Grateful to be part of the team @nyulangone leading the clinical science core for the @NIH long term outcomes of #COVID19 research, to be carried out by dozens of extraordinary investigators around the country. I take this responsibility very seriously. nyulangone.org/news/nyu-lango…
“Post acute sequelae of COVID” (PASC) threatens to have major public health implications for years to come, and patients are suffering now. We must learn more about what causes long term effects, and how they can be treated. For more info, see recovercovid.org.
Need to get my fellow PIs Stuart Katz and Andrea Troxel on Twitter, but meanwhile, thanks and admiration for them too, as well as so many of the faculty and staff @nyulangone who stepped up to kick this work off at light speed.
Excited to judge the finalists for the @SocietyGIM Lipkin Award (best student/resident/fellow abstract) for the third year in a row - tune in live at 12:20p EDT today, tomorrow and Thursday to see recorded presentations and live questions. Our trainees are our future. #SGIM21
There is no perfect vaccination prioritization strategy, and every choice leaves out people who would really benefit from vaccine. That said, I think @GovNedLamont's new age-based strategy in CT is very sensible if primary goal is to reduce hospitalizations and deaths ASAP. /1
Context: CT has already prioritized those in congregate settings (nursing homes, corrections, group homes, homeless shelters) and those 65+. Now, plan is to go by age in ~3 wk intervals (55-65, 45-54, 35-44, 18-34), last group starts May 3. Teachers now. portal.ct.gov/Coronavirus/CO…
But, don't chronic conditions increase risk from #COVID19? Yes. (In fact, my group was among first to prove it.) So why not prioritize people with them? 1) Because age is an even bigger risk. A young person with comorbidities is still lower risk than an older one without. /3
Today we commemorate half a million US deaths from #COVID19 - a staggering and heartbreaking figure. Millions are mourning. The only positive is that it is increasingly clear that this year will be better. A thread on #COVID19 mortality evidence:
Since then, there has been lots of corroborating evidence. This @JAMAInternalMed paper showed that mortality rates at nearly all of 398 US hospitals improved by at least 25% in the first few months of the pandemic (28k hospitalizations) ja.ma/2MdJrTm@rm_werner
At baseline, only 16% of our patients hospitalized within 6 months of death had documentation of advanced care planning. @vincentjmajor & clin colleagues developed 3 predictive models for 2 month mortality, set appropriate threshold (75% PPV), and integrated into the EHR.
The alert was shown a max of twice, only to attending physicians. 71% agreed with the alert: 72% of those patients had advanced care planning, vs 34% of those where docs disagreed, so overall 66% of alerted patients had ACP performed. How does that compare to others? Next...
Our new paper in @JAMANetworkOpen shows no disparity in adjusted outcomes between Black/Hispanic/White #COVID19 patients @nyulangone once hospitalized; if anything, Blacks seem to do a little better. Is this an anomaly? @gbengaogedegbeja.ma/3n1NKhC /Thread
Actually, several other papers have now found the same. This study of 11,210 hospitalized patients at 92 @ascensionorg hospitals found no sig difference in mortality between Blacks & Whites @BYehiajamanetwork.com/journals/jaman…
Yesterday the world lost a shining light, much too soon. @marjoriesue’s life was marked by tragedy – widowed early with two young children, then metastatic cancer – but she radiated joy and empathy and was an astonishingly gifted writer. In memoriam, some of my favorite pieces:
Margi was a pediatrician, writer, friend, researcher and community activist, but also a single mom who raised two extraordinary young women. Here, she wrote nicer words about other people's mothers (including mine @renalis) than I have ever said to my own: wbur.org/cognoscenti/20…