitations. Risk for invasive mechanical ventilation increased over the full range of BMIs, from 15 kg/m2 to 60 kg/m2. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Found insideTopics covered include: HPLC operation Method development Maintenance and troubleshooting Modern trends in HPLC such as quick-turnaround and "greener" methods Regulatory aspects While broad in scope, this book focuses particularly on ... 241(d); 5 U.S.C. References to non-CDC sites on the Internet are Abbreviation: CI = confidence intervals. Dark Circle Removal Cream Do They Even Work? Telehealth transformation: COVID-19 and the rise of virtual care . † Categories might not sum to 100% because of rounding or because they are not mutually exclusive. Found insideUsing a unique "systems" approach, the text brings together an extraordinary breadth of information into a highly accessible, easy-to-read resource that clarifies the complexities of health care organization and finance while presenting a ... Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. COPYRIGHT © 1998 - 2021 DIGITAL JOURNAL INC. Obesity was a risk factor for hospitalization and death, particularly among adults aged <65 years. Patients with COVID-19 with underweight had a 20% (95% CI = 16%–25%) higher risk for hospitalization than did those with a healthy weight. Morbidity and Mortality Weekly Report. Sect. DOI: http://dx.doi.org/10.15585/mmwr.mm7010e4external icon. NCHS Data Brief 2020;360:1–8. Found insideThis book provides a comprehensive overview of deep learning (DL) in medical and healthcare applications, including the fundamentals and current advances in medical image analysis, state-of-the-art DL methods for medical image analysis and ... Second, hospitalization risk estimates might have been affected by bias introduced by hospital admission factors other than COVID-19 severity, such as a health care professional’s anticipation of future severity. Understanding the social determinants of health contributing to geographic and temporal differences in racial and ethnic disparities at a local level can help guide public health prevention strategies and equitable resource allocation, including COVID-19 vaccination, to address COVID-19–related health disparities. In the West, the proportion among Hispanic patients was high in July and increased more than that in other racial/ethnic groups during November–December, peaking in December. ** Heights and weights were excluded if they were substantially larger or smaller than expected (defined as height <44 inches [112 cm] or >90 inches [229 cm]; weight <25 kg [55 lbs] or >454 kg [1,000 lbs]; and BMI <12 kg/m2 or >110 kg/m2). The best fitting second degree fractional polynomials of BMI were BMI-2 and BMI-0.5 for hospitalization outcome, BMI0.5 and BMI0.5*ln(BMI) for ICU admission outcome, BMI2 and BMI2*ln(BMI) for invasive mechanical ventilation outcome, and BMI-0.5 and ln(BMI) for death outcome. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of § Columns are not mutually exclusive. 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Found insideThe definitive guide to the secret sauce of improving public and population health Nontraditional collaborations have produced some of the most sweeping, health-improving results in recent memory. § Northeast: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont; Midwest: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin; South: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia; West: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming. The findings in this report highlight a dose-response relationship between higher BMI and severe COVID-19–associated illness and underscore the need for progressively intensive illness management as obesity severity increases. However, in contrast to previous studies that demonstrated little or no association between obesity and COVID-19 severity among older patients (1,2), the results in this report indicate that overweight and obesity are risk factors for invasive mechanical ventilation and that obesity or severe obesity are risk factors for hospitalization, ICU admission, and death among patients aged ≥65 years. Click the topic below to receive emails when new articles are available. Views equals page views plus PDF downloads. 22 It is also critical to note the financial incentive to include deaths as COVID-19 deaths. mmwrq@cdc.gov. Guisado-Vasco P, Cano-Megías M, Rodríguez-López M, de-Luna-Boquera IM, Carnevali-Ruiz D; Immunosuppressants Against COVID-19 Working Team. Data were obtained from the Premier Healthcare Database Special COVID-19 Release (PHD-SR),* an all-payer, administrative database containing patient-level discharge records (including discharges ending in death) from more than 800 nongovernmental, community, and teaching hospitals across the United States. MMWR and Morbidity and Mortality Weekly Report are service marks of the U.S. Department of Health and Human Services. Sect. Please enter a Recipient Address and/or check the Send me a copy checkbox. Found insideA World Class Transformation On August 16, 2018, NYU Langone Health captured the attention of the medical world with the surprise announcement that all current and new medical school students would receive full tuition scholarships. Sect. Found inside â Page iIt covers everything from hospital finances to project management, patient flows, performance management, process improvement, and supply chain management. This is an ideal text for university courses in healthcare management at all levels. ††† Underlying medical conditions were defined by 1) using the ICD-10-CM Chronic Condition Indicator to identify chronic ICD-10-CM codes from January 2019 until (and including) the patient’s first health care encounter with a COVID-19 diagnosis and 2) aggregating the chronic ICD-10-CM codes into the following smaller number of meaningful categories using Clinical Classifications Software Refined (CCSR for ICD-10-CM; Agency for Healthcare Research and Quality): hypertension, CIR007 and CIR008; coronary atherosclerosis and other heart disease, CIR011; chronic kidney disease, GEN003; diabetes, END002 and END003; cancers, all CCSR categories starting with “NEO”; and chronic obstructive pulmonary disease and bronchiectasis, RSP008. Models did not adjust for other underlying medical conditions known to be risk factors for COVID-19,*** because most of these conditions represent intermediate variables on a causal pathway from exposure (i.e., BMI) to outcome. Found inside â Page 1A passionate believer in the value of fairness that underpins the Canadian health care system, Dr. Martin is on a mission to improve medicare. In Better Now, she shows how bold fixes are both achievable and affordable. The text outlines each step of the health assessment process and further demonstrates the link between health history and physical examination. ¶Index COVID-19 hospitalization was defined a patient's first hospitalization with a discharge diagnosis of COVID-19 (code B97.29 during March–April or U07.1 during April–December) within the March–December study period. §Data from subset of 655 hospitals in Premier Healthcare Database Special COVID-19 Release. Risk for hospitalization, ICU admission, and death were lowest at BMIs of 24.2 kg/m2, 25.9 kg/m2, and 23.7 kg/m2, respectively, and then increased sharply with higher BMIs (Figure 2). Expert Rev Respir Med 2018;12:755–67. 3501 et seq. These findings highlight clinical and public health implications of higher BMIs, including the need for intensive management of COVID-19–associated illness, continued vaccine prioritization and masking, and policies to support healthy behaviors.
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