BMJ, The
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Ultrasound in management of rheumatoid arthritis: ARCTIC randomised controlled strategy trial
BMJ, The - - Trang i4205
Incidence, clinical outcomes, and transmission dynamics of severe coronavirus disease 2019 in California and Washington: prospective cohort study Abstract Objective To understand the epidemiology and burden of severe coronavirus disease 2019 (covid-19) during the first epidemic wave on the west coast of the United States. Design Prospective cohort study. Setting Kaiser Permanente integrated healthcare delivery systems serving populations in northern California, southern California, and Washington state. Participants 1840 people with a first acute hospital admission for confirmed covid-19 by 22 April 2020, among 9 596 321 healthcare plan enrollees. Analyses of hospital length of stay and clinical outcomes included 1328 people admitted by 9 April 2020 (534 in northern California, 711 in southern California, and 83 in Washington). Main outcome measures Cumulative incidence of first acute hospital admission for confirmed covid-19, and subsequent probabilities of admission to an intensive care unit (ICU) and mortality, as well as duration of hospital stay and ICU stay. The effective reproduction number (RE ) describing transmission dynamics was estimated for each region. Results As of 22 April 2020, cumulative incidences of a first acute hospital admission for covid-19 were 15.6 per 100 000 cohort members in northern California, 23.3 per 100 000 in southern California, and 14.7 per 100 000 in Washington. Accounting for censoring of incomplete hospital stays among those admitted by 9 April 2020, the estimated median duration of stay among survivors was 9.3 days (with 95% staying 0.8 to 32.9 days) and among non-survivors was 12.7 days (1.6 to 37.7 days). The censoring adjusted probability of ICU admission for male patients was 48.5% (95% confidence interval 41.8% to 56.3%) and for female patients was 32.0% (26.6% to 38.4%). For patients requiring critical care, the median duration of ICU stay was 10.6 days (with 95% staying 1.3 to 30.8 days). The censoring adjusted case fatality ratio was 23.5% (95% confidence interval 19.6% to 28.2%) among male inpatients and 14.9% (11.8% to 18.6%) among female inpatients; mortality risk increased with age for both male and female patients. Reductions in RE were identified over the study period within each region. Conclusions Among residents of California and Washington state enrolled in Kaiser Permanente healthcare plans who were admitted to hospital with covid-19, the probabilities of ICU admission, of long hospital stay, and of mortality were identified to be high. Incidence rates of new hospital admissions have stabilized or declined in conjunction with implementation of social distancing interventions.
BMJ, The - - Trang m1923
Bariatric surgery for obesity and metabolic conditions in adults
BMJ, The - Tập 349 Số aug27 9 - Trang g3961-g3961 - 2014
Patient reported outcome measures could help transform healthcare
BMJ, The - Tập 346 Số jan28 1 - Trang f167-f167 - 2013
Trends in colorectal cancer mortality in Europe: retrospective analysis of the WHO mortality database
BMJ, The - - Trang h4970
Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis
BMJ, The - Tập 347 Số oct03 1 - Trang f5588-f5588 - 2013
Twenty five year follow-up for breast cancer incidence and mortality of the Canadian National Breast Screening Study: randomised screening trial
BMJ, The - Tập 348 Số feb11 9 - Trang g366-g366 - 2014
Chemoprevention of colorectal cancer in individuals with previous colorectal neoplasia: systematic review and network meta-analysis
BMJ, The - - Trang i6188
Lay perspectives on hypertension and drug adherence: systematic review of qualitative research
BMJ, The - Tập 345 Số jul09 1 - Trang e3953-e3953 - 2012
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