COVID-19 Resources by Date Added
The IARS COVID-19 Scientific Advisory Board (SAB) continually screens newly published peer-reviewed articles from respected journals to identify those of greatest clinical and scientific relevance to anesthesiologists, intensivists, related specialists and investigators. Our open-access newsletter provides a link to each highlighted article along with a short summary of key points. The SAB does not include any information from news media, social media, or scientific articles lacking full peer-review such as pre-prints. Journal CME is available for selected articles. View the Journal CME First Time User Guide for instructions here.
Click on a timeframe below to see articles posted on that date. To search by keyword, select Ctrl + F on a PC and Command + F on a Mac. Then, enter keyword and Enter.
- Effectiveness of Surgical and Cotton Masks in Blocking SARS–CoV-2: A Controlled Comparison in 4 Patients – published on April 6, 2020 in the Annals of Internal Medicine, retracted on June 1, 2020.
- Hydroxychloroquine or chloroquine with or without a macrolide for treatment of COVID-19: a multinational registry analysis – published in The Lancet on May 22, 2020, subjected to an expression of concern on June 2, and retracted on June 4.
- Cardiovascular Disease, Drug Therapy, and Mortality in Covid-19 – published in the New England Journal of Medicine on May 1, 2020, subjected to an expression of concern on June 2, and retracted on June 4.
September 28, 2022:
- A Bivalent Omicron-Containing Booster Vaccine against Covid-19. 9/16/22. Chalkias S. N Engl J Med.
This industry-sponsored study presents the interim results of Moderna’s phase 2-3 trial of their bivalent mRNA vaccine. Participants (n = 890) who had received a primary series of two doses and a single booster of Moderna’s original vaccine were divided into two groups; one received another booster of the original vaccine, and the other received the new bivalent mRNA vaccine which includes 25mcg of the original, and 25 mcg of an mRNA vaccine developed against Omicron BA-1. At 29 days, the bivalent Omicron-containing vaccine elicited neutralizing antibody responses against Omicron (including BA.4/5 subvariants) and previous variants that were superior to those of the original vaccine, without safety concerns.
SAB Comment: These interim laboratory immune results are encouraging. In the near future we look forward to the important vaccine effectiveness and longevity results.
- Impact of the use of oral antiviral agents on the risk of hospitalization in community COVID-19 patients. 8/28/2022. Yip TCF. Clin Infect Dis.
Authors from Hong Kong examined retrospectively records from outpatients presenting In February and March 2022 during an Omicron surge to compare the effectiveness of 2 antiviral drugs, molnupiravir (n=5808) or nirmatrelvir/ritonavir (n= 4921) to a group with noRx (n = 83,154) in reducing hospital admission (primary endpoint) or in reducing a composite of intensive care unit admission, invasive mechanical ventilation use, and/or death (secondary outcome) in a median f/u of 30 days. After propensity score weighting, nirmatrelvir/ritonavir use (weighted hazard ratio 0.79) but not molnupiravir use (weighted hazard ratio 1.17) was associated with a reduced risk of hospitalization compared to non-treated patients. Neither the use of molnupiravir nor the use of nirmatrelvir/ritonavir was associated with a lower risk of the composite secondary endpoint as compared to non-treated patients.
SAB Comment: While this study shows reduced or absent effect of these medications as compared with other contemporary studies, the authors note that prior to their efforts to propensity match the groups, “oral antiviral users were older and had more comorbidities, lower complete vaccination rate, and more hospitalizations in the previous year.” With propensity matching comparison of all the three groups, they were able to reduce biases of the groups but maintain their final inference.
- Long-term cardiac pathology in individuals with mild initial COVID-19 illness. 9/5/2022. Puntmann VO. Nat Med.
These authors conducted serial cardiac assessments in selected patients with COVID-19 with no previous cardiac disease or notable comorbidities by measuring blood biomarkers of heart injury and with magnetic resonance imaging. Baseline measurements from 346 individuals with COVID-19 (52% females) were obtained at a median of 109 days after infection, when 73% of participants reported cardiac symptoms. Symptomatic individuals had higher heart rates and higher imaging values or contrast agent accumulation, denoting inflammatory cardiac involvement, compared to asymptomatic individuals. At follow-up (329 mean days after infection), 57% of participants had persistent cardiac symptoms. Diffuse myocardial edema was more pronounced in participants who remained symptomatic at follow-up as compared to those who improved. Female gender and diffuse myocardial involvement on baseline imaging independently predicted the presence of cardiac symptoms at follow-up. While these data help further characterize cardiac long COVID, these cardiac MRIs are not readily available and there is no treatment yet for this cardiac inflammation.
- Nirmatrelvir-Ritonavir and Viral Load Rebound in Covid-19. 9/7/22. Anderson AS. N Engl J Med.
Using data from the EPIC-HR3 trial which compared nirmatrelvir-ritonavir (Paxlovid) to placebo in unvaccinated patients, the authors found that viral load rebound following nirmatrelvir-ritonavir is not retrospectively associated with low nirmatrelvir exposure, recurrence of moderate to severe symptoms or development of resistance to nirmatrelvir. During the recruitment period from June to December 2021 which coincided with delta variant predominance, viral load rebound occurred in 23 of 990 patients (2.3%) in the nirmatrelvir– ritonavir group and in 17 of 980 (1.7%) in the placebo group. These results – published in a research letter suggest that viral load rebound may be a natural feature of a small percentage of SARS CoV-2 infections. However, viral load as determined by PCR assay, may not explain the frequently noted clinical syndrome.
- Persistent circulating SARS-CoV-2 spike is associated with post-acute COVID-19 sequelae. 9/2/22. Swank Z. Clin Infect Dis.
This retrospective pilot study measured 3 SARS-CoV-2 antigens (using a Simoa assay) in blood samples from 63 individuals diagnosed with COVID-19, of whom 37 had post-acute sequelae of COVID-19 (PASC) identified. SARS-CoV-2 spike antigen was detected several months post infection in 60% of PASC and in none with COVID-19 only. Longitudinal blood samples were available in 12 PASC individuals and in 6 with COVID-19 only. Serial blood samples in 12 PASC individuals showed sustained or fluctuating spike antigen levels, whereas in samples of 6 with COVID-19 only, high antigen levels immediately after diagnosis dropped rapidly. The authors indicate that more study is needed and propose these results support the hypothesis that a reservoir of active virus persists within the body in individuals with PASC. Ten cytokines were also measured and were not different among the groups. The discussion further analyzes the validity of the findings.
September 12, 2022:
- Anticoagulation and Antiplatelet Therapy for Prevention of Venous and Arterial Thrombotic Events in Critically Ill Patients with COVID-19: COVID-PACT. 8/29/2022. Bohula EA. Circulation.
The paper examines the use of prophylactic full-dose anticoagulation and antiplatelet therapy in critically-ill COVID-19. This RCT examined full-dose anticoagulation or standard-dose prophylactic anticoagulation. Absent an indication for antiplatelet therapy, patients were additionally randomized to either clopidogrel or no antiplatelet therapy. The primary efficacy outcome was the hierarchical composite of death due to venous or arterial thrombosis, pulmonary embolism, clinically-evident deep venous thrombosis (DVT), type 1 myocardial infarction, ischemic stroke, systemic embolic event or acute limb ischemia, or clinically-silent DVT. 390 patients were randomized between anticoagulation strategies and 292 between antiplatelet strategies. Full-dose anticoagulation, but not clopidogrel, reduced thrombotic complications with an increase in bleeding, and no apparent change in mortality.
- Clinical and Genetic Risk Factors for Acute Incident Venous Thromboembolism in Ambulatory Patients With COVID-19. 8/18/22. Xie J. JAMA Intern Med.
The authors examined data from the UK Biobank for ambulatory patients from March 1, 2020 to September 3, 2021. In this retrospective cohort study of 18,818 outpatients with COVID-19 and 93,179 propensity score-matched noninfected participants, a higher venous thromboembolism (VTE) incidence was observed in the former (hazard ratio, 21.42 (!)); however, this risk was considerably attenuated among the fully vaccinated, after breakthrough infection (hazard ratio, 5.95). Older age, male sex, obesity, no vaccination or partial vaccination, and inherited thrombophilia were independent risk factors for COVID-19–associated VTE. These data help identify high-risk patients for VTE in the ambulatory setting. However, these data predate the Omicron variant.
- Comparison of Severe Maternal Morbidities Associated With Delivery During Periods of Circulation of Specific SARS-CoV-2 Variants. 8/12/22. Mupanomunda M. JAMA Netw Open.
Does the incidence of severe maternal morbidity (SMM) vary according to the SARS-CoV-2 variant? In a retrospective study involving 32 US hospitals from March 2020 to January 2022, the authors evaluated SMM in 3,129 mothers with positive RT-PCR results at the delivery hospitalization compared with a propensity-matched cohort of 12,504 mothers who tested negative. SARS-CoV-2 infection at the time of delivery was significantly associated with SMM in the wild-type, Alpha and Delta periods; the magnitude of the associations was most pronounced during the time period when the Delta variant was predominant (OR 7.69). Respiratory (but not nonrespiratory) SMM were significantly higher during the Omicron period. The authors stress the importance of promoting vaccination acceptance and combating misinformation together with other prevention strategies in pregnant individuals.
SAB Comment: As COVID-19 variants, infection patterns, and vaccines evolve, teasing out risks and outcomes has become more intricate. This study focuses on SARS-CoV-2 infection at the time of delivery and provides important information for this particular cohort. An associated commentary helps put the study in perspective and emphasizes the importance of including pregnant patients in the early clinical trials of vaccine safety and efficacy.
- Effect of therapeutic versus prophylactic anticoagulation therapy on clinical outcomes in COVID-19 patients: a systematic review with an updated meta-analysis. 8/23/2022. Duo H. Thromb J.
This analysis of 11 randomized clinical trials (RCTs) and 17 observational studies (OBs) from January 8, 2019, to January 8, 2022 compared prophylactic (P-AC) and therapeutic anticoagulant (T-AC) treatment in 16,167 COVID-19 patients. There was no significant overall mortality difference between T-AC and P-AC. The risk of major bleeding with T-AC was higher in (RCTs: RR 1.8, OBs: RR 2.4). In OBs, mortality following T-AC was lower than P-AC in critically ill patients and higher in the non-critically ill. T-AC reduced the incidence of venous thromboembolism by around half in both RCTs and OBs with little difference in arterial thrombosis. T-AC treatment did not reduce mortality risk patients with high d-dimer levels in RCTs. Discussion follows, including need to individualize treatment.
- Management and outcomes of pregnant women admitted to intensive care unit for severe pneumonia related to SARS-CoV-2 infection: the multicenter and international COVIDPREG study. 8/19/22. Péju E. Intensive Care Med.
The object of this retrospective multicenter international study from France was to assess ventilatory management, as well as obstetric management and neonatal outcomes, of all pregnant women (187) admitted to 32 ICUs with SARS-CoV-2 pneumonia from March 2020 through December 2021. Outcomes were compiled according to trimester of pregnancy, comorbidities, degree of CT scan abnormalities and mode of ventilatory support, among others. Prone positioning was used in 26% of all patients and 56% of intubated patients, but to a lesser degree before delivery. In the 27 intubated, ventilated patients for whom complete data were available, delivery of the neonate significantly improved oxygenation and decreased driving pressure, with a trend toward increased compliance and decreased plateau pressure. Venovenous ECMO was used in 21% of intubated patients. Maternal mortality was 2% and neonatal mortality 4%. Preterm birth occurred in 74% and ICU admission in 54% of neonates of intubated patients.
- Neurological and psychiatric risk trajectories after SARS-CoV-2 infection: an analysis of 2-year retrospective cohort studies including 1 284 437 patients. 8/20/22. Taquet M. Lancet Psychiatry.
This retrospective analysis tracks 14 post-COVID neurologic and psychiatric complications in 3 different age groups and the effect of SARS-CoV-2 variants on those complications between January 2021 and April 2022. Using TriNet X, a US based clinical research collaboration platform deployed by a federated network of 62 health care organizations and tracking 89 million anonymized electronic medical record patient data globally, enabled comparison with a propensity matched control group with other non-COVID related respiratory infections. Results indicate that trajectories for mood and anxiety disorders trend lower overall but cognitive defects, dementia, psychotic disorders, and epilepsy remain elevated 2 years after SARS CoV-2 infection among adults, while children are less susceptible overall except for epilepsy. During the Omicron phase of the pandemic, despite less severe disease and lower mortality, neurologic and psychiatric complications continued unabated and pose a considerable future challenge to health care systems.
In an editorial, the use of comparison groups is highlighted as adding valuable perspective to the multifaceted post-Covid symptom complex and prospective studies to validate the results are recommended.
- Prognostic value of von Willebrand factor and ADAMTS13 in patients with COVID-19: A systematic review and meta-analysis. 8/26/2022. Xu X. Thromb Res.
The authors reviewed the current literature and performed meta-analyses on the relationship between both VWF and its cleaving protease ADAMTS13 with the prognosis of COVID-19. The unfavorable outcomes were defined as mortality, intensive care unit (ICU) admission, and severe disease course. A total of 3764 patients from 40 studies were included. The estimated pooled means indicated increased plasma levels of VWF:Ag, VWF:Rco, and VWF:Ag/ADAMTS13:Ac ratio, and decreased plasma levels of ADAMTS13:Ac in COVID-19 patients with unfavorable outcomes when compared to those with favorable outcomes (composite outcomes or subgroup analyses of non-survivor versus survivor, ICU versus non-ICU, and severe versus non-severe). The imbalance of the VWF-ADAMTS13 axis (massive quantitative and qualitative increases of VWF with relative deficiency of ADAMTS13) is associated with poor prognosis of patients with COVID-19. However, the authors conclude that there are currently insufficient data available to recommend VWF-related variables as routine clinical assessments.
- Real-world effectiveness of early molnupiravir or nirmatrelvir-ritonavir in hospitalised patients with COVID-19 without supplemental oxygen requirement on admission during Hong Kong’s omicron BA.2 wave: a retrospective cohort study. 8/27/2022. Wong CKH. Lancet Infect Dis.
This retrospective cohort study aimed to evaluate the clinical and virological outcomes associated with molnupiravir (Lagevrio) or nirmatrelvir–ritonavir (Paxlovid) use in hospitalised patients with mild-to-moderate COVID-19 during a pandemic wave dominated by the omicron BA.2 subvariant. A lower risk of all-cause mortality was observed in molnupiravir recipients (HR 0.48) and in nirmatrelvir–ritonavir recipients (HR 0.34) compared to propensity matched controls. Oral antiviral recipients also had lower risks of the composite disease progression outcome (molnupiravir HR 0.60; nirmatrelvir–ritonavir 0.57) and need for oxygen therapy (molnupiravir 0.69; nirmatrelvir–ritonavir 0.73 compared with controls.
- The Association of Baseline Plasma SARS-CoV-2 Nucleocapsid Antigen Level and Outcomes in Patients Hospitalized With COVID-19. 8/29/2022. ACTIV-3/TICO Study Group*. Ann Intern Med.
This study examined baseline plasma COVID-19 nucleocapsid antigen level from 2540 patients from August 2020 to November 2021.This was performed at 114 centers in 10 countries in adults hospitalized for acute SARS-CoV-2 infection. Baseline pulmonary severity of illness was strongly associated with plasma antigen level, with mean plasma antigen level 3.10-fold higher among those requiring noninvasive ventilation or high-flow nasal cannula compared with room air. Plasma antigen level was higher in those who lacked antispike antibodies (6.42 fold) and in those with the Delta variant (1.73 fold). Additional factors associated with higher baseline antigen level included male sex, shorter time since hospital admission, decreased days of remdesivir, and renal impairment. In contrast, race, ethnicity, body mass index, and immunocompromising conditions were not associated with plasma antigen levels. Plasma antigen level of 1000 ng/L or greater was associated with a higher odds of worsened pulmonary status at day 5 (odds ratio, 5.06) and longer time to hospital discharge.
August 29, 2022:
- Levels of SARS-CoV-2 antibodies among fully vaccinated individuals with Delta or Omicron variant breakthrough infections. 8/1/22. Breinholt Stærke N. Nature Communications.
Using the Danish National Microbiology database, this observational cohort study examined whether levels of anti-spike IgG influenced rates of Delta and Omicron breakthrough infections in a fully vaccinated cohort. Anti-spike IgG levels were measured before vaccinations and at days 21–28, 90, 180 post first-vaccination, and 4 weeks post-booster. Among 6076 participants, Delta and Omicron (BA.2) infections occurred in 127 and 364, respectively. The highest vs. lower quintile of anti-spike IgG led to a 71% lower Delta breakthrough infection rate (p = 0.0002). However, no significant quintile differences were observed for Omicron suggesting that the level of anti-spike IgG has limited impact on Omicron breakthrough risk.
SAB Comment: Prior to Omicron’s emergence, and consistent with the Delta variant data in the above study, increasing levels of anti-spike IgG were associated with reduced risk of breakthrough infections. This observation is not valid with Omicron breakthrough infection and does not address T- and B-cell immune function post-vaccination.
- Nirmatrelvir Use and Severe Covid-19 Outcomes during the Omicron Surge. 8/24/22. Arbel R. N Engl J Med.
This observational, retrospective, Israeli study of ambulatory patients, conducted January 9, 2022 – March 31, 2022 during the Omicron period, investigated early use of nirmatrelvir, a protease inhibitor. Of 105,352 eligible patients (over 40 yrs of age and considered “high risk”), 3,902 received the drug. The authors report significantly lower rates of hospitalization and death within 35 days in patients over 65 yrs who received nirmatrelvir (HR 0.27) irrespective of previous immunity status. They also noted a further reduction of hospitalization in patients over 65 who had previous immunity to COVID from vaccination, previous infection or both, and received the drug. No benefit of use was noted in patients less than 65 years of age.
- Oral Nirmatrelvir and Ritonavir in Non-hospitalized Vaccinated Patients with Covid-19. 8/20/22. Ganatra S. Clin Infect Dis.
Though Paxlovid (nirmatrelvir plus ritonavir, NMV-r) reduces progression to severe disease in high-risk, nonhospitalized unvaccinated patients, benefits among vaccinated patients are unclear. This retrospective cohort study between December 2021 and April 2022 evaluated vaccinated adults (over 18 years), who subsequently developed COVID-19, comparing 1,130 who took NMV-r within five days of diagnosis with an equal number who did not. All-cause emergency room visits, hospitalization, or death within 30 days occurred in 89 patients (7.87%) in the NMV-r cohort, compared to 163 patients (14.4%) in the non-NMV-r cohort (p<0.005), a 45% relative risk reduction. Complications and overall resource utilization (e.g., diagnostic tests) were also decreased.
August 22, 2022:
- An Antibody from Single Human VH-rearranging Mouse Neutralizes All SARS-CoV-2 Variants Through BA.5 by Inhibiting Membrane Fusion. 8/11/22. Luo S. Science Immunology.
Anti-spike-directed vaccines and therapeutic antibodies are increasingly ineffective. Using a humanized mouse model, laboratory investigators inserted human gene segments that promoted mouse B-cells to produce humanized antibody repertoires using “V(D)J recombination,” like humans build antibodies after antigen exposures. Novel anti-spike antibodies were then produced following ancestral spike protein exposure. One antibody, SP1-77, neutralized Alpha, Beta, Gamma, Delta, and all Omicron strains. Though binding to the RBD, SP1-77 does not block ACE2 receptor binding. Shown using groundbreaking imaging, SP1-77 works through a novel downstream mechanism, preventing fusion of virus outer membranes with target cell membranes inhibiting a thus far unmuted RBD site.
SAB Comment: The SP1-77 antibody anti-fusion mechanism may provide insights to future vaccine strategies. In this preclinical study, the humanized “VH1-2/Vκ1-33-rearranging mouse model” yielded diverse human heavy and light chain rearrangements and resultant novel immunoglobulins. Application of these experimental techniques can lead to therapeutic antibody repertoire discoveries against future SARS-Co-V variants or any pathogen (e.g., HIV-1, influenza).
- Association of Blood Viscosity With Mortality Among Patients Hospitalized With COVID-19. 7/21/2022. Choi D. J Am Coll Cardiol.
Coronavirus disease-2019 (COVID-19) is characterized by a dysfunctional immune response and abnormal blood rheology that contribute to endothelial dysfunction and thrombotic complications. Whole blood viscosity (WBV) is a clinically validated measure of blood rheology and an established predictor of cardiovascular risk. Authors investigated association between estimated BV (eBV) and mortality among 5,621 hospitalized COVID-19 patients (01/20-11/21). Among hospitalized COVID-19 patients, increased eBV is significantly associated with higher mortality suggesting that eBV can prognosticate patient outcomes in earlier stages of COVID-19. The variables to calculate eBV (hematocrit, albumin, and total protein) are easily obtained from most admission labs, suggesting a possible use of eBV as an efficient and simple risk assessment of patients with COVID-19 to offer proper preventive therapy.
- Baricitinib in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial and updated meta-analysis. 7/31/2022. RECOVERY Collaborative Group. Lancet.
Baricitinib significantly reduced the risk of death in 8156 patients hospitalized between February and December 2021 with COVID-19 and studied as part of the ongoing RECOVERY trial. The size of benefit was smaller compared to 8 previous trials (13% vs. 43% reduction in proportional mortality with baricitinib). The total randomized evidence to date suggests that JAK inhibitors (chiefly baricitinib) reduce mortality in patients hospitalized for COVID-19 by about one-fifth.
SAB Comment: A comprehensive resource paper on JAK inhibitors and COVID-19.
- BNT162b2 Vaccine Effectiveness against Omicron in Children 5 to 11 Years of Age. 6/29/2022. Cohen-Stavi CJ. N Engl J Med.
This Israeli study finds that as omicron was becoming the dominant variant, two doses of the BNT162b2 (Pfizer) vaccine provided moderate short-term protection against documented SARS-CoV-2 infection and symptomatic Covid-19 in children 5 to 11 years of age. This observational cohort study compared the incidence of PCR positivity and symptomatic Covid-19 in 94,728 vaccinated children matched with unvaccinated controls from late November 2021 to January 7, 2022. The vaccine effectiveness against PCR positivity was 51% and against symptomatic infection was 48% after two doses.
SAB Comment: These findings contrast to the trials of this vaccine during the Delta variant predominance, which found an efficacy of 91% against symptomatic infection in children of this age.
- C reactive protein utilisation, a biomarker for early COVID-19 treatment, improves lenzilumab efficacy: results from the randomised phase 3 ‘LIVE-AIR’ trial. 7/6/2022. Temesgen Z. BMJ.
This randomized, blinded, controlled phase three LIVE-AIR trial examined effects of lenzilumab an anti-GM-CSF monoclonal antibody under development, on survival without ventilation (SWOV). Hospitalized patients (n=520) between May 2020 and January 2021, with RA SpO2 ≤94% or requiring supplemental oxygen but not IMV, were given lenzilumab or placebo along with corticosteroids and remdesivir on day 0. In this post-hoc analysis, with baseline CRP <150 mg/L, SWOV, the primary endpoint, through day 28, was achieved in 90% lenzilumab and 79% placebo (p=0.0009), but not with CRP ≥150 mg/L, (p=0.9058). The greatest effects were observed with a medium CRP below 79 mg/L. Adverse events with lenzilumab were comparable to placebo.
- COVID-19 and Acute Neurologic Complications in Children. 8/11/22. Antoon JW. Pediatrics.
This study is based upon data provided to the Pediatric Health Information System database from 52 pediatric academic centers during a 2-year period beginning March 2020. It focused on prevalence, risk factors and outcomes associated with neurological complications in hospitalized children. Among 15,137 children aged 2 months to 18 years, the overall incidence of acute neurological complication was 7%. Febrile seizures, nonfebrile seizures, and encephalopathy combined accounted for 85% of neurologic complications. Identified risk factors included pre-existing chronic neurologic conditions, older age, race, and ethnicity. Lower odds occurred during the period of Delta variant dominance, and in patients treated with remdesivir and dexamethasone. Neurologic complications were associated with increased mortality (1.8% vs. 0.6%, p<0.001), ICU admission, longer hospitalization, and higher cost of care. These results are comparable to children hospitalized with influenza and other viral illnesses and emphasize the importance of COVID-19 immunization, especially in a high-risk population.
- Effectiveness of mRNA COVID-19 vaccines against Omicron and Delta variants in a matched test-negative case-control study among US veterans. 8/3/22. Young-Xu Y. BMJ Open.
This study used VA electronic health record data from 114,640 veterans who had a SARS-CoV-2 test during November 2021 or January 2022 to calculate estimates of vaccine effectiveness and considered November infections to be due to the Delta variant and January infections to be due to the Omicron variant.
The authors concluded that although the effectiveness of booster vaccination against infection was moderately higher against Delta than against the early Omicron SARS-CoV-2 variant, effectiveness against severe disease and death was similarly high against both variants.
- Good practice statements for antithrombotic therapy in the management of COVID-19: Guidance from the SSC of the ISTH. 7/29/22. J Thromb Haemost. Clin Infect Dis.
This article is a set of best practice statements for deep vein thrombosis prophylaxis and treatment with COVID-19 from the International Society of Thrombosis and Hemostasis. It is not based upon a systematic review but expert opinion. While much of this is similar to prior guidelines, the special considerations section covering pregnancy, pediatrics, chronic kidney disease, obesity and heparin-induced thrombocytopenia without thrombosis are of value.
- ISTH guidelines for antithrombotic treatment in COVID-19. 7/29/22. Schulman S. J Thromb Haemost.
This article is a systematic review and guidelines for deep vein thrombosis prophylaxis with COVID-19 from the International Society of Thrombosis and Hemostasis. It was performed by a panel of experts. Among noncritically ill patients hospitalized for COVID-19, the panel gave a strong recommendation (a) for use of prophylactic dose of low molecular weight heparin or unfractionated heparin (LMWH/UFH) (COR 1); (b) for select patients in this group, use of therapeutic dose LMWH/UFH in preference to prophylactic dose (COR 1); but (c) against the addition of an antiplatelet agent (COR 3). Nine additional recommendations are made. The review is comprehensive and current, and the recommendations are graded. Figure 2 is useful as it summarizes the findings.
- Long COVID: which symptoms can be attributed to SARS-CoV-2 infection? 8/7/22. Brightling CE. Lancet.
This brief comment places into perspective a long COVID study by Ballering et al, and provides a nutshell view of long COVID. The Ballering study found a long COVID incidence of 12.7% in a geographically and ethnically limited study that did not consider mental health. It also introduces a possible core symptom set for diagnosis. The authors consider the methodology a “major advance on previous long COVID prevalence estimates.” Important concepts introduced in the comment include: “clustering of patient-reported outcomes has identified different severity groups of long COVID and identified increased systemic inflammation in people with very severe long COVID,”; “the proportion of newly infected people developing long COVID is reduced in people who have received vaccination before SARS-CoV-2 infection,” and ”might be lower in people infected with the omicron variant than those infected with earlier variants.” “Current evidence supports the view that long COVID is common and can persist for at least 2 years after SARS-CoV-2 infection, although severe debilitating disease is present in a minority.”
- Prognosis and persistence of smell and taste dysfunction in patients with covid-19: meta-analysis with parametric cure modelling of recovery curves. 7/27/2022. Tan BKJ. BMJ.
This metanalysis of COVID positive ve patients (N= 3699) that included 18 retrospective & prospective studies led to a reconstructed parametric “Cure” based model of time-to-event for individual patient data (IPD) on self-reported smell and taste dysfunction. The authors estimated 5.6% could develop a long-term health care burden for those symptoms. In this metaanalysis of IPD, estimated 74%, 86%, 90%, and 96% of patients self-reported smell recovery and 79%, 88%, 90%, and 98% self-reported taste recovery on day number 30, 60, 90, and 180 respectively. Females were associated with poorer recovery of both smell and taste.
- Respiratory indications for ECMO: focus on COVID-19. 8/9/2022. Supady A. Intensive Care Med.
This manuscript reviews the world literature for the use of ECMO with COVID-19. The authors point out deficiencies in the literature and possible areas of future research. The authors conclude that during the pandemic, mortality of patients supported with ECMO has increased. However, the precise reasons for this observation are unclear. Known risk factors for mortality in COVID-19 and non-COVID-19 patients are higher patient age, concomitant extra-pulmonary organ failures or malignancies, prolonged mechanical ventilation before ECMO, less experienced treatment teams and lower ECMO caseloads in the treating center.
- Risk of SARS-CoV-2 Acquisition in Health Care Workers According to Cumulative Patient Exposure and Preferred Mask Type. 8/15/22. Dörr T. JAMA Netw Open.
In this study of 2,919 Swiss healthcare workers over a 1-year period beginning September 2020, the incidence of SARS-CoV-2 positivity was correlated with cumulative hours of exposure to patients with COVID-19 and lower with exclusive use of FFP2 respirator masks (similar to N95) vs. surgical/mixed mask use. Positivity rates (by testing and/or antinucleocapsid Ab seroconversion) was 13% for workers with no patient contact, 21% for workers caring for COVID patients using respirator masks exclusively and 35% for workers who used a combination of masks. Other significant factors were positive household contacts (OR 7.8), and vaccination (OR 0.55), but not working in ICU.
SAB Comment: Although this study has weaknesses, including self-reported data, we have seen few others reporting the relative benefits of respirator mask wearing. Given the current availability of respirator masks to consumers along with the high rate of breakthrough infections of the very infectious BA.5 Omicron variant, these data may be useful to all who wish to optimize COVID protection in crowded, indoor, and travel environments in addition to use in healthcare settings.
August 8, 2022:
- Association between AZD7442 (tixagevimab-cilgavimab) Administration and SARS-CoV-2 Infection, Hospitalization and Mortality. 7/29/22. Kertes J. Clin Infect Dis.
This retrospective, observational, “real world” study demonstrates lower rates of infection (3.5% vs. 7.2%), hospitalization (0.1 vs. 0.6%) and mortality (0 vs. 0.9%) when AZD7442 is administered pre-infection to a heterogenous group of highly immunosuppressed patients and compared to a similar group who chose not to receive the drug combination. The study coincided with an Omicron-dominated wave of COVID-19 in Israel (Dec. 2021- April 2022) and was designed to determine whether AZD7442, a human SARS-CoV-2 neutralizing monoclonal antibody combination, with the US trade name, Evusheld, was effective against the Omicron variant using a large Israeli healthcare system’s database. Among the immune suppressed patients contacted, 825 patients chose to participate and received AZD7442, while 4,299 declined and served as controls. Study results complement several ongoing and completed randomized controlled trials (PROVENT, TACKLE) and suggest the use of AZD7442 with its 90-day half-life for pre-exposure prophylaxis in individuals where immune-suppression is a concern.
- Association of nirmatrelvir/ritonavir treatment on upper respiratory SARS-CoV-2 RT-PCR negative conversion rates among high-risk patients with COVID-19. 7/23/22. Li H. Clin Infect Dis.
Nirmaltrelvir/ritonavir (Paxlovid) given orally within 5 days of symptom onset to high-risk patients hospitalized with mild to moderate COVID-19, accelerated the RT-PCR conversion rate from positive to negative significantly. Median conversion time for a 258-patient cohort receiving the drug between March and April 2022 was day 10 (7-12 days) while a control cohort of 241 patients converted 7 days later on day 17 (12-21 days). Secondary outcomes included lingering PCR positivity on day 15 among untreated patients, resulting in a hazard ratio of 4.33 in favor of patients receiving the drug combination. Delayed negative conversion were also observed in patients with lower cycle threshold (Ct) during RT-PCR testing, suggesting the presence of greater viral loads. Although neither infectiousness nor diminishing viral loads were assessed directly, the accelerated RT-PCR conversion suggests reduced risk of viral shedding and disease transmission in patients receiving the antiviral.
- Covid-19 Vaccination and the Timing of Surgery Following Covid-19 Infection. 7/15/22. Le S. Annals of Surgery.
Kaiser Permanente investigators reviewed 228,913 adult elective inpatient and outpatient surgeries, pre-pandemic and after vaccination availability, to assess whether vaccination status or type of anesthesia affected postoperative complication rates following SARS-CoV-2 infection. Postoperative emergency room visits and unscheduled hospitalizations were increased only for patients not fully vaccinated at the time of surgery, and if it occurred <30 days following a COVID diagnosis (n=373, adjusted HR 1.55). The increased risk was fully accounted for in those who had general anesthesia (adjusted HR 1.84). Risks were not elevated when surgery occurred more than 4 weeks following a COVID diagnosis. Authors noted “Current guidelines recommend deferring elective surgery for at least 7 weeks after Covid-19 diagnosis among patients who are asymptomatic at the time of surgery.” They recommend further study and liberalizing guidelines for those fully vaccinated or for whom general anesthesia can be avoided.
SAB Comment: This article prompted SAB review of a key cited reference that analyzed data from unvaccinated patients undergoing major elective surgery earlier in the pandemic. It contributed to guidelines suggesting a 7-8 week preoperative delay following a positive PCR. SARS-CoV-2 continues to evolve with multiple variants, the specter of Long COVID-19, and the concomitant evolution of vaccines and therapeutics. Consequently, decisions regarding timing of elective surgery following a COVID diagnosis are best individualized to each patient. We anticipate ongoing studies regarding the important question of how to assess and minimize perioperative risks following COVID.
- The Risk of Postoperative Complications After Major Elective Surgery in Active or Resolved COVID-19 in the United States. 2/22/22. Deng JZ. Annals of Surgery.
Using data from the COVID-19 Research Database, investigators studied the incidence of complications following 18 common major elective surgeries in unvaccinated patients who previously had PCR-confirmed SARS-CoV-2 infection (98.7% mild-moderate). Compared with 2,621 controls who underwent equivalent surgeries at least 30 days before a COVID diagnosis, those who had surgery within 4 weeks following a COVID diagnosis (n = 780) had substantially elevated adjusted odds ratio (aOR) for pneumonia (aOR 6.5), respiratory failure (aOR 3.4), pulmonary embolus (aOR 2.4) and sepsis (aOR 3.7). For those having surgery between 4 and 8 weeks after COVID (n = 445), only the aOR for pneumonia was higher at 2.4. For those having surgery more than 8 weeks following COVID (n=1633), no increased risk of complications was observed. Following a COVID diagnosis authors recommend waiting 8 weeks prior to major elective surgery, with due consideration for malignancies.
- Dendrimer nanotherapy for severe COVID-19 attenuates inflammation and neurological injury markers and improves outcomes in a phase2a clinical trial. 7/20/22. Gusdon AM. Science Trans Med.
OP-101, a therapeutic nanoparticle with attached “tendrils” (a dendrimer), can place high concentrations of the anti-inflammatory/antioxidant N-acetyl cysteine (NAC) into activated macrophages and microglia. This multicenter, randomized, double-blind, phase 2a pilot study tested single-escalating doses (2mg/kg: n=6, 4mg/kg: n=6, or 8 mg/kg: n=5) vs placebo (n = 7) in severe COVID-19. All received SOC/corticosteroids. OP-101 at 4 mg/kg significantly decreased inflammatory markers; 4 and 8 mg/kg reduced neurological injury markers. Risk for mechanical ventilation/death at 30 and 60 days was 71% for placebo and 18% for pooled OP-101. At 60 days, 3/7 placebo-treated patients and 14/17 OP-101–patients survived without drug-related adverse events.
SAB Comment: Multiple ligands can be attached to injectable dendrimer nanoparticles to allow the novel targeting, treating, and even illuminating of specific inflammatory cells. In this first-in-human trial, macrophages and microglia, suspected culprits in COVID-19, were nanotherapy-targeted and “treated” with high concentration of NAC. The striking, potentially “game-changing” survival results reported here in severe, corticosteroid-treated COVID-19 requires confirmation in much larger multi-institutional studies. Neuropsychiatric exams should be included.
- Effectiveness Associated With Vaccination After COVID-19 Recovery in Preventing Reinfection. 7/27/22. Lewis N. JAMA Netw Open.
In this cohort study of more than 95,000 Rhode Island residents from March 2020 to December 2021, including residents and employees of long-term congregate care (LTCC) facilities, completion of the primary vaccination series after recovery from COVID-19 was associated with 49% protection from reinfection among LTCC residents, 47% protection among LTCC employees, and 62% protection in the general population during periods when wild type, Alpha, and Delta strains of SARS-CoV-2 were predominant.
SAB Comment: The finding that in people who have recovered from COVID-19, subsequent completion of the primary vaccination series reduced the risk of reinfection by approximately half is shown here for the earlier variants, but that conclusion may not be extended to the Omicron variants without further study.
- Efficacy and safety of intramuscular administration of tixagevimab-cilgavimab for early outpatient treatment of COVID-19 (TACKLE): a phase 3, randomised, double-blind, placebo-controlled trial. 6/10/22. Montgomery H. Lancet Respir Med.
This human SARS-CoV-2-neutralizing monoclonal antibody (NMA) combination, also referred to as AZD7442 or Evusheld, has an extended half-life of 90 days and is subject to an Astra Zeneca-funded, multicenter, international trial which began enrolling unvaccinated patients with seven days or less of mild COVID-19 symptoms and at least one major risk factor in January 2021. By July 2021, 910 patients (average age 46) had received either placebo (n = 454) or an intramuscular injection of 300 mg each of tixagevimab and cilgavimab (n = 456). Progression to severe illness or death from any cause through day 29 occurred in 18 patients receiving the NMA combination, compared to 36 who received placebo, resulting in a relative risk reduction of 50.5%.
In the pre-Omicron era, this NMA combination provided significant protection from severe disease without major side effects. As the trial is ongoing, future results may confirm in-vitro effectiveness to the Omicron variant.
SAB Comment: An associated editorial, titled “Early treatment to prevent progression of SARS-CoV-2 infection,” highlights the evolving role antivirals and monoclonal antibodies like Evusheld may play in the prevention and management of SARS-CoV-2 and its variants, and the protection of vulnerable populations from severe disease.
- Efficacy of Antibodies and Antiviral Drugs against Omicron BA.2.12.1, BA.4, and BA.5 Subvariants. 7/20/22. N Engl J Med.
The efficacy of monoclonal antibodies against the circulating BA.2.12.1, BA.4 and BA.5 is unknown. Live virus neutralization laboratory testing showed the combination of casirivimab and imdevimab (REGEN-COV) inhibited all variants; however, neutralization was reduced vs. imdevimab alone. Casirivmab was inactive. The combination of tixagevimab and cilgavimab (Evusheld) was active vs all three variants as was cilgavimab. Tixagevimab only neutralized BA.2.12.1. Sotrovimab lost all inhibitory capability. Bebtelovimab neutralized all three and was the only monoclonal active at concentrations similar to the ancestral strain. Remdesivir, molnupiravir and nirmatrelvir (active component of Paxlovid) all neutralized variants at concentrations similar to ancestral stains.
SAB Comment: To date, there has been a lack of in vitro or clinical data to help decision making in selection of monoclonals and antiviral drugs to treat current circulating variants. These in vitro data may help a treating physician formulate a rationale for such decisions.
- Long-term functioning status of COVID-19 survivors: a prospective observational evaluation of a cohort of patients surviving hospitalisation. 7/27/2022. Battistella LR. BMJ Open.
This paper from Brazil examines 801 patients hospitalized for at least 24 hours with SARS-CoV-2 from March-August 2020, who were recruited between October 2020 and April 2021 for evaluation of their long term functional status. Multiple formal evaluations of strength, mobility, and physical and mental function were administered, and help to quantify long COVID symptoms. In this group of patients, there was no difference in the functional status of those who needed invasive mechanical ventilation, and those who did not require it. The predominant findings were muscle weakness, reduced mobility, pain, anxiety, depression, breathlessness, insomnia and daytime sleepiness. Generalized fatigue was not present.
- Symptoms and risk factors for long COVID in non-hospitalized adults. 7/25/2022. Subramanian A. Nat Med.
This is a study of symptoms from a UK primary care database during January 2020-April 2021. Non-hospitalized COVID-19 patients (486,000) were compared with propensity matched control patients who did not have a COVID-19 diagnosis with regard to the presence of 115 symptoms, from the day of a positive test until the end of the study. They report 42 symptoms associated with long COVID that are not among the 33 symptoms of long COVID which are designated by the World Health Organization. Symptoms with the largest hazard ratios were anosmia, hair loss, sneezing, ejaculation difficulty, and reduced libido. Risk factors for long COVID were female sex, ethnic minority, socioeconomic deprivation, smoking, obesity, and a wide range of comorbidities. Using symptom frequencies, the authors grouped long COVID into three phenotypes: one with a broad spectrum of symptoms, one with mainly respiratory symptoms, and one with mainly mental health and cognitive symptoms. The discussion is informative and spurs further investigation.
August 3, 2022:
- Antibody evasion by SARS-CoV-2 Omicron subvariants BA.2.12.1, BA.4, & BA.5. 7/5/22. Wang Q. Nature.
The authors performed systematic antigenic analyses of Omicron subvariants finding BA.2.12.1 only modestly (1.8-fold) more resistant to sera from vaccinated and boosted individuals than BA.2. However, BA.4/5 is substantially (4.2-fold) more resistant and thus more likely to lead to vaccine breakthrough infections. Among therapeutic antibodies authorized for clinical use, only bebtelovimab retains full potency against both BA.2.12.1 and BA.4/5. Serum neutralization assays used sera from persons who received three shots of mRNA vaccines, others who received mRNA vaccines before or after non-Omicron infection, vaccinated patients with BA.1 or BA.2 breakthrough infection as well as pseudoviruses containing point mutations. The Omicron SARS-CoV-2 lineage continues to evolve, successively yielding subvariants that are both more transmissible and more evasive to antibodies.
SAB Comment: Bebtelovimab (Eli Lilly) has been authorized under EUA since 2/22 for mild-to-moderate COVID-19 in patients older than 12 years and weighing at least 40 kg who are at high risk for progression to severe disease. It is given as a single IV injection, within 7 days of symptom onset. Readers may access current NIH Therapeutic Guidelines, including use of bebtelovimab, on the IARS COVID-19 Published Guidelines and Reviews web page.
- Extended prone positioning duration for COVID-19-related ARDS: benefits and detriments. 7/8/22. Walter T. Crit Care.
This retrospective observational study in France from March 2020-April 2021 evaluated 81 COVID-19 patients, using a strategy, originally implemented for organizational and human resources purposes. It was based on extending the duration of proning sessions (PP) up to 48 hours in patients ventilated for COVID-19-related ARDS. The primary objective, the occurrence of pressure injury, was observed in 26% of patients and was equivalent to patients who had PP sessions of shorter duration for non-COVID-19-related ARDS. The presence of skin injury, the most common complication of PP, correlated with cumulative duration of PP sessions and length of ICU stay, not the duration of each session. Extended PP significantly reduced staff viral exposure and workload, allowing for most position changes during the daytime. Longer proning sessions were also associated with continued improvements in ventilatory parameters over the extended time.
- The COVID-19 pandemic and its consequences for chronic pain: a narrative review. 7/18/22. Shanthanna H. Anaesthesia.
This is a narrative review of 3,859 published reports. It succinctly reviews new onset chronic pain after SARS-CoV-2 infection, the influence of the pandemic on patients with pre-existing chronic pain, possible pain mechanisms associated with SARS-CoV-2, and treatments being considered to address post-COVID-19 pain. Both new onset post-COVID-19 pain and ongoing chronic pain increased. Risk factors were social isolation, lack of psychological support, female sex, lower level of education, reduced physical activity and disabled employment status. Tables summarize key findings on COVID-19-associated pain and headache, and the effect of the pandemic on chronic pain patients and the use of steroids for pain interventions. A diagram illustrates possible mechanisms of pain and associated symptoms with COVID-19. Finally, vaccination and the use of steroids and opioids are discussed.
- Tocilizumab Versus Baricitinib in Patients Hospitalized With COVID-19 Pneumonia and Hypoxemia: A Multicenter Retrospective Cohort Study. 7/5/2022. Roddy J. Crit Care Explor.
This study’s real-world impetus arose when IL-6 inhibitor Tocilizumab became unavailable to a Wisconsin health care system in August 2021 and Baricitinib was used in its place. A retrospective study of 382 hospitalized patients with SARS CoV-2 pneumonia requiring supplemental oxygen showed no difference in primary outcome, defined as hospital discharge alive and free of mechanical ventilation within 60 days.
July 18, 2022:
- Maternal Vaccination and Risk of Hospitalization for Covid-19 among Infants. 6/22/22. Halasa NB. N Engl J Med.
This multicenter, case-control, test-negative study assessed the effectiveness of maternal 2-dose mRNA COVID-19 vaccination during pregnancy against hospitalization for COVID-19 disease among infants younger than 6 months. Protection was 52% overall (80% during the Delta period, and 38% during the Omicron period). Of 537 case infants hospitalized for COVID-19, only 16% were born to mothers fully vaccinated during pregnancy vs. 29% of 512 hospitalized controls. Among case infants, 21% were admitted to ICU; 12% received mechanical ventilation or vasoactive infusions. Two infants died from COVID-19 and 2 received ECMO treatment; none of these 4 infants’ mothers had been vaccinated during pregnancy. Effectiveness was greater if vaccination occurred after 20 weeks of gestational age than earlier in pregnancy (69% vs. 38%). However, due to well-documented risks of COVID-19 during pregnancy, this did not lead to a recommendation to delay vaccination. The results are discussed in a well-written accompanying editorial.
July 11, 2022:
- American Society of Hematology living guidelines on the use of anticoagulation for thromboprophylaxis in patients with COVID-19: March 2022 update on the use of anticoagulation in critically ill patients. 6/24/2022. Cuker A. Blood Adv.
These evidence-based guidelines of the American Society of Hematology are an update from the prior guidelines from February 2021 examining the use of anticoagulation in critically ill patients with COVID-19. The panel issued a recommendation in favor of prophylactic-intensity over therapeutic-intensity anticoagulation in critically ill patients with COVID-19-related acute illness who do not have suspected or confirmed VTE. This manuscript helps clinicians taking care of COVID-19 with the most up to date information.
- Benefits of plasma exchange on mortality in patients with COVID-19: a systematic review and meta-analysis. 6/16/2022. Qin J. Int J Infect Dis.
Controlled clinical trials on the use of therapeutic plasma exchange (TPE) for hospitalized COVID-19 patients, compared with standard of care (SOC), were reviewed. Six trials, enrolling 173 participants who received TPE and 170 controls, met inclusion criteria. Only one study involving 87 participants was randomized. Mortality following TPE was significantly lower than SOC – ~18% vs. ~45% (RR 0.41, 95% CI 0.24-0.69; P = 0.0008). Authors postulate that TPE may interrupt the progression of cytokine storm syndrome in critically ill patients by removing increased cytokines and inflammatory mediators, and call for larger randomized trials. Meanwhile, TPE should be considered for severely ill COVID-19 patients.
- Hospitalization and Emergency Department Encounters for COVID-19 After Paxlovid Treatment – California, December 2021-May 2022. 6/23/22. Malden DE. MMWR Morb Mortal Wkly Rep.
To assess hospital admissions and emergency care visits after a course of Paxlovid using the Kaiser Permanente Health Care System’s database, the authors found that among 5,200 patients with mild to moderate disease, advanced age or concomitant medical conditions, only 6 patients (0.11%) treated with Paxlovid were identified with COVID-19-related hospitalization and 39 (0.74 %) had ED encounters 5-15 days after treatment was dispensed.
The likely mechanisms causing the recurrence of COVID-19 symptoms after early treatment with Paxlovid are transient suppression of viral replication before natural immunity is sufficient to complete viral clearance. This could not be proven since viral sequencing was not done and recovery from the initial infection was not assessed. Less likely and also not proven in this study are viral reinfection or emergence of treatment-resistant mutations.
- Long COVID symptoms in SARS-CoV-2-positive children aged 0-14 years and matched controls in Denmark (LongCOVIDKidsDK): a national, cross-sectional study. 6/25/2022. Kikkenborg Berg S. Lancet Child Adolesc Health.
Denmark’s COVID national database contained 38,152 children 0-14 years old (who tested positive between 1/2020 and 7/2021), who were matched with 4 controls of the same age and sex from the civil registration system. Mothers of all were invited to participate in a survey in July 2021 of 23 of the most common long COVID symptoms, the Pediatric Quality of Life Inventory (PedsQL) and the Childrens Somatic Symptoms Inventory-24 (CSSI-24). Data was analyzed according to age groups and duration of symptoms. Cases were more likely to report symptoms lasting more than 2 and 3 months than controls. Children older than 4 years in the control group had lower PedsQL scores than the cases, and both groups had scores lower than the norm for healthy children. The cases represented 4.2% of children in Denmark; by comparison, 58% tested positive between 12/15/2021 and 2/15/2022.
- Oral Sabizabulin for High-Risk, Hospitalized Adults with Covid-19: Interim Analysis. 7/6/22. Barnette KG. NEJM Evidence.
Sabizabulin is a novel, oral, microtubule disruptor with antiviral and anti-inflammatory activities. Investigators studied sabizabulin for up to 21 days in a randomized (2:1 vs. placebo), multinational phase 3 trial, in hospitalized patients with moderate to severe COVID-19 at high risk of ARDS and death. After 204 patients were assigned, the trial was stopped for efficacy when a planned interim analysis of 150 patients revealed 60-day mortality (primary end point) was 20.2% (19 of 94) for sabizabulin vs. 45.1% (23 of 51) for placebo, an absolute reduction of 25%, and a 55% relative mortality reduction. Reduced mortality was seen regardless of concomitant treatments such as prednisone and remdesivir, baseline WHO ordinal score, sex, age, comorbidities, or geographic location (US or mostly Brazil). Secondary end points including days of hospitalization, ICU, and mechanical ventilation all strongly and significantly favored sabizabulin, as did serious adverse events.
SAB Comment: This study, conducted from May 18, 2021 to January 31, 2022, and sponsored by sabizabulin’s developer, Veru Inc., showed a striking 55% relative mortality reduction vs. placebo. Colchicine, also a microtubule inhibitor, failed in clinical trials. Sabizabulin is touted to have unique physiochemical properties. Of note, the placebo mortality rate is higher than other recent severe COVID studies. The small study size begs for larger independent studies to confirm potentially exciting, practice-changing results. Veru has applied to the FDA for an Emergency Use Authorization.
- Viral dynamics of Omicron and Delta SARS-CoV-2 variants with implications for timing of release from isolation: a longitudinal cohort study. 7/23/22. Bouton TC. Clin Infect Dis.
Starting January 2022, CDC guidelines recommended isolation for 5 days from symptom onset, or a positive test if asymptomatic, followed by 5 days of masking. This university campus, longitudinal study (n=92 subjects, mean age 22, 17 Delta, 75 Omicron) examined 10 consecutive days of PCR and antigen tests vs culture positivity. Beyond day 5, 17% remained culture positive (latest day 12) and no difference in time to culture conversion by variant or vaccination status. Most culture-converted by day 6. Conclusion: antigen testing may provide reassurance of lack of infectiousness, though masking days 6-10 is supported by 17% that remained culture positive after day 5.
SAB Comment: In this study, culture positivity was a surrogate for infectiousness, which is a reasonable assumption, but never confirmed. However, it does suggest that in an otherwise “healthy” group in their early twenties (e.g., college students, medical students) a negative antigen test is reassuring irrespective of strain, but mask-wearing remains advisable until day 10 post-symptom onset. This information on the value of antigen tests should not necessarily be extrapolated to other cohorts including older individuals, immunocompromised, and those many months out from primary vaccination or boosters.
- When to test for COVID-19 using RT-PCR: a systematic review. 6/27/2022. Dos Santos PG. Int J Infect Dis.
This review of 90 studies from 31 countries involving 6,831 patients corroborates current practice. It is estimated that the mean incubation time of the virus is 5 days and that patients generally become positive 3 days after symptom onset and negative approximately 15 days after that. The three most frequent symptoms of COVID-19 are fever, cough, and dyspnea. The best time to perform RT-PCR is between the 1-7 day of symptom onset, with the highest percentage of positive tests on the 7th day, however some studies showed a mean time for first positive PCR at 14-16 days.
June 27, 2022:
- ASA and APSF Statement on Perioperative Testing for the COVID-19 Virus. 6/16/22. ASA & APSF.
SAB Comment: Readers are encouraged to review the full publication. A few key points, including the potential use of community transmission metrics to guide the use of universal testing, are summarized below:
SCREENING: All patients should be screened for COVID-19 symptoms and for close contact to someone diagnosed with COVID-19 in the past 10 days.
TESTING: The use and limitations of PCR for SARS-CoV-2 testing are reviewed. If a patient tests positive, elective surgical procedures should be delayed. Antibody testing is not recommended for perioperative screening.
COMMUNITY TRANSMISSION METRICS: Two metrics, based on cases/100K in the last 7 days and % test positivity in the last 7 days, are available by community on the CDC website. When levels are graded substantial to high, universal use of PCR testing is recommended. If community transmission is low to moderate, the patient is asymptomatic, up-to-date in vaccination and having a lower-risk procedure, facilities could consider a more permissive approach to perioperative testing.
A number of specific situations are reviewed, including cases of immunosuppressed or other patients likely to carry transmissible virus for longer than 10 days after infection.
- BA.2.12.1, BA.4 and BA.5 escape antibodies elicited by Omicron infection. 6/17/2022. Cao Y. Nature.
This lab study from China characterizes the evolution of newer Omicron variants, and how those variants escape antibody neutralization from prior SARS-CoV-2 infections, vaccinations and antibody products. Focusing on the original Omicron variant (BA.1) as a comparator, the authors explain the various genetic changes in the spike protein in subsequent Omicron variants (BA.2, BA.2.12.1, BA.2.13, BA.4 and BA.5) and measure the neutralization capacity of sera after vaccination, infection as well as that of therapeutic antibody products. Their results indicate that Omicron may evolve mutations to evade the humoral immunity elicited by BA.1 infection, suggesting that BA.1-derived vaccine boosters may not achieve broad-spectrum protection against new Omicron variants.
SAB Comment: This detailed and intricate paper explains the possible genetic mechanisms of the clinically known behavior of evolving Omicron variants.
- Effectiveness of Homologous and Heterologous Covid-19 Boosters against Omicron. 5/25/2022. Accorsi EK. N Engl J Med.
In this Research Letter, authors from the CDC report on a test-negative, case–control analysis to assess the effectiveness of four vaccination regimens against symptomatic SARS-CoV-2 infection during omicron predominance. Data looked at positivity rates from 512,928 rapid and laboratory-based nucleic acid amplification tests at 7046 testing centers across the US. All regimens that included a booster dose offered protection against symptomatic omicron infection compared with no vaccination. Vaccine effectiveness was highest for regimens that included a booster dose of an mRNA vaccine and was lowest for the homologous J&J/J&J regimen. A single mRNA booster dose in persons who received primary J&J vaccination provided protection close to three-dose mRNA vaccination. Data support the current recommendation of an mRNA vaccine booster at least 2 months after single-dose primary J&J vaccination or at least 4 months after a J&J booster dose.
- Effects of Previous Infection and Vaccination on Symptomatic Omicron Infections. 6/15/2022. Altarawneh HN. N Engl J Med.
This matched, test negative, case-controlled study in Qatar, from 12/21-2/22, looked at the effectiveness of previous infection and vaccination for prevention of symptomatic omicron (BA.1, BA.2) infection or severe disease. Data were obtained from the integrated nationwide digital health information program. Cases consisted of all symptomatic individuals with positive PCR tests; matched controls had no positive PCR on their chart. The odds of previous infection or vaccination among cases and controls determined effectiveness. Previous infection, 3 doses of mRNA vaccine, or previous infection and 2 doses of mRNA vaccine were roughly 50% effective against symptomatic disease. Two vaccine doses alone were ineffective, and 3 doses and previous infection was more than 70% effective. All were more than 70% effective against severe disease, with 3 doses of vaccine, or previous infection with 2 or 3 doses of vaccine conferring greater than 95% effectiveness.
- Efficacy and safety of intramuscular administration of tixagevimab-cilgavimab for early outpatient treatment of COVID-19 (TACKLE): a phase 3, randomised, double-blind, placebo-controlled trial. 6/10/2022. Montgomery H. Lancet Respir Med.
This human SARS-CoV-2-neutralizing monoclonal antibody (NMA) combination, also referred to as AZD7442, with an extended half-life of 90 days is subject to an Astra-Zeneca funded, multicenter, international trial which began enrolling unvaccinated patients with mild COVID-19 symptoms and at least one major risk factor in January 2021. By July 2021, 910 patients (average age 46) had received either placebo (n=454) or an intramuscular injection of 300 mg each of tixagevimab and cilgavimab (n=456). Progression to severe illness or death from any cause through day 29 occurred in 18 patients receiving the NMA combination, compared to 36 who received placebo, resulting in a relative risk reduction of 50.5%.
In the pre-omicron era, this NMA combination provided significant protection from severe disease without major side effects. As the trial is ongoing, future results may confirm in-vitro effectiveness to the omicron variant.
- Evolving outcomes of extracorporeal membrane oxygenation during the first 2 years of the COVID-19 pandemic: a systematic review and meta-analysis. 5/23/22. Ling RR. Crit Care.
This article reviews the extracorporeal membrane oxygenation (ECMO) experience worldwide using a meta-analysis and systematic review. Of 4,522 citations, they included 52 studies comprising 18,211 patients. The pooled mortality rate among patients with COVID-19 requiring ECMO was 48.8%. Mortality was higher among studies which enrolled patients later in the pandemic as opposed to earlier (1st half 2020: 41.2%, 2nd half 2020: 46.4%, 1st half 2021: 62.0%, 2nd half 2021: 46.5%, p value = 0.0014). Predictors of increased mortality included age, an increased proportion of patients receiving corticosteroids, and a shorter duration of ECMO run. These data help characterize changes in COVID-19 with respect to outcome using ECMO.
- Immune boosting by B.1.1.529 (Omicron) depends on previous SARS-CoV-2 exposure. 6/14/22. Reynolds CJ. Science.
Even in those triple vaccinated, Omicron (B.1.1.529) can evade immune defenses. These investigators studied triple mRNA-vaccinated healthcare workers (TVHCW) with diverse COVID histories. Before suffering Omicron infections, TVHCW showed robust in vitro blood antibody, B- and T-cell immunity to all variants of concern (VOC) EXCEPT Omicron. Prior Alpha infections singularly dampened Omicron response duration. Previously infection-naive TVHCW who then suffered Omicron infections showed boosted immune responses to all VOC EXCEPT Omicron. TVHCW with a history of prior COVID infection followed by Omicron infections had negligible immune boosting. Interestingly, a prior Wuhan Hu-1 infection abrogated Omicron immune defenses. Inability of Omicron to boost itself invites reinfection.
SAB Comment: It had been assumed that SARS CoV-2 infections would boost immune defenses against SARS-CoV-2, and that “hybrid immunity” (both vaccine and infection) would provide an even greater boost. This study shows that Omicron fails to boost immune responses in TVHCWs (remember-vaccine is Wuhan strain-based). The failure was especially profound if subjects had past Wuhan or Alpha infections termed, “hybrid immune-dampening.”
This study predicts: 1) Omicron re-infection is possible/probable, and 2) vaccination + the specific SARS CoV-2 strain (e.g., Wuhan, Alpha, Delta) infection history will shape (“imprint”) the strength and durability of responses.
Omicron produces poor antibody, T- and B-cell immunogenicity against itself, and predicts vaccines based purely upon Omicron-sequences may produce poor immunogenicity and protection unless paired with ancestral-sequence-based vaccine.
- Impact of dexamethasone on the incidence of ventilator-associated pneumonia in mechanically ventilated COVID-19 patients: a propensity-matched cohort study. 6/13/2022. Scaravilli V. Crit Care.
Authors compare the ventilator acquired pneumonia (VAP) rate of 178 patients early in the Covid-19 epidemic given Dexamethasone 6 mg/day intravenous for 10 days from hospital admission to the same rate in 178 propensity matched patients who did not receive Dexamethasone. 56% of the Dexamethasone treated patients developed a VAP versus 34% of those not treated (RR 1.61, p = 0.0001) after similar time from hospitalization, ICU admission and intubation. VAPs were similarly due to G+ bacteria (mostly Staphylococcus aureus) and G− bacteria (mostly Enterobacterales). VAP was associated with almost doubled ICU and hospital LOS and invasive mechanical ventilation, and increased mortality (RR 1.64) with no differences between these patient groups.
- N95 respirators: quantitative fit test pass rates and usability and comfort assessment by health care workers. 5/29/22. Ng I. Medical Journal of Australia.
Healthcare workers (n = 2,161) at the Royal Melbourne Hospital underwent quantitative fit testing of N95 respirators per Australian Infection Control Expert Group protocol, each with at least three of four types: semi-rigid cup, flat-fold cup, duckbill, and three-panel flat-fold. Images are available here. The overall fit test pass rates were 65% for the semi-rigid cup respirators, 32% for the flat-fold respirator, 59% for the duckbill respirators, and 96% for the three-panel flat-fold respirator. Three hundred seventy-eight participants completed a detailed comfort and usability survey. Overall comfort and assessment ratings differed significantly by type. Median overall comfort and overall assessment values were highest for the three-panel flat-fold model and lowest for the semi-rigid cup model. These results may inform institutional procurement decision-makers as well as individuals who may not have access to quantitative testing to enhance respiratory protection.
- Nasal Spray of Neutralizing Monoclonal Antibody 35B5 Confers Potential Prophylaxis Against Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Variants of Concern (VOCs): A Small-scale Clinical Trial. 6/6/22. Lin Y. Clin Infect Dis.
These investigators studied a nasal spray formulation of a SARS-CoV-2 neutralizing IgG1 monoclonal antibody (“35B5”). In 30 healthy, disease-naïve but vaccinated volunteers, nasal mucosal samples were assayed against spike proteins of the wild type (WT) and variants of concern (VOC) including Omicrib (B.1.1.529) at 0h and again at 12h-72h post-spray. Samples collected within 24 hours following a single spray neutralized WT and all VOC. Protection efficacy dropped to 60% and 20% at 48h and 72h, respectively. At a time where most monoclonals have lost efficacy especially against Omicron, the 35B5 nasal spray formulation may enhance SARS-CoV-2 prevention especially in unvaccinated and high-risk populations.
SAB Comment: This novel means of prevention at upper airway sites of viral introduction will need assessment in large-scale clinical trials. However, if proven effective, easy-to-administer intranasal monoclonals against VOC including Omicron would fill an unmet clinical need for those anticipating potential exposure including medical settings.
- Neutralization Escape by SARS-CoV-2 Omicron Subvariants BA.2.12.1, BA.4, and BA.5. 6/22/22. Hachmann N. NEJM.
These authors evaluated the neutralizing antibody titer levels against the reference WA1/2020 (ancestral) isolate of SARS-CoV-2 along with Omicron subvariants BA.1, BA.2, BA.2.12.1, and BA.4 or BA.5 in 27 participants who had been vaccinated and boosted with messenger RNA vaccine BNT162b2 (Pfizer–BioNTech). As expected, the neutralizing antibody titer was lower by a factor of 6 to 21 against the Omicron variants compared with the response against the WA1/2020 isolate. As compared with the median neutralizing antibody titer against the BA.1 subvariant, the median titer against the other omicron subvariants was lower by a factor of 2.2 against the BA.2.12.1 subvariant and by a factor of 3.3 against the BA.4 or BA.5 subvariant. The authors also tested neutralizing antibodies in an additional 27 participants (only one of whom had ever been vaccinated) who had been infected with the BA.1 or BA.2 subvariant a median of 29 days earlier. As compared with the median titers against the BA.1 subvariant, the median titer was lower by a factor of 1.5 against the BA.2.12.1 subvariant and by a factor of 2.9 against the BA.4 or BA.5 subvariant.
- Rapid, scalable assessment of SARS-CoV-2 cellular immunity by whole-blood PCR. 6/13/22. Schwarz M. Nature Biotechnology.
Low T-cell activation measurements to SARS-CoV-2 is predictive of COVID-19 breakthrough and need for revaccination. T-cell assays are difficult and rarely performed. These investigators developed fast, high-throughput quantitative PCR assays for T-cell activation. The tests stimulate whole-blood cells with SARS-CoV-2 antigens. Viral-specific T-cells secrete IFN-γ, which then stimulate monocytes to produce the cytokine CXCL10 mRNA which correlates and proved a proxy for SARS COV-2 antigen-specific T-cells activation. These assays may allow large-scale monitoring of both the magnitude and duration of functional T-cell immunity to SARS-CoV-2. In vulnerable populations, such screening may predict breakthrough infections and help prioritize revaccination strategies.
- Risk of long COVID associated with delta versus omicron variants of SARS-CoV-2. 6/18/2022. Antonelli M. Lancet.
SAB Comment: Although many authors do not consider a 28-day period of post-infection symptoms sufficient to be termed “long COVID” the information in this article may represent early data regarding the probability of longer symptom persistence.
To determine the relative risk of persistent symptoms, this UK case-control observational study compared 56,000 previously vaccinated adults who tested positive for COVID-19 and logged symptom data via an app for at least 28 days during the Omicron wave with over 40,000 previously vaccinated, matched controls infected during the Delta wave. Overall, persistent or new self-reported symptoms at 28 days post diagnosis were less than half as likely after Omicron (4.5% vs. 10.8%). Adjusted odds ratios ranged from 0.26 for those who were vaccinated over 6 months previously to 0.50 for those vaccinated less than 3 months previously. There was little variation between those under or over 60 years of age.
- Short-term, relative effectiveness of four doses versus three doses of BNT162b2 vaccine in people aged 60 years and older in Israel: retrospective, test negative, case-control study. 5/24/22. Gazit S. BMJ.
Patients older than 60 years from a single Israeli healthcare provider were studied during Omicron dominance to determine the relative effectiveness of 4 vs. 3 Pfizer vaccine doses against a +PCR, and against COVID-related hospitalization or death. Approximately twenty-eight thousand people received the 4th dose and were compared to ~78,000 who were eligible but had not. A 4th dose provided peak relative protection from infection of 65% at week 3; however, by week 10 it was only 22% greater than 3 doses. Relative protection from severe disease or death, both occurring in <1% of subjects, was more durable in the 4th dose group, remaining >72% greater throughout the 10-week study period.
- The role of extracorporeal membrane oxygenation in COVID-19. 6/6/2022. Dalia AA. J Cardiothorac Vasc Anesth.
This article reviews the ECMO protocol at Mass General Hospital for COVID-19 patients. This well-written paper details indications, protocols for laboratory evaluation before and during ECMO, cannulation protocols, weaning protocols, and how to protect providers and other non-COVID-19 patients. The protocols are well thought out and based upon experience. It is a useful reference for those involved with ECMO for the COVID-19 patients and those evaluating patients for ECMO.
June 13, 2022:
- Baricitinib versus dexamethasone for adults hospitalised with COVID-19 (ACTT-4): a randomised, double-blind, double placebo-controlled trial. 5/26/22. Wolfe CR. Lancet Respir Med.
This trial aimed to compare the effectiveness of 2 immunomodulators, baricitinib and dexamethasone, given orally in combination with remdesivir, in preventing progression to mechanical ventilation or death in hospitalized patients with COVID-19. Between December 2020 and April 2021, it enrolled 1010 patients whose oxygen requirements ranged from supplemental to noninvasive mechanical ventilation at 67 sites. While there was no difference in mechanical ventilation-free survival by day 29 between these groups (odds ratio 1.01), treatment-related adverse events and adverse events in general, some life threatening, among patients receiving dexamethasone exceeded those receiving baricitinib significantly. The number needed to harm for one additional severe or life threatening adverse event with dexamethasone was 12·5, suggesting that immunomodulation should be tailored according to individual patient’s risk profile and other variables.
- Effectiveness of Paxlovid in Reducing Severe COVID-19 and Mortality in High Risk Patients. 6/2/22. Najjar-Debbiny R. Clin Infect Dis.
This retrospective cohort study examines the effectiveness of Paxlovid on COVID-19 progression and mortality in a real life, uncontrolled setting, during the early Omicron phase using an Israeli data base of 180,000. Among 4737 patients receiving Paxlovid within 5 days of a positive PCR test and having at least one risk factor, a significant decrease in progression to severe COVID-19 and mortality occurred resulting in an HR of 0.54%, compared to full vaccination with an even more favorable outcome and an HR of 0.20. Paxlovid appears to be more effective in older and immunosuppressed patients, and patients with underlying neurological or cardiovascular disease. Vaccination remained the most effective means of preventing progression of the disease. Paxlovid had received an emergency release by the FDA based on pre-Omicron data obtained following the EPIC-HR controlled trial. This study proves its effectiveness in the Omicron era.
- Limited cross-variant immunity from SARS-CoV-2 Omicron without vaccination. 5/18/22. Suryawanshi RK. Nature.
This complex study applies basic laboratory research to answer the question whether widespread infections with the Omicron variant will eventually lead to herd immunity and end the COVID-19 epidemic. After creating mouse models susceptible to various SARS CoV-2 variants (WA1, Delta and Omicron), the authors compared their impact on respiratory tract pathology and immune markers and showed that Omicron infections were less severe and resulted in a diminished inflammatory response. When collecting convalescent serum from mice and humans, a diminished humoral immune response to Omicron infections compared to other variants indicated limited cross-variant neutralization induced by Omicron in mice and humans. Sera collected from vaccinated individuals experiencing breakthrough infections with Omicron developed higher neutralization titers against all variants, demonstrating that Omicron enhances pre-existing immunity but lacks protection against non-Omicron variants in the unvaccinated. Sera collected from vaccinated individuals experiencing breakthrough infections with Omicron developed higher neutralization titers against all variants, demonstrating that Omicron enhances pre-existing immunity but lacks protection against non-Omicron variants in the unvaccinated.
- Long COVID after breakthrough SARS-CoV-2 infection. 5/25/2022. Al-Aly Z. Nat Med.
This analysis from the US VHA database during January- October 2021 sought to characterize long COVID in 33,940 vaccinated people experiencing breakthrough infection (BTI). Compared to 4,983,491 contemporary controls, the HR of death after the acute phase of BTI (between 30 days and 6 months) was 1.75, The HR of at least one post-acute sequelae was 1.5. When compared to 113,474 people with SARS-CoV-2 who were not previously vaccinated, the HR of death after the acute phase of BTI was 0.66 and of post acute sequelae was 0.85. BTI also resulted in increased death and post-acute sequelae compared to seasonal influenza. The results are also reported throughout as an excess burden per 1000 people. The data include comparisons regarding acute phase treatment, vaccine type, and immune compromised status. The authors conclude that vaccination confers only partial protection in the post-acute phase of the disease and should not be the sole strategy for mitigating the long term health consequences of SARS-CoV-2 infection.
- Protection and Waning of Natural and Hybrid Immunity to SARS-CoV-2. 5/25/2022. Goldberg Y. N Engl J Med.
This statistically intricate study from Israel assessed the level of protection afforded by SARS-CoV-2 infection (natural immunity) compared with vaccine induced immunity, and hybrid immunity (natural immunity plus various vaccine doses). The study followed PCR positivity in the various immunity cohorts during the Israeli Delta surge in August to October, 2021 at a time when the population was receiving the BNT162b2 (Pfizer) vaccine. Immunity waned in all cohorts, with a steady decrease in protection over time. In the recovered, unvaccinated cohort, the rates of confirmed infection were similar to those with hybrid immunity. The adjusted rates of confirmed infection among the recovered, unvaccinated subcohorts were lower than those among the two-dose subcohorts when the time since the last immunity-conferring event was similar; nevertheless, the protection in the two-dose cohort could be restored by the administration of a booster shot.
- Safety and immunogenicity of a live-attenuated influenza virus vector-based intranasal SARS-CoV-2 vaccine in adults: randomised, double-blind, placebo-controlled, phase 1 and 2 trials. 6/1/22. Zhu F. Lancet Respir Med.
In this randomized, single-center, double-blind, placebo-controlled trial in healthy COVID-naïve adults, these investigators published the first intranasal vaccine results in humans. The Phase 1 (n=63 subjects), phase 2 (n=724) and phase 2-extension (n=297) trial arms administered a live-attenuated influenza virus vector-based SARS-CoV-2 spray (“dNS1-RBD”), 2 doses, 14 days apart. Peripheral blood showed both weak cellular (40-46% conversion) and IgG and IgA humoral responses (10-13% conversion). Secretory IgA (nasopharynx) conversions and concentrations were also weak. “dNS1-RBD” was well tolerated and without serious adverse effects (0-12 months). Despite apparent “weak” effects, this vaccine may be effective in a real-world, phase-3 trial, which is ongoing.
- Safety of COVID-19 Vaccination in US Children Ages 5-11 Years. 5/18/2022. Hause AM. Pediatrics.
The authors analyzed data from 3 US safety monitoring systems and found a low incidence of adverse events and rates of postvaccination myocarditis that were substantially lower than in older children. The systems reviewed included v-safe, a voluntary smartphone-based system that monitors reactions and health effects; the CDC and FDA’s Vaccine Adverse Events Reporting System (VAERS), and the Vaccine Safety Datalink (VSD), an active surveillance system that monitors electronic health records for prespecified events, including myocarditis. Among 48,795 children ages 5–11 years enrolled in v-safe, most reported reactions were mild-to-moderate. VAERS received 7,578 adverse event reports; 97% were non-serious. On review of 194 serious VAERS reports, 15 myocarditis cases were verified (reporting rate 2.2 per million doses). In VSD, no safety signals were found.
- Virological characteristics of the SARS-CoV-2 Omicron BA.2 spike. 5/14/22. Yamasoba D. Cell.
Authors review the mechanism of infection of all SARS-CoV-2 variants and studied infectivity and immune escape of BA.2, which has over 30 mutations compared with the Wuhan strain. Data suggest that similar to BA.1, BA.2 is highly resistant to antisera induced by vaccination or infection with other SARS-CoV-2 variants as well as three therapeutic antiviral antibodies. BA.2 has a 1.4-fold higher effective reproductive rate than BA.1 as well as higher fusion potential and pathogenic potential. BA.2 was 4-fold more resistant to BA.1-infected sera from convalescents without full vaccination. Multiple studies using convalescent human, hamster, and murine sera demonstrated that BA.1-induced humoral immunity is less effective against BA.2, but not vise versa. Virologic features and proposed mechanistic consequences are reviewed.
May 27, 2022:
- Health outcomes in people 2 years after surviving hospitalisation with COVID-19: a longitudinal cohort study. 5/14/22. Huang L. Lancet Respir Med.
Outcome of 1,192 patients 6 months, 12 months, and 2 years posthospitalization for COVID-19 between 1/7/20 and 5/29/20 in Wuhan, China is the topic of this longitudinal observational study. In addition, subjects were matched 1:1 by age, sex, and comorbidities, to a data set, created at the 12-month stage of 3,383 community-dwelling adults without previous SARS-CoV-2 infection. A subset of approximately 350 patients received pulmonary function studies and high resolution chest CT scans, with further CT scans only for those with abnormal lung images. All survivors underwent physical exam, routine labs, six-minute walk test and multiple standard questionnaires. Highlights of multiple results at 2 years: 55% had at least one symptom, 14% had dyspnea by the modified British Medical Research Council scale and 12% had anxiety/depression by the Health Related Quality of Life assessment. In addition, 89% had returned to their original work. Compared to controls, those who had respiratory support during hospitalization had reduced diffusion capacity, reduced residual volume, and reduced total lung capacity. The authors conclude further study is needed regarding the possibility of emerging pulmonary fibrosis.
- Surgical Triage and Timing for Patients with COVID: A Guidance Statement from the Society of Thoracic Surgeons. 5/20/22. Grant MC. Ann Thorac Surg.
In this statement, universal preoperative testing for SARS-CoV-2, preferably PCR, is recommended. Further guidance, to be individualized, is dictated by a combination of procedure urgency, COVID-19 illness severity, and the present tier of the institution’s COVID-19 response, as outlined in the full publication. Example: For asymptomatic patients screening positive for SARS-CoV-2, it is recommended to defer non-urgent cardiac procedures at approximately 4-8 weeks. Patients with a procedural delay greater than 90 days from a positive test result should undergo repeat preoperative COVID-19 testing to screen for potential reinfection; prior testing following infection increases false positives, particularly with PCR. There is no convincing evidence that the type of anesthetic, airway management, or the use of regional anesthesia is associated with more favorable postoperative outcomes following recent COVID-19.
- The Influence of the COVID-19 Pandemic on Intensivists’ Well-Being: A Qualitative Study. 5/14/2022. Vranas KC. Chest.
These investigators designed a semi-structured paid interview for 33 intensivists from 6 states to gauge the impact of the pandemic on their well-being. Through an elaborate method called “Inductive thematic analysis,” they reported that intensivists, due to visitor restrictions, experienced moral distress and helplessness in their day-to-day practice in the ICU leading to a variety of ailments including exhaustion, burnout, and PTSD. The perceived lack of support from colleagues and hospital hierarchy had negative impacts on patients, families and staff. The suggested mitigation measures include proactive provision of mental health resources, back-up schedules and recognition by their institutions to avoid future ramifications and decline of the workforce.
- Thromboembolic prevention and anticoagulant therapy during the COVID-19 pandemic: updated clinical guidance from the anticoagulation forum. 5/17/2022. Barnes GD. J Thromb Thrombolysis.
The authors summarize the data for anticoagulation for patient with COVID-19 in the inpatient and outpatient settings, patients in the ICU or the floors, with pediatrics and obstetrics, for patients with thrombophilia, those in long-term care facilities, those using anticoagulation prior to COVID-19 hospitalization, and those with prior VTE considering COVID-19 vaccination. More importantly, they assess the weakness of the data supporting their recommendations. While this type of review is not novel, the authors have added some clinically relevant questions and highlighted areas of weakness in the literature.
- Venous or arterial thrombosis and deaths among COVID-19 cases: a European network cohort study. 5/16/2022. Burn E. Lancet Infect Dis.
This manuscript reviews with data examining arterial and venous thrombosis from 5 European databases in 909,473 COVID-19 outpatient cases and 32,329 patients hospitalized with COVID-19 from Sept 1, 2020 to July 31, 2021. Only one of the databases was linked to the inpatient database. Risks of venous thromboembolism and arterial thromboembolism were increased with age, among males, and in those who were hospitalized. Their occurrence was associated with excess mortality. Unfortunately, the arterial complications only included CVA and MI and not lower extremity acute thrombosis. These data from the early stages of the pandemic may not be relevant to the present stage. Nevertheless, the scale of this database and its conclusions supporting prior parallel conclusions examining arterial and venous thrombosis in hospitalized COVID-19 patients is worth noting.
May 16, 2022:
- American Society of Hematology living guidelines on the use of anticoagulation for thromboprophylaxis in patients with COVID-19: January 2022 update on the use of therapeutic-intensity anticoagulation in acutely ill patients. 5/3/2022. Cuker A. Blood Adv.
These evidence-based guidelines of the American Society of Hematology are an update from the prior guidelines from February 2021 examining the use of therapeutic intensity anticoagulation in acutely ill patients. The panel issued a conditional recommendation in favor of therapeutic-intensity over prophylactic-intensity anticoagulation in patients with COVID-19-related acute illness who do not have suspected or confirmed VTE. The panel emphasized the need for an individualized assessment of thrombotic and bleeding risk. The panel also noted that heparin (unfractionated or low-molecular-weight) may be preferred because of a preponderance of evidence with this class of anticoagulants. This manuscript helps clinicians taking care of COVID-19 with the most up to date information.
- Comparative effectiveness over time of the mRNA-1273 (Moderna) vaccine and the BNT162b2 (Pfizer-BioNTech) vaccine. 5/2/2022. Islam N. Nat Commun.
Based on early 2021 data during the Delta surge from over 3.5 million (single Medicare Advantage insurance provider) recipients of 2-dose vaccinations “immunization with mRNA-1273, compared to BNT162b2, provides slightly more protection against SARS-CoV-2 infection that reaches statistical significance at 90 days with a number needed to vaccinate of >290. There are no differences in vaccine effectiveness for protection against hospitalization, ICU admission, or death/hospice transfer (aOR 1.23, 95% CI (0.67, 2.25)).” Approximately 60% received Pfizer and the remainder Moderna vaccines.
- Delayed intubation is associated with mortality in patients with severe COVID-19: A single-centre observational study in Switzerland. 4/29/2022. Le Terrier C. Anaesth Crit Care Pain Med.
This is an observational study of 223 adult Covid-19 respiratory failure patients who required intubation between March 2020 and January 2021 and describes the characteristics of ICU patients between two sequential waves of COVID-19 who were cared for with a different management strategy during the second wave. The time from hospital admission to intubation was significantly longer using the second management strategy (4 days vs. 2 days, p < 0.01). All-cause ICU mortality was significantly higher during the second wave (42% vs. 23%; p < 0.01). In a multivariate analysis, the delay between hospital admission and intubation was significantly associated with ICU mortality (OR 3.25, p < 0.05).
- Early prolonged prone position in noninvasively ventilated patients with SARS-CoV-2-related moderate-to-severe hypoxemic respiratory failure: clinical outcomes and mechanisms for treatment response in the PRO-NIV study. 4/30/22. Musso G. Crit Care.
In a very detailed study, these Italian authors evaluated the utility of awake prone positioning (PP) in 81 proned and 162 non-proned COVID-19 patients with moderate to severe respiratory failure requiring non-invasive ventilation (NIV). Early prolonged PP (average 12 hours/day) was feasible and was associated with clinical benefits: NIV failure in 17% of PP patients versus 43% of controls, intubation in 11% of PP patients vs 30% of controls, and death in 12% of PP patients versus 36% of controls. Ventilatory, ultrasonographic and biochemical parameters were integrated to individually assess clinical improvements with PP therapy and to provide early signs of NIV failure.
SAB Comment: Though not randomized, this single-center study carefully matched treated and control patients and performed a myriad of statistical and lab/imaging studies which support their findings. Of note is the very long duration of proning in treated patients, exceeding that in other studies of awake PP.
- Effectiveness of a COVID-19 Additional Primary or Booster Vaccine Dose in Preventing SARS-CoV-2 Infection Among Nursing Home Residents During Widespread Circulation of the Omicron Variant – United States, February 14-March 27, 2022. 5/5/2022. Prasad N. MMWR Morb Mortal Wkly Rep.
“Analysis … of data from approximately 15,000 skilled nursing facilities found that, compared with primary series vaccination only, an additional or booster dose provided greater protection (relative vaccine efficacy of 46.9%) against SARS-CoV-2 infection during Omicron variant predominance. ….All immune-compromised nursing home residents should receive an additional primary dose, and all nursing home residents should receive a booster dose, when eligible, to protect against COVID-19.” The analysis included 85,494 weekly reports of over 1.1 million residents from 14,758 Skilled Nursing Facilities. Over 90% had received mRNA COVID-19 vaccines. Approximately 22% had received only primary series vaccination, and 65% had received an additional or booster dose. Protection was slightly lower than during the Delta wave.
- Hypercoagulability, endotheliopathy, and inflammation approximating 1 year after recovery: Assessing the long-term outcomes in COVID-19 patients. 4/28/22. Fan BE. Am J Hematol.
Sustained hypercoagulability and endotheliopathy have been shown to be present in convalescent COVID-19 patients for up to 4 months after recovery. This study shows that in a significant number of the 39 patients studied with documented prior infection, hypercoagulability, endothelial dysfunction, and inflammation are still detectable approximately 1 year after recovery. D-dimer, Factor VIII, Thrombin generation (Thromboscreen), vWF:Ag, ICAM-1, IL-6 and C-reactive protein were all noted to be elevated in portions (8-49%) of the previously infected patients compared with control patients. Subgroup analysis stratifying patients by COVID-19 severity and COVID-19 vaccination preceding SARS-CoV-2 infection did not show statistically significant differences.
SAB Comment: These observations are noteworthy. However, further study is required to evaluate indications for screening in larger populations, their relationship to delayed complications and ongoing hemostatic management, and whether or how we should modify our perioperative care for post-COVID patients presenting for elective or urgent surgery in the future.
- Neurologic Manifestations of Severe Acute Respiratory Syndrome Coronavirus 2 Infection in Hospitalized Patients During the First Year of the COVID-19 Pandemic. 4/25/2022. Cervantes-Arslanian AM. Critical Care Explorations.
In this detailed, prospective, observational study of hospitalized patients (N=16,225) in the registry (VIRUS & COVID-19) from 24 countries, the authors revealed that 12.9% developed serious neurologic manifestations including 10.2% with encephalopathy while stroke, seizure, meningitis/encephalitis were far less frequent at admission. Hospital, ICU & 28-day mortality for patients with neurologic manifestations had OR of 1.51, 1.37,1.58 respectively and had fewer “free days” for ICU, hospital and on ventilator too. Encephalopathy was the driving force for this outcome amongst elderly >72, Blacks with comorbidities. Patients with neurologic manifestations had OR of 4.75 for developing dementia.
SAB Comment: This manuscript had the same problems as other investigators with regards to lack of definition of “Encephalopathy” at admission.
- Remdesivir and three other drugs for hospitalised patients with COVID-19: final results of the WHO Solidarity randomised trial and updated meta-analyses. 5/5/22. WHO Solidarity Trial Consortium. Lancet.
Among several “repurposed antivirals” studied in this large 2-year trial, remdesivir emerged as the most promising and Solidarity is the only trial large enough to assess its effects on mortality. This final report subdivides cohorts by degrees of respiratory distress (not on oxygen, receiving oxygen, ventilated) at the time of randomization. Confirming the results of the placebo-controlled ACTT-1 trial which assessed length of stay, remdesivir had no effect on patients already ventilated but had a small effect on mortality in patients on oxygen breathing spontaneously (14·6% versus 16·3%; RR 0·87 [0·76–0·99], p=0·03). These findings are consistent with other reports listed by the COVID-Network Meta-Analysis initiative, a collaborative effort by the WHO and Cochrane.
SAB Comment: This report brings closure to a 2-year effort to assess the benefit of remdesivir in COVID-19 disease and highlights COVID-NMA as a resource for further study and research.
- Stress-Related Disorders of Family Members of Patients Admitted to the Intensive Care Unit With COVID-19. 4/25/22. Amass T. JAMA Internal Med.
This is a prospective US multicenter observational study of symptoms of stress-related disorder (PTSD) in 316 family members of patients admitted to the ICU for COVID-19 between February and July 2020. Questionnaires included the short-form Impact of Events Scale 6 (IES-6) for posttraumatic stress disorder (PTSD) and the Hospital Anxiety and Depression Scale (HADS). Screening for PTSD, anxiety and depression was positive in 64%, 45% and 31% of respondents at 3 months and 48%, 34% and 25% at 6 months. Mean IES-6 scores were higher in participants who were female or Hispanic and lower in those with graduate school experience. Respondents with higher IES-6 scores exhibited more distrust of practitioners. The authors cited pre-pandemic studies exhibiting an average incidence of PTSD of 30% in family members. They postulated that COVID-19 ICU visitation restrictions may inadvertently generate a secondary public health crisis through an epidemic of stress-related disorders in families.
SAB Comment: These data were obtained during the first COVID-19 surge in early 2020 and may not represent the incidence of stress-related family disorders in subsequent months or currently. Nonetheless, this study suggests that with the current emphasis on practitioner burnout, attention does need to be given to the impact on family members as well.
- Thrombotic and bleeding events, mortality, and anticoagulant use among 546,656 hospitalized patients with COVID-19 in the United States: a retrospective cohort study. 4/30/2022. Deitelzweig S. J Thromb Thrombolysis.
This paper compares 546,656 patients hospitalized with COVID-19 from the Premier Healthcare Database (April 1, 2020 to March 31, 2021) and matched historical controls without COVID-19 (inpatients discharged between April 1, 2018 and March 31, 2019). Overall, the rates of any thrombotic complication and bleeding among patients with COVID-19 were not higher than control patients. Specifically, the VTE event rate and mortality were higher among non-ICU and ICU patients with COVID-19 compared with corresponding controls. Patients with both COVID-19 and thrombotic events had higher mortality than those with COVID-19 without thrombotic events. While these observations are not novel, they do confirm findings from prior smaller datasets and help guide future research.
May 2, 2022:
- Assessment of T-cell Reactivity to the SARS-CoV-2 Omicron Variant by Immunized Individuals. 4/22/2022. De Marco L. JAMA Netw Open.
Omicron BA.1 variant carries >35 Spike protein mutations impacting antibody-mediated neutralization. This study in vaccinated, some also previously infected healthcare workers examined CD4+ and CD8+ responses to key peptides representing the ancestral strain vs the BA.1 variant. CD4+ T-cell numbers reactive with Omicron mutant region peptides showed a 64% decrease vs. similarly located ancestral peptides; CD8+ T cells were 49% reduced. However, T-cell numbers responding to full-length spike peptide libraries were preserved in 100% of subjects, without significant differences between +/- infected groups. Conclusion: robust T-cell responses are maintained to full-length mutated BA.1 Spike and should protect from severe disease.
SAB Comment: BA variants can escape antibody detection. This small study (n=61) in relatively youthful (mean age 41.6) vaccinated heath care workers confirms the successful defensive role CD4+ and CD8+ T-cells should play to maintain clinical defenses against the BA.1 Spike protein. T-cells are critically important and guard against severe disease (hospitalization and death), though not necessarily against an infection. Though these BA.1 data are somewhat reassuring, we await further confirmatory T-cell studies in older populations and how well T-cells from different vaccination status (e.g. boosted vs. non- boosted, etc.) groups fare against the now prevalent BA.2 variant and the newly emerging BA.4 and BA.5 variants.
- Clinical characteristics with inflammation profiling of long COVID and association with 1-year recovery following hospitalisation in the UK: a prospective observational study. 4/23/22. The PHOSP-COVID Collaborative Group. Lancet Resp Med.
In this British prospective, longitudinal, cohort study, the proportion of adult COVID-19 patients reporting ongoing symptoms was virtually unchanged between 5 months (74.5% of n=1,965) and 1 year (70.1% of n=807) after hospital discharge. Data was gathered using questionnaires and physiologic testing. Female sex, obesity, and mechanical ventilation for COVID-19 were risk factors for poor recovery. Several inflammatory mediators including IL-6 were increased in individuals with the most severe physical, mental health, and cognitive impairments compared with others. Because data was collected on individuals discharged up to April 18, 2021, the numbers of one-year follow-ups are significantly lower than those 5 months post discharge.
- Clinical characteristics, physiological features, and outcomes associated with hypercapnia in patients with acute hypoxemic respiratory failure due to COVID-19—insights from the PRoVENT-COVID study. 3/27/2022. Tsonas AM. J Crit Care.
Summary posthoc analysis of patients invasively ventilated for COVID–19 acute hypoxemic respiratory failure: (1) hypercapnia common; (2) hypercapnic patients had a higher BMI and frequent COPD history; (3) hypercapnic patients, ARDS more often classified severe and VTE was diagnosed more often; (4) hypercapnic patients ventilated with slightly lower VT, higher RR, higher PEEP and ΔP, and more MP over the first days of invasive ventilation; (5) MV was not different, but VR was higher in hypercapnic patients; (6) hypercapnia had an association with a longer duration of ventilation and a longer ICU and Hospital LOS, but not with higher mortality rates. Main differences between hypercapnic and normocapnic patients are severity of ARDS, occurrence of venous thromboembolic events, and a higher ventilation ratio.
- Comparing COVID-19-related hospitalization rates among individuals with infection-induced and vaccine-induced immunity in Israel. 4/23/2022. Waxman JG. Nat Commun.
In this retrospective cohort study of over two million Israeli individuals, authors estimate that infection-induced immunity provides superior protection against COVID-19-related hospitalization compared to non-recent vaccine immunity (two vaccine doses at least five months previously) with an incidence rate reduction of 75% and 66%, respectively. Boosted vaccine immunity was superior, however, with an estimated incidence rate of COVID-19-related hospitalization reduced by 89%. Risk reduction in those who had a single vaccine dose plus infection was similar to infection alone (75%).
- Effectiveness of mRNA-based vaccines during the emergence of SARS-CoV-2 Omicron variant. 4/27/2022. Sharma A. Clin Infect Dis.
This study, carried out in the VA system database from 12/1/21-3/12/2022, sought to determine the efficacy of the Pfizer and Moderna vaccines against the SARS-CoV-2 omicron variant. Subjects (271,267) having a 3rd dose of Pfizer or Moderna (187,507) were matched to an individual with 2 doses, and an unvaccinated person. The outcomes were infection, hospitalization, and death. As reported in previous studies, outcome was better with three doses of either vaccine than with the primary series alone, than without vaccination. The discussion includes analysis of possible confounding factors and applicability to the general population.
- Influence of sex on development of thrombosis in patients with COVID-19: From the CLOT-COVID study. 4/7/2022. Yamashita Y. Thromb Res.
This retrospective, multicenter cohort study enrolled 2894 consecutive hospitalized patients with COVID-19 among 16 centers in Japan from April 2021 to September 2021. They compared thrombotic complications (DVT, PE, arterial thrombosis, MI or ischemic CVA) in men versus women. Even after adjusting for confounding factors in the multivariable logistic regression model, the excess risk for thrombosis of men relative to women remained significant (adjusted OR, 2.51; 95%CI, 1.16–5.43, P = 0.02). These data do confirm prior papers suggesting that men are more prone to thrombotic complications with COVID-19 but do not offer information to change management.
April 25, 2022:
- Association of Early Aspirin Use With In-Hospital Mortality in Patients With Moderate COVID-19. 3/24/2022. Chow JH. JAMA Netw Open.
This observational study (from January 2020 to September 2021) from 64 health systems in the NIH National COVID Cohort Collaborative addressed use of aspirin for hospitalized patients with moderate disease. Of 112,269 patients meeting the criteria for inclusion in the study, 15,272 (13.6%) received a median dose of 81 mg within day 1 of hospitalization. The primary outcome was 28 day mortality, with secondary outcomes being incidence of pulmonary embolism and deep vein thrombosis. Patients who received aspirin had a 28 day mortality OR of 0.85 (p .001, 10.2 vs 11.8) compared to those not given aspirin. They also had fewer PE, but no difference in the rate of DVT. The incidence of GI bleed, cerebral hemorrhage and blood transfusion was not statistically increased. Patients older than 60 and with comorbidity appeared to benefit the most.
- Auxora vs. placebo for the treatment of patients with severe COVID-19 pneumonia: a randomized-controlled clinical trial. 4/9/2022. Bruen C. Crit Care.
The CARDEA trial is an industry funded phase 2, randomized, double blind, placebo controlled trial of Auxora, a calcium release-activated calcium (CRAC) channel inhibitor whose active ingredient is CM4620, initially designed to treat acute pancreatitis. The drug blocks proinflammatory cytokine release, including interleukin 6, while preserving endothelial integrity. To determine its effectiveness as an addition to corticosteroids and standard care in treating patients with severe COVID-19 pneumonia, the study enrolled 130 and 131 patients requiring oxygen therapy and having imputed PaO2/FiO2 ratio ≤ 200 to receive Auxora or placebo respectively. Starting in May 2020, patients were followed for 60 days to determine recovery and all-cause mortality. Compared to the placebo group, recovery on Auxora was 3 days shorter (7 vs. 10 days – P = 0.0979) and all-cause mortality on Day 30 and 60 significantly lower (7.7% vs. 17.6% and 13.8 vs. 20.6% respectively. Serious adverse events occurred with lower frequency in the treatment group. The trial, originally designed to enroll 400 patients, was stopped early in the spring 2021 due to declining rates of COVID-19 hospitalizations and increasing use of tocilizumab, a drug prohibited in combination with Auxora by regulatory guidance. The authors consider Auxora safe and worthy of continued clinical development.
- Cardiac Complications After SARS-CoV-2 Infection and mRNA COVID-19 Vaccination – PCORnet, United States, January 2021-January 2022. 4/7/2022. Block JP. MMWR Morb Mortal Wkly Rep.
In this CDC report, data from electronic health records in 40 health care systems found that cardiac complications including myocarditis, pericarditis and multisystem inflammatory syndrome were rare but the risk was significantly higher after SARS-CoV-2 infection than after a first or second mRNA COVID-19 vaccination for both males and females in all age groups. Relative risk ratios varied among age, sex, specific complications, and first or second shot, and ranged from 1.8 to 115. The study population consisted of 15,215,178 persons aged ≥5 years, including 814,524 in the infection cohort. Confidence intervals were wide for some estimates due to the rarity of outcomes.
- Effect of Antiplatelet Therapy on Survival and Organ Support-Free Days in Critically Ill Patients With COVID-19: A Randomized Clinical Trial. 3/22/22. REMAP-CAP Writing Committee for the REMAP-CAP Investigators. JAMA.
This international RCT randomized 1,557 critically ill COVID-19 patients to aspirin or a P2Y12 inhibitor or no antiplatelet therapy and found no difference in organ support-free days up to 21 days. There was no improvement in survival with antiplatelet therapy. Those randomized to antiplatelet therapy had significantly increased bleeding. This study provides important data for frontline clinicians, and suggests that antiplatelet agents should not be used in critically ill COVID-19 patients.
SAB Comment: The accompanying editorial summarizes the prior RCTs for antiplatelet demonstrating no benefit in noncritically ill patients with COVID-19.
- Effectiveness of COVID-19 mRNA Vaccination in Preventing COVID-19-Associated Hospitalization Among Adults with Previous SARS-CoV-2 Infection – United States, June 2021-February 2022. 4/14/2022. Plumb ID. MMWR Morb Mortal Wkly Rep.
A test-negative design was used in this CDC report to estimate effectiveness of COVID-19 mRNA vaccines in preventing subsequent COVID-19–associated hospitalization among adults aged ≥18 years with a previous positive nucleic acid amplification test or diagnosis of COVID-19. Using data from Cosmos, an aggregated data set from electronic health records, and vaccination status, 3,761 hospitalized case-patients were compared with 7,522 matched control-patients. After previous SARS-CoV-2 infection, estimated vaccine effectiveness against COVID-19–associated hospitalization was 47.5% after 2 vaccine doses and 57.8% after a booster dose during the Delta-predominant period, and 34.6% after 2 doses and 67.6% after a booster dose during the Omicron-predominant period. An increasing proportion of the U.S. population has had SARS-CoV-2 infection. COVID-19 vaccination offers additional protection against reinfection leading to hospitalization, with a booster dose(s) offering the highest level of protection.
- Fourth Dose of BNT162b2 mRNA Covid-19 Vaccine in a Nationwide Setting. 4/13/22. Magen O. N Engl J Med.
The authors analyzed Israeli data from 182,122 recipients of a fourth vaccine dose, aged over 60 compared with individually matched controls who had received only a third dose at least 4 months earlier. Fourteen to 30 days after the fourth dose effectiveness was 52% against a positive PCR, 61% against symptomatic COVID-19, 72% against COVID-19-related hospitalization, 64% against severe COVID-19, and 76% against COVID-19-related death. Outcomes between groups began to diverge 7 days after the fourth vaccine dose. Because of the recent implementation of fourth vaccine administration, reported outcomes thus far are short-term.
SAB Comment: This study differs from a previously highlighted study from Israel regarding short-term outcomes after a fourth vaccine dose by individually pairing recipients with matched controls and by reporting more outcomes.
- Multisystem Involvement in Post-Acute Sequelae of Coronavirus Disease 19. 12/24/21. Novak P. Ann Neurol.
This retrospective study evaluated 9 patients who presented consecutively with chronic fatigue, brain fog, and orthostatic intolerance 10 months following mildly symptomatic COVID-19 infection. Controls included patients with postural orthostatic, tachycardia syndrome (POTS) and healthy participants. Analyzed data included surveys, autonomic assessments (Valsalva maneuver, deep breathing, sudomotor, and tilt tests), cerebrovascular (cerebral blood flow velocity monitoring in middle cerebral artery), respiratory (capnography monitoring), and neuropathic testing (skin biopsies for assessment of small fiber neuropathy) as well as inflammatory/autoimmune markers. Findings for the patients with “post-acute sequelae of coronavirus disease 19” (PASC or Long COVID) included (1) cerebrovascular dysregulation with persistent cerebral arteriolar vasoconstriction; (2) small fiber neuropathy and related dysautonomia; (3) respiratory dysregulation; and (4) chronic inflammation.
- Prospective Evaluation of Autonomic Dysfunction in Post-Acute Sequela of COVID-19. 4/5/2022. Jamal SM. J Am Coll Cardiol.
This study of 24 patients with PASC characterized by autonomic dysfunction, described the range of responses to tilt table testing. Testing included provocation using nitroglycerin. Patients with symptoms only after provocation recovered earlier.
April 11, 2022:
- Association of COVID-19 Vaccination in Pregnancy With Adverse Peripartum Outcomes. 3/24/22. Fell DB. JAMA.
Association of SARS-CoV-2 Vaccination During Pregnancy With Pregnancy Outcomes. 3/24/22. Magnus MC. JAMA.
These two retrospective cohort studies address the safety of mRNA vaccines for COVID-19, administered during the last 2 trimesters of pregnancy. Magnus compares 157,521 pregnancies in Norway and Sweden, 18% (28,506) of which underwent vaccination between January 2021 and January 2022. There was no difference in the incidence of preterm birth, stillbirth, small for gestational age babies, decreased Apgar scores and NICU admissions. Fell compares 30,115 unvaccinated and 44,815 pregnancies vaccinated after birth, in Canada (from December 2020 to September 2021) to 22,660 (23%) pregnancies where vaccination occurred mostly in the third trimester. There was no difference in postpartum hemorrhage, chorioamnionitis, cesarean delivery, decreased Apgar scores and NICU admission. Both studies made adjustments for multiple covariants, which produced some differences between the characteristics of the vaccinated and unvaccinated groups. The authors conclude it is safe to administer mRNA vaccines in the second and third trimesters of pregnancy.
- Early Outpatient Treatment for Covid-19 with Convalescent Plasma. 3/30/2022. Sullivan DJ. N Engl J Med.
This double-blind, randomized, controlled multicenter US trial compared qualified Covid-19 convalescent plasma in 592 with control plasma in 589, administered within 9 days of COVID-19 symptom onset. The vast majority was unvaccinated. The risk of hospitalization for COVID-19 was less than half as much in the convalescent plasma recipients (2.9% vs 6.3%).
- Factors for success of awake prone positioning in patients with COVID-19-induced acute hypoxemic respiratory failure: analysis of a randomized controlled trial. 3/29/22. Ibarra-Estrada M. Crit Care.
Although awake prone positioning (APP) may be helpful, identifying which COVID-19 patients benefit is key. This multicenter, randomized controlled trial from Mexico of 941 COVID-19 patients with respiratory failure requiring high flow nasal cannula (HFNC) between May 2020 and January 2021 identified factors associated with success of APP in preventing intubation. Predictors of APP success in these patients that already required HFNC to maintain SpO2 over 91% included an APP duration at least 8 hours per day, a respiratory rate at enrollment below 26, and improvement in objective measurements (ROX and lung ultrasound) in response to APP. The number needed to treat to prevent intubation was 8.
SAB Comment: This is a post hoc analysis of a meta-trial featured previously in this newsletter. Though some studies do not show a benefit from APP for patients requiring simple nasal oxygen and using APP for shorter periods of time, this study clearly shows that patients with more severe respiratory failure may benefit, especially with longer APP times. Maintaining the prone position in sick, awake patients is difficult. Authors discuss their approach to this challenge.
- High-Flow Nasal Cannula Oxygen versus Non-Invasive Ventilation in Subjects with COVID-19: A Systematic Review and Meta-analysis of Comparative Studies. 3/23/2022. Beran A. Respir Care.
This meta-analysis looked at 19 studies (3 randomized clinical trials and 16 observational cohort studies) comparing non-invasive ventilation (NIV; CPAP and BiPAP) with high flow nasal cannula (HFNC) in 3606 COVID-19 patients with respiratory failure. There was no significant difference in the intubation rate and length of hospital stay between HFNC and NIV, despite greater improvement of PaO2/FiO2 ratio with NIV. Although mortality was lower overall in HFNC than in NIV, subgroup analysis of RCTs revealed no significant difference in mortality between HFNC and NIV.
- Intravenous methylprednisolone pulses in hospitalised patients with severe COVID-19 pneumonia, A double-blind, randomised, placebo-controlled trial. 4/1/22. Salvarani C. Eur Respir J.
In this multicenter, randomized, double-blind, placebo-controlled trial, 304 hospitalized COVID-19 patients received either 3 boluses of 1 g of methylprednisolone intravenously daily for 3 days or placebo in addition to standard dexamethasone. The key outcome was overall survival in days, discharge without oxygen / ETT. The study group included patients who had < 5 days of symptoms, PaO2: FiO2>200 with O2 and C-reactive protein > 5. Outcomes were similar in both groups including % discharged without O2, duration of hospital or ICU stay, death or adverse reactions. Pulsed methylprednisolone in addition to dexamethasone was safe but redundant to treat hyper-inflammation.
- Protection by a Fourth Dose of BNT162b2 against Omicron in Israel. 4/5/22. Bar-On YM. N Engl J Med.
In early January 2022, a fourth Pfizer vaccination dose was offered to persons older than 60 years who had received their third shot at least 5 months previously. This study compares outcomes for 623,355 recipients with 628,966 persons also eligible for the 4th shot. Protection from infection during the ongoing Omicron wave peaked at 4 weeks after 4th shot by a factor of 2 compared with controls, and waned afterward. However, protection from severe disease was greater by a factor of 3.5 and remained durable for the 6 weeks of the study.
April 4, 2022:
- SAB Comment: The following four peer-reviewed vaccine studies add to our overall understanding of mRNA vaccines. Specifically, boosters appear to be very safe; children benefit from vaccination, especially reducing critical COVID; and vaccination and boosters are excellent at preventing severe disease (invasive ventilation and death) even in older people with comorbidities and even during the Omicron phase of the pandemic.
- Boosters reduce in-hospital mortality in patients with COVID-19: An observational cohort analysis. 3/22/22. Mielke N. Lancet Reg Health Am.
This data-rich multicenter observational cohort study of 8,232 adult US COVID-19 patients hospitalized between 8/12/21 and 1/20/22 compared demographic, clinical, and outcome variables in those fully vaccinated and boosted (FV&B), 6%, fully vaccinated (FV), 29%, and unvaccinated (UV), 65%. Although a small number, FV&B patients with breakthrough COVID-19 had lower in-hospital mortality (7.1%) than those FV (10.3%) and UV (12.8%), despite being older and higher risk at baseline. Better outcomes for the FV&B were also found in subgroup analyses of patients older than 65 years and those requiring ICU care; although as expected mortality was higher.
- Effectiveness of mRNA Vaccination in Preventing COVID-19-Associated Invasive Mechanical Ventilation and Death – United States, March 2021-January 2022. 3/24/22. Tenforde MW. MMWR Morb Mortal Wkly Rep.
To better evaluate vaccine effectiveness (VE) of both mRNA vaccines in preventing COVID-19 invasive mechanical ventilation (IMV) and death, these authors from 21 US centers used a case control design to study 1440 COVID-19 patients between March 2021 and January 2022. Though vaccinated patients were older, had more comorbidities (especially immunocompromising conditions) than unvaccinated patients, receiving 2 or 3 doses of an mRNA vaccine was associated with a 90% reduction in risk for COVID-19 IMV or death. Protection of 3 mRNA vaccine doses during the period of Omicron predominance was 94%. The authors conclude that COVID-19 mRNA vaccines provide strong protection against severe COVID-19 resulting in respiratory failure or death.
- BNT162b2 Protection against the Omicron Variant in Children and Adolescents. 3/30/22. Price AM. N Engl J Med.
In this multicenter study conducted in 23 US states, the authors used a case-control, test-negative design to assess 2-dose BNT162b2 (Pfizer) vaccine effectiveness in preventing hospitalization and critical COVID-19 in 5- through 11- and 12- through 18-year-old patients. Case patients with COVID (n=1185) were compared to control patients (n=1627). Three fourths of subjects were unvaccinated. During the Omicron period, vaccine effectiveness for 12- through 18-year-old patients was 40% against hospitalization, 79% against critical COVID-19, and 20% against noncritical COVID-19. During the Omicron period, vaccine effectiveness against hospitalization among children 5 to 11 years of age was 68%. Ninety-five percent confidence intervals were wide. These figures are lower than during the Delta wave, particularly among adolescents.
- Safety and Efficacy of a Third Dose of BNT162b2 Covid-19 Vaccine. 3/23/22. Moreira ED Jr. N Engl J Med.
In this phase 3 industry-sponsored multinational trial, 5,081 participants received a third BNT162b2 (Pfizer) dose and 5,044 received placebo between 7/1/21 and 8/10/21. All had received dose 2 at least 6 months before (median 10.7 months) and almost half had coexisting conditions. After 2 months, among those without evidence of previous SARS-CoV-2 infection, COVID-19 with onset at least 7 days after dose 3 was observed in 6 participants in the vaccine group vs. 123 in the placebo group, a relative vaccine efficacy of 95.3%. Efficacy began at 7 days and was maximal at 14 days. None in either group was hospitalized for COVID-19, supporting ongoing protection from serious disease from the first 2 shots. Injection-site pain was the most frequently reported adverse event. No new safety concerns, including cases of myocarditis or pericarditis, were reported. Serious adverse events were reported by fewer participants in the vaccine group than in the placebo group (0.3% vs. 0.5%).
- Boosters reduce in-hospital mortality in patients with COVID-19: An observational cohort analysis. 3/22/22. Mielke N. Lancet Reg Health Am.
- Dysfunctional breathing diagnosed by cardiopulmonary exercise testing in ‘long COVID’ patients with persistent dyspnoea. 3/31/22. Frésard I. BMJ Open Respir Res.
Cardiopulmonary exercise testing (CPET) identifies mechanisms of dyspnea by simultaneously evaluating cardiovascular adaptation, ventilation and gas exchange through exercise. Dysfunctional breathing (DB) with normal PaCO2 and V̇E/V̇CO2 has been described in long COVID, particularly erratic ventilation with wide, irregular variations of tidal volume and breathing frequency over the progression of effort during CPET. DB evaluated by CPET occurred in 15 of the 51 COVID patients complaining of dyspnea. DB was associated with younger age and previous mild/moderate acute COVID and was present >200 days following infection. DB without hyperventilation with erratic breathing and deep sighs may also explain persisting dyspnea in long COVID patients. The pathophysiology is unknown. A prompt diagnosis is needed in order to offer specific respiratory training.
- SARS-CoV-2 Placentitis and Intraparenchymal Thrombohematomas Among COVID-19 Infections in Pregnancy. 3/21/22. Huynh A. JAMA Netw Open.
This research letter describes a retrospective review, with clinical correlation, of 47 placentas infected with SARS-CoV-2 between January 2020 and November 2021. Placentas from 2021 were considered to represent predominantly Delta infection, and were compared to those of 2020. All placentas displayed syncytiotrophoblast necrosis, perivillous fibrin, and intervillositis, but, of the 39 cases from 2021, 29 also had intraparenchymal thrombohematomas. Stillbirth occurred in 72% of patients with thrombohematomas, whereas 17 of 18 placentas without thrombohematomas were associated with live births. Thrombohematomas could be observed on ultrasound.
SAB Comment: This study is of value for its hypotheses-generating potential, as well as to note that all placentas except one came from unvaccinated patients.
- Trajectories of Neurologic Recovery 12 Months After Hospitalization for COVID-19: A Prospective Longitudinal Study. 3/22/22. Frontera JA. Neurology.
This study reports the results of telephone psychological testing and interviews of 294 patients 12 months after symptom onset of moderately severe to severe COVID-19 infection. Patients were tested to assess functional status and cognition and given structured interviews to determine presence of anxiety, depression, fatigue and sleep impairment. Abnormal scores on cognitive testing persisted in 50% of patients without a pre-COVID history of cognitive abnormalities, irrespective of the presence or absence of a neurological complication during hospitalization. Rates of abnormal cognition were substantially higher than rates of abnormalities in other domains such as activities of daily living, anxiety, depression, fatigue or sleep. Between the 6- to 12-month evaluations, the majority of patients did not have improvements in functional status or activities of daily living; however, there were significant improvements in cognition and anxiety scores.
March 28, 2022:
- A randomized double-blind placebo-controlled clinical trial of nitazoxanide for treatment of mild or moderate COVID-19. 2/28/2022. Rossignol J. eClin Med.
Nitazoxanide, an approved therapy for intestinal parasitic infections, was administered in this industry-sponsored phase-3 study to 184 mild-moderate COVID-19 patients within 72 hrs. of symptom onset (600 mg p.o. BID x 5 days). Outcomes were compared with 195 who received a placebo. Time to sustained clinical resolution was shortened by a median of 1 day. Progression to severe COVID-19 within 28 days occurred in 1/184 (0.5%) treated patients and 7/195 (3.6%) placebo patients, an 85% relative reduction. Antiviral activity is attributed to a host-directed mechanism targeting key viral protein formation at a post-translational level, and stimulated innate immunity. Larger trials are recommended.
- Associations of statin use with 30-day adverse outcomes among 4 801 406 US Veterans with and without SARS-CoV-2: an observational cohort study. 3/19/2022. Wander PL. BMJ Open.
This manuscript examines the outcomes of veterans with ≥1 positive nasal swab for SARS-CoV-2 between 1 March 2020 and 10 March 2021 (cases; n=231,154) and a comparator group of controls comprising all veterans who did not have a positive nasal swab for SARS-CoV-2 but who did have ≥1 clinical lab test for SARS CoV-2 performed during the same time period (n=4,570,252). They examined the effects of statin use with respect to hospitalization, ICU admission and death at 30 days. There was no effect on the use of statins on the outcomes of SARS CoV 2. These data confirm prior RCT data demonstrating the lack of effect but with much larger numbers.
- COVID-19-Associated Croup in Children. 3/8/22. Brewster RCL. Pediatrics.
This article from Boston Children’s Hospital describes the change in croup incidence as the COVID-19 variant evolved. During the 22 month-long study, a total of 75 children infected with SARS-CoV-2 entered ER or hospital care due to croup. A 4-fold increase in croup admissions occurred after 12/4/2021 as Omicron became the dominant viral form. During the study, 9 patients were hospitalized, with a median length of stay of 1.7 days. Four patients were admitted to the ICU. No patients died or were endotracheally intubated. Decadron was administered to 97% and all children hospitalized received racemic-epinephrine. Comprehensive viral testing was not available, so viral co-infection could not be excluded. Although rare (75 cases in 100,000 population of children seeking hospital care), the increase in croup was statistically significant during the Omicron surge, according to these authors.
- Effects of SARS-CoV-2 on prenatal lung growth assessed by fetal MRI. 3/19/2022. Stoecklein S. Lancet Respir Med.
The authors of this letter to the editor analyzed fetal MRI scans in 34 mothers with uncomplicated SARS-CoV-2 infection during pregnancy to elucidate the effects of the infection on fetal lung development. Fetal lung volume was significantly reduced compared with age-adjusted reference values, in the absence of structural abnormalities or organ infarction, and was not explained by differences in somatic growth. Reductions in lung growth were noted primarily with SARS-CoV-2 infections acquired during the third trimester. Neonatal follow-up in 21 of 34 neonates at birth showed adequate birthweight for gestational age and no indication of acute postnatal respiratory distress.
- One-year pulmonary impairment after severe COVID-19: a prospective, multicenter follow-up study. 3/22/22. Faverio P. Respir Res.
In this Italian multicenter, prospective, observational study, 287 patients hospitalized for SARS-CoV-2 pneumonia were stratified by maximum ventilatory support (“oxygen only,” “continuous positive airway pressure” and “invasive mechanical ventilation”) and followed up at 12 months after discharge. At that time, reduced diffusion capacity for carbon monoxide and non-fibrotic interstitial lung abnormalities were common, particularly in older patients who had required higher ventilatory support. Twenty percent of patients showed a distance walked lower than expected, without differences between groups. No patients showed oxygen desaturation or required oxygen supplementation during the test, but mild dyspnea was reported by 35% of patients, again with no differences between groups, compared to 29% at 6-month follow-up.
March 22, 2022:
- Effect of Sotrovimab on Hospitalization or Death Among High-risk Patients With Mild to Moderate COVID-19: A Randomized Clinical Trial. 3/14/2022. Gupta A. JAMA.
Randomized 1057 non-hospitalized patients (symptomatic, mild to moderate COVID-19 + risk factor) study (international, multicenter) conducted August 2020 to March 2021 to evaluate efficacy of single Sotovimab (engineered human monoclonal antibody) infusion to test efficacy in preventing disease progression (all-cause hospitalization lasting >24 hours for acute illness management or death). 5 secondary outcomes tested: all-cause emergency department (ED) visit, hospitalization of any duration for acute illness management, or death through day 29 and progression to severe or critical respiratory COVID-19 requiring supplemental oxygen or mechanical ventilation. All cause hospitalization and 4/5 endpoints statistically reduced compared to placebo; single intravenous dose of sotrovimab, compared with placebo, significantly reduced the risk of a composite end point of all-cause hospitalization or death through day 29. (Study conducted prior to anti-viral introduction.)
SAB Comment: Since their introduction, oral antivirals may be prescribed as a first choice in preventing progression of early COVID disease. Nonetheless, “Sotrovimab retains in vitro activity against the Omicron variant and is expected to provide clinical benefit in patients with Omicron infection.” (Anti-SARS-CoV-2 Monoclonal Antibodies | COVID-19 Treatment Guidelines (nih.gov)) The side-effect profile may favor its use in patients unable to tolerate other options.
- Efficacy of a Fourth Dose of Covid-19 mRNA Vaccine against Omicron. 3/17/22. Regev-Yochay G. N Engl J Med.
This research letter from Israel examines the immune response and vaccine efficacy to a 4th dose of mRNA vaccine in 274 young, healthy healthcare workers, compared to matched controls. This non-randomized study took place in January 2022 during an Omicron surge. All subjects were tested with RT-PCR weekly. The 4th vaccine dose increased the antibody levels and viral neutralization by a factor of 10, but vaccine efficacy was low and relatively high viral loads were found, suggesting those with positive RT-PCRs were infectious. The authors conclude that a 4th vaccination of healthy people may have only marginal benefits. Older and vulnerable populations were not assessed.
SAB Comment: Though a small study, this is hopefully the first of much more information on the utility of a second booster. Of note is the infectiousness of those who get Omicron, whether or not they received a 4th vaccine dose (masks may still play a role), and that data on an older population with more comorbidities has yet to be presented.
- Neutralization of the SARS-CoV-2 Omicron BA.1 and BA.2 Variants. 3/16/22. Yu J. N Engl J Med.
Omicron has three major sublineages: BA.1, BA.2, and BA.3, each with common and unique mutations to evade neutralizing antibodies (NAbs). Recently, BA.2 is surging. These investigators compared NAbs against Wuhan and BA.1/BA.2 strains induced post-Pfizer vaccinations (primaries + booster, n=24) vs. BA.1 natural infection (n=8). Two weeks postbooster vaccinations, NAbs to each virus rose by 10-fold vs post-primary vaccination; BA.1 NAbs =1.4x BA.2. Two weeks post-BA1 infection, BA.1 and BA.2 titers were each 3x higher vs. postbooster values. Conclusion: BA1 infection confers higher cross-reactive BA.2 NAbs than vaccination alone and the BA.2 surge is from increased infectivity, not immunological escape.
SAB Comment: Neutralizing antibody titers were undetectable to both BA.1 and BA.2 six months postprimary series before receiving boosters. This emphasizes a critical need for the six-month booster to protect against variants. Seven of eight infected patients were previously vaccinated. The unvaccinated eighth rapidly became critically ill.
- Palliative care consultation and end-of-life outcomes in hospitalized COVID-19 patients. 12/13/21. Cheruku SR. Resuscitation.
This is a multicenter analysis of end-of-life care for 3,227 adult patients who died from COVID-19 between March 2020 and March 2021 in US hospitals without resource constraints, based on registry data of the Society of Critical Care Medicine. Cardiopulmonary resuscitation was given to 10% of patients and not given to 90%; about 20% of both groups had a palliative care consultation. However, patients who received individualized comfort care measures rather than continuation of life-sustaining treatment were significantly more likely to have had palliative care consultation (43.2% v 8.5%). The authors suggest that palliative care consultation at the end-of-life may better align the needs and values of patients with their received care.
- The Fragility of Statistically Significant Results in Randomized Clinical Trials for COVID-19. 3/18/22. Itaya T. JAMA Netw Open.
The objective of this study was to use the fragility index (FI) to evaluate the robustness of statistically significant findings from RCTs for COVID-19. Forty-seven English language articles published by August 7, 2021, involving 138,235 participants were included. In order to apply the index, studies must randomly assign patients 1:1 into 2 parallel groups and reported at least 1 binary outcome as significant in the abstract. In this study, many randomized clinical trials (RCTs) had a low FI, challenging confidence in the robustness of the results. The median was 4, meaning a change in outcome of only 4 participants was required to change the analysis findings from “statistically significant” (P<0.05) to not significant. In over half of the trials, the FI was less than 1% of sample size. Thirty-six were drug trials, with a median FI of 2.5. The most robust group contained 6 vaccine trials, with a median FI of 119. Authors state, “The fragility of RCT results should be considered before applying them to clinical settings,” and “Health care professionals and policy makers should not rely heavily on individual results of RCTs on COVID-19,” particularly small studies.
March 14, 2022:
- Assessing clinically meaningful hypercoagulability after COVID-19 Vaccination: a longitudinal study. 3/7/2022. Campello E. Thromb Haemost.
This article reviews the hypercoaguable state induced by COVID-19 vaccination. Volunteers awaiting vaccination with either the AstraZeneca or Pfizer vaccine were enrolled. Venous samples were obtained before vaccination and at 3±2 days (T1) and 10±2 days after the vaccine (T2). Coagulation monitoring was assessed via platelet count, whole blood thromboelastometry and impedance aggregometry, plasma thrombin generation and anti-PF4/heparin IgG antibodies. 122 subjects were enrolled equally between the two vaccines. The AstraZeneca cohort showed a slight but transient increase in thrombin generation at T1, which promptly decreased at T2. In addition, the second dose of either vaccine was associated with increased thrombin peak. PF4/heparin antibodies demonstrated stable titre through T1 and T2. No relevant differences were detected in platelet count and aggregation, or thromboelastometry parameters. No thrombotic or haemorrhagic events occurred. The authors conclude that no clinically meaningful hypercoagulability occurred after either vaccine, albeit keeping in mind that thrombin generation may increase in the first days after the second dose of either vaccine and after the first dose of the AstraZeneca vaccine.
- Characteristics and Outcomes of COVID-19 Patients Supported by Venoarterial or Veno-Arterial-Venous Extracorporeal Membrane Oxygenation. 3/7/2022. Haroun MW. J Cardiothorac Vasc Anesth.
This review of VA and VAV ECMO for COVID-19 included 37 patients from 12 centers who were admitted between 3/01/2020 and 4/30/2021, with final follow up at 90 days on 7/31/21. Patients were grouped as survivors or non-survivors, with no control group. Mortality was 65%. A longer duration between initiation of IMV and ECMO initiation, higher BMI and higher C-reactive protein were noted in the non-survivor group.
- Clinical severity of, and effectiveness of mRNA vaccines against, covid-19 from omicron, delta, and alpha SARS-CoV-2 variants in the United States: prospective observational study. 3/10/2022. Lauring AS. BMJ.
Using a test-negative case-control design, this study prospectively evaluated mRNA vaccine effectiveness (VE) in 21 U.S. hospitals for 11690 adult patients admitted to the hospital, 5728 with COVID-19. The time period (March 2021 to January 2022) included inpatients with alpha, delta and omicron infections. mRNA vaccines were found to be highly effective in preventing COVID-19 associated hospital admissions for all variants, but three vaccine doses were required to achieve protection against omicron (VE =86%) similar to the protection that two doses provided against the delta and alpha variants (VE = 85-94%). Among adults admitted to hospital with COVID-19, the omicron variant was associated with less severe disease than the delta variant but still resulted in substantial morbidity (15% invasive ventilation) and mortality (7%). Vaccinated patients admitted to hospital with COVID-19 had significantly lower disease severity than unvaccinated patients for all the variants.
- Covid-19 Vaccine Effectiveness against the Omicron (B.1.1.529) Variant. 3/6/2022. Andrews N. N Engl J Med.
Using a test-negative case-control design, researchers from England looked at over 2.5 million PCR tests in symptomatic patients to determine vaccine effectiveness (VE) against delta and omicron variants. Various combinations of the available vaccines (BNT162b2-Pfizer, mRNA-1273- Moderna and ChAdOx1 mCoV-19- Astra-Zeneca) were evaluated. All vaccines showed reduced VE for omicron compared with delta, especially months after only two doses. A booster with either BNT162b2 or mRNA-1273 restored VE to the 65-75% range, which also began tapering off 4 weeks later. They were unable to evaluate VE against severe disease.
- Mechanically ventilated patients shed high titre live SARS-CoV2 for extended periods from both the upper and lower respiratory tract. 3/1/22. Saud Z. Clin Infect Dis.
Secretions from 25 mechanically ventilated COVID patients at the University Hospital of Wales were tested for viral RNA and infectious virions in early 2021. One hundred seventeen samples (44 saliva, 32 subglottic above ETT cuff, 41 bronchoalveolar lavage [BAL]) showed extremely high rates of positive qPCR across all sample types, however live virus was most common in saliva (68%) and least common in BAL (32%). Average titers of live virus were highest in subglottic aspirates. SARS-CoV-2 shedding typically ceases beyond 10 days from symptom onset; however, 14/25 studied patients shed live virus for >20 days and one for 98 days. “This information is important for decision making around cohorting patients, de-escalation of PPE, and undertaking potential aerosol generating procedures.”
- Outpatient Pulmonary Rehabilitation in Patients with Long COVID Improves Exercise Capacity, Functional Status, Dyspnea, Fatigue, and Quality of Life. 2/24/2022. Nopp S. Respiration.
In this study 58 patients (mean age 47 years, 43% women, 38% severe/critical COVID-19) were included in the per-protocol-analysis of the results of a multidisciplinary pulmonary rehab program. At baseline (i.e., in mean 4.4 months after infection onset), mean 6MWD was 584.1 m and functional impairment was graded at a median at 2 on the post Covid functional status (PCFS, scored 0-4). On average, patients improved their 6MWD by 62.9 meters and reported an improvement of 1 grade on the PCFS scale. Symptoms improved including presence of dyspnea (p < 0.001), fatigue (p < 0.001), and quality of life (p < 0.001). Also, pulmonary function parameters (FEV1, lung diffusion capacity, inspiratory muscle pressure) significantly increased during rehabilitation.
- Prolonged unconsciousness is common in COVID-19 and associated with hypoxemia. 3/7/22. Waldrop G. Ann Neurol.
In this multi-center, retrospective follow-up of 795 ICU patients from two waves of the COVID pandemic, the median time to recovery of command-following (RCF) was 30 days following the initiation of mechanical ventilation. The study group was limited to those patients who had a Glasgow Coma Score < 6 on the 7th day of endotracheal intubation. Median time to RCF increased by 16 days for patients with at least one episode of PaO2 ≤55mmHg (p<0.001). Time to RCF increases with duration of hypoxemia after adjusting for known confounders including sedation and does so even among patients without brain imaging abnormalities. The authors state “These observations should be taken into account when making decisions about life-sustaining therapies.”
- SARS-CoV-2 is associated with changes in brain structure in UK Biobank. 3/7/22. Douaud G. Nature.
This longitudinal study compares brain scans from the UK Biobank in 401 participants who had COVID-19 to 384 matched controls who were negative for SARS-CoV-2. The scans were done 38 months apart, and an average of 141 days post-COVID-19 diagnosis. Hundreds of brain-imaging derived phenotypes (IDPs) were measured and analyzed. Compared to controls, viral exposure was associated with parahippocampal and orbitofrontal grey matter reduction, greater changes in markers of tissue damage in regions functionally connected to the olfactory cortex, greater reduction in global brain size and larger cognitive decline between scans. The finding remained when patients hospitalized for COVID-19 were removed. The average percent of change compared to control (-0.2 to -2%) was considered moderate by the authors. The study is ongoing.
- The immunology and immunopathology of COVID-19. 3/10/22. Merad M. Science.
On the two-year anniversary of the COVID-19 pandemic, these authors summarize progress in understanding immune mechanisms that lead to clinical expression of acute symptomatic and asymptomatic disease. They also detail immune mechanisms in the symptom prolongation involved in “Long COVID syndrome” (aka, post-acute sequelae of SARS-CoV-2, PASC). Viral entry is traced from initial innate mechanisms to adaptive mechanisms followed by resultant pathophysiology. Risk factors and current therapies intersecting immune mechanisms are discussed.
SAB Comment: This up-to-date review is very well written, cites key references and provides a state-of-the-art understanding of the pathophysiology of SARS-CoV-2 infection and its consequences. As such it will also be helpful to readers who decide to read the original paper on whole genome sequencing reviewed below.
- Whole genome sequencing reveals host factors underlying critical Covid-19. 3/7/22. Kousathanas A. Nature.
This basic research study sought to find disease mechanisms by comparing whole genome sequencing (WGS) in 7,491 critical COVID-19 cases vs. 48,400 controls in 224 international ICUs. Twenty-three independently validated variants predisposed to critical COVID-19 including genes involved in interferon signaling, leucocyte differentiation, and blood type secretor status. Multiple genes supported causal roles including myeloid cell adhesion molecules and coagulation factor F8, druggable targets. Conclusion: Though complex and requiring multiple genetic comparator controls, WGS is a highly efficient method to detect therapeutically relevant mechanisms in critical COVID-19 including failure to control viral replication and increased tendencies towards pulmonary inflammation and intravascular coagulation.
- Tixagevimab and Cilgavimab (Evusheld) for Pre-Exposure Prophylaxis of COVID-19. 1/25/2022. . JAMA.
This AstraZeneca antibody pair is the first to receive FDA emergency use authorization (EUA) for COVID-19 prophylaxis without known exposure in individuals >12 yrs of age with a history of severe allergy to vaccination or severe immune compromise. Mean antibody half-lives are 83-88 days. The EUA was based on the results of an unpublished double-blind trial (PROVENT) that demonstrated a hazard ratio of 0.23 for symptomatic COVID-19 in 3,448 adults vs. 1724 controls during the Delta wave. There were no severe/critical COVID-19 events in the Evusheld group vs. 5 in the placebo group. (Two other antibody pairs are authorized for post-exposure prophylaxis. There is no clinical data during the Omicron wave.) The combination has decreased neutralizing activity in vitro against the Omicron variant (by 12- to 30-fold vs the ancestral virus); the clinical significance of this difference remains to be determined, as Omicron was not prevalent during clinical trials of Evusheld.
March 4, 2022:
- Association of SARS-CoV-2 Infection With Serious Maternal Morbidity and Mortality From Obstetric Complications. 2/7/2022. Metz TD. JAMA.
In this 2020 comprehensive retrospective study regarding the Composite List (CL) of major complications (including pregnancy induced HBP, infection, bleeding but excluding pulmonary) fetal and maternal morbidity outcomes (n=2352 COVID-19 +ve vs. n=11752 -ve patients) were reported. An increased percentage of CL complications for COVID-19 patients were reported 13.4% vs 9.2% and the authors also noted that those with severe disease (n=586) experienced worse outcomes (26.1% Vs 9.2%). This was likely due to a higher C-section birth rate (45.4% vs 32.4%), a delayed treatment for HBP of pregnancy, infection, PPH, and coagulation disorders due to the pandemic which contributed to the outcome. An increased risk of preterm delivery and NICU admission was reported as well, possibly disease-related induced pathology.
- Effect of prone positioning on survival in adult patients receiving venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome: a systematic review and meta-analysis. 1/17/2022. Papazian L. Intensive Care Med.
This is a meta-analysis of 13 studies (1836 patients) published between 2018-21 to evaluate the effect on survival of prone positioning during veno-venous extracorporeal membrane oxygenation (VV-ECMO) in patients with acute respiratory distress syndrome (ARDS). Seven of the studies contained COVID-19 patients only, and all but one were observational. 28-day survival was 74% with and 58% without prone positioning (p<0.0001). The benefit of prone positioning did not appear to be different between studies on COVID-19 and non-COVID-19 patients.
SAB Comment: The limitations inherent in this heterogenous selection of largely observational studies highlights the challenge of performing randomized controlled studies in such severely ill patients. Nonetheless this meta-analysis further informs the benefit of prone positioning in patients on VV-ECMO for severe ARDS, whether or not it is due to COVID-19.
- ‘I can’t cope with multiple inputs’: a qualitative study of the lived experience of ‘brain fog’ after COVID-19. 2/12/22. Callan C. BMJ Open.
The authors collected and analyzed comments from 50 patients describing their sensations living with neurocognitive dysfunction resulting from “long COVID.” Qualitative analysis revealed the following themes: rich descriptions of the experience of neurocognitive symptoms (especially executive function, attention, memory and language), accounts of how the illness fluctuated — and progressed over time; the profound psychosocial impact of the condition on relationships, personal and professional identity; self-perceptions of guilt, shame and stigma; strategies used for self-management; challenges accessing and navigating the healthcare system; and participants’ search for physical mechanisms to explain their symptoms.
SAB Comment: The analysis is supplemented with a series of direct quotes from some of the study subjects which may give valuable insight to clinicians caring for similar patients.
- Newly diagnosed diabetes vs. pre-existing diabetes upon admission for COVID-19: Associated factors, short-term outcomes, and long-term glycemic phenotypes. 2/4/2022. Cromer SJ. Journal of Diabetes and Its Implications.
This retrospective review of 1902 first-wave COVID inpatients from Massachusetts General Hospital found diabetes in 31% (n=594) of whom 77 had newly diagnosed diabetes mellitus (NDDM). Compared with pre-existing DM, NDDM was associated with younger age, higher inflammatory markers, lower insulin requirements, longer length of stay and intensive care unit admission, but not death. Of 64 NDDM survivors at a median follow-up of 323 days, 56% continued to have DM, and 41% regressed to normoglycemia or pre-diabetes. Stress hyperglycemia is proposed as a major physiologic mechanism. Patients may have received dexamethasone.
- Oral Nirmatrelvir for High-Risk, Nonhospitalized Adults with Covid-19. 2/16/22. Hammond J. N Engl J Med.
This industry-sponsored, phase 2-3, double-blind, randomized, controlled trial treated patients with either nirmatrelvir and ritonavir (Paxlovid, n=1039) or placebo (n=1046). Patients were symptomatic less than 5 days, unvaccinated, not hospitalized at enrollment and at high-risk. At 28 days, combined hospitalizations and deaths were 88% lower in the treated group. No deaths were reported in the treated group. Fewer serious adverse events and adverse events leading to discontinuation occurred with nirmatrelvir and ritonavir than with placebo. The most frequent adverse events occurring more often in recipients of nirmatrelvir plus ritonavir were dysgeusia, diarrhea and vomiting.
SAB Comment: This is the definitive study on the use of Paxlovid. See highlights from the NIH therapeutic guidelines for possible drug interactions.
- Protection against the Omicron Variant from Previous SARS-CoV-2 Infection. 2/9/2022. Altarawneh HN. N Engl J Med.
This research letter presents data from the relatively young population of Qatar in a case-controlled study of the relative protection of previous SARS-CoV-2 infection against reinfection, comparing 4 variants. The effectiveness of previous infection in preventing reinfection was estimated to be 90% against the alpha variant, 86% against the beta variant, 92% against the delta variant, and 56% against the omicron variant. None of the reinfections progressed to critical or fatal Covid-19. Median intervals between infection and PCR testing among controls and cases ranged from 254 to 314 days for the different variants.
- Thromboprophylaxis in Patients with COVID-19. A Brief Update to the CHEST Guideline and Expert Panel Report. 2/15/22. Moores LK. Chest.
This article updates the CHEST guidelines for thromboprophylaxis for COVID-19. Briefly, they suggest full dose anticoagulation with heparin for acutely ill hospitalized patients not in the ICU who are at high risk for deep vein thrombosis and without high risk for bleeding. The remainder of hospitalized patients should be on prophylactic doses of heparin. They do not suggest intermediate doses of heparin. These guidelines are developed using a Delphi approach. In addition, they summarize the evidence supporting these conclusions. This concise report represents the most up-to-date guidelines and is useful for clinicians.
SAB Comment: This manuscript is based upon the evidence (RCTs) that have demonstrated improved mortality and decreased need for organ support with these protocols. The authors do take into account the implementation of these guidelines.
February 28, 2022:
- ASA/APSF joint statement on elective surgery/procedures and anesthesia for patients after COVID-19 infection. 2/2/22. ASA & APSF.
Data from 2020, before vaccine availability, revealed a relative 30-day mortality risk ratio of 2.3 to 3.1 compared to normal following elective surgery performed up to 7 weeks post COVID-19. To minimize postoperative complications, the ASA/APSF recommendation is to delay elective surgery in the unvaccinated for at least 7 weeks following documented COVID-19, and potentially longer if symptoms persist. Data are inconclusive for vaccinated patients and later variants. If surgery is scheduled over 90 days after a COVID-19 diagnosis, a new preoperative PCR test is recommended. Unless new symptoms occur, preoperative PCR testing is not recommended within 90 days of COVID-19, due to the potential for persistent positive tests.
- Association of COVID-19 Acute Respiratory Distress Syndrome With Symptoms of Posttraumatic Stress Disorder in Family Members After ICU Discharge. 2/18/22. Azoulay E. JAMA.
This is a prospective 2020 cohort study in 23 French ICUs. Family members of patients with COVID-19 ARDS had a significantly higher prevalence of symptoms of posttraumatic stress disorder (PTSD), anxiety, and depression at 90 days after patients’ discharge from the ICU than family members of patients with non–COVID-19 ARDS. Three hundred and seven patients and 602 family members participated. Twenty-six percent of patients died before the relatives had the day-90 assessment, similar for patients with and without COVID-19. PTSD symptoms were significantly higher in families of patients who died from COVID-19 compared with non-COVID-19 ARDS. Non-COVID-19 ARDS and COVID-19 ARDS survivors had rates of symptoms that were not significantly different for PTSD, anxiety, or depression. Compared with family members, ICU survivors reported fewer PTSD symptoms. The discussion addresses outcome determinants.
- Early Administration of Remdesivir and Intensive Care Unit Admission in Hospitalized Pregnant Individuals With Coronavirus Disease 2019 (COVID-19). 2/8/22. Eid J. Obstet Gynecol.
A single-center, retrospective study compared outcomes in 24 pregnant patients who received remdesivir initiated less than 7 days (mean 3 days) from onset of patient-reported symptoms with 17 pregnant patients who received remdesivir initiated 7 or more days from symptom onset (mean 9 days). Patients in the early group were less likely to be admitted to the ICU (21% vs 59%), or to progress to critical disease (12% vs 41%). Additionally, those in the early group had shorter hospital stays (5 days vs 11).
SAB Comment: This result is in line with the recent NIH recommendation that includes remdesivir treatment for COVID-19 patients with elevated risk but not requiring hospitalization or supplementary oxygen. See an overview of the NIH guidelines here.
- Extracorporeal membrane oxygenation in coronavirus disease 2019: A nationwide cohort analysis of 4279 runs from Germany. 2/18/22. Friedrichson B. Eur J Anaesthesiol.
A country-wide review of ECMO used in 4,279 COVID-19 patients over an 18-month period ending September 2021 revealed an overall in-hospital mortality of 72% for VA ECMO (291/404) and 65.9% for VV ECMO (2,552/3,875). This contrasted with a previous report of 53% mortality. In those over 60 (43.2%, n=1848), hospital mortality rate was 72.7% for VA ECMO (n=172) and 77.6% for VV ECMO (n=1,301). For those under 60, mortality was 71.6% for VA ECMO (n=166) and 56.9% for VV ECMO (n=1251). Only 7.1% of 14 VV ECMO patients over 80 survived. Intracranial complications, cardiac arrest and renal failure were significant associated findings. Dialysis was associated with a 3-fold mortality. The authors conclude that, “An unconditional recommendation cannot be given for COVID-19,” particularly for those of advanced age.
- Frequency of Adverse Events in the Placebo Arms of COVID-19 Vaccine Trials: A Systematic Review and Meta-analysis. 1/18/22. Haas JW. JAMA.
The authors conducted a meta-analysis to investigate the frequency of adverse events (AEs) in placebo groups of 12 COVID-19 vaccine trials that included more than 45,000 participants, equally divided between vaccine and placebo recipients. There were significantly more systemic AEs in vaccine recipients, especially after the 2nd dose. However, about one-third of placebo recipients experienced at least one AE and the placebo arms accounted for 76% and 52% of systemic AEs after the 1st and 2nd doses respectively. These “nocebo” responses included headache, fatigue, malaise and joint pain and were similar to responses in patients receiving vaccine especially after the 1st dose. The authors suggest that informing the public about nocebo responses could decrease anxiety about vaccine side effects and vaccine hesitancy.
- Noninvasive respiratory support for COVID-19 patients: when, for whom, and how? 1/15/22. Sullivan ZP. J Intensive Care.
This is a directed review of non-invasive respiratory support (NIRS) for patients with COVID-19 based upon an extensive evaluation of its literature with and without proning (57 citations). Under the NIRS rubric the authors include high flow nasal cannula (HFNC), continuous positive airway pressure (CPAP), and non-invasive ventilation (NIV) which predominantly implies bilevel positive airway pressure (BiPAP). They discuss the rationale and evidence for NIRS in enhancing outcome, particularly avoidance of invasive mechanical ventilation (IMV), in patients with COVID-19 but also compare its use in prior pandemics (SARS, MERS, H1N1) and other forms of acute respiratory failure. They use this to generate a COVID-19 NIRS decision algorithm that includes indications, contraindications, most appropriate form of NIRS, monitoring, steps to reduce health care worker viral exposure and predictors of failure. The authors conclude that judicious use of NIRS may provide an acceptable alternative to early IMV in COVID-19 patients with mild to moderate acute respiratory failure.
SAB Comment: This is an excellent overview that provides a practical summary of the different forms of NIRS, their historic and COVID-19 evidence basis, and a coherent step-wise clinical guideline to decision-making in their application and transition to IMV. As such it provides an extremely useful resource for providers who care for hospitalized COVID-19 patients.
- Pulse oximeters’ measurements vary across ethnic groups: An observational study in patients with Covid-19 infection. 1/28/22. Crooks CJ. Eur Respir J.
This research letter from Great Britain addresses the accuracy of pulse oximetry, with regard to skin pigmentation, when oxygen saturation is low. From electronic records, 5374 arterial blood gas oxygen (ABG) saturation results were compared to pulse oximetry saturations obtained within 30 minutes of each other. The study was carried out between February 2020 and September 2021, involved 2997 patients who had suspected or confirmed SARS-CoV-2 and were not in the ICU. Ethnicity, reported as White, Black, Asian, or Mixed, was obtained from the record; the number of non-White patients was small. Pulse oximetry underestimated ABG-determined oxygen saturations greater than 95%, and overestimated low saturations. When ABG saturations were 85-89%, pulse oximetry was higher by 2.4% in Whites, 3.9% in Blacks, and 5.8% in Asians. The authors note greater pulse oximetry inaccuracy in southeast Asians as well as Blacks.
SAB Comment: The statistics here are presented as a reminder of limited accuracy of pulse oximetry, especially isolated measurements. Its value lies in providing trends with continuous monitoring.
- Respiratory mucosal delivery of next-generation COVID-19 vaccine provides robust protection against both ancestral and variant strains of SARS-CoV-2. 2/18/22. Afkhami S. Cell.
Using both a human and chimpanzee adenoviral (Ad) vectored vaccine expressing three COVID antigens (spike-1, and internal/conserved nucleocapsid, and RNA-dependent-RNA-polymerase) these investigators showed marked protection in a murine model. Single-dose intranasal was much superior to IM immunization. Tripartite protective immunity was demonstrated in local and systemic antibody responses, mucosal tissue-resident memory T cells and mucosal-trained innate immunity. Intranasal immunization protected against the ancestral strain and two variants of concern (VOC): alpha (UK) and beta (S. African). Conclusion: Intranasal mucosal delivery of this Ad-vectored multivalent vaccine is a next-generation COVID-19 vaccine strategy to induce all-around mucosal immunity against current and future VOC.
SAB Comment: This scientific tour de force used a murine model to rigorously demonstrate the superior protective effects of their trivalent vaccine administered intranasally vs. IM. Human phase 1 trials have begun comparing immune responses to both the human and chimpanzee versions after aerosol delivery to mRNA-vaccinated humans (clinicaltrials.gov: NCT05094609).
- Risks of mental health outcomes in people with covid-19: cohort study. 2/16/22. Xie Y. BMJ.
This Veterans Administration study carefully documents the mental health outcomes of 153,848 COVID-19 survivors at one year. These outcomes were compared to two control groups, contemporaneous and pre-COVID. The risks of mental health disorders was substantial and spanned several disorder categories, including anxiety, depression, stress and adjustment disorders, opioid and other substance use disorders, cognitive decline and sleep disorders. The risks were evident even among those with COVID-19 who did not require hospital admission. The authors feel that tackling mental health disorders among survivors of COVID-19 should be a priority.
SAB Comment: The authors analyzed an enormous amount of data, and presented the results in a series of graphs and tables which succinctly and clearly summarize the scope of post-COVID mental health problems. An associated opinion by the senior author cautions against dismissing these long COVID mental health problems as psychosomatic.
- SAB Comment: Although electrical impedance tomography (EIT) is not yet in widespread use, it is an established technology that provides easily repeatable non-invasive bedside organ function monitoring without radiation exposure. The following two studies demonstrate EIT’s usefulness in quantitating areas of lung collapse, dead space and perfusion, and thereby facilitate description and prediction of the benefit of interventions such as prone positioning in severe COVID-19 ARDS.
- Lung-Dependent Areas Collapse, Monitored by Electrical Impedance Tomography, May Predict the Oxygenation Response to Prone Ventilation in COVID-19 Acute Respiratory Distress Syndrome. 12/11/22. Cardinale M. Critical Care Medicine.
The authors conducted an experimental study to determine the correlation between lung-dependent area collapse calculated by electrical impedance tomography (EIT) and oxygenation response (>20% increase in PaO2/FiO2) to prone positioning. In studying 24 patients with severe COVID-19 ARDS, the authors found that dependent lung areas collapse of greater than 13.5% had a 94% positive predictive value for improved oxygenation with prone positioning. They also found a response prediction AUC of 0.94.
- Effects of Prone Position on Lung Recruitment and Ventilation-Perfusion Matching in Patients With COVID-19 Acute Respiratory Distress Syndrome: A Combined CT Scan/Electrical Impedance Tomography Study. 2/11/22. Fossali T. Critical Care Medicine.
The authors conducted an experimental study to compare the physiologic effects of supine and prone positioning in 21 patients with severe COVID-19 ARDS (C-ARDS) using computed tomography (CT) scanning and electrical impedance tomography (EIT). They observed that prone positioning induced net alveolar recruitment (dorsal recruitment > ventral derecruitment) without change in compliance. This and other observations suggested that prone positioning decreased the potential for atelectrauma. EIT indicated a decrease in ventral dead space and improved ventilation-perfusion matching. The authors conclude that these physiologic responses may be associated with enhanced protective lung ventilation during prone positioning.
- Lung-Dependent Areas Collapse, Monitored by Electrical Impedance Tomography, May Predict the Oxygenation Response to Prone Ventilation in COVID-19 Acute Respiratory Distress Syndrome. 12/11/22. Cardinale M. Critical Care Medicine.
- Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update: A multidisciplinary consensus statement on behalf of the Association of Anaesthetists, Centre for Perioperative Care, Federation of Surgical Specialty Associations, Royal College of Anaesthetists, Royal College of Surgeons of England. 2/23/22. El-Boghdadly K. Anaesthesia.
This multidisciplinary update of the guidelines for surgery after SARS-CoV-2 infection comes from several United Kingdom medical organizations, focusing on the Omicron variant. The authors emphasize there is no data yet available regarding surgery after Omicron, and the previous need to wait 7 weeks to avoid any increase in risk stands. Avoiding surgery during active infection, vaccination, preoperative prevention measures, exercise, and hospital prevention measures are emphasized. Risk assessment with a tool such as Surgical Outcome Risk Tool v2 (SORT-2) is recommended along with an instructive example of how to calculate individual patient risk. The possibility that use of local or regional anesthesia may lower risk compared with general anesthesia is also discussed.
- Waning 2-Dose and 3-Dose Effectiveness of mRNA Vaccines Against COVID-19–Associated Emergency Department and Urgent Care Encounters and Hospitalizations Among Adults During Periods of Delta and Omicron Variant Predominance — VISION Network, 10 States, August 2021–January 2022. 2/11/22. Ferdinands J. MMWR Morb Mortal Wkly Rep.
This CDC study examines mRNA vaccine effectiveness (VE) in 241,204 emergency department/urgent care (ED/UC) encounters and 93,408 hospitalizations across 10 states between August 26, 2021 and January 22, 2022. During both the Delta and Omicron periods, vaccine effectiveness (VE after receipt of a third dose was always higher than VE following a second dose; however, VE waned with increasing time since vaccination. During the Omicron-predominant period, mRNA vaccination was highly effective against the occurrence of both emergency department/urgent care (ED/UC) encounters (VE = 87%) and hospitalizations (VE=91%) within 2 months after a third dose, but effectiveness declined to 66% for prevention of ED/UC encounters by the 4th month, and 78% for hospitalizations.
SAB Comment: This study shows VE after a third dose of mRNA vaccine is excellent against Omicron, though it does wane somewhat with time. The takeaway is that all persons should stay up to date with recommended vaccinations.
February 14, 2022:
- Anxiety, worry, and job satisfaction: effects of COVID-19 care on critical care anesthesiologists. 1/13/22. Siddiqui S. Can J Anaesth.
This correspondence describes the psychological impact of the COVID-19 pandemic on intensivists in late 2020. An online survey was sent to 1,400 mostly American intensivists, 21% of whom responded. Analysis of the results indicate that the COVID-19 pandemic is associated with a high incidence of generalized anxiety disorder (42%) and an increased sense of burnout among critical care anesthesiologists, particularly in females (73%) and younger physicians. This is balanced by enhanced job satisfaction and a sense of being respected and valued for contributions during the pandemic. Seventy-five percent felt that institutional wellness resources were unhelpful.
- Association of Convalescent Plasma Treatment With Clinical Status in Patients Hospitalized With COVID-19: A Meta-analysis. 1/25/2022. Troxel AB. JAMA Netw Open.
This meta-analysis examined 8 international RCTs that collectively enrolled 2369 participants and randomized patients with COVID-19 to treatment with convalescent plasma. The data did not demonstrate a benefit (in terms of respiratory support or mortality) which is consistent with prior data. However, the methodology that was used was somewhat unique using real-time individual patient data pooling from all 8 studies. The techniques that are described offer a blueprint for future trials.
- Challenges for the Beleaguered Health Care Workforce During COVID-19. 1/27/22. Cutler DM. JAMA Forum.
This is a brief review of the COVID-19 pandemic-induced challenges to the health care workforce that have culminated in burnout and widespread job resignation. The latter has been particularly prevalent in low-wage occupations such as health aides and licensed practical nurses in home health care and nursing homes. Simultaneous increase or steady health care worker demand in the face of falling supply has resulted in wage increases, but still leaves hospitals and health care workers stressed because of inadequate patient coverage and stalled throughput. The author recommends strategies to reduce burnout, including vaccine mandates, continued reimbursement for telehealth, and billing simplification.
- Coronavirus Disease 2019 Temperature Trajectories Correlate With Hyperinflammatory and Hypercoagulable Subphenotypes. 1/31/22. Bhavani SV. Crit Care Med.
This is a fascinating study of 5,903 COVID-19 patients classified by a validated group-based trajectory model using oral temperatures measured during 72 hours following hospital admission and dividing the patients into 4 distinct subphenotypes: hyperthermic slow (25%) and fast (25%) resolvers; normothermic (36%) and hypothermic (15%). Clinical characteristics, biomarkers, and outcomes were compared between subphenotypes. Hypothermics had abnormal coagulation markers, suggesting a hypercoagulable subphenotype. Hyperthermic slow resolvers had elevated inflammatory markers and the highest odds of mortality, suggesting a hyperinflammatory subphenotype at high risk for respiratory failure, shock, and mortality. Authors suggest future work should investigate whether temperature trajectory subphenotypes have differential responses to treatment. Excellent figures and discussion complement the manuscript.
- Corticosteroids as risk factor for COVID-19-associated pulmonary aspergillosis in intensive care patients. 1/29/2022. Leistner R. Crit Care.
Of the 522 COVID-19 patients treated in this group of German hospitals from March 15 to December 31, 2020, the 47 patients (9%) who had possible or proven Covid associated pulmonary aspergillosis (CAPA) were compared with 168 matched non-CAPA ICU patients. Dexamethasone was adopted as standard therapy in July 2020. The multivariable analysis showed dexamethasone (OR 3.1, CI95 1.1–8.7) and simplified acute physiology score (OR 1.1, CI95 1.03–1.1) to be independent risk factors for CAPA.
- COVID-19 Incidence and Death Rates Among Unvaccinated and Fully Vaccinated Adults with and Without Booster Doses During Periods of Delta and Omicron Variant Emergence – 25 U.S. Jurisdictions, April 4-December 25, 2021. 1/27/22. Johnson AG. Morb Mortal Wkly Rep.
In an effort to determine the effectiveness of vaccination and booster shots during the Delta and Omicron surges, the CDC analyzed data from nearly 7 million COVID-19 cases from April through December 2021. Decreases in case incidence rate ratios for unvaccinated vs. fully vaccinated persons with and without booster vaccine doses were observed when the Omicron variant emerged in December 2021. Protection against infection and death during the Delta-predominant period and against infection during Omicron emergence were higher among booster vaccine dose recipients, especially among persons aged 50 and older. COVID-19 vaccination protected against SARS-CoV-2 infection, even as the Omicron variant became prominent.
SAB Comment: This statistically intricate paper is well summarized by the two graphs of cases and deaths, clearly showing the value of vaccination and boosters, including during the Omicron surge.
- Long-term cardiovascular outcomes of COVID-19. 2/8/22. Xie Y. Nat Med.
In this Veteran’s Administration database study, COVID-19 survivors who survived 30 days or more after their first positive test, exhibited increased risks and 12-month burdens of cardiovascular diseases, including cerebrovascular disorders, dysrhythmias, inflammatory heart disease, ischemic heart disease, heart failure, thromboembolic disease and other cardiac disorders. Two key findings: (1) the risks and associated burdens were evident among those who were not hospitalized during the acute phase of the disease; (2) complications and associated burdens were correlated with the severity of the acute phase of COVID-19. This finding suggests that care pathways of people who survived the acute episode of COVID-19 should include attention to cardiovascular health and disease. Excellent description of methods accompanied by helpful tables.
SAB Comment: This VA study has important implications for the risk of perioperative major adverse cardiac events (MACE) in COVID-19 survivors. In comparing more than 150k COVID-19 survivors with more than 11 million controls, the risk of post-acute cardiovascular manifestations was significantly higher in patients who had an ICU admission or were hospitalized than for those who were not hospitalized. These factors should be taken into consideration in the preoperative cardiovascular workup of COVID-19 survivors subsequently presenting for moderate or high-risk surgery.
- Mental health symptoms in family members of COVID-19 ICU survivors 3 and 12 months after ICU admission: a multicentre prospective cohort study. 2/1/22. Heesakkers H. Intensive Care Med.
To better understand the impact of a COVID-19 intensive care unit (ICU) admission on family members, this prospective cohort study from ICUs in 10 Dutch hospitals followed 197 family members of surviving ICU COVID-19 patients. Questionnaires were completed by family members at enrollment, 3 months and 12 months. Thirty-eight percent experienced at least one mental health symptom (anxiety, depression, or posttraumatic stress disorder) and 23% experienced two or more mental health symptoms, all significantly higher than baseline. Additionally, family members experienced a reduction in quality of life and an impaired work status. Clinicians, including non-ICU clinicians (e.g., general practitioners), should be aware of the high prevalence of mental health problems among family members of COVID-19 ICU patients, especially in family members with mental health symptoms prior to ICU admission.
- Neutralization of SARS-CoV-2 Omicron by BNT162b2 mRNA vaccine-elicited human sera. 1/18/2022. Muik A. Science.
In this industry sponsored study, neutralizing capacity of sera of 51 participants who had received 2 or 3 doses of the Pfizer-BNT vaccine was measured using Wuhan, Beta, Delta, and Omicron pseudoviruses. 21 days following 2 doses, sera had >22-fold reduced neutralizing titers against Omicron compared to Wuhan pseudovirus. One month after the 3rd dose, Omicron-neutralizing titers were increased 23-fold compared to two doses (titers similar to Wuhan-neutralizing titers after 2 doses). The findings were confirmed using live SARS-CoV-2 and a subset of participant sera. These lab data suggest that 3 doses of BNT162b2 may provide superior protection against Omicron-mediated COVID-19 than 2 doses.
- Prevalence and Risk Factors of Neurologic Manifestations in Hospitalized Children Diagnosed with Acute SARS-CoV-2 or MIS-C. 12/28/21. Fink EL. Pediatric Neurology.
An established consortium found that of the 1,278 SARS-CoV-2 hospitalized children internationally, 40% suffered neurologic manifestations. Findings in this data dense study concluded that headaches were the most common symptom, yet encephalopathy and seizures were significant. Pre-existing neurologic illness increased the risk 3.48-fold. Metabolic illness also increased risk. Delirium and psychosis were rare. Most children were discharged home; death occurred in 1% of the children.
- Risk factors and abnormal cerebrospinal fluid associate with cognitive symptoms after mild COVID-19. 1/19/22. Apple AC. Annals of Clinical Trans Neuro.
US investigators studied cognitive postacute sequelae of SARS-CoV-2 (PASC) after mild COVID in patients who reported (n=22) and did not report (n=10) symptoms using structured interviews, neuropsychological testing, and optional cerebrospinal fluid (CSF) evaluations (53%). Those with cognitive symptoms frequently had delayed onset (43%), a higher number of pre-existing cognitive risk factors (2.5 vs. 0; p=0.03) and abnormal CSF findings (77% vs. 0%; p=0.01) versus controls. Cognitive risk factors and immunologic mechanisms may contribute to cognitive PASC pathogenesis. All participants were enrolled in the Long-term Impact of Infection with Novel Coronavirus (LIINC) study (NCT04362150). Further study is recommended.
SAB Comment: Although a very small study, the findings may point toward areas for future investigation. Abnormal oligoclonal banding patterns were identified in 69% (9/13) of CSF samples from participants with cognitive PASC compared to 0% of cognitive controls (p=0.03). Objective testing of cognitive function by HAND criteria correlated poorly with symptoms, raising many questions regarding subjective vs. objective criteria for cognitive function.
- Safety and immunogenicity of a high-dose quadrivalent influenza vaccine administered concomitantly with a third dose of the mRNA-1273 SARS-CoV-2 vaccine in adults aged ≥65 years: a phase 2, randomised, open-label study. 2/1/22. Izikson R. Lancet Respir Med.
These are interim results of an ongoing phase-2 industry-supported trial looking for vaccine reactogenicity in adults older than 65 years up to 21 days after receiving a Moderna mRNA-1273 booster alone, a high-dose quadrivalent flu shot alone, or coadministration of both (around 100 patients each). All had completed a 2-dose mRNA vaccination scheduled at least 5 months previously. Reactiogenicity profiles were similar between the coadministration and mRNA-1273 alone groups, with lower reactogenicity rates after the flu shot alone. No safety issues or immune interference were observed.
- Striking Antibody Evasion Manifested by the Omicron Variant of SARS-CoV-2. 1/11/22. Liu L. Nature.
The US and Hong Kong authors of this paper conclude that “the Omicron variant presents a serious threat to many existing COVID-19 vaccines and therapies, compelling the development of new interventions that anticipate the evolutionary trajectory of SARS-CoV-2”. They present data on the severely reduced neutralizing capacity of 17 of the 19 monoclonal antibodies tested and sera from convalescent patients from first wave cases (n=10), and fully vaccinated and boosted individuals following Pfizer (n=13), Moderna (n=12), Johnson & Johnson (n=9), and AstraZeneca (n=5) vaccines. Data and discussion regarding specific B.1.1.529 (Omicron) mutations are included in this short report.
- The emergence of COVID-19 associated mucormycosis: a review of cases from 18 countries. 1/31/2022. Hoenigl M. Lancet Microbe.
This international review of COVID-19-associated mucormycosis analyzed 80 published and unpublished cases. As with non-Covid-related mucor, diabetes, hyperglycemia, systemic corticosteroids, and immunosuppression are the most common predisposing conditions. Most patients presented with rhino-orbital disease. Overall mortality was 49% but pulmonary, cerebral, and disseminated involvement had a particularly poor prognosis and would require ICU care. Survivors frequently had life-changing morbidities (e.g., loss of vision in 46%). Aspergillus co-infection was found in 11%. New molecular (PCR) tests are increasingly available, but culture is required for determination of anti-fungal sensitivities. Amphotericin B +/- azoles +/- surgical intervention for rhino-orbital disease were usual treatments.
- The Impact of the COVID-19 Pandemic on Mental Health, Occupational Functioning, and Professional Retention Among Health Care Workers and First Responders. 12/16/21. Hendrickson RC. Journal of General Intern Med.
The authors conducted an observational survey of 510 US health care workers and first responders at a single time-point between September 2020 and February 2021. The goal was to examine the relationships between COVID-19 occupational stressors and symptoms of posttraumatic stress disorder (PTSD), depression (and suicidality), insomnia and anxiety as well as functional impairment and likelihood to leave the current profession. Stressors included factors related to volume (intensity of patient suffering, long hours), demoralization (futile care, lack of personal protective equipment, inadequate support) and risk (to oneself or family). There was a direct relationship between the intensity of stressors (especially demoralization) and psychiatric symptoms (especially PTSD). Both were more intense in nurses than physicians and in emergency medical services than firefighters or police. More than half the health care workers reported that working in the pandemic decreased their likelihood of remaining in their current field. Based upon their data the authors suggest a number of strategies that could mitigate stressors, especially those related to demoralization.
January 31, 2022:
- Cannabidiol inhibits SARS-CoV-2 replication through induction of the host ER stress and innate immune responses. 1/20/22. Nguyen L. Science Advances.
The authors report that cannabidiol (CBD) and its metabolite 7-OH-CBD, but not THC or other congeneric cannabinoids tested, potently block SARS-CoV-2 replication in in-vitro human lung epithelial cells and in mouse nasal turbinates and lung tissue. In matched groups of human patients from the National COVID Cohort Collaborative, CBD treatment for seizures (100 mg/ml oral solution) had a significant negative association with positive SARS-CoV-2 tests. This study highlights CBD as a potential preventative agent for early-stage SARS-CoV-2 infection and merits future clinical trials. The authors caution against use of nonmedical formulations including edibles, inhalants or topicals as a preventative or treatment therapy at the present time.
- Cardiac Dysfunction and Arrhythmias 3 Months After Hospitalization for COVID-19. 1/20/22. Ingul CB. J Am Heart Assoc.
In this data-rich Norwegian study of 204 hospitalized COVID-19 survivors and 204 matched controls the authors conclude: “At 3 months after COVID‐19 hospitalization, patients had mildly impaired RV (right ventricular) function, reduced diastolic function, and mainly preserved left ventricular function compared with matched controls. Premature ventricular contractions and nonsustained ventricular tachycardia were common, but the relation to COVID‐19 is unknown. Patients treated in an ICU had similar cardiac function as those not admitted to an ICU. Persistent dyspnea or fatigue were not found to be associated with cardiac function.”
- Multiple Early Factors Anticipate Post-Acute COVID-19 Sequelae. 1/19/22. Su Y. Cell.
These numerous authors present an extensively detailed, longitudinal profiling of 209 COVID-19 patients representing a broad spectrum of acute infection severities along with 457 healthy controls. Patients were studied at clinical diagnosis, during acute disease, and 2-3 months after onset of initial symptoms. Four features present at diagnosis (pre-existing type 2 diabetes, assessments of SARS-CoV-2 RNAemia, EBV viremia, and autoantibodies) predicted the likelihood of Post-Acute Sequelae of COVID-19 (PASC), a syndrome defined by the CDC as a range of new, returning, or ongoing health problems that people can experience four or more weeks following initial SARS-CoV-2 infection (called “Long COVID” by some). The authors note that each of the features associated with PASC in the study can be treated.
SAB Comment: This study demonstrates a statistical association between the 4 features noted and the persistence of symptoms 2-3 months later, but the authors don’t claim to show a causal relationship or predict a response to treatment. They don’t attempt to distinguish these associations from those related to intensive care hospitalization or predict the persistence of the symptoms longer than 2-3 months.
- One-Year Multidisciplinary Follow-Up of Patients With COVID-19 Requiring Invasive Mechanical Ventilation. 1/2/2022. Zangrillo A. J Cardiothorac Vasc Anesth.
This observational study from a tertiary care facility in Italy provides 12 month follow up data for 61 survivors of COVID-19 requiring invasive mechanical ventilation, who were hospitalized between 2/25/20 and 4/27/20. Median age was 56, 89% were male, none died, and none were lost to follow up. At 12 months, the patients were offered CT exams of the chest and were administered multiple assessments via telephone. They reported good functional recovery (80%), no DOE (90%), severe anxiety or depression (8%), and not working due to disease (11%). Compared to follow up at 2 months, dyspnea, working status and nutrition had improved; cognitive status, functional ambulation, and psychological well being had not changed. Compared to 3 month CT, median residual lung damage had improved from 17.3% to 7.6%, and total lung volume increased 925 cc. Further results are presented.
- SARS-CoV-2 breakthrough infections elicit potent, broad and durable neutralizing antibody responses. 1/20/2022. Walls A. Cell.
It is unknown if Covid infection after vaccination (“breakthrough infection”) elicits durable and protective antibody responses. The antibody responses in subjects infected/unvaccinated (primarily delta) or receiving only “2-shot” vaccination were compared with “3-shot” vaccinated, previously infected/then vaccinated or “breakthroughs”. Compared to infected only, or “2-shot” vaccination, the other three groups had serum binding and neutralizing antibodies markedly more potent, durable, and resilient to variant spike mutations. Conclusion: increasing exposures to SARS-CoV-2 antigen(s) (either infection or vaccination) enhance the quantity and quality of antibody responses.
January 24, 2022:
- Ancestral SARS-CoV-2-specific T cells cross-recognize the Omicron variant. 1/18/22. Gao Y. Nat Med.
In some cases, Omicron, despite escaping antibodies, does not lead to severe disease. These investigators examined Omicron spike-specific CD4+ and CD8+ T cell responses induced by prior infection or BNT162b2 (Pfizer) vaccination. Spike-specific CD4+ T cells that cross-recognized Omicron in previously infected or BNT162b2-vaccinated individuals were 84% and 91%, respectively, and for CD8+ T cells were 70% and 92%. The CD4+ and CD8+ T cells were functionally and phenotypically similar in response to the ancestral strain or Omicron. These data indicate that established SARS-CoV-2 spike-specific CD4+ and CD8+ T cell responses, especially after BNT162b2 vaccination, remain largely intact against Omicron.
- Antiplatelet Therapy in Patients With COVID-19-More Is Less? 1/18/22. Spaetgens B. JAMA.
This editorial reviews a multinational prospective trial that randomized 562 non-ICU selected patients with COVID-19 to 1) therapeutic heparin or 2) therapeutic heparin with a P2Y12 inhibitor (ticagrelor 63%, clopidogrel 37%). The number of days free of respiratory or cardiovascular organ support, incidence of death in the hospital, and bleeding complications were the same between the two groups.
These data suggest no additional benefits with the use of P2Y12 inhibitors in the face of full therapeutic anticoagulation for non-ICU patients with COVID-19. These data are consistent with prior data failing to demonstrate benefit of the use of aspirin in COVID-19 patients.
SAB Comment: The trial started on February 26, 2021 but was discontinued due to futility 4 months later.
- Debulking SARS-CoV-2 in saliva using angiotensin converting enzyme 2 in chewing gum to decrease oral virus transmission and infection. 11/10/21. Daniell H. Molecular Therapy.
This study describes the development of a chewing gum containing virus-trapping proteins expressly designed to minimize oral virus transmission or reinfection. Salivary glands are primary sites of SARS-CoV-2 replication and saliva from symptomatic or asymptomatic COVID-19 patients contains a viral load proportionate to the severity of symptoms. Contagious airborne droplets are the major form of transmission of the virus, which utilizes ACE2 receptors to enter cells. The authors incorporated biomass plant-created cholera toxin B(CTB)-ACE2 powder into flavored chewing gum and tested its ability in vitro to bind to viral spike proteins, debulk virus from saliva and thus potentially reduce oral transmission. Incubation of CTB-ACE2 microparticles with infected saliva reduced SARS-CoV-2 virus count by >95%. Since the mechanism utilizes the ACE2 receptor rather than blocking specific viral antigens, it has the potential to be effective regardless of the variant genome.
SAB Comment: This is a remarkably novel approach to the amelioration of viral transmission that if proven to be beneficial in vivo could have dramatic effects on COVID-19 contagion. It also creates the potential of allowing millions to chew gum and walk at the same time.
- Early Remdesivir to Prevent Progression to Severe Covid-19 in Outpatients. 12/22/21. Gottlieb RL. N Engl J Med.
In this randomized, double-blinded, placebo controlled trial of 3 doses of Remdesivir (N=279 vs. placebo N=283), COVID-19 patients, ages 50+, with symptoms and one co-morbidity were studied. Remdesivir had a 87% lower risk of COVID-19–related hospitalization or death and 81% lower risk of medical visits compared to the placebo at day 28. The drug is considered to be safe in the outpatient setting. This group included patients that were unvaccinated and not on oxygen before the emergence of the Delta variant.
- Molnupiravir for Oral Treatment of Covid-19 in Nonhospitalized Patients. 12/16/2021. Jayk Bernal A. N Engl J Med.
1433 unvaccinated patients with mild/moderate COVID-19 for less than 5 days, and at least one risk factor for severe illness were enrolled in this multicenter phase 3 random double blind placebo controlled study of molnupiravir from 5/6-11/4/21. Patients received placebo or 800 mg twice daily for 5 days, with a primary outcome of hospitalization or death at 29 days. The study was stopped based on a favorable interim analysis, (7.3% molnupiravir vs 14.1% placebo) but, by the time the stop decision was made, enrollment was almost complete. The final results were less favorable (6.8% molnupiravir vs 9.7% placebo). Multiple analyses of subgroups are presented and possible reasons for the difference between the interim and final results are presented.
- Myocarditis and Pericarditis After Vaccination for COVID-19. 8/4/21. Diaz GA. JAMA.
This is a report on postvaccination myocarditis or pericarditis derived from data from 40 hospitals in the Providence healthcare system based in 4 states (WA, OR, MT and CA). Out of more than 2 million individuals receiving at least one vaccination (97% Pfizer or Moderna), there were 20 cases of myocarditis and 37 of pericarditis, a rate of 1.0 and 1.8 per 100k vaccinations, respectively. These represented two distinct self-limited syndromes. Myocarditis patients were mostly young (median age 36 years), male, developing symptoms 3-10 days after the second vaccination. Nineteen of 20 were admitted to hospital and all were discharged after a median of 2 days. All patients had symptom resolution or improvement within 5-40 days of onset. Pericarditis patients were also mostly male, but older (median age 59 years) with more comorbidity, developing symptoms 6-41 days after the first or second vaccination. About half (19/37) required hospital admission with a median stay of 1 day. A minority of both groups required cardiovascular therapy in addition to anti-inflammatory medications.
SAB Comment: This US-based report emphasizes that myocarditis and pericarditis are extremely rare, distinct entities occurring in different age groups, that are self-limited with a benign outcome. This risk should be compared with the risk of developing cardiovascular complications in unvaccinated patients with severe COVID-19.
- Perioperative Cardiovascular Considerations Prior to Elective Noncardiac Surgery in Patients With a History of COVID-19. 1/12/22. Rohatgi N. JAMA Surg.
Risk evaluation for patients with preoperative cardiac risk factors for noncardiac surgery is standard anesthesiology practice. COVID-19 is associated with cardiovascular complications including but not limited to myocardial injury, dysrhythmias, and thromboembolism. Following symptomatic recovery, optimal timing for elective surgery is discussed with data supporting a seven-week delay. Standard clinical practice guidelines can be applied to COVID-19 patients with clinical appreciation for disease severity in individual cases. A valuable table is included for reference.
SAB Comment: This opinion piece is timely given the current impact of the Omicron surge, high hospital occupancy and healthcare staff shortages on elective noncardiac surgery. However, its value may lie in stimulating discussion rather than providing a strict guideline. We have insufficient data on postacute cardiovascular manifestations and long COVID after Omicron. In a real-world situation, optimal timing of elective noncardiac surgery may depend on the interaction of institutional constraints, appropriate cardiovascular assessment and the relative “electiveness” of surgery, rather than a fixed delay.
- Prone Position in Coronavirus Disease 2019 and Noncoronavirus Disease 2019 Acute Respiratory Distress Syndrome: An International Multicenter Observational Comparative Study. 9/24/21. Camporota L. Critical Care Medicine.
This is a retrospective observational multicenter study from seven ICUs in Italy, the UK and France that compared the response to prone positioning between patients with COVID-19 ARDS (n = 220) and non-COVID-19 ARDS (n = 156). Immediately before proning COVID-19 ARDS patients were more hypoxemic but had greater lung compliance than non-COVID-19 ARDS. A positive response to proning, defined by an increase ≥ 20 mmHg in PaO2/FiO2, occurred in nearly 80% of both groups and was greater the lower the initial PaO2/FiO2, and the earlier proning was commenced after intubation. Overall ICU mortality was 45%, with no significant difference between groups, but improved survival was independently associated with younger age, earlier proning and the oxygenation response to the intervention.
SAB Comment: Although this is a retrospective observational study, its strength is that it does not (again) attempt to establish whether proning is better than non-proning. Instead it explores the difference in response to proning between COVID-19 and non-COVID-19 ARDS patients, and finds that they are equivalent and that early intervention is beneficial in both groups. The COVID-19 patients were from the early pandemic (February-May 2020) so the study does not take into account the potential mortality benefit of steroid therapy that became evidence-based later in 2020.
January 10, 2022:
- SAB Comment: The IARS COVID-19 SAB recommends to readers the following group of opinion articles recently published in JAMA written by several members of a pandemic scientific advisory board that counseled President Biden during his transition. We provide these links not as an IARS SAB endorsement of the views expressed, but to encourage readers to review this reflective and forward-looking discussion at the two-year mark of the COVID-19 pandemic and during the current Omicron variant surge.
- The Pandemic Preparedness Program: Reimagining Public Health. 1/6/22. Adashi EY. JAMA.
- A National Strategy for COVID-19: Testing, Surveillance, and Mitigation Strategies. 1/6/22. Michaels D. JAMA.
- A National Strategy for COVID-19 Medical Countermeasures: Vaccines and Therapeutics. 1/6/22. Borio LL. JAMA.
- A National Strategy for the “New Normal” of Life With COVID. 1/6/22. Emanuel EJ. JAMA.
- The First 2 Years of COVID-19: Lessons to Improve Preparedness for the Next Pandemic. 1/6/22. Nuzzo JB. JAMA.
- An infectious SARS-CoV-2 B.1.1.529 Omicron virus escapes neutralization by therapeutic monoclonal antibodies. 1/4/22. VanBlargan L. Res Sq.
This invitro study compares the ability of existing monoclonal antibodies to SARS-CoV-2 (mAb) to neutralize B1.1.529 (Omicron) versus a COVID-19 variant previously studied by the authors and known to be susceptible to mAb. Structural models were used to compare the Omicron spike to the various mAb structures. Using Vero cells, the focus reduction neutralization test demonstrated that the Regeneron, Lilly, and Celltrion mAbs completely lost the ability to neutralize Omicron. The effectiveness of AstraZeneca monoclonal antibodies was reduced 12 fold. S309 (the parent of sotrovimab) was affected least, but was less potent with cells expressing hACE2.
- Characteristics and Outcomes of Hospitalized Patients in South Africa During the COVID-19 Omicron Wave Compared With Previous Waves. 12/30/21. Maslo C. JAMA Netw Open.
This report is from the South African Netcare health system representing 49 acute care hospitals. The authors compared outcomes of 17,200 patients evaluated across four COVID-19 waves (ancestral, Beta, Delta and Omicron variants). Compared with the previous waves, the Omicron wave demonstrated a decreased incidence of hospital admission (41.3 v 68-69%) despite only 24.2% of patients known to be vaccinated. Patients were younger (median 36 years v 59 years with Delta), more likely to be female and less likely to have comorbidities. Compared to the Delta wave, the proportion of admitted patients presenting with an acute respiratory condition (31.6 v 91.2%), requiring oxygen therapy (17.6 v 74%), ICU admission (18.5 v 29.9%) and mechanical ventilation (1.6 v 12.4%) was significantly less during the Omicron than the Delta wave. Median length of stay (3 v 9 days) and hospital mortality (2.7 v 29.1%) were also significantly lower. The authors acknowledge the absence of genotyping (but 95% of variants were Omicron at the time of study) and varying public health restrictions during different waves.
SAB Comment: This is one of a number of databases, and one of the very first peer-reviewed publications, suggesting that the Omicron wave is associated with less severe illness, hospitalization and death. At present it is not clear whether this difference results from enhanced acquired or natural population immunity or innately lower Omicron variant pathogenicity. It is also important to recognize that surge patterns in one country are not directly applicable to another.
- Decreased severity of disease during the first global omicron variant covid-19 outbreak in a large hospital in tshwane, south africa. 12/31/21. Abdullah F. Int J Infect Dis.
This retrospective cohort study compared 466 SARS-CoV-2 PCR+ inpatients since 11/14/21 to 3976 PCR+ inpatients during pre-Omicron waves. Deaths and ICU admissions were 4.5% vs. 21.3% (p<0.00001), and 1% vs. 4.3% (p<0.00001); length of stay was 4 vs. ~9 days; and mean age was 39 years during Omicron wave vs. 49 years for previous waves. Admissions peaked and declined rapidly with peak bed occupancy at 51% of highest previous peak. Only 1/3 of patients had COVID-19 pneumonia (45% on oxygen vs. 99% previously). Nearly 2/3 of positive PCR results were incidental to admission for other illnesses.
- Efficacy and Safety of NVX-CoV2373 in Adults in the United States and Mexico. 12/15/2021. Dunkle LM. N Engl J Med.
The results of this industry-funded, phase 3 trial of NVX-CoV2373 (Novavax) conducted from 12/27/2020-2/18/2021 in 29,582 volunteers in Mexico and the US are presented. Priority access was given to high risk and diverse persons in this randomized, placebo controlled trial, with a second dose after 21 days. The primary outcome was the incidence of a positive PCR 7 days after the second dose over 3 months (14 of 19714 vaccine and 63 of 9868 placebo recipients), representing a 90.4% efficacy. The vaccine was effective against variants of that period. After 3 months, a crossover procedure permitted vaccination for all, and the study continues for durability and safety.
- Immunogenicity, safety, and reactogenicity of heterologous COVID-19 primary vaccination incorporating mRNA, viral-vector, and protein-adjuvant vaccines in the UK (Com-COV2): a single-blind, randomised, phase 2, non-inferiority trial. 12/9/2021. Stuart ASV. Lancet.
This data-rich British study of mixed vaccine dosing is most relevant to unvaccinated populations. Subjects, aged 50-75, were randomized to receive an initial dose of either AstraZeneca (AZ) (n=540) or Pfizer (n=532) vaccine. 8-12 weeks later all were randomized 1:1:1 to receive a second dose; same as prime, Moderna, or Novovax. 28 days later, serology revealed differences in antibody titers to the S-protein, and T-cell immunity (assessed in 60%). Results are complex. Highest antibody to S-protein followed Pfizer/Moderna, AZ/Moderna, Pfizer/Pfizer, however those receiving AZ/Novovax had evidence of most robust cellular immunity. Pfizer/AZ did not meet the criteria for non-inferiority to Pfizer/Pfizer however was still superior to AZ/AZ. An editorial further discusses results and implications.
- Neutralization of SARS-CoV-2 Omicron variant by sera from BNT162b2 or Coronavac vaccine recipients. 12/16/2021. Lu L. Clin Infect Dis.
A live virus microneutralization assay was used to evaluate the sera of 25 BNT162b2 and 25 Coronavac recipients against two SARS-CoV-2 omicron variants, (HKU691, and HKU344-R346K) as well as ancestral, beta and delta variants. Sera were obtained 56 days after the first dose of the vaccine. None of the Coronavac recipients had neutralizing antibodies to omicron, whereas 20-24% of BNT recipients did. The geometric mean neutralizing titers of BND recipients against omicron were 36 to 40% reduced from those to the ancestral strain.
- Post-ICU Syndrome in a Cohort of COVID-19 Survivors in New York City. 12/22/2021. Weidman K. Ann Am Thorac Soc.
Post intensive Care Syndrome (PICS) is a recognized sequelae of critical illness requiring ICU admission. Specific consequences following COVID admissions requring mechanical ventilation and prolonged stays are unknown. Retrospective cohort study of patients attending an ICU recovery clinic compared with non- attending matched group. Overall PICS prevalence 90% with depressive illness (28%), anxiey (21%), post traumatic stress disorder (PTSD/13%), and cognitive impairment (25%) reported among attendees. Similar results seen in non-attendees. No associations found with ICU LOS, benzodiazepine, steroids or paralytic use. Prevalence of PICS suggests importance of careful follow up post discharge. Non-attendees more likely discharged to SNF’s receiving followup care.
- Real-World Effectiveness Of Remdesivir In Adults Hospitalized With Covid-19: A Retrospective, Multicenter Comparative Effectiveness Study. 12/15/21. Garibaldi BT. Clin Infect Dis.
This is a large population study (98,000 patients, 160 hospitals across 21 states), examining the still disputed clinical effectiveness of remdesivir. Compared to matched controls, remdesivir was associated with a statistically significant increase in the likelihood of clinical improvement and survival beyond 28 days in patients on no or low-flow oxygen. Of 36,656 matched individuals, 74.0% who received remdesivir and 68.3% of controls achieved clinical improvement before 28 days with a median time to clinical improvement of 7 days (IQR 5,19) in the remdesivir recipients and 9 days (IQR 5,28) for controls. Results are consistent with the outcome of the ACTT-1 trial and underscore the role of remdesivir in patients with mild respiratory symptoms and its failure to improve advanced disease.
- Reduced neutralisation of SARS-CoV-2 omicron B.1.1.529 variant by post-immunisation serum. 12/23/2021. Dejnirattisai W. Lancet.
This research letter from the UK presents preliminary data on live virus neutralization by sera from individuals fully vaccinated with either the AstraZeneca (n=22) or Pfizer (n=21) vaccines comparing neutralization of Omicron with Delta and 2 other previous variants. Pfizer provided better protection against Omicron than AZ however protection from either vaccine was far lower than against Delta. This information may inform booster strategies and the development of future monovalent or multivalent vaccines.
- Rivaroxaban versus no anticoagulation for post-discharge thromboprophylaxis after hospitalisation for COVID-19 (MICHELLE): an open-label, multicentre, randomised, controlled trial. 12/18/21. Ramacciotti E. Lancet.
This trial from Brazil randomized 320 patients to receive post-hospital discharge prophylactic rivaroxaban or no anticoagulation (from Oct 8, 2020, to June 29, 2021). 165 patients (52%) had been in intensive care. Patients underwent bilateral lower-limb venous ultrasound and CT pulmonary angiogram at day 35. Rivaroxaban was associated with decreased rates of 1) symptomatic and fatal VTE 0.6% vs. 5% and 2) composite of symptomatic VTE, myocardial infarction, stroke, and cardiovascular death (0.6% vs. 5.6%). Furthermore, the magnitude of events was also decreased (more events were asymptomatic in the anticoagulant group than in the control group). This is the first trial demonstrating benefit of post-discharge prophylaxis.
December 20, 2021:
- Bleeding Complications in Patients With Perioperative COVID-19 Infection Undergoing Cardiac Surgery: A Single-Center Matched Case-Control Study. 12/15/21. Chiariello GA. J Cardiothorac Vasc Anesth.
The purpose of this study was to investigate a possible significant correlation between perioperative COVID-19 infection and hemorrhagic complications compared to non-COVID-19 patients who underwent on-pump, open-heart cardiac surgery from February 2020 to March 2021. Among them, 23 consecutive patients had perioperative diagnoses of COVID-19 infection (study group). These patients were compared with 46 corresponding matched controls (control group). The study group demonstrated markedly higher bleeding complications in the short and long term. In the study group, patients showed a significantly higher incidence of bleeding complications (48% v 2%, p = 0.0001) and cases of surgical reexploration for bleeding (35% v 2%, p = 0.0001), a higher incidence of severe postoperative thrombocytopenia (39% v 6%, p = 0.0007), and a higher need of blood components transfusions (74% v 30%, p = 0.0006). Chest tubes blood loss and surgical hemostasis time were markedly prolonged (p = 0.02 and p = 0.003, respectively).
SAB Comment: These data have implications for CT surgeons, CT anesthesia and intensivists but may also possibly be worth noting for other surgical teams.
- Disorders of Consciousness Associated With COVID-19: A Prospective, Multimodal Study of Recovery and Brain Connectivity. 12/4/21. Fischer D. Neurology.
Disorders of consciousness (DoC) in severe COVID-19 disease carry a serious if not ominous prognosis. This prospective, longitudinal, multimodal study screened 1,105 consecutive patients admitted to MGH/Brigham’s critical care units during a 9-month period ending in March 2021 to clarify short and long-term outcomes of DoC unexplained by sedation. Only 12 patients satisfied study criteria which included scheduled advanced MRI studies to assess functional and structural brain injury. All 8 survivors regained consciousness, 50% within a week after sedation and 75% regained normal cognition and had minimal disability at 6 months. Eighty-two percent of patients demonstrated microhemorrhages and/or leukoencephalopathy on imaging, findings which did not correlate with severity of DoC and point towards a multifactorial etiology that includes, sedation, hypoxia and inflammation. Despite obvious limitations, this study adds a measure of optimism to an arena of tragic outcomes.
- Effect of High-Flow Oxygen Therapy vs Conventional Oxygen Therapy on Invasive Mechanical Ventilation and Clinical Recovery in Patients With Severe COVID-19: A Randomized Clinical Trial. 12/7/21. Ospina-Tascón GA. JAMA.
This prospective, randomized, controlled, open-label trial from 3 hospitals in Colombia compared the 28-day need for intubation and the time to clinical recovery in 99 severely ill COVID-19 pneumonia patients treated with high-flow nasal cannula to those outcomes in 100 similar patients treated with standard modalities of nasal cannula and mask oxygen. Intubation was necessary in 34% of the patients randomized to high-flow oxygen therapy and in 51% randomized to conventional oxygen therapy. The median time to clinical recovery was 11 days in patients randomized to high-flow oxygen therapy vs 14 days in those randomized to conventional oxygen therapy.
- Incidence of venous thromboembolic events in COVID-19 patients after hospital discharge: A systematic review and meta-analysis. 12/13/2021. Zuin M. Thromb Res.
This systematic review and meta-analysis reviews the incidence of venous thromboembolism (VTE) after hospital discharge with COVID-19 patients. The 11 papers meeting inclusion criteria included 18,949 patients. The mean length of follow-up was 61.7 days (range 21-180 days). The cumulative post-discharge rate of VTE in COVID-19 patients ranged between 0.2 and 14.8 with a pooled incidence of post COVID-19 VTE in 1.8% of cases. The incidence of VTE events was directly affected by age (p = 0.03) and male gender (p = 0.04) and inversely correlated with the length of follow-up period (p = 0.012). Conversely, no associations were identified with cancer (p = 0.14), VTE history (p = 0.82), ICU admission (p = 0.55) and mean length of hospitalization (p = 0.68).
SAB Comment: These data are derived from multiple studies with varying periods of follow up and methods of detecting VTE with a wide heterogeneity in the incidence of VTE. Nevertheless, this systematic review does summarize the existing data well.
- Lenzilumab in hospitalised patients with COVID-19 pneumonia (LIVE-AIR): a phase 3, randomised, placebo-controlled trial. 12/5/2021. Temesgen Z. Lancet Respir Med.
Hospitalised adult patients with COVID-19 pneumonia not requiring invasive mechanical ventilation were recruited during an 8 month period ending in January 2021 from 29 sites in the USA and Brazil and were randomly assigned (1:1) to receive three intravenous doses of lenzilumab (n=236) or placebo (n=243) delivered 8 h apart. The primary study endpoint – survival without invasive mechanical ventilation to day 28 – and was achieved in 198 (84%) patients who received lenzilumab and in 190 (78%) in the placebo group and the likelihood of survival was greater in the lenzilumab group (hazard ratio 1·54; 95% CI 1·02–2·32; p=0·040). Added value beyond primary outcome remains unknown, but side effects were comparable to placebo.
- Risks of myocarditis, pericarditis, and cardiac arrhythmias associated with COVID-19 vaccination or SARS-CoV-2 infection. 12/15/2021. Patone M. Nat Med.
An exhaustive review from the United Kingdom discussing cardiac complications of myocarditis, pericarditis and arrhythmias after COVID-19 SARS-CoV-2 mRNA immunizations. The data is evaluated by the cardiac cause of death, age, sex and numerous other contributing factors. Overall the statistics demonstrate the risk of death from vaccination related cardiac complications was rare, 1574 fatalities in 32,095,748 recipients who received two doses of immunization.
December 13, 2021:
- A Higher Antibody Response Is Generated With a 6- to 7-Week (vs Standard) Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Vaccine Dosing Interval. 12/1/2021. Grunau B. Clin Infect Dis.
This retrospective cohort study on 186 paramedics in Canada looked at antibody levels generated by the mRNA vaccines when the interval between the two doses was extended. A dosing interval of 6–7 weeks compared with a standard dosing interval (<4 weeks) resulted in significantly higher anti-spike antibodies (p<0.0001) detected in the blood of vaccinated individuals. There was no difference in the results with the Pfizer or the Moderna vaccines. These data may inform ongoing international COVID-19 vaccination efforts.
SAB Comment: Though interesting, this paper may not provide enough information to act on the bump in antibodies caused by delaying the second dose of mRNA vaccine. Understanding risks of the delay, population COVID dynamics, and actual real-life protection are also needed.
- BNT162b2 Vaccine Booster and Mortality Due to Covid-19. 12/8/21. Arbel R. N Engl J Med.
This report comes from the records of 843,308 Clalit Health (providing 50% of Israeli healthcare) patients older than 50 years with 2 doses of BNT162b2 for at least 5 months. During the study from 8/6/2021 – 9/29/2021, as patients received a third dose, they were compared to those having only 2 doses, with a primary outcome of mortality and a secondary outcome of testing positive for SARS-CoV-2. At the end of the study, 90% of patients had received a third dose. For the primary outcome the relative risk of mortality after the third dose was 0.10, a 90% lower mortality rate.
- Efficacy of Early Treatment with Favipiravir on Disease Progression among High Risk COVID-19 Patients: A Randomized, Open-Label Clinical Trial. 12/1/2021. Chuah CH. Clin Infect Dis.
An attempt by an Iranian team to assess an antiviral originally from Japan. This is a purine nucleic acid analog and a RNA polymerase inhibitor, known also as T-705 and used for resistant influenza infections in multiple countries, including China and Russia but not available in the US. Based on 9 studies reporting on 827 patients, the authors failed to identify any significant advantage of favipiravir over routine care when multiple outcomes were assessed, including viral clearance, ICU admission and mortality.
- HSV-1 reactivation is associated with an increased risk of mortality and pneumonia in critically ill COVID-19 patients. 12/7/21. Meyer A. Crit Care.
This French prospective, observational study examined Herpes simplex virus-1 (HSV-1) reactivation in 153 severe COVID-19 patients. Outcomes were mortality, hospital-acquired pneumonia, ventilator-associated pneumonia (HAP/VAP) and bloodstream infection (BSI). HSV-1 respiratory and blood samples were collected in patients admitted for 48 hours or more (Feb-2020 to Feb-2021). HSV-1 reactivation occurred in 40/153 (26.1%) of patients. Respiratory samples were positive in 19/61 (31.1%) and/or blood samples positive in 36/146 (24.7%). HSV-1 reactivation in critically ill COVID-19 patients was associated with marked increased risk of day-60 mortality (57.5% with versus 33.6% without, p=0.001) and with HAP and VAP (p=.037), but not BSI.
SAB Comment: This and other smaller studies document HSV-1 reactivation during COVID and non-COVID ARDS. To date, no study has determined worsening outcomes because of HSV-1 reactivation producing further lung injury or whether reactivation is an “epiphenomenon” resulting from disease-induced immunosuppression (e.g., lymphopenia, etc.) and not further lung injury. Also, thus far, only poorly powered studies have failed to show that initiation of antivirals improve outcomes. Much research remains in this area of viral reactivation in ARDS.
- Odds of Testing Positive for SARS-CoV-2 Following Receipt of 3 vs 2 Doses of the BNT162b2 mRNA Vaccine. 11/30/2021. Patalon T. JAMA Intern Med.
The effect of a third dose of BNT162b2 (Pfizer-BioNTech) was studied in a retrospective cohort of 306710 patients older than 40 and at least 5 months post a second dose in a database of 28% of the Israeli population. From 8/1-10/4/21 the incidence of positive PCR (500232 tests in total) was compared between those who had 2 doses (6.6% positive) and those who had 3 (1.8% positive). The reduction of positive tests increased with the time interval after the third dose (0.7% at 28-65 days) and the overall reduction in the odds of testing positive for SARS-CoV-2 was 86%. After 14 days, the odds of hospitalization among those who received a booster dose were 92% to 97% lower than those who had received just 2 doses.
December 6, 2021:
- A randomized controlled study of convalescent plasma for individuals hospitalized with COVID-19 pneumonia. 11/17/2021. Bar KJ. J Clin Invest.
In this small U. of Pennsylvania randomized controlled study 80 adults with confirmed COVID-19 pneumonia were enrolled at median day 6 of symptoms and day 1 of hospitalization; 60% were anti-SARS-CoV-2 antibody seronegative. Participants had a median of 3 comorbidities or risk factors for severe COVID-19. Convalescent plasma (CP) conferred significant benefit by clinical severity score and 28-day mortality (26% vs 5%), however all other pre-specified outcome measures showed weak evidence towards benefit of CP. Authors suggest that selected patients may benefit from CP if administered early.
- Aspirin in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial. 11/20/21. RECOVERY Collaborative Group. Lancet.
A randomized platform trial (RECOVERY) evaluating aspirin 150 mg with usual care (7351 patients), versus usual care alone (7541 patients), was carried out between 11/01/2020 and 3/21/2021 in multiple hospitals worldwide. The primary outcome was 28 day mortality, which was 17% in both groups. Hospital discharge in 28 days was 75% in the aspirin group and 74% in the control group (p=0.0062). A 0.6% reduction of thrombotic events in the aspirin group was cancelled out by an identical increase in major bleeding events.
SAB Comment: There is little information on the value of aspirin as a therapy for COVID-19. Although the authors support further study for patients who are not hospitalized, it is clearly stated this trial does not support the addition of 150 mg of aspirin to the usual treatment of hospitalized COVID-19 patients.
- Dexamethasone in hospitalised coronavirus-19 patients not on intensive respiratory support. 11/26/21. Crothers K. Eur Respir J.
This real-world observational study from US Veterans Administration hospitals found that, in patients not requiring high levels of oxygen support, dexamethasone treatment produced no mortality benefit, and in patients on room air, dexamethasone treatment appeared to cause harm. The authors compared the 90-day mortality of patients on room air treated with dexamethasone (n=3124) to those on room air not treated with dexamethasone (n=6006) and found that, after propensity score weighting, dexamethasone-treated patients had a 76% increase in 90-day mortality. The same comparison in patients supported with oxygen by nasal cannula showed that dexamethasone treated patients (n=4383) did not have a statistically significant improvement in 90-day mortality over nasal cannula supported patients not treated with dexamethasone (n=1437).
SAB Comment: The higher mortality in patients not on oxygen treated with dexamethasone confirms guidelines issued by the NIH and others.
- Do the Selective Serotonin Reuptake Inhibitor Antidepressants Fluoxetine and Fluvoxamine Reduce Mortality Among Patients With COVID-19?. 11/15/2021. Hoertel N. JAMA Netw Open.
An invited commentary which analyzes the mechanisms of action of SSRI antidepressants’ effectiveness as anti-inflammatory agents and inhibitors of viral infection at the cellular level. SSRI’s are functional inhibitors of acid sphingomyelinase (FIASMA), along with hydroxycine, amitriptyline, some statins and mucolytics. The author considers the Acid Sphingo-Myelinase (ASM)-ceramide system of crucial importance as a treatment target in COVID-19 and thoroughly analyses research and evidence behind that statement.
SAB Comment: This comment provides scientific pre-clinical background to a retrospective cohort study analyzing how patients on SSRI antidepressant may have better outcomes following SARS-CoV-2 infection.
- Effect of Prone Positioning on Clinical Outcomes of Non-Intubated Subjects with COVID-19: A Comparative Systematic Review and Meta-Analysis. 11/10/2021. Beran A. Respir Care.
To better understand the effects of awake prone positioning in hospitalized COVID-19 patients, these authors performed a meta-analysis of 5 randomized controlled trials and 9 observational studies that included control groups. This study looked at mortality and the need for intubation, and included 1495 patients and 1829 controls through August, 2021. There was a significant reduction in the mortality rate in the APP group (risk ratio 0.68, p=0.008) without a significant effect on intubations. However, APP showed a significant reduction in the need for intubation when subgroup analysis was restricted to RCTs (RR 0.83, P=0.02).
- Infectious Diseases Society of America (IDSA). 11/18/21.
This website provides Infectious Diseases Society of America (IDSA) Guidelines on the Treatment and Management of patients with COVID-19. The IDSA frequently updates the site with their carefully considered and well-organized distillation of current knowledge. In particular, their Summary Table titled, “Overview of COVID-19 Treatment Guidelines” is particularly concise and informative. This IDSA guideline link will be placed in the IARS Published Guidelines and Reviews web page for future reference.
- Intermediate-to-therapeutic versus prophylactic anticoagulation for coagulopathy in hospitalized COVID-19 patients: a systemic review and meta-analysis. 11/25/2021. Zhang S. Thromb J.
This is a meta analysis that compares 1) prophylactic and 2) intermediate to therapeutic doses of anticoagulation for hospitalized COVID-19 patients. By examining the data from 42 studies (6 of which were randomized controlled trials) with 28,055 in-hospital COVID-19 patients, they conclude that there is no benefit for the higher doses of anticoagulation as the mortality was not improved and the bleeding risk was increased. This was also true for just the ICU patients. This is the largest review to date and offers the most up to date information that is summarized in the infographic.
- Omicron Variant Patient Profile in South Africa. 12/6/21. SAMRC.
Readers interested in following the progress of the Omicron variant in South Africa, where it was first identified on November 24, 2021, are directed to the website of the South African Medical Research Council (SAMRC). This site provides access to a developing patient profile of the impact of the Omicron surge on hospitalization and outcomes here.
- Prostacyclin in Mechanically Ventilated Patients with COVID-19 and Severe Endotheliopathy: A Multicenter, Randomized, Clinical Trial. 11/23/2021. Johansson PI. Am J Respir Crit Care Med.
This Danish multicenter, randomized, trial examined 72-hour infusions of prostacyclin (1 ng/kg/min, n=41) or placebo (n=39) in mechanically ventilated Covid-19 patients having thrombomodulin plasma levels >4ng/ml. The main outcome of days alive without MV on day 28 was 16.0 days (SD 12) versus 5.0 days (SD 10), [95% CI -21.0 to 5.0], P=0.07) in prostacyclin and placebo groups. 28-day mortality was 21.9% versus 43.6, P=0.056). Incidence of serious adverse events within 7 days were 2.4% vs. 12.8% (P=0.10). Though all outcomes were not significantly different, adequately powered prostacyclin trials attempting to “deactivate” endothelium and restore vascular integrity may be warranted.
Clinical trial registration available at www.clinicaltrials.gov, ID: NCT04420741.
- The removal of airborne SARS-CoV-2 and other microbial bioaerosols by air filtration on COVID-19 surge units. 10/30/21. Conway Morris A. Clin Infect Dis.
A British COVID-19 surge ward and an ICU surge unit that were ventilated with 2-4 air changes/hour at baseline were equipped with HEPA filtration + UV sterilization units that circulated 5-10 room-volumes/hour. Air sampling was done using National Institute for Occupational Safety and Health BC 251 two-stage cyclone aerosol samplers and analyzed for SARS-CoV-2 with PCR testing. On the ward, sampling revealed SARS-CoV-2 by PCR on most days during the two weeks without operation of the HEPA/UV units, however none during daily sampling during the week with the unit operating. In contrast to the ward, in the ICU limited evidence of airborne SARS-CoV-2 was found with the filter off, and only a single sample was positive with the filter on. Ten other pathogens that were detected at baseline were also nearly absent during filtration. The authors conclude that air HEPA/UV filtration and sterilization may reduce the risk of COVID-19 and other disease transmission in hospitals.
November 22, 2021:
- SAB Comment: This article below offers good evidence and excellent tables for those seeking additional information on mRNA vaccine efficacy.
Association Between mRNA Vaccination and COVID-19 Hospitalization and Disease Severity. 11/4/21. Tenforde MW. JAMA.
This data from 21 US hospitals updates information on mRNA vaccination effectiveness for 1,983 vaccinated and unvaccinated patients hospitalized for COVID-19 from March 11, 2021-August 15, 2021. In a negative case control design, they were matched to 1,359 respiratory-symptomatic COVID-19 negative controls and 1,171 COVID-19 negative patients hospitalized for other reasons. The adjusted odds ratio for hospitalization in individuals fully vaccinated with an mRNA vaccine was 0.15. Disease progression to death or invasive mechanical ventilation by day 28 was associated with decreased likelihood of vaccination (12.0% vs 24.7%; aOR, 0.33). Odds ratios for age, ethnicity, immunocompromised, virus variant, specific vaccine and immunization date are included.
- Bain H: Innovative Modification of Bain Circuit for the Resuscitation and Transportation of Patients With Coronavirus Disease 2019. 10/21/21. Jain A. A A Pract.
The author provides a practical solution for transportation and resuscitation of COVID-19 patients with an innovative modified breathing circuit to decrease healthcare worker exposure from droplets and airborne contamination. The authors termed this modified breathing circuit as the Bain H circuit, where “H” stands for high efficiency particulate air (HEPA) filter which contains exhalation contaminants and accommodates high-flow circuit requirements. The article is accompanied with helpful illustrations.
SAB Comment: The conventional Bain circuit = coaxial modification of the Mapleson D system.
- Colchicine in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial. 10/21/21. RECOVERY Collaborative Group. Lancet Respir Med.
Colchicine offers no benefits in treating hospitalized COVID-19 patients especially in light of current therapeutic options.
- Effectiveness of a third dose of the BNT162b2 mRNA COVID-19 vaccine for preventing severe outcomes in Israel: an observational study. 11/10/21. Barda N. Lancet.
This Israeli real-world study supports the effectiveness of 3rd Pfizer “booster” doses for individuals having received 2 doses at least 5 months previously. From 7/30/21-9/23/21, 738,321 individuals were matched with an equal number of controls who had received 2 doses. Enrollment excluded healthcare workers, long-term-care residents, and those medically confined to their homes. Vaccine efficacy 7-55 days following a third dose was estimated at 93% (231 events for 2 doses vs 29 events for 3) for hospital admission, 92% (157 vs 17) for severe disease, and 81% (44 vs 7) for COVID-19-related death.
- Evaluation of the BNT162b2 Covid-19 Vaccine in Children 5 to 11 Years of Age. 11/9/21. Walter EB. N Engl J Med.
The C4591007 Clinical Trial Group studied the Pfizer BNT162b2 vaccine in children 5-11 years old in a multi-national study and found a 90%+ effectiveness at a low dose of 10 mcg given twice IM separated by 21 days. Overall, fatigue was the most common side effect at 0.9%. Fever was present in 8.7% of the second-dose children.
- Laboratory-Confirmed COVID-19 Among Adults Hospitalized with COVID-19–Like Illness with Infection-Induced or mRNA Vaccine-Induced SARS-CoV-2 Immunity — Nine States, January–September 2021. 10/29/21. Bozio C. MMWR Morb Mortal Wkly Rep.
This is a CDC-led study in nine US states which looked at the protective immunity produced by a COVID-19 illness compared to that of the mRNA vaccines. Among COVID-19-like illness hospitalizations among adults aged 18 years or older whose previous infection or vaccination occurred 90-179 days earlier, the adjusted odds of laboratory-confirmed COVID-19 among unvaccinated adults with previous SARS-CoV-2 infection were 5.49-fold higher than the odds among fully vaccinated recipients of an mRNA COVID-19 vaccine who had no previous documented infection. The authors conclude that all eligible persons should be vaccinated, including unvaccinated persons previously infected with SARS-CoV-2.
- Viral loads of Delta-variant SARS-CoV-2 breakthrough infections after vaccination and booster with BNT162b2. 11/3/21. Levine-Tiefenbrun M. Nat Med.
To determine whether diminished effectiveness of the Pfizer BioNTech vaccine in reducing viral loads is due to a predominance of the Delta variant or related to loss of potency over time, the authors retrospectively analyzed quantitative PCR tests taken at an Israeli healthcare system during their Delta surge in July and August 2021, from 13,000 fully vaccinated adults, 3,000 unvaccinated adults and 500 adults who had received booster shots. Viral load in PCR-positive individuals was estimated by PCR-cycle thresholds to be lower in vaccinated than unvaccinated individuals. Viral load in breakthrough infections increased steadily from 2 months to 6 months after vaccination yet was again reduced following booster shots. These results were interpreted as evidence that boosters restore protection against the Delta variant.
November 8, 2021:
- A randomized, placebo-controlled clinical trial of bamlanivimab and etesevimab together in high-risk ambulatory patients with COVID-19 and validation of the prognostic value of persistently high viral load. 10/31/21. Dougan M. Clin Infect Dis.
This Phase 3 portion of the industry-funded BLAZE-1 trial characterized the effect of bamlanivimab (700mg) with etesevimab (1400mg) infusion at this lower dose on overall patient clinical status and virologic outcomes in ambulatory patients 12 years or older, with mild-to-moderate COVID-19, and 1 or more risk factors for progressing to severe COVID-19 and/or hospitalization. Of 769 patients, the difference in hospitalization and/or death within 29 days for those receiving these monoclonal antibodies vs. placebo was 0.8% vs. 5.8% respectively. All 4 recorded deaths were in the placebo group. Persistently high viral load at Day 7, previously observed and considered a predictor of progression to a more serious form of COVID-19, was corroborated in this phase of the trial.
SAB Comment: In February, 2021, the FDA issued an Emergency Use Authorization (EUA) for the doses used in this study, in mild to moderate COVID-19 in adults and pediatric patients (12 years of age and older weighing at least 40 kg). In September this EUA was extended to include post-exposure prophylaxis. This EUA excludes states with resistance to these drugs over 5% (see FDA release for the most recent authorized areas).
- Assessment of Cognitive Function in Patients After COVID-19 Infection. 10/22/2021. Becker JH. JAMA Netw Open.
Research letter reporting on a cross-sectional observational cohort study of 740 patients complaining of “brain fog” several months after being diagnosed with COVID-19 as either inpatient, outpatient, or Emergency Department visitor over a 13-month period ending in May 2021. Cognitive function was tested counting frequency of impairment on each of 4 neuropsychological assessment tools. Processing speed and executive functioning topped the list of impairments and a correlation with severity of illness and age was highlighted as well as parallel features with patients recovering from influenza.
- Association Between COVID-19 Diagnosis and In-Hospital Mortality in Patients Hospitalized With ST-Segment Elevation Myocardial Infarction. 10/29/21. Saad M. JAMA.
This is an outcome study of propensity matched cohorts (80,449 patients) with STEMI pre-admission and during admission prior to and during the COVID-19 pandemic (time periods January-December 2019 and 2020 with final follow up in January 2021). Pre-admission STEMI mortality 15.2% +’ve COVID Vs. 11.2% -ve COVID(p=.007); in-hospital developed STEMI mortality 78.5% +’ve COVID Vs. 46.1% -“veCOVID (p<.001). Mortality was the highest in 50-75-year-old Hispanic men. Pre-admission STEMI appears to have similar rates of interventional treatment in both time periods but the 2020 STEMI cohort was treated with fibrinolytics with fewer invasive interventions. The accompanying editorial provides context and adds an interesting perspective.
- Brain MRI and neuropsychological findings at long-term follow-up after COVID-19 hospitalisation: an observational cohort study. 10/28/2021. Hellgren L. BMJ Open.
Observational cohort study from southern Sweden attempting to correlate neurocognitive dysfunction in 158 COVID-19 survivors exhibiting signs of higher cerebral dysfunction with brain MRI abnormalities. White matter changes observed in 35 symptomatic patients did not always correlate with severity of illness. A small sample size and lacking both baseline data and a control population prohibit the authors from drawing specific conclusions from their results and represent important limitations of this study.
- Early Treatment for Covid-19 with SARS-CoV-2 Neutralizing Antibody Sotrovimab. 10/27/21. Gupta A. N Engl J Med.
This is an interim analysis of COMET-ICE, a multicenter, double-blinded, randomized, phase 3 trial for COVID-19 outpatients with symptoms less than or equal to 5 days with an additional comorbidity, which were treated with Sotrovimab 500 mg IV (n = 291) or placebo (n = 292). An interim analysis revealed that 1% of the treated group as compared to 7% in the placebo group had disease progression leading to hospitalization or death (relative risk reduction 85%). The authors noted low adverse events and retained activity against variants of concern, including the alpha, beta, gamma, delta, and lambda variants. The drug can address the unmet needs of patients who have vaccine breakthrough, are unvaccinated, or are immunocompromised and may not respond to a vaccine.
SAB Comment: The drug is promising for COVID-19. It acts against the non-receptor-binding motif, unlike current authorized COVID-19 monoclonal antibodies, which act on the receptor-binding motif.
- Effect of 12 mg vs 6 mg of Dexamethasone on the Number of Days Alive Without Life Support in Adults With COVID-19 and Severe Hypoxemia: The COVID STEROID 2 Randomized Trial. 10/21/2021. COVID STEROID 2 Trial Group. JAMA.
In this international, blinded, randomized clinical trial including 1000 adults with COVID-19 and severe hypoxemia, treatment with 12 mg/d of dexamethasone compared with 6 mg/d of dexamethasone did not result in significantly more days alive without life support at 28 days. Treatment with 12 mg/d of dexamethasone resulted in 22.0 days alive without life support at 28 days compared with 20.5 days in those receiving 6 mg/d of dexamethasone. None of the analyzed secondary outcomes (including mortality) were statistically significant. The number of patients with serious adverse reactions (ie, septic shock, invasive fungal infection, and clinically important gastrointestinal bleeding) appeared similar between the groups. This trial took place between August 2020 and May 2021 in Europe and India. The trial may have been underpowered to identify a significant difference.
- Effect of early treatment with fluvoxamine on risk of emergency care and hospitalisation among patients with COVID-19: the TOGETHER randomised, platform clinical trial. 10/22/2021. Reis G. Lancet Global Hlth.
The TOGETHER study, a placebo-controlled, randomized, adaptive platform study, aimed to assess the efficacy of fluvoxamine (SSRI) vs. placebo (N = 741 vs. N = 756) in preventing hospitalization or transfers for COVID-19 patients. The authors stated that patients were transferred to a hospital at a lower rate with early prescription of fluvoxamine compare with the placebo (11% vs. 16%, RR 0.68 and probability of superiority). The authors claimed there was a role for this repurposed drub with patients with symptoms greater than 7 days with an additional comorbidity and the unvaccinated as well as low resource centers.
SAB Comment: Since the study was conducted in different circumstances there is a need to reproduce to prove the validity of the drug.
- Elastomeric Respirators for COVID-19 and the Next Respiratory Virus Pandemic: Essential Design Elements. 10/19/21. Bowdle TA. Anesthesiology.
Although healthcare workers have relied primarily on disposable filtering facepiece respirators (such as N95) during the COVID-19 pandemic, reusable elastomeric respirators (typically used for industrial purposes) have potential advantages for the COVID-19 and future respiratory virus pandemics. These advantages include improved fit, better inspiratory filtration and less waste. However, currently available elastomeric respirators were not designed primarily for healthcare or pandemic use and require further development to improve their suitability for this application. This article explores the advantages of elastomeric respirators, and the adaptations needed (such as eliminating the expiratory valve) to make them useful for healthcare providers. Table 1 (Respiratory Protection Terminology) and good photos provide an excellent background for understanding respirators.
- Investigating Lipid-Modulating Agents for Prevention or Treatment of COVID-19: JACC State-of-the-Art Review. 10/15/2021. Talasaz AH. J Am Coll Cardiol.
Following up on several successful retrospective cohort studies suggesting a benefit of statins in COVID-19, this systematic summary of 40 ongoing US and WHO registered randomized controlled trials focuses on evolving trends, underlying mechanism of action, value and side effects of statins (17 trials), omega-3 fatty acids (14 trials), fibrates (3 trials), niacin (3 trials) and the cholesteryl ester transfer protein inhibitor dalcetrapib (1 trial). Despite its lack of definitive results, this review contributes substantially to our understanding and appreciation of the potential role lipid modulating agents in COVID-19 may play and opens new horizons for research and clinical practice.
- Neurological complications after first dose of COVID-19 vaccines and SARS-CoV-2 infection. 10/26/2021. Patone M. Nat Med.
This self controlled case series examined 32 million people in the UK for neurological complications leading to hospital admission in the 28 days after vaccine administration and compared the incidence to those testing positive for SARS-CoV-2 infection. There were 3.8 excess cases of Guillain Barré syndrome per million people among Astra-Zeneca vaccine recipients not seen in the Pfizer cohort. Compared to baseline, a higher incidence of Bell’s palsy and myasthenic syndrome was seen in all vaccine recipients, with higher numbers of hemorrhagic strokes seen in only one of two populations examined. Individuals who tested positive for SARS-CoV-2 were 4-times more likely to develop Guillain-Barré syndrome as well as multiple other neurological complications, demonstrating a clear risk differential between vaccination and infection in this UK population.
SAB Comment: This study did not identify cases of post-vaccination cerebral venous thrombosis with and without Vaccine Induced Immune Thrombotic Thrombocytopenia.
- Pre-admission anticoagulant therapy and mortality in hospitalized COVID-19 patients: A retrospective cohort study. 10/23/2021. van Haaps TF. Thromb Res.
This Dutch retrospective cohort study of over 3000 patients included 1072 who were on anticoagulant or antiplatelet therapy before admission to hospital for COVID-19, and their matched controls. They, like most previous investigators, found no difference in all-cause 21-day mortality or ICU admission between the groups.
- The immunology of asymptomatic SARS-CoV-2 infection: what are the key questions? 10/20/21. Boyton RJ. Nat Rev Immunol.
This article is a well-referenced analysis of the often-contradictory data regarding SARS-CoV-2 asymptomatic infection (AI). Prevalence of AI vs. symptomatic infection (SI) vary widely from 20-80% of total cases, higher in younger populations. In Wuhan, even without symptoms, one-third had computer tomography lung changes. The immune basis of AI vs. SI remains unclear: viral and neutralizing antibody titers appear equivalent. AI viral-shedding is shorter and antibody titers decline more rapidly. AI is not “benign”; up to 19% result in “long COVID.” AI-adaptive immunity appears strong and primes immune memory. Additionally, silent viral carriage can result in future variants of concern.
October 25, 2021:
- Efficacy and Safety of Therapeutic-Dose Heparin vs Standard Prophylactic or Intermediate-Dose Heparins for Thromboprophylaxis in High-risk Hospitalized Patients With COVID-19: The HEP-COVID Randomized Clinical Trial. 10/7/21. Spyropoulos AC. JAMA Intern Med.
This multicenter US study of 253 hospitalized adults with COVID-19 and evidence of coagulopathy reinforces findings in previous publications. After randomizing those with a D-dimer greater than 4x the upper limit of normal or a sepsis-induced coagulopathy score of greater than 4, to (1) standard prophylactic or intermediate-dose low-molecular-weight heparin (LMWH) or unfractionated heparin or (2) therapeutic-dose LMWH throughout hospitalization, the primary efficacy outcome of venous thromboembolism, arterial thromboembolism, or all-cause mortality was significantly reduced with therapeutic-dose anticoagulation in the non–ICU patients only (29 vs. 42%).
- Anticoagulant Therapy in Patients Hospitalized With COVID-19. 10/7/21. Wahid L. JAMA Intern Med.
This well-written accompanying editorial to the previous article discusses these findings along with those from several other major related studies, and points out coagulation management issues, such as antiplatelet therapy and extended prophylaxis, which remain unanswered.
- Effect of Antithrombotic Therapy on Clinical Outcomes in Outpatients With Clinically Stable Symptomatic COVID-19: The ACTIV-4B Randomized Clinical Trial. 10/11/21. Connors JM. JAMA.
Dosing strategy for inpatient COVID-19 patients remains controversial and anticoagulation benefits for stable outpatients has not been established. The ACTIV-4B was designed as minimal contact, adaptive, randomized, double-blind, placebo-controlled study to compare anticoagulant and antiplatelet therapy among 7,000 symptomatic but stable outpatients without comorbidities. Random 1:1:1:1 allocation ratio was applied to aspirin 81mg QD (164); prophylactic apixaban 2.5mg BID; therapeutic apixaban 5mg BID (164); or placebo (164) for 45 days. Primary endpoint composite was for all-cause mortality, symptomatic venous or arterial thromboembolism, MI, stroke or hospital admission for CV or pulmonary cause. The trial was terminated by the monitoring board for lower event rate than predicted and no therapeutic difference was noted.
- Antithrombotic Therapy for Outpatients With COVID-19: Implications for Clinical Practice and Future Research. 10/11/21. Berwanger O. JAMA.
This editorial review provides a comparison of multiple studies on antithrombotic therapy for inpatients and outpatients with specific review of the ACTIV-4B trial. The discussion provides insight into the studies and suggests the use of aspirin or apixaban for symptomatic but stable outpatients is not justified. Additional comments support the importance of appropriately structured and controlled clinical trials despite the difficulties associated with such studies during a pandemic.
- Bacterial Superinfection Pneumonia in Patients Mechanically Ventilated for COVID-19 Pneumonia. 8/17/21. Pickens CO. ATS.
This Northwestern University single-center study examined the prevalence and etiology of bacterial superinfection (bacterial infection in addition to SARS-CoV-2) in severe SARS-CoV-2 pneumonia at intubation and subsequent ventilator-associated pneumonia (VAP). All patients had bronchoalveolar lavage (BAL) analyzed by quantitative cultures and multiplex PCR. In 179 patients, initial superinfection was detected in 21%; 44.4% developed 1 or more VAP episode(s). Initial VAP pathogens were usually CAP-type and not requiring broad spectrum coverage. Clinical criteria could not distinguish patients with or without superinfections. BAL-based management resulted in significantly reduced antibiotic use. Current guidelines, which advocate empirical antibiotics in severe SARS, results in antibiotic overuse at intubation. Forty-four percent VAPs suggests widespread under-recognition yet overtreatment with unnecessarily broad antibiotics.
October 18, 2021:
- Administration of Monoclonal Antibody for COVID-19 in Patient Homes. 10/14/21. Malani AN. JAMA Netw Open.
In this research letter, during the spring 2021 COVID-19 surge with peak counts of 1,300 cases per day, a Michigan healthcare system introduced successful in-home IV administration of monoclonal antibodies by paramedics to 144 high-risk COVID-19 patients with mild symptoms. This resulted in decompression of hospital facilities with only 8 patients requiring hospital admissions and no intubations or mortalities. Triage was accomplished by 3 nurses and prime risk factors were obesity, cardiovascular disease, and diabetes.
- Beneficial Effect of Prone Positioning During Venovenous Extracorporeal Membrane Oxygenation for Coronavirus Disease 2019. 9/28/2021. Zaaqoq AM. Crit Care Med.
In this paper the authors attempt to determine if prone positioning has a survival benefit in patients with Covid-19 who are placed on venovenous ECMO. This is an observational report involving 232 patients from 72 participating institutions in multiple countries. During ECMO, 67 (29%) of these Covid-19 patients were placed at times in the prone position. Survival to hospital discharge was 33% in the extracorporeal membrane oxygenation prone group versus 22% in the extracorporeal membrane oxygenation supine group suggesting a benefit. This report seems to be the largest reporting in this specific patient population and suggests the need for a RCT.
- Clinical Characteristics of Multisystem Inflammatory Syndrome in Adults: A Systematic Review. 9/22/21. Patel P. JAMA Netw Open.
Multisystem Inflammatory Syndrome in Adults (MIS-A) is exceedingly rare. These CDC authors identified 221 patients aged 18 and older, 122 of which were previously included in the CDC Multisystem Inflammatory Syndrome in Children (MIS-C) database which included 18–21-year-olds. In MIS-A, median age was 21; 70% male, 36% non-Hispanic Black, 58% without comorbidity, and most with a previous symptomatic COVID-19 like illness. Most present febrile and hypotensive, with half exhibiting cardiac dysfunction, dyspnea and diarrhea and 7% died. MIS-A is a serious hyperinflammatory condition that presents approximately 4 weeks after onset of COVID-19 with extrapulmonary multiorgan dysfunction.
SAB Comment: A conundrum presented by this paper is that the authors, themselves members of the CDC, changed the CDC definition of MIS-C from less than 21 years of age to less than 18 years of age. It could be argued that the division of MIS into MIS-C and MIS-A at a particular age is in fact arbitrary, and that MIS is a continuum of one pathologic process: a delayed inflammatory response to SARS-CoV-2, whose manifestations change with age under the influence of a changing immunomodulatory milieu.
- Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA: a retrospective cohort study. 10/4/21. Tartof S. Lancet.
This US retrospective study differentiates the effect of the delta variant from waning immunity for the BNT162b2 (Pfizer) vaccine as a cause of increased breakthrough infections 6 months after full vaccination. Individuals (n = 1,043,289) had an overall vaccine effectiveness of 88% during the first month after full vaccination, which declined to 47% after 5 months. Effectiveness against hospital admission was 87% after one month of full vaccination, and 88% after 5 months. A significant difference in waning between variant types was not observed. Real-world variant-specific vaccine effectiveness suggested that reductions in Pfizer vaccine effectiveness rather than the delta variant escaping vaccine protection was the primary cause of vaccine breakthrough infections.
- External validation of prognostic scores for COVID-19: a multicenter cohort study of patients hospitalized in Greater Paris University Hospitals. 9/29/21. Lombardi Y. Intensive Care Med.
This retrospective study of 14,343 consecutive COVID-19 patients hospitalized in Paris facilities between 1/2020 and 4/2021 analyzed the efficacy of 32 published prognostic scores for predicting 30-day mortality, or need for ICU admission in addition to mortality. Areas under the receiver operating characteristic curves (AUC) were computed for each of the prognostic scores using the data for the Paris patients. Accuracy was defined as an AUC of 0.8. With AUCs of 0.79 for 30-day mortality, the 4C Mortality Score and the ABCS stand out. They performed as well in this cohort as in their initial validation cohort, and in secondary analyses during the first epidemic wave, subsequent waves, and in younger and older patients. A separate table summarizes data for the 7 best prognostic scores. For those clinicians needing to apply a prognostic instrument, the tables and supplemental material are a treasure trove of information.
- Myocarditis after Covid-19 Vaccination in a Large Health Care Organization. 10/6/2021. Witberg G. New Engl J.
In this retrospective Israeli study, 54 cases of myocarditis were diagnosed following at least one dose of Pfizer vaccine 12/20/20-5/24/21 out of 2.5 million vaccinated single health care organization members 16 years or older. (~2 per 100,000) Myocarditis was mild in 76% and intermediate in 22% with only 1 case of cardiogenic shock leading to ECMO. Males 16-29 yrs. old were most at risk. No deaths were attributed to myocarditis after a median follow up of 83 days. 83% of this cohort had no co-morbidities. These figures represent a higher incidence than estimated by the CDC.
SAB Comment: In a separate Israeli study published in the same NEJM edition, investigators calculated the measured vs. expected incidence of myocarditis in individuals vaccinated by May 31, 2020. “The incidence of myocarditis, although low, increased after the receipt of the BNT162b2 vaccine, particularly after the second dose among young male recipients. The clinical presentation of myocarditis after vaccination was usually mild.” As compared with the expected incidence based on historical data, the standardized incidence ratio was 5.34 and was highest after the 2nd dose in males between ages 16 and 19 years.
- One-year sustained cellular and humoral immunities of COVID-19 convalescents. 10/5/2021. Zhang J. Clin Infect Dis.
Immunoglobulin and cellular immune protection to SARS-CoV-2 was studied in Chinese COVID convalescents at 6 months (n=81) and 12 months (n=74). Disease severity ranged from asymptomatic to severe. Neutralizing Antibody (Nab), IgG, and IgM were assessed by both ELISA and MCLIA assays, and T-cell immunity to spike, membrane, and nucleocapsid proteins was individually assayed. IgG and IgM levels waned between 6 and 12 months however Nab against live virus measured at both 6 and 12 months were present in 56 of 57 convalescents at 12 months; over half had equal or increased levels. 92% showed T-cell responses at 12 months. The magnitude of immunoglobulin and cellular responses correlated with disease severity.
- Platelets Contribute to Disease Severity in COVID-19. 9/19/21. Barrett TJ. J Thromb Haemost.
Platelet count and mean volume (MPV) were reviewed retrospectively in 3915 COVID-19 positive patients from March to June 2020. Immature platelet fraction (IPF) was followed in an additional 427 patients. Low platelet count, immaturity, and large size were associated with increased severity of disease and mortality. Additionally, autopsy specimens were obtained, and platelet RNA sequencing was carried out in 8 patients. Interestingly, there was evidence of replicating SARS-CoV-2 within a lung megakaryocyte. The authors found evidence that SARS-CoV-2 interacts with megakaryocytes to produce large immature hyperreactive platelets. The authors are investigating platelet-directed therapy.
SAB Comment: This strength of paper lies in the availability of platelet immature fraction and platelet volume from routine lab testing. These data highlight the role of platelets in the immunothrombosis of COVID-19 and raise excellent further questions for therapeutics.
- REGEN-COV Antibody Combination and Outcomes in Outpatients with Covid-19. 9/29/21. Weinrich D. NEJM.
This report represents the phase 3 portion of Regeneron’s adaptive trial to demonstrate the efficacy of a combination of two monoclonal antibodies (imdevimab and casirivimab) in outpatients with COVID-19 and risk factors for severe disease in comparison to placebo. The phase 1-2 portion of this trial published one year ago showed a reduction of viral load and medical visits in 275 symptomatic patients. This phase compared 3 larger groups of patients, each receiving the antibody combination in two different doses or placebo. A highly significant relative risk reduction of 71% for hospitalization or death over placebo and a 4-day reduction in resolution of symptoms underlined the value of this treatment modality. In addition, the authors conclude that effectiveness does not depend on baseline serum antibody status.
- Tocilizumab administration for the treatment of hospitalized patients with COVID-19: A systematic review and meta-analysis. 10/4/21. Kyriakopoulos C. Respirology.
This well-written review includes 52 studies (nine randomized controlled trials [RCTs] and 43 observational) with a total of 27,004 patients. In both RCTs and observational studies, the use of tocilizumab was associated with a reduction in mortality; 11% in RCTs and 31% in observational studies. The need for mechanical ventilation was reduced by 19% in RCTs. Both RCTs and observational studies showed a benefit from tocilizumab on the composite endpoint of mortality or need for mechanical ventilation. Tocilizumab improved mortality both in ICU and non-ICU patients.
- Tocilizumab and remdesivir in hospitalized patients with severe COVID-19 pneumonia: a randomized clinical trial. 10/5/21. Rosas IO. Intensive Care Med.
In this randomized controlled trial of patients with severe COVID-19 pneumonia, 434 were randomly assigned to tocilizumab plus remdesivir and 215 to placebo plus remdesivir. Of the 649 patients, 88.2% received corticosteroids. The median time from randomization to hospital discharge or “ready for discharge” was 14 days with tocilizumab plus remdesivir and 14 days with placebo plus remdesivir. Although large platform trials showed a survival benefit of tocilizumab in patients with severe COVID-19 and declining respiratory status, this trial did not confirm treatment benefit of tocilizumab in combination with remdesivir.
SAB Comment: Although the use of tocilizumab along with steroids is recommended in a number of major guidelines (WHO, NIH, IDSA), this industry-sponsored RCT fails to confirm its effectiveness when used with steroids and the antiviral, remdesivir.
- Waning of BNT162b2 Vaccine Protection against SARS-CoV-2 Infection in Qatar. 10/6/21. Chemaitelly H. N Engl J Med.
To determine BNT152b vaccine (Pfizer) protection over time, these investigators followed all vaccinated Qatari patients from January 1 to September 5, 2021. Eighty percent of the population had received two doses of vaccine by September 7, PCR testing is robust (5% of the population is tested weekly), all PCR samples are genetically sequenced for variants, and centralized, coordinated data collection on all patients was routine. Vaccine effectiveness at one month after the second dose was maximum at 77.5%. Effectiveness against all breakthrough infections declined gradually thereafter, with the decline accelerating after the fourth month to reach approximately 20% in months 5 through 7. Variant-specific effectiveness waned in the same pattern. Effectiveness against severe, critical, or fatal COVID-19 reached 96% or higher in the first 2 months after the second dose and persisted at approximately this level for 6 months.
SAB Comment: This study from Qatar, and the similar study below from California, are the real-life documentation of waning effectiveness of the Pfizer vaccine, which had been suspected from lab studies documenting waning immune humoral response (https://www.nejm.org/doi/10.1056/NEJMoa2114583). Note that the vaccine shows continued effectiveness against severe disease, and that the effectiveness over time is similar for SARS-CoV-2 variants.
October 4, 2021:
- Antibody and cellular therapies for treatment of covid-19: a living systematic review and network meta-analysis. 9/24/21. Siemieniuk RA. BMJ.
This updatable meta-analysis from the World Health Organization and British Medical Journal collaboration reviews the results of 47 randomized trials (selected for quality from 1050) dating to July 2021. It evaluates research on monoclonal antibodies, polyclonal antibodies, convalescent plasma, intravenous immunoglobulin (IVIg), umbilical cord mesenchymal stem cells, peripheral blood nonhematopoietic enriched stem cells, anti-SARS-CoV-2 IVIg, and therapeutic plasma exchange. The authors’ current conclusions are that in patients with nonsevere COVID-19, the antiviral monoclonal antibodies casirivimab-imdevimab (Regeneron) probably reduce risk of hospitalization, and that bamlanivimab, bamlanivimab-etesevimab (Lilly), and sotrovimab (GlaxoSmithKline) may reduce risk of hospitalization. None of the other interventions reviewed appear to have any impact when given to patients with nonsevere COVID-19, and none of the monoclonal antibodies or other therapies appear to have any impact when given to patients with severe covid-19 with the exception that casirivimab-imdevimab may reduce the risk of mortality in patients with severe COVID-19 who do not have detectable antibodies to the SARS-CoV-2 spike protein.
SAB Comment: Our policy has been to refrain from including nonpeer reviewed preprints in our newsletter. While this review article includes 10 such preprints among the 47 studies considered, we believe that those studies have essentially undergone peer review by the authors of this systematic review.
- Antifungal prophylaxis for prevention of COVID-19-associated pulmonary aspergillosis in critically ill patients: an observational study. 9/16/21. Hatzl S. Crit Care.
This retrospective, observational study reviewed the clinical course of all 132 consecutive patients admitted between September 1, 2020, and May 1, 2021, 75 of whom received antifungal prophylaxis (98% posaconazole). Antifungal prophylaxis was recommended in this medical center, but ordering it was left up to the discretion of individual intensivists. The authors noted that COVID-19-associated pulmonary aspergillosis (CAPA) was diagnosed in 17.5% of patients who did not receive antifungal prophylaxis, versus only in 1.4% of those receiving prophylaxis. They also noted that despite the efficacy shown for antifungal prophylaxis against aspergillosis infection in these patients, this prophylaxis did not have a significant impact on overall survival.
- Clinical Characteristics of Multisystem Inflammatory Syndrome in Adults: A Systematic Review. 9/22/2021. Patel P. JAMA Netw Open.
These CDC authors provide an improved description of Multisystem inflammatory syndrome in adults (MIS-A). Of 221 patients identified, the median age was 21, 70% male, 36% non-Hispanic Black, 58% without comorbidity, 68% – previously (medium 28 days) symptomatic with a COVID-19–like illness. Most (96%) present febrile, 60% hypotensive, 54% cardiac dysfunction, 52% SOB, 52% diarrhea; multiorgan (medium five) involvement, hospital stay 8 days. 57% required ICU, 47% respiratory support and 7% died. 98% current/past SARS-CoV-2 laboratory findings; 86% lymphopenia. Ten patients presented with Kawasaki disease. Conclusion: MIS-A presents approximately 4 weeks after acute COVID-19 with extrapulmonary multiorgan dysfunction.
- Comparative Effectiveness of Moderna, Pfizer-BioNTech, and Janssen (Johnson & Johnson) Vaccines in Preventing COVID-19 Hospitalizations Among Adults Without Immunocompromising Conditions – United States, March-August 2021. 9/23/21. Self WH. MMWR Morb Mortal Wkly Rep.
This CDC study compared the real-life vaccine effectiveness (VE) against hospitalization of patients who had the three vaccines which were approved in the US. The vaccination status of 1,682 patients hospitalized with COVID-19 was compared with the vaccination status of 2,007 control patients admitted without COVID-19 during March to August 2021. VE against COVID-19 hospitalization was slightly lower for the Pfizer vaccine (88%) than the Moderna vaccine (93%), with this difference driven by a decline in VE after 120 days for the Pfizer but not for the Moderna vaccine. The Janssen (Johnson and Johnson) VE was 71%.
SAB Comment: As viral variants were not determined in this study, and time since vaccination is increasing, the VE of various vaccines may be changing. Note that in the first week of May 2021, 1.6% of all COVID-19 infections in the US were thought to be caused by Delta, whereas in the last week of September, 99% of US cases were Delta.
- Convalescent plasma for COVID-19: a meta-analysis, trial sequential analysis, and meta-regression. 9/28/2021. Snow TAC. Br J Anaesth.
Authors identified 17 randomized controlled trials that recruited 15,587 patients with 8,027 (51.5%) allocated to receive convalescent plasma (CP). “In patients with COVID-19, there was no clear mortality benefit associated with CP treatment. In patients with mild disease, CP did not prevent either the need for mechanical ventilation or ICU admission.” Meta-regression did not reveal association with titre of CP, timing of administration, or risk of death and treatment effect (P>0.05). Risk of bias was high in most studies. Authors state that it is unknown whether early high-titre CP could benefit high-risk patients, or those with worsening illness who lack endogenous anti-SARS-CoV-2 antibodies.
- Myocarditis With COVID-19 mRNA Vaccines. 8/10/21. Bozkurt B. Circulation.
This report summarizes the available information regarding myocarditis occurring after mRNA vaccination against SARS-CoV-2. The CDC reports an incidence of 12.6 per million of those between ages 12 and 39, mostly men. The FDA will add a warning label to both mRNA vaccines. Case definition, symptoms, treatment, and course are presented, as well as a chart listing published cases. Rapid resolution usually occurred. The mechanism of development is unclear, but proposed mechanisms are discussed. It includes an illustration of the risk-benefit which favors vaccination for all people older than 12.
- Remdesivir plus standard of care versus standard of care alone for the treatment of patients admitted to hospital with COVID-19 (DisCoVeRy): a phase 3, randomised, controlled, open-label trial. 9/17/21. Ader F. Lancet Infect Dis.
DisCoVeRy is a phase 3, open-label, adaptive, multicenter, randomized, controlled trial conducted in 48 sites in Europe, studying 857 COVID-19 patients. Four hundred twenty-nine patients were admitted with mild to moderate symptoms (WHO scale of more than 3 and less than 6), had symptoms for more than 7 days, and who were on oxygen prescription were treated with remdesivir, while 428 patients were treated with standard care. Outcome were measured at days 3 through 29. No clinical benefit regarding viral clearance, mortality, morbidity or recovery was noted with remdesivir.
September 27, 2021:
- Effectiveness of the BNT162b2 mRNA COVID-19 vaccine in pregnancy. 9/8/21. Dagan N. Nat Med.
A pre-Delta, observational study from researchers in Tel Aviv and at Harvard investigating the BNT162b2 messenger RNA vaccine during pregnancy in Israeli women older than 16 years found the vaccine to be of comparable effectiveness to the general population and that it reduced the infection rate by nearly 50% (see data in Figure 1) when compared to the unvaccinated pregnant control group. It should be noted there were no deaths in either group and only 1 severe infection in the unvaccinated group. The authors hypothesize the vaccination is safe and might provide protection in newborns, although they offered no evidence.
- Efficacy and safety of baricitinib for the treatment of hospitalised adults with COVID-19 (COV-BARRIER): a randomised, double-blind, parallel-group, placebo-controlled phase 3 trial. 9/4/21. Marconi VC. Lancet Respir Med.
This oral Janus kinase inhibitor with anti-cytokine properties and potential antiviral effectiveness has been studied extensively in hospitalized patients with COVID-19. Sponsored by Pfizer, the COV-BARRIER trial enrolled 1525 participants from 101 centers in 12 countries between June 2020 and January 2021. While its ability to reduce disease progression was not significant, 28-day all-cause mortality was reduced by 5% (from 13% to 8%) in the baricitinib group compared to the placebo population (HR 0.57) which translates in one additional death prevented per 20 baricitinib-treated patients. An accompanying editorial highlights the effectiveness and safety of JAK inhibitors in combination with steroids and remdesivir. It also provides plausible explanations for the observed differences in the results of this trial (COV-BARRIER) and the ACCT-2 trial of baricitinib.
- Fostamatinib for the treatment of hospitalized adults with COVID-19: A randomized trial. 9/1/21. Strich JR. Clin Infect Dis.
Fostamatinib is an oral tyrosine kinase inhibitor that is FDA-approved for the treatment of chronic idiopathic thrombocytopenic purpura. Its active metabolite inhibits both the release of proinflammatory cytokines and platelet mediated thrombus formation provoked by anti-spike immune complexes. In this NIH-led pilot study, fostamatinib was given to 30 patients with advanced COVID-19 requiring oxygen and receiving remdesivir and corticosteroids. Compared to the placebo group, lung injury appeared to resolve more quickly, serious side effects were significantly reduced, and several biomarkers improved significantly. Larger confirmatory trials are needed to establish the drug’s role in advanced SARS-CoV-2 infections.
- Protection of BNT162b2 Vaccine Booster against Covid-19 in Israel. 9/15/21. Bar-On YM. N Engl J Med.
More than 1.1 million (1,137,804) fully vaccinated Israelis older than 60 years were studied during the rollout of a program to provide 3rd shots of the Pfizer vaccine during the Delta surge. Data was analyzed from 5 million person-days at risk in the nonbooster group compared with 10 million person-days in the booster group. “At least 12 days after the booster dose, the rate of confirmed infection was lower in the booster group than in the nonbooster group by a factor of 11.3 (95% confidence interval [CI], 10.4 to 12.3); the rate of severe illness (cases diagnosed Aug 10-26, 2021) was lower by a factor of 19.5 (95% CI, 12.9 to 29.5).” A second analysis showed that the reduction after 12 days post 3rd shot was 5.4 times greater than the reduction after 4 to 6 days post-3rd shot. (95% CI, 4.8 to 6.1). A bar graph shows clearly that it takes 2-3 weeks for additional protection to peak.
- Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine through 6 Months. 9/15/2021. Thomas SJ. N Engl J Med.
Additional data from the ongoing randomized, placebo controlled study of 44,165 participants over 16 years of age and 2264 participants 12 to 15 years of age who received 2 doses of two 30-μg doses, 21 days apart, of BNT162b2 or placebo, before Delta dominance. Vaccine efficacy was 91.3% (95% confidence interval [CI], 89.0 – 93.2), with a decline of 6% every 2 months. Vaccine efficacy against severe disease was 96.7% (95% CI, 80.3 – 99.9). Few participants had serious adverse events or adverse events that led to trial withdrawal. Expected reactions such as site pain, fatigue, and mild fever occurred after second doses more often if there was no evidence of previous exposure to SARS-CoV-2, and after the first dose in those with previous exposure. There was no difference in mortality, and no deaths were attributed to the vaccine. Results were consistent regardless of ethnicity/race, co-morbidities, sex, age and region.
- Safety and immunogenicity of SARS-CoV-2 variant mRNA vaccine boosters in healthy adults: an interim analysis. 9/16/21. Choi A. Nat Med.
In an open-label ongoing phase 2a study, Moderna examined whether their current vaccine (mRNA-1273) booster 6 months after the second dose, shows decreased neutralization vs. three Beta-variant vaccines. Interim analysis of 4 booster groups (n = 20/group) is: Pre-booster dose: neutralizing antibodies against wild-type D614G waned vs. peak titers 1-month post-primary series. Neutralization titers against Beta, Gamma and Delta VOCs were low/undetectable. Both the mRNA-1273 booster and variant-modified boosters were safe. Both boosters increased neutralization titers against wild-type D614G vs. peak titers 1 month after the primary series, and importantly, against VOCs; both were equivalent or superior to titers measured post-primary series against wild-type virus.
- SARS-CoV-2 Neutralization with BNT162b2 Vaccine Dose 3. 9/15/21. Falsey AR. N Engl J Med.
This research letter discusses what amounts to a pilot study looking at neutralizing antibody responses in a small group of subjects who received a third Pfizer vaccine dose, providing data that may be used to argue for a booster. Increases were greater in participants older than 65 years compared with adults younger than 55. Increases were greater to Beta and Delta variants than to wild type.
- Spontaneous Abortion Following COVID-19 Vaccination During Pregnancy. 9/8/21. Kharbanda EO. JAMA.
In this Research Letter of 105,446 pregnancies with 13,160 spontaneous abortions, vaccination for COVID-19 did not increase the risk for spontaneous abortion as compared to unvaccinated pregnancies.
- Surveillance for Adverse Events After COVID-19 mRNA Vaccination. 9/3/21. Klein NP. JAMA.
This is a Vaccine Safety Datalink study from 8 participating US health plans. “In this interim analysis of surveillance data from 6.2 million persons who received 11.8 million doses of an mRNA vaccine, event rates for 23 serious health outcomes were not significantly higher for individuals 1 to 21 days after vaccination compared with similar individuals at 22 to 42 days after vaccination,…although CIs were wide for some rate ratio estimates and additional follow-up is ongoing.” Outcomes included MI, Bell palsy, cerebral venous sinus thrombosis, Guillain-Barré, myocarditis, pericarditis, PE, CVA, and thrombosis with thrombocytopenia. Follow-up is expected for at least 2 years.
September 20, 2021:
- Convalescent plasma for hospitalized patients with COVID-19: an open-label, randomized controlled trial. 9/10/2021. Bégin P. Nat Med.
This open-label, randomized controlled trial of O2-requiring Covid patients examined convalescent plasma antibody profiles on intubation/death by day 30. The trial was terminated for futility. Intubation/death occurred in 199/614 (32.4%) patients in the plasma arm and 86/307 (28.0%) in the standard arm (P= 0.18). The plasma arm had more serious adverse events (33.4% versus 26.4%; P= 0.034). Each log increase in viral neutralization or antibody-dependent cellular cytotoxicity reduced the potential harmful effects of plasma. IgG against the full transmembrane spike protein, containing both relevant and irrelevant Ig’s increased harmful effects. Convalescent plasma qualitative antibody profiles, not total anti-spike IgG, may strongly influence clinical effects.
- Early treatment of COVID-19 with anakinra guided by soluble urokinase plasminogen receptor plasma levels: a double-blind, randomized controlled phase 3 trial. 9/4/21. Kyriazopoulou E. Nat Med.
From December 2020 to March 2021, 594 COVID-19 positive patients at 30 study sites underwent a phase 3 double-blinded randomized controlled trial evaluating the efficacy and safety of early initiation of anakinra treatment on the WHO clinical progression scale (WHO-CPS) at day 28. The study patients (405 anakinra and 189 placebo) all had a soluble urokinase plasminogen activator receptor (suPAR) titer >6ng/ml, which is an early predictor of severe respiratory failure. At 28 days, the odds ratio of having a worse clinical status on the WHO-CPS was 0.36 in the anakinra group. The study includes consideration of CRP, neutrophil to lymphocyte ratio, ferritin, AST and IL-6 levels as well as SOFA scores.
- Evolution of COVID-19 symptoms during the first 12 months after illness onset. 9/2/2021. Wynberg E. Clin Infect Dis.
342 Dutch Covid-19 patients were followed with a monthly symptom questionnaire from May 2020 to May 2021. At 12 weeks 87% of 98 with severe or critical illness had at least 1 symptom compared with 64% of 145 with moderate disease and 31% of 99 with mild disease. 12 months post illness onset 41% of all participants continued to report >1 symptom. Recovery was slower in females and those with BMI >30 kg/m2.
- High-Flow Nasal Cannula and COVID-19: A Clinical Review. 9/15/21. Crimi C. Respir Care.
This review is a succinct and thorough description of the value of high flow nasal cannula (HFNC) for moderate-to-severe acute hypoxemic respiratory failure. The published studies on the use of HFNC during the pandemic are reviewed, and ongoing randomized clinical trials are described. Evidence to date finds HFNC (generally 50-60 l/min) to be a valuable and feasible treatment option for patients with COVID-19 pneumonia, with clinical advantages (i.e., it is simple, well tolerated, available outside the ICU, and likely effective at reducing intubations). The current evidence shows that HFNC is no worse than conventional oxygen delivery devices or NIV in terms of dispersion of patient-generated bioaerosols.
- Investigation of the optimal method of oxygen administration with simultaneous use of a surgical mask: a randomized control study. 9/7/21. Matsui Y. J Anesth.
In this small (n=24) healthy volunteer study, three methods to deliver supplemental oxygen along with surgical masking were assessed by oxygen reserve index* (ORi) and end-tidal oxygen (EtO2). The goal was to determine the best method to limit aerosol dispersal while transporting patients, using 4 L/M supplemental O2 for consistency. A surgical mask over nasal cannula provided the best results of the 3 methods tested, resulting in an ORi of 0.50 and EtO2 of 33%. The other tested methods were oxygen mask over surgical mask and oxygen mask under surgical mask.
*SAB Comment: ORi is a relatively new method using multi-wavelength co-oximetry. Incorporated within some pulse oximeters, it provides a noninvasive method to assess changes in the moderately hyperoxic range, (PaO2100-200 mmHg) one within which SpO2 is insensitive. With decreasing PaO2, ORi will decline before SpO2.
- Machine Learning Prediction of Death in Critically Ill Patients With Coronavirus Disease 2019. 9/3/21. Churpek MM. Crit Care Explor.
This observational study (67 US ICUs, N=5075, March-June 2020) addressed the variable mortality of ICU/COVID-19 patients with a machine learning tool ~eXtreme Gradient Boosting (XGBM) on 28-day mortality. XGBM had the highest discrimination and calibration of all the machine learning models tested including, SOFA Score, NEWS and CURB-65. It is a simple bedside tool that provides pertinent information for goals of care discussions, triage decisions and for prognostic clinical trials. The area under the receiver operating curve was 0.81 (CI 79-85) with a discrimination power X 10 fold. Mortality was 36.4% at day 28 from day of ICU admission. Age, number of ICU beds, creatinine, and lactate were important contributions to mortality.
- Results of the CAPSID randomized trial for high-dose convalescent plasma in severe COVID-19 patients. 8/31/2021. Körper S. J Clin Invest.
This RCT from Germany, randomized 105 COVID-19 hospitalized adults with COVID-19 requiring respiratory support or intensive care treatment to standard care with or without convalescent plasma from August 2020 to December 2020. Demographic profiles and other COVID-19 treatments were similar for the two groups. The transfusion of 3 U of convalescent plasma over 5 days did not change mortality, respiratory recovery or discharge from the ICU or hospital. However, the authors note that those patients who received transfusions with higher levels of neutralizing antibodies had improved outcomes.
- SARS-CoV-2 B.1.617.2 Delta variant replication and immune evasion. 9/6/2021. Mlcochova P. Nature.
A short but complex Nature article demonstrating the Delta variant is less prone to neutralization by antibodies induced by current vaccinations. The authors conclude new techniques of vaccination are necessary to effectively control the Delta variety although the impact on health (death) from this variant is not presented.
- The effect of immunosuppressants on the prognosis of SARS-CoV-2 infection. 9/3/21. Ward D. Eur Respir J.
This retrospective Danish study found that pre-COVID-19 exposure to corticosteroids increased the risk of ICU admission and death in patients who developed PCR-positive COVID-19. The authors analyzed 36,737 cases of COVID-19, of which 527 were exposed to immunosuppressants within the 120 days preceding a positive PCR. For patients exposed to systemic glucocorticoids (at least 7.5mg prednisone equivalent per day), compared to unexposed patients, the adjusted risk ratio for ICU admission was 1.76 and of death was 2.38. Exposure to other immunosuppressants, including selective immunosuppressants, interleukin inhibitors, tumor necrosis factor inhibitors, calcineurin inhibitors, hydroxychloroquine and chloroquine, was not associated with an increased risk of hospitalization, ICU admission nor death.
SAB Comment: This information may be useful to providers prescribing immunosuppressive drugs during the pandemic. Though the use of steroids is associated with worse COVID-19 disease, this study is not designed to determine if reducing steroid dose is helpful.
- The use of head helmets to deliver noninvasive ventilatory support: a comprehensive review of technical aspects and clinical findings. 9/9/21. Coppadoro A. Crit Care.
Helmets have been in use since the early 2000s albeit mostly in a few countries, particularly Italy. Their use has increased with the COVID-19 epidemic. This excellent, brief review notes that helmet therapy can be safely and effectively used to provide NIV (non-invasive ventilation) during hypoxemic respiratory failure, improving oxygenation better than standard oxygen mask treatment and possibly leading to superior patient-centered outcomes than other NIV interfaces. The authors point out issues related to helmet NPPV (non-invasive positive-pressure ventilation) including slow helmet pressurization, reduced CO2 washout and patient–ventilator asynchrony. They state, however, that helmet NPPV is superior to face mask NPPV for patients with ARDS, can be successfully used to treat hypoxemia and is an excellent mode for immunocompromised patients. Helmet NPPV is, however, inferior in patients with COPD exacerbations.
September 13, 2021:
- 1-year outcomes in hospital survivors with COVID-19: a longitudinal cohort study. 8/28/21. Huang L. Lancet.
This extensive study reports the condition at 12 months of a cohort of 1,307 COVID-19 patients discharged January-May 2020 from a single hospital in China. Patients in nursing or care homes, immobile or with osteoarthritis, and with psychiatric disorders or dementia were excluded from the study. A review of the report of their condition at 6 months appears in Newsletter 51. Intensive evaluations included multiple standardized questionnaires, physical exam, blood tests, pulmonary evaluation, use of healthcare resources and work status. Patients with at least one persistent symptom decreased from 68% at 6 months to 49% at 12 months. The most common problem, fatigue and muscle weakness decreased from 52% to 20%. The proportion with dyspnea and anxiety or depression worsened slightly. Of those who were employed prior to hospitalization, 88% had returned to work. Outcome with regard to severity of initial disease, males vs. females and patients vs. matched community controls is characterized.
- Awake prone positioning for COVID-19 acute hypoxaemic respiratory failure: a randomised, controlled, multinational, open-label meta-trial. 8/23/21. Ehrmann S. Lancet Respir Med.
In this multicenter, international, randomized, open-label meta-trial, awake prone positioning (APP) decreased the incidence of intubation in patients with acute severe hypoxemic respiratory failure due to COVID-19 supported with high-flow nasal cannula. From April 2020 through January 2021, 1,121 patients from six countries were randomized to APP as long as possible, or to standard care. The number needed to treat with APP to prevent one intubation was 14. Though not designed to evaluate the duration of APP on outcomes (median daily duration was 5 hours), patients achieving longer durations had better outcomes. Adverse effects were mild, infrequent, and occurred at similar rates between the APP and standard care groups.
SAB Comment: This is the first large, randomized study of APP, commonly used empirically during the pandemic. The results reinforce the safety and utility of APP for averting intubations. Other randomized studies are underway, as discussed in the accompanying Comment.
- COVID-19 Vaccination-Associated Myocarditis in Adolescents. 8/14/21. Jain SS. Pediatrics.
This article reviews the clinical presentation and early prognosis of the rare complication of acute myocarditis following COVID-19 vaccination in adolescents. The authors pool data from 63 patients from 16 US institutions. Using cardiac MR imaging, the authors are able to characterize this entity with exquisite detail in the figures. The authors demonstrate the favorable short-term outcomes of this subset. This article represents some of the largest dataset examining this particular entity in this age group.
- Early Convalescent Plasma for High-Risk Outpatients with Covid-19. 8/18/21. Korley FK. N Engl J Med.
While prior studies using convalescent plasma have failed to demonstrate improved outcomes over placebo for inpatients, this randomized study examined its use in outpatients. Patients older than 50 years old were initially seen in the emergency room and diagnosed with COVID-19. Five hundred and eleven patients from 48 hospitals in 21 states in the US were included in this blinded study funded by the NIH, 257 received convalescent plasma and 254 received placebo. The primary outcome was disease progression defined by either hospital admission, seeking emergency or urgent care, or death. The study showed no significant difference between the two groups (i.e., those receiving convalescent plasma and those that did not).
- Effectiveness of COVID-19 Vaccines in Preventing SARS-CoV-2 Infection Among Frontline Workers Before and During B.1.617.2 (Delta) Variant Predominance – Eight U.S. Locations, December 2020-August 2021. 8/26/21. Fowlkes A. MMWR Morb Mortal Wkly Rep.
Data from the prospective frontline worker HEROES-RECOVER Cohorts showed that from 12/24/20-4/10/21 the Pfizer-BioNTech and Moderna vaccines were ~90% effective in preventing symptomatic and asymptomatic SARS-CoV-2 infection. Adjusted efficacy was 80%. The estimate was 85% among participants for whom less than 120 days had elapsed since full vaccination and 73% among those for whom 150 or more days had elapsed. Once Delta became the predominant variant, adjusted efficacy decreased from 91% to 66%. However, this trend should be interpreted with caution as effectiveness might also have declined due to greater time since vaccination. In addition, there were few weeks of observation and low numbers of infections.
- Hospital admission and emergency care attendance risk for SARS-CoV-2 delta (B.1.617.2) compared with alpha (B.1.1.7) variants of concern: a cohort study. 8/27/21. Twohig KA. Lancet Infect Dis.
All English National Health System patients diagnosed with COVID-19 by PCR from March 29 – May 23, 2021, and found by whole-genome sequencing to have alpha or delta variants, were studied. Delta grew from 0.1% to 45.8% during the study. The adjusted risk (aHR) of an emergency care visit or hospital admission within 14 days of a first positive test was 1.45 in those with delta (n=8,682) compared with alpha (n=34,656). For hospital admission, aHR for delta vs. alpha was 2.26. Median age was 31 years old; 74% were unvaccinated in both variant groups. Patients seen in emergency care or admitted on the day of their first COVID-positive test were excluded to reduce bias of screening tests at the time of presentation for non-COVID related illness.
- Safety of the BNT162b2 mRNA Covid-19 Vaccine in a Nationwide Setting. 8/25/21. Barda N. N Engl J Med.
This Israeli study compared the occurrence of adverse events in 884,828 recipients of the Pfizer/BioNTech COVID-19 vaccine to a like number of controls matched for risks on the day of vaccination. Vaccine recipients and controls were followed for 21 days after each injection. Vaccination was not associated with an elevated risk of most of the adverse events examined. Vaccination was associated with an elevated risk of myocarditis (risk ratio, 3.24 but absolute event rate only 2.23 per 100,000), lymphadenopathy (risk ratio, 2.43), appendicitis (risk ratio, 1.40), and herpes zoster infection (risk ratio, 1.43). From a second set of data, they showed that actual SARS-CoV-2 infection was associated with a substantially increased risk of myocarditis (risk ratio, 18.28) and with additional serious adverse events, including pericarditis, arrhythmia, deep-vein thrombosis, pulmonary embolism, myocardial infarction, intracranial hemorrhage, and thrombocytopenia.
SAB Comment: To make meaning of a comparison of adverse events associated with vaccination to those associated with COVID-19 infection, one must assume a cumulative incidence level. The accompanying editorial adds context and assumes that, “given the current state of the global pandemic, however, the risk of exposure to SARS-CoV-2 appears to be inevitable.”
August 30, 2021:
- An outbreak caused by the SARS-CoV-2 Delta variant (B.1.617.2) in a secondary care hospital in Finland, May 2021. 7/29/21. Hetemäki I. Eurosurveillance.
Authors describe a Delta variant outbreak that originated from one inpatient. It spread within the hospital and to three primary care facilities. Fifty-eight patients and 45 healthcare workers became infected; 18 elderly patients admitted with other conditions died following infection. Among infected individuals, 19% were fully vaccinated, 47% had 1 dose and 34% were unvaccinated. Over 90% of vaccinations were with BioNTech-Pfizer vaccine. Both symptomatic and asymptomatic infections were found among vaccinated healthcare workers, and secondary transmission occurred from patients with symptomatic infections despite use of PPE. Presymptomatic and asymptomatic individuals also infected others. Authors recommend FFP2/3 respirators (~N95 or higher grade) while treating COVID-19 patients.
SAB Comment: The above report, based upon careful contact tracing, highlights the value of universal masking with respirators of FFP2 of N95-level or greater when caring for COVID-19 patients.
- Association of in-hospital use of ACE-I/ARB and COVID-19 outcomes in African American population. 8/19/2021. Li S. J Clin Invest.
A retrospective analysis of over 6200 COVID-19-positive patients admitted to one NY hospital system 2/24/20-5/31/20 was analyzed to determine whether use of ACE-I/ARB (N=1,138) was associated with COVID-19 in-hospital mortality in African Americans (AA) compared with non-AA population. In a multivariate logistic regression model ACE-I/ARB use was independently associated with reduced risk of in-hospital mortality in the entire population (OR, 0.66) however the benefit was greater in the AA population (OR 0.44) (N=1,621), than in the non-AA population (OR 0.75). When analyzing each medication class separately, ARB in-hospital use was significantly associated with reduced in-hospital mortality in the AA population (OR, 0.196), while ACE-I use was not associated with impact on mortality in any population. Authors hypothesize that this is due to a higher ACE D-allele prevalence in the AA population. The benefit of ACE-I/ARB and difference in AA population was only seen with adjustment for confounding risk factors. However a major shortcoming is that all patients were not followed out – data included all COVID patients admitted within the study period yet nearly 9% of patients were still hospitalized at the end of the study.
- COVID-19 Vaccine Safety in Adolescents Aged 12-17 Years – United States, December 14, 2020-July 16, 2021. 8/5/21. Hause AM. MMWR Morb Mortal Wkly Rep.
A statistical analysis of the Pfizer COVID-19 vaccine in children 12 years or older in the US demonstrated its safety. Reactions to the vaccine are uncommon and mostly mild. Myocarditis is one rare but severe reaction more common in boys after the second vaccination and that resulted in no deaths.
- Durability of mRNA-1273 vaccine–induced antibodies against SARS-CoV-2 variants. 8/12/21. Pegu A. Science.
The authors assess the impact of SARS-CoV-2 variants B.1.1.7 (Alpha), B.1.351 (Beta), P.1 (Gamma), B.1.429 (Epsilon), B.1.526 (Iota), and B.1.617.2 (Delta) on binding, neutralizing, and ACE2-competing antibodies elicited by the Moderna mRNA-1273 vaccine over seven months. Cross-reactive neutralizing responses were rare after a single dose. At the peak of response to the second vaccine dose, all individuals had responses to all variants. Binding and functional antibodies against variants persisted in most subjects, albeit at low levels, for 6 months after the primary series of the mRNA-1273 vaccine. Across all assays, B.1.351 had the lowest antibody recognition. The authors believe that these data complement ongoing studies to inform the potential need for additional boost vaccinations.
- Effect of anakinra on mortality in patients with COVID-19: a systematic review and patient-level meta-analysis. 8/16/2021. Kyriazopoulou E. Lancet Rheumatol.
Aggregate data on 1,185 patients from 9 international studies (8 observational, 1 randomized controlled study) were analyzed. In the individual patient-level meta-analysis (N=895 from 6 studies), after adjusting for age, comorbidities, baseline PaO2/FiO2 ratio, CRP concentrations, and lymphopenia, 28-day mortality was significantly lower in patients treated with anakinra (38 [11%] of 342) than standard of care with or without placebo (137 [25%] of 553; adjusted OR 0.32), and lowest if CRP >100 mg/L (OR 0.28). However the survival benefit of anakinra was significant when given without dexamethasone (OR 0.23), but not with dexamethasone co-administration; in those breathing spontaneously (OR 0.3) but not those invasively ventilated. Anakinra may be useful in spontaneously ventilating patients with a contraindication to steroids or for those with CRP >100. Larger randomized trials are needed to clarify the role of anakinra in COVID-19.
- SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study. 8/24/21. COVIDSurg Collaborative. Anaesthesia.
This is a planned sub-study and analysis from a prospective, international, multicenter cohort study of patients undergoing all surgical procedures during October 2020 to determine incidence of postoperative venous thromboembolism (VTE) in patients without and with history of SARS-CoV-2 (before [more than 7 weeks]; recent [1-6 weeks]; peri-operative [7 days before to 30 days after]). Primary outcome measure VTE (PE or DVT) was within 30 days. No information on VTE prophylaxis pre- or post-operatively was available. VTE was independently associated with postoperative mortality (5.4%). In patients with SARS-CoV-2 mortality without VTE was 7.4%; with VTE was 40.8%. Recent and peri-operative SARS-CoV-2 infection may be an independent risk factor for postoperative VTE, and increased awareness and surveillance should be considered.
- SARS-CoV-2 variant prediction and antiviral drug design are enabled by RBD in vitro evolution. 8/16/2021. Zahradník J. Nature Microbiology.
Following increasing rounds of in vitro binding to ever-decreasing amounts of ACE-2, the Receptor Binding Domain (RBD) sequence underwent mutation “evolution”. The progressive mutations mimicked the evolutionary path of amino acid substitutions that emerged with Alpha, Beta and Gamma variants! Also, the mutations correlated with the successive higher ACE-2 affinity of pandemic-emergent VOC. Additional evolving mutations had 1,000-fold increased binding and were more infectious. The high-affinity variant “RBD-62” administered before or after infection, inhibited hamster SARS-CoV-2 disease. The cryo-electron microscopy structure of RBD-62/ACE2 complex, provides a basis for future drug and vaccine development and in silico evaluation of antibodies.
August 16, 2021:
- SAB Comment: The following two studies on vaccine-induced immune thrombocytopenia (VITT) provide two different views of a complex therapeutic question that remains unresolved. What is the appropriate dose (therapeutic versus prophylactic) and timing of anticoagulant therapy in the treatment of COVID-19 and what is the incidence of VITT in the general population stratified by age and sex following vaccination?
- Clinical Features of Vaccine-Induced Immune Thrombocytopenia and Thrombosis. 8/11/21. Pavord S. N Engl J Med.
A study of 294 patients presenting to UK hospitals (03/22-06/06 2021) found incidence of vaccine-induced immune thrombocytopenia and thrombosis (VITT) following ChAdOx1 nCoV-19 (AstraZeneca) vaccination among individuals younger than 50 years at least 1:50,000 which is consistent with previous reports. The study details diagnosis, patient demographics and common timeline for vaccination to symptomatology. Useful tables detail definition criteria (definite, probable, possible, unlikely) and clinicopathological findings. Age stratification notes incidence in older than 60 years at least 1/100,000. The authors conclude “The high mortality associated with VITT was highest among patients with a low platelet count and intracranial hemorrhage. Treatment remains uncertain, but identification of prognostic markers may help guide effective management.”
- Cerebral venous thrombosis after vaccination against COVID-19 in the UK: a multicentre cohort study. 8/9/21. Perry RJ. Lancet.
Investigators studied 95 patients from 43 UK hospitals with image-confirmed cerebral venous thrombosis following vaccination for COVID-19 looking for vaccine-induced immune thrombotic thrombocytopenia (VITT), which was defined as acute thrombosis accompanied by D-dimer greater than 2,000 along with a minimum platelet count less than 150,000. Seventy-six (80%) of 95 patients were investigated for anti-PF4 antibodies, a reliable marker for VITT. Seventy in 96 had VITT, all following AstraZeneca vaccine. Of 26 without VITT, 21 had received AstraZeneca vaccines, and four had received Pfizer vaccines. VITT patients were younger (mean 47 vs. 57), more likely to have multiple venous thromboses (14% vs. 0) or hemorrhages (33% vs. 14%), and more disabled at discharge compared with non-VITT patients. Mortality was 29% in the VITT cohort vs. 4% in the non-VITT cohort. One non-VITT patient had serious extra-cerebral thrombosis. Non-heparin anticoagulant and intravenous immunoglobulin treatments were associated with an improved outcome. Diagnosis criteria are proposed.
- Clinical Features of Vaccine-Induced Immune Thrombocytopenia and Thrombosis. 8/11/21. Pavord S. N Engl J Med.
- Persistent Endotheliopathy in the Pathogenesis of Long COVID Syndrome. 8/10/21. Fogarty H. J Thromb Haemost.
Findings of pulmonary endotheliopathy and microvascular immunothrombosis have been highlighted in autopsies in acute COVID, but their contributions to Long-COVID are unknown. Long-COVID patients (n=50, age 50 + 17 years, medium post-COVID =68 days) showed that prothrombic markers (endogenous thrombin potential, peak thrombin, etc.) and endothelial activation markers (VWF:Ag, Factor VIII, etc.) and plasma soluble thrombomodulin were significantly elevated vs. controls (nonhospitalized asymptomatic, n=17, mean age 47 ± 12 years), especially in elderly, hospitalized and patients with co-morbidities. Typical acute phase markers (e.g., CRP, neutrophil counts, IL-6) were normal. Endotheliopathy assays (e.g., VWF) correlated inversely with the 6-Minute Walk Test.
- Surviving Covid-19 with Heparin? 8/4/21. Ten Cate H. N Engl J Med.
This editorial attempts to reconcile the differences in outcomes of the two studies below between critically ill and moderately ill COVID-19 patients who received heparin at therapeutic vs. thromboprophylactic doses. It is fairly clear that therapeutic anticoagulation does not provide increased benefit over thromboprophylaxis for critically ill patients; however, the degree of benefit of full anticoagulation over prophylaxis for patients with moderate disease remains an open question.
- Therapeutic Anticoagulation with Heparin in Critically Ill Patients with Covid-19. 8/5/21. REMAP-CAP Investigators. N Engl J Med.
This randomized study of 1098 patients was stopped early because “In critically ill patients with COVID-19…therapeutic-dose anticoagulation with heparin did not result in a greater probability of survival to hospital discharge or a greater number of days free of cardiovascular or respiratory organ support than did usual-care pharmacologic thromboprophylaxis.” Major bleeding occurred in 3.8% of patients receiving therapeutic-dose anticoagulation vs. 2.3% receiving usual-care thromboprophylaxis. These data are the result of harmonized protocols of 3 international adaptive platform trials (REMAP-CAP, ACTIV-4A, and ATTACC). A limitation is that the majority of patients were in the UK where usual care changed from low-dose to intermediate dose prophylaxis during the study period, April-December 2020.
- Therapeutic Anticoagulation with Heparin in Noncritically Ill Patients with Covid-19. 8/5/21. ATTACC Investigators. N Engl J Med.
This companion study reports outcomes following initial treatment with therapeutic vs. prophylactic heparin anticoagulation for 2,219 COVID-19 patients with moderate disease. Survival until hospital discharge without receipt of organ support during the first 21 days was 76.4% (801/1048) for those in usual-care thromboprophylaxis vs. 80.2% (939/1171) for those in the therapeutic anticoagulation group. Neither age, level of respiratory support at enrollment, nor thromboprophylaxis dose affected outcomes. The final posterior probability for superiority of therapeutic-dose anticoagulation vs. usual-care thromboprophylaxis was 97.3% in the high d-dimer cohort, 92.9% in the low d-dimer cohort, and 97.3% in the cohort with an unknown d-dimer level. A table summarizes secondary outcomes, including major bleeding in 1.9% receiving therapeutic dose vs. 0.9% receiving thromboprophylaxis.
August 9, 2021:
- Characterisation of in-hospital complications associated with COVID-19 using the ISARIC WHO Clinical Characterisation Protocol UK: a prospective, multicentre cohort study. 7/18/2021. Drake TM. Lancet.
Utilizing the ISARIC WHO CCP-UK protocol, a plan for evaluating severe emerging infections, 80,388 patients from 302 health care facilities in 4 countries were followed prospectively from January-August 2020 for acute complications occurring during SARS CoV-2 infection. Data was collected at 1,3,9 and 28 days after admission. Pre-existing comorbidity was present in 81% and 49.7% had complications: renal (24%), respiratory (18%), systemic (coagulopathy and sepsis) (18%), cardiovascular (12%), and neurological (4%). The large number of participants allowed for, among other observations, the effect of individual complications on outcome, the increased impact of complications in younger victims, and the incidence of decreased self-care ability. It is accompanied by an editorial.
- Covid-19 Breakthrough Infections in Vaccinated Health Care Workers. 7/28/21. Bergwerk M. N Engl J Med.
At the largest Israeli medical center, healthcare workers with COVID-19 exposure or symptoms underwent extensive evaluations from 1/20/21 – 4/28/21 to investigate infectivity and breakthrough infections. Breakthrough cases with neutralizing antibody (nAb) titers within a week before documented infection were matched with 4-5 uninfected controls. Among 1,497 healthcare workers fully vaccinated with BNT162b2 for whom RT-PCR data were available, 39 SARS-CoV-2 breakthrough infections were documented (0.4%). Eighty-five percent were B.1.1.7. (Alpha). Most were asymptomatic or mild, yet 19 had persistent symptoms at 6 weeks. nAb titers during the peri-infection period were lower in patients than in controls (ratio, 0.36). Higher nAb levels were associated with lower viral load. No secondary infections were documented. In all 37 patients for whom the suspected source of infection was identified, it was an unvaccinated person, mostly household members.
- Dexamethasone and tocilizumab treatment considerably reduces the value of C-reactive protein and procalcitonin to detect secondary bacterial infections in COVID-19 patients. 8/6/21. Kooistra EJ. Crit Care.
This prospective observational study from a single Dutch medical center compares the established predictive value of inflammatory biomarkers C-reactive protein (CRP) and procalcitonin (PCT) in identifying secondary bacterial infections in severe COVID-19 patients admitted between March and April 2020. A second patient cohort was treated in their ICU after August 2020 which received dexamethasone with or without a single dose of tocilizumab 8mg/kg IV. Results showed marked blunting of the CRP and PCT response during and a rebound after cessation of immunosuppression which could be falsely interpreted as a signal of secondary infection, while the blunted response may mask ongoing secondary infection.
- Drug-induced phospholipidosis confounds drug repurposing for SARS-CoV-2. 7/30/21. Tummino TA. Science.
Many drugs are reported to have in vitro activity against SARS-Co-V-2. Some of these “repurposed” drugs including hydroxychloroquine, azithromycin and amiodarone are already in trials. This investigation discovered a shared mechanism of many “repurposed” drugs: phospholipidosis, which is a phospholipid storage disorder induced by cationic amphiphilic drugs. For all 23 drugs tested, development of intracellular phospholipidosis correlated with antiviral “efficacy.” Conversely, drugs active against the same targets that did not induce phospholipidosis were not antiviral. Phospholipidosis does not reflect specific target-based activities, but is a toxic confound. Early detection of phospholipidosis could eliminate screening artifacts, steering focus on molecules with real potential. The accompanying editorial points out that that “mechanism-informed” strategy for drug repurposing can work (e.g., remdesivir) and may result in clinically useful results. Conversely, repurposing drugs based on hypothesis-free cellular screens “has not yet yielded any effective treatments for COVID-19, nor for any disease.” These latter mass screenings are not shortcuts, but rather costly, scientific “dead-ends.”
- Effectiveness of Covid-19 Vaccines against the B.1.617.2 (Delta) Variant. 7/21/21. Bernal JL. N Engl J Med.
British investigators used a test-negative case-control design to estimate the effectiveness of vaccination against symptomatic disease caused by the delta variant or the predominant alpha variant (B.1.1.7) over the period that the delta variant began circulating. With the Pfizer vaccine, the effectiveness of two doses was 93.7% among persons with the alpha variant (N=14,837) and 88.0% among those with the delta variant (N=4,272). Data ran up to 5/16/21. With the AstraZeneca vaccine, the effectiveness of two doses was 74.5% among persons with the alpha variant and 67.0% among those with the delta variant. Effectiveness was only 31% for alpha and 49% for delta after just one dose of either vaccine.
- Efficacy and safety of remdesivir in hospitalised COVID-19 patients: a systematic review and meta-analysis. 7/31/21. Angamo MT. Infection.
This is a meticulous review of pooled data taken from 4 RCTs and 3 controlled observational trials covering a 12-month span starting December 2019 comparing remdesivir treatment to placebo or standard care. Remdesivir significantly accelerated recovery at day 7 (21%) and day 14 (29%), lowered the incidence of high oxygen flow therapy by 27% and mechanical ventilation by 47%, and decreased mortality on day 14 by 39% but not on day 28. Serious adverse effects were less common in the remdesivir group and the authors conclude that remdesivir treatment is effective and safe early in SARS-CoV-2 infections.
- Endothelium-associated biomarkers mid-regional proadrenomedullin and C-terminal proendothelin-1 have good ability to predict 28-day mortality in critically ill patients with SARS-CoV-2 pneumonia: A prospective cohort study. 8/3/21. van Oers JAH. J Crit Care.
This observational cohort study assessed baseline levels of two inflammatory markers, midregional proadrenomedullin (MR-proADM) and C-terminal proendothelin-1 (CT-proET-1) as predictors of 28-day mortality in 105 critically ill COVID-19 pneumonia patients. The area under the curve for prediction of 28-day mortality for MR-proADM and CT-proET-1 were 0.84 and 0.79 respectively. An MR-proADM level of d≥1.57 nmol/L or a CT-proET-1 level of ≥ 111 pmol/L at baseline were significant predictors for 28-day mortality (HR 6.80 and HR 3.72 respectively) and were significantly better predictors than other, more common, inflammatory markers.
- Immunogenicity and reactogenicity of heterologous ChAdOx1 nCoV-19/mRNA vaccination. 7/26/21. Schmidt T. Nature Med.
Heterologous priming with a single dose of the AstraZeneca ChAdOx1 nCoV-19 adeno vector vaccine followed by boosting with either the Pfizer or the Moderna mRNA vaccine is currently recommended in Germany. This study compares multiple aspects of immune response (spike-specific IgG, neutralizing antibodies, spike-specific CD4 T cells, and spike-specific CD8 T cell levels) in subjects receiving this heterologous regimen to the responses in subjects receiving two-dose homologous regimens with AstraZeneca vaccine or with an mRNA vaccine. All regimens were similarly well tolerated. Immune response levels were significantly higher with the heterologous regimens than after a two-dose AstraZeneca regimen and higher or comparable in magnitude to homologous mRNA vaccine regimens.
SAB Comment: Heterologous vaccine strategies were initially pioneered in HIV and Ebola. Currently, at least 5 EU countries have recommended it as a means of producing fewer side effects than a two-dose AstraZeneca regimen.
July 26, 2021:
- Masitinib is a broad coronavirus 3CL inhibitor that blocks replication of SARS-CoV-2. 7/21/21. Drayman N. Science.
Out of 1,900 clinically tested drugs tested in vitro, eight drugs inhibited the activity of one of two SARS-CoV-2’s major proteases, 3CLpro. The most potent inhibitor was masitinib, an orally bioavailable tyrosine kinase inhibitor (TKI) previously tested in human cancers, neurologic and mast cell disorders. In SARS-CoV-2, masitinib acts as a competitive inhibitor of 3CLpro, not as a TKI. SARS-CoV-2-infected mice treated with masitinib showed >200-fold viral titer reductions in nose and lung with reduced lung inflammation. Masitinib was effective in vitro against alpha, beta, and gamma variants. Clinical trials are recommended with use of masitinib early in infection.
SAB Comment: Clinical studies of masitinib are currently on temporary hold due to the potential for adverse cardiac effects.
- Performance Analysis of the National Early Warning Score and Modified Early Warning Score in the Adaptive COVID-19 Treatment Trial Cohort. 7/19/21. Colombo CJ. Crit Care Explor.
This study demonstrated moderate prognostic performance of predictive scores in patients with severe coronavirus disease and validates the addition of age as a predictor in severe COVID-19 disease. Predictive scores remain an aid to clinician’s experience in decision making and add value under resource constraints.
- Physical Therapy and Sedation While on Extracorporeal Membrane Oxygenation for COVID-19-Associated Acute Respiratory Distress Syndrome. 7/21/21. Bohman JK. J Cardiothorac Vasc Anesth.
This is a study of matched cohort patients on veno-venous ECMO for COVID and non-COVID ARDS, comparing sedative requirements and ability of patients to participate in physical therapy (PT). Despite earlier suggestions that COVID-19 patients required higher sedative requirements, in this study at two Mayo Clinic sites (Rochester and Jacksonville), sedative requirements, RASS scores and PT participation were similar with no statistical differences between COVID-19 and non-COVID-19 ECMO patients.
July 19, 2021:
- Association Between Administration of IL-6 Antagonists and Mortality Among Patients Hospitalized for COVID-19: A Meta-analysis. 7/6/21. WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group. JAMA.
This meta-analysis analyzed IL-6 antagonists vs. usual care including corticosteroids or placebo and 28-day all-cause mortality and other outcomes included nearly 11,000 patients from 27 clinical trials. Twenty-eight-day mortality was 1407/6449 randomized to IL-6 antagonists vs. 1158/4481 randomized to usual care or placebo; OR, 0.86; P = .003, and OR 0.72 for those also receiving corticosteroids. Absolute mortality was 22% for IL-6 antagonists vs. an assumed mortality of 25% for usual care or placebo. The ORs for progression to invasive mechanical ventilation or death vs. usual care or placebo was 0.77 for all IL-6 antagonists. A well-written editorial discusses the study’s findings, significance, strengths, and weaknesses.
- Baricitinib reduces 30-day mortality in older adults with moderate-to-severe COVID-19 pneumonia. 7/8/21. Abizanda P. J Am Geriatr Soc.
This retrospective, propensity matched cohort study from Spain compared the efficacy of baricitinib in 2 groups of hospitalized patients aged 70 and older (mean age 79) and younger than 70 years (mean age 59), to matched groups of patients receiving standard therapy alone. There was an 18.5% absolute mortality risk reduction in patients older than 70 years and a lower 30-day adjusted fatality rate (HR 0.21; 95% CI 0.09–0.47; p < 0.001). Standard therapy included lopinavir/ritonavir, hydroxychloroquine and corticosteroids in the majority of patients. The result of this study corroborates the evidence presented in the ACTT-2 and the COV-BARRIER trials and other clinical studies.
- Implementation and Outcomes of a Mobile Extracorporeal Membrane Oxygenation Program in the United States During the Coronavirus Disease 2019 Pandemic. 6/28/21. Odish MF. J Cardiothorac Vasc Anesth.
This article examines the use of mobile ECMO for patients being transferred in Southern California in 21 patients with COVID-19. For mobile ECMO, a cannulation team travels to the patient’s hospital with all of the necessary equipment to start the ECMO. They accompany the patient back to accepting tertiary care center for continuing care. The paper adds to the literature and offers specific practical tips for the clinician. It focuses on lessons learned and pitfalls to be avoided. It is well written and engaging.
- Standard prophylactic versus intermediate dose enoxaparin in adults with severe COVID-19: a multi-center, open-label, randomized controlled trial. 7/8/21. Perepu US. J Thromb Haemost.
One hundred seventy-six hospitalized patients with COVID-19 who either were in the ICU (n=107) or had coagulopathy were randomized to prophylactic or intermediate dose enoxaparin. Thirty-day mortality, bleeding and rates of thrombosis were not different between the two arms. These data help the clinician with the treatment of COVID-19 patients with respect to prophylaxis for deep venous thrombosis and support prior data.
SAB Comment: This article confirms the prior data from Iran’s Inspiration trial that was previously reviewed by the SAB.
- U shape association of hemoglobin level with in-hospital mortality for COVID-19 patients. 7/2/21. Kuno T. J Thromb Thrombolysis.
This article examines the data from 9467 hospitalized COVID-19 patients and found that the mortality rate is not only associated with anemia (hemoglobin < 10 g/dL) but also higher hemoglobin levels (hemoglobin >16 g/dL). While this finding is not novel outside of COVID-19, this extensive dataset from a large hospital system in New York City adds to the literature. The paper is concise and offers new avenues for further investigation.
July 9, 2021:
- Age and Acute Ischemic Stroke Outcome in North American Patients With COVID-19. 7/5/2021. Dmytriw AA. J Am Heart Assoc.
This is a detailed prospective database analysis of 126 patients with COVID-19 who suffered acute ischemic strokes (AIS) and were treated at 19 stroke centers in the US and Canada between March and September 2020. The study looked at 3 separate age groups and corroborates earlier observations of better outcomes and lower rates of mortality among patients under 55 years of age with AIS and COVID-19 and adds the observation of a higher incidence of large vessel occlusion in this cohort. In addition, using multivariable binary logistic regression models, the study finds that the risk of poor outcomes, including death, increases with every year of age.
- Efficacy and safety of remdesivir in COVID-19 caused by SARS-CoV-2: a systematic review and meta-analysis. 6/25/21. Singh S. BMJ Open.
Investigators reviewed and analyzed 4/52 RCTs with a total of 7324 patients to evaluate the efficacy of remdesivir for COVID-19 patients. The results indicated that there is no benefit with mortality rate. A benefit favoring remdesivir over control does exist in terms of rates of clinical improvement and faster time to clinical improvement. No difference was shown in respiratory failure in two (flawed) studies. All outcomes except mortality were influenced by two studies which were riddled with high risk of bias and low quality evidence. In a cost to benefit analysis, remdesivir has a limited role in poor countries.
- Risk factors for long covid in previously hospitalised children using the ISARIC Global follow-up protocol: A prospective cohort study. 7/2/21. Osmanov IM. Eur Respir J.
This is a study of 518 COVID-19 infected children admitted to a pediatric hospital in Moscow and followed for 5-12 months — the largest follow-up pediatric study to date. Parents were interviewed using an internationally designed and accepted protocol. Average age was 10.4 years (<1-18 years range) and near equal distribution between sexes. Long COVID was found in 24.3% of children. Fatigue and sleep disturbance were the most common complaints followed by loss of smell. Symptoms declined over time. Risk factors for persistent symptoms were patients older than 6 years old and a history of allergic disease. Psycho-social issues were uncommon and no deaths were reported.
June 28, 2021:
- Awake prone positioning in patients with hypoxemic respiratory failure due to COVID-19: the PROFLO multicenter randomized clinical trial. 6/15/21. Rosén J. Crit Care.
In this small, randomized, controlled study from Sweden, the efficacy of awake prone positioning (APP) was evaluated in 75 patients with COVID-19 in moderate to severe respiratory failure. Compared with standard care, implementation of a 16 hour/day protocol for APP increased the duration of prone positioning but did not affect the rate of intubation. The study was halted early due to futility. When secondary outcomes were analyzed, the only difference between groups was a reduction of pressure sores in the APP group.
SAB Comment: Though small, this is a well-designed prospective and randomized trial of APP in COVID-19 patients and confirms retrospective studies that question the efficacy of APP.
- Mild SARS-CoV-2 Infections and Neutralizing Antibody Titers. 6/23/2021. Bonfante F. Pediatrics.
In this prospective Italian study of 70 children and 82 parents in 57 family clusters with asymptomatic or mild COVID-19, anti-nucleocapsid-spike protein IgG/IgM was confirmed and neutralizing antibody levels (nAbs) were quantified by the Plaque Reduction Neutralizing Test for 7-8 months post-infection. nAbs declined less and levels were higher in children and than in parents. Children <3 developed the highest, longest lasting nAb levels, 4.5 times higher than in parents 1-2 months post infection and 7.9 times higher at 3-6 months. In this cohort, nAb levels correlated with viral loads but not with disease severity. Findings and implications for vaccination policy are discussed in an accompanying editorial.
- Mortality after surgery with SARS-CoV-2 infection in England: a population-wide epidemiological study. 6/21/21. Abbott TEF. IBr J Anaesth.
This retrospective British NHS database study addresses surgical mortality associated with SARS-CoV-2 from 1/1/2020 to 2/28/2021. Of 2.5 million surgeries, 1.0% of patients died and 1.1% of patients were infected. The mortality was 21% in patients with SARS-CoV-2 and 0.8% in those uninfected (OR 5.7). With elective surgery, 1% were infected, and mortality was 7.1%, compared to 0.1% (OR 25.8). Emergency procedure mortalities were 25.1% compared to 3.4% (OR 5.5). Statistics include data for procedure types and disease severity, and demonstrate the safety of elective procedures, with precautions, in healthy patients with no SARS-CoV-2 history. The authors estimate about one-half of 4.5 million expected surgical procedures were postponed.
- Taskforce report on the diagnosis and clinical management of COVID-19 associated pulmonary aspergillosis. 6/23/21. Verweij PE. Intensive Care Med.
This is a thorough and lengthy review by an international group of 28 experts prompted by the relatively high incidence of COVID-associated pulmonary aspergillosis (CAPA) seen in severely ill COVID-19 patients. The prevalence of CAPA varied between 0 and 33%. Bronchoscopy and bronchoalveolar lavage (BAL) remain the cornerstone of CAPA diagnosis. Most patients diagnosed with CAPA lack traditional host factors, but pre-existing structural lung disease and immunomodulating therapy may predispose to CAPA risk. Computed tomography seems to be of limited value to rule CAPA in or out, and serum biomarkers are negative in 85% of patients. As the mortality of CAPA is around 50%, antifungal therapy is recommended for BAL-positive patients, while the authors recommend against routinely stopping concomitant corticosteroid or IL-6 blocking therapy in CAPA patients.
- The SARS-CoV-2 mRNA vaccine breakthrough infection phenotype includes significant symptoms, live virus shedding, and viral genetic diversity. 6/12/21. Pollett SD. Clin Infect Dis.
This pilot report from the US Military Health System examined 24 PCR confirmed infections more than 14 days after full Pfizer (92%) and Moderna (8%) vaccination. Sixty-seven percent had no co-morbidities, 63% were health care workers, and 71% were White. Five were asymptomatic, and none required hospitalization; however, symptoms lasted up to 2 weeks and were reported as severe in 3. Viral cultures and complete genomic sequencing were performed in many cases. Strains included wild type as well as variants of concern. Some were shedding live virus 7 days after symptom onset. Authors recommend larger, prospective studies of vaccine breakthrough infections.
SAB Comment: The CDC recently reported 4,115 cases from 47 states of breakthrough infections in fully vaccinated individuals who were hospitalized or died (mortality 18%) as of 6/21/21. Seventy-six percent were older than 65 years. Twenty-six percent of hospital admissions were not initiated for COVID-19. One hundred forty-two in 750 fatalities (19%) were not attributed to COVID-19. “The number of COVID-19 vaccine breakthrough infections reported to CDC likely are an undercount of all SARS-CoV-2 infections among fully vaccinated persons. National surveillance relies on passive and voluntary reporting, and data might not be complete or representative.”
- Three Doses of an mRNA Covid-19 Vaccine in Solid-Organ Transplant Recipients. 6/23/21. Kamar N. N Engl J Med.
This letter documents the humoral antibody response to 3 doses of the Pfizer-BioNTec vaccine in 101 solid organ transplant recipients 97 months post transplant, none of whom have become infected. The second dose was given 30 days after the first, and the third, 60 days after the second. Titers for spike protein antibodies were obtained before the first, second and third doses and one month after the third dose. Before the second dose, only 4 patients had antibodies, increasing to 40% before the third dose. After the third dose, 68% had antibodies. 33 patients (who were older, with a higher degree of immunosuppressive and a lower GFR) presumably remained at risk for infection.
SAB Comment: Besides antibodies, the immune system has redundant lines of defense including T-cells (e.g., cellular immunity) that may be protective though not easily assessed. We await further “real world” studies on actual numbers and severity of infections in solid organ transplant patients, regardless of antibody levels.
- Tofacitinib in Patients Hospitalized with Covid-19 Pneumonia. 6/16/21. Guimarães PO. N Engl J Med.
This randomized, double-blind, placebo-controlled and industry-sponsored trial (“STOP COVID”) involving 289 hospitalized patients with Covid-19 pneumonia in Brazil showed tofacitinib superior to placebo in reducing the incidence of death or respiratory failure (18 vs 29% – HR 0.63). Overall mortality was 2.8% in the tofacitinib group vs. 5.5% for placebo. Standard therapy (antivirals, glucocorticoids, anticoagulation) was comparable between groups, as were adverse events. This study corroborates the findings of the NIH funded ACTT-2 trial and the value of JAK inhibition for the treatment of Covid-19 pneumonia in patients who are not yet receiving invasive mechanical ventilation.
SAB Comment: NIH COVID-19 treatment guidelines recommend against the use of JAK inhibitors other than baricitinib for the treatment of COVID-19, except in a clinical trial.
- Underlying Medical Conditions Associated With Severe COVID-19 Illness Among Children. 6/7/21. Kompaniyets L. JAMA Netw Open.
A data rich CDC review studying 43,465 children 18 years old and younger hospitalized with COVID-19 infection through January 2021. After a complete description on data retrieval and analysis, results revealed children with diabetes, obesity and those with cardiac anomalies were more commonly hospitalized than previously healthy children. Overall children with any chronic disease were hospitalized 3 times more frequently. Asthma was a risk for severe infection. Children younger than 2 years old and born prematurely were prone to hospitalization. Finally, Hispanic and Black children suffered severe infection more frequently than Whites.
- Variants of concern are overrepresented among post-vaccination breakthrough infections of SARS-CoV-2 in Washington State. 6/24/21. McEwen AE. Clin Infect Dis.
In an effort to determine mRNA vaccine efficacy against SARS-CoV-2 variants of concern (VOC), the University of Washington performed genetic sequencing of the SARS-CoV-2 virus on all positive PCR samples between February 23 and April 27, 2021. Of the 5,174 unvaccinated cases, 68% were VOC compared to 100% of the 20 breakthrough cases in vaccinated patients. Most breakthrough cases were symptomatic (~80%) but none were hospitalized. No single VOC was significantly more common in the breakthrough cases compared with unvaccinated cases. This is consistent with previous reports that mRNA vaccines provide excellent protection to all current strains of the virus, though there is a rare VOC breakthrough.
SAB Comment: As the pandemic continues, more VOC that could be a problem even for vaccinated people may evolve. This emphasizes the importance of the current vaccination effort and world-wide control of the pandemic.
June 14, 2021:
- Association between previous anticoagulant use and mortality among hospitalized patients with COVID-19. 6/3/21. Gülcü O. J Thromb Thrombolysis.
This article from Turkey reviews 5575 patients who were hospitalized with COVID-19. They examined the use of prehospitalization anticoagulation (n= 451) with direct oral anticoagulants (n=383) or warfarin (n=68). After propensity scoring, this study found that previous use of oral anticoagulation was associated with lower mortality in patients hospitalized due to COVID-19 (adjusted hazard ratio 0.62, p=0.030). These data add to the conflicting data examining prehospital anticoagulation in COVID-19.
- Closed-Loop Versus Conventional Mechanical Ventilation in COVID-19 ARDS. 6/8/21. Wendel Garcia PD. J Intensive Care Med.
Closed-Loop (C-Loop) is an automated/autopilot ventilation mode which integrates key patient respiratory parameters into automatic ventilator adjustments that provide a high degree of lung protective ventilation (LPV) and result in a reduced frequency of hypoxemic episodes. This randomized, prospective study compares ventilator support for COVID-19 ARDS patients using either C-Loop (n= 23) or conventional mechanical ventilation (Con-V, n= 17). The C-Loop group showed a statistically significant improvement in the dynamic mechanical power necessary, higher total lung compliance and PF ratio and lowered VD/ VT, PEEP, and Fio2 while maintaining adequate PaO2. This suggests that C-Loop ventilation may decrease the risk of ventilator induced lung injury while reducing the number of necessary human ventilator adjustments. The paper describes an impressive tool with a convincing radar graph for its practical utility but provides limited outcome data.
SAB Comment: This is a small, futuristic, innovative, and intriguing pilot study of the feasibility of an automated ventilator-adjustment device to better provide lung protective ventilation.
- Further Evidence Supporting the Use of Prophylactic Anticoagulation in Hospitalized Patients With COVID-19. 6/11/21. Dicks AB. JAMA Netw Open.
This editorial provides a succinct review of current understanding regarding anticoagulation for COVID-19 patients. It accompanies a retrospective report in the same journal that looked at 60-day mortality in addition to in-hospital outcomes for patients treated with either prophylactic or therapeutic anticoagulation during the first wave in the US. Although randomized controlled studies are still lacking, evidence suggests that only prophylactic anticoagulation is associated with reduced 60-day mortality. (Adjusted hazard ratio 0.71 for prophylactic vs 0.92 for therapeutic dosing).
- Hospitalization of Adolescents Aged 12-17 Years with Laboratory-Confirmed COVID-19 – COVID-NET, 14 States, March 1, 2020-April 24, 2021. 6/10/21. Havers FP. MMWR Morb Mortal Wkly Rep.
In the US, “Most COVID-19-associated hospitalizations occur in adults, but severe disease occurs in all age groups, including adolescents aged 12–17 years. COVID-19 adolescent hospitalization rates from COVID-NET peaked at 2.1 per 100,000 in early January 2021, declined to 0.6 in mid-March, and rose to 1.3 in April. Among hospitalized adolescents, nearly one third required intensive care unit admission, and 5% required invasive mechanical ventilation; no associated deaths occurred. Recent increased hospitalization rates in spring 2021 and potential for severe disease reinforce the importance of continued COVID-19 prevention measures, including vaccination and correct and consistent mask wearing among persons not fully vaccinated or when required.” –MMWR Summary
- Rehabilitation post-COVID-19: cross-sectional observations using the Stanford Hall remote assessment tool. 5/27/21. O’Sullivan O. BMJ Mil Health.
These authors report the development and use (April to Nov 2020) of a video teleconferencing tool to evaluate rehabilitation needs for patients with ongoing post-COVID-19 symptoms and included patients with COVID syndromes who never had a confirmatory COVID-19 viral test. They found that the initial severity of symptoms did not predict the level of ongoing disability. They conclude that post-COVID-19 symptoms should be considered in all patients, regardless of the acute illness severity and whether they have had laboratory confirmation. They find that a significant proportion of patients require assessment and management, with symptoms such as shortness of breath, fatigue, and mood disorders impacting activities of daily living and return to work.
- The year in review: mechanical ventilation during the first year of the COVID-19 pandemic. 5/7/21. Kallet R. Respiratory Care.
This thoughtful, well-written, and thorough narrative review of COVID-19 ARDS (C-ARDS) includes 201 references and covers the evolution of best respiratory care practices to date. The overarching question is whether C-ARDS is significantly different from ARDS. Longstanding debates regarding phenotypes and taxonomy are discussed. The evolution of C-ARDS management and physiologic evidence for respiratory care are presented. Topics include phenotypic differences, mechanisms of hypoxia, noninvasive ventilation, timing of intubation, ventilation practices, PEEP, pathologic and radiologic findings, self-inflicted lung injury, lung mechanics, and cross infection. The author concludes that from a respiratory management perspective, C-ARDS differs little from ARDS of other etiologies.
- Therapeutic versus prophylactic anticoagulation for patients admitted to hospital with COVID-19 and elevated D-dimer concentration (ACTION): an open-label, multicentre, randomised, controlled trial. 6/7/21. Lopes RD. Lancet.
This trial from Brazil, randomized, hospitalized patients with COVID-19 between either therapeutic anticoagulation or prophylaxis. The therapeutic arm was oral rivaroxaban (20 mg or 15 mg daily) for stable patients (94%), or initial subcutaneous enoxaparin (1 mg/kg twice per day) or intravenous unfractionated heparin for clinically unstable patients, followed by rivaroxaban to day 30. Prophylactic anticoagulation was standard in-hospital enoxaparin or unfractionated heparin. No difference was found in the mortality between the two arms with increased bleeding in the therapeutic arm. This article suggests that the use of therapeutic-dose rivaroxaban should be avoided in these patients in the absence of an evidence-based indication for oral anticoagulation.
June 4, 2021:
- COVID-19 Vaccine Breakthrough Infections Reported to CDC – United States, January 1-April 30, 2021. 5/27/21. CDC COVID-19 Vaccine Breakthrough Case Investigations Team. MMWR Morb Mortal Wkly Rep.
In this brief weekly report, the CDC provides an important glimpse into the post-vaccination scenario in the US. During the 4 months ending April 30, 2021, a total of 10,262 breakthrough infections have been reported. Of those, 63% were female, median age 58 years, of which 27% were asymptomatic, 10% hospitalized and 2% died. By the end of the study, although 100 million individuals had been vaccinated in the US, SARS-CoV-2 transmission was still in full swing with 355,000 new cases daily. Variants were detected at a similar rate among vaccinated and non-vaccinated patients. Underreporting of asymptomatic cases and limited RNA sequencing represent current and future limitations to these statistics. Notably, beginning May 1, 2021, the CDC transitioned from monitoring all reported COVID-19 vaccine breakthrough infections to investigating only those among patients who are hospitalized. Monthly reports and additional information on vaccination breakthrough initiatives by the CDC can be found here.
- Immune response to SARS-CoV-2 variants of concern in vaccinated individuals. 5/26/2021. Becker M. Nat Commun.
Authors examined the antibody (Ab) response to the Pfizer vaccine in serum and saliva as well as neutralizing Abs to the UK, S. Africa, Mink, and LA SARS-CoV-2 variants. Subjects were either post-vaccine (n=22), post infection + vaccine (n=26), or neither previously infected or vaccinated (n=45). IgG response is strongest in previously infected individuals post-vaccine. For the UK, Mink, and LA variants, antibody response to vaccine was nearly identical for vaccinated and previously infected individuals compared with wild-type variant. However IgG response to the S. African variant was varied and reduced immunity in both groups. The second dose of the vaccine was an important contributor to evidence of protection.
- Implications of early respiratory support strategies on disease progression in critical COVID-19: a matched subanalysis of the prospective RISC-19-ICU cohort. 5/26/21. Wendel Garcia PD. Crit Care.
Propensity matching was performed on an initial group of 1,421 COVID-19 ARDS patients from the large European RISC-19-ICU cohort resulting in propensity matched patients in cohorts treated initially in the ICU with standard O2 therapy (SOT) (n=85), high-flow oxygen therapy (HFNC) (n=87), non-invasive ventilation (NIV) (n=87) and invasive mechanical ventilation (IMV) (n=92). The ICU intubation rate was lower in patients initially supported with HFNC and NIV compared to those who received SOT. Compared to the other respiratory support strategies, NIV was associated with a higher overall ICU mortality (SOT: 18%, HFNC: 20%, NIV: 37%, IMV: 25%, p = 0.016). The authors recommend a closely observed trial of HFNC for ICU patients not immediately requiring IMV.
SAB Comment: This retrospective analysis may best be thought of as a recommendation to perform an RCT to support or challenge these conclusions.
- Risk factors for illness severity among pregnant women with confirmed SARS-CoV-2 infection – Surveillance for Emerging Threats to Mothers and Babies Network, 22 state, local, and territorial health departments, March 29, 2020 -March 5, 2021. 5/22/2021. Galang RR. Clin Infect Dis.
This public health SET-NET protocol evaluation of 7950 pregnant women with SARS-CoV-2 reported from 22 states and cities between March 2020 and March 2021, sought to identify factors associated with more severe illness. Using NIH and WHO illness categories, patients with moderate, severe and critical disease were compared to those categorized as asymptomatic or mild. Similar to the general population, increasing age and chronic health conditions were associated with more severe disease, as were obesity (RR 1.36), chronic lung disease (1.37), chronic HTN (1.45) and pre-gestational DM (1.66). Comment: Missing data in reports confounds interpretation of the results.
- Safety, Immunogenicity, and Efficacy of the BNT162b2 Covid-19 Vaccine in Adolescents. 5/27/21. Frenck RW Jr. N Engl J Med.
The BNT162b2 COVID-19 RNA vaccine (Manufacturer: Pfizer, Inc., and BioNTech) was proven effective with few side effects in 12-15 year old recipients (n=1131) who received 2 injections 21 days apart versus controls (n=1129). Among participants without evidence of previous SARS-CoV-2 infection, no COVID-19 cases with an onset of 7 or more days after dose 2 were noted among BNT162b2 recipients, and 16 cases occurred among placebo recipients. The observed vaccine efficacy was 100% (95% CI, 75.3 to 100).
- The characteristics and outcomes of critically Ill patients with COVID-19 who received systemic thrombolysis for presumed pulmonary embolism: an observational study. 5/9/21. So M. J Thromb Thrombolysis.
This article reviews the clinical outcome of the use of systemic tissue plasminogen activator (tPA) for suspected pulmonary embolism (PE) in 57 critically ill COVID-19 patients from 5 hospitals in NYC during March and April 2020. All of the patients were suspected to have pulmonary embolization based upon echocardiography (16%) or clinical findings but were too unstable to have CT confirmation. Forty-nine percent demonstrated short-term improvement with tPA. However, 89% died in the hospital.
SAB Comment: This study is the largest cohort reported that we have seen for this problem, and demonstrates the poor outcomes of patients suspected of PE with or without tPA.
May 24, 2021:
- A SARS-CoV-2 neutralizing antibody with extensive Spike binding coverage and modified for optimal therapeutic outcomes. 5/11/21. Guo Y. Nature.
The current monoclonal antibodies (mAb) from Regeneron and Lilly are based on the Hunan strain Spike sequence present prior to the emergence of mutants. Chinese scientists now report the development of a mAb called P4A1 that inhibits the Spike Receptor Binding Motif of the Spike Receptor-Binding Domain and acts against wild type and mutant Spike proteins. Also, P4A1 was engineered for safety, to extend its half-life and to reduce risk for Antibody-Dependent Enhancement of infection. In a rhesus monkey COVID model, a single infusion resulted in complete viral clearance. These data suggest P4A1’s potential against SARS-CoV-2 related diseases.
- Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial. 5/17/21. RECOVERY Collaborative Group. Lancet.
In this randomized open-label study, 5795 hospitalized patients received high-titer convalescent plasma (CP) plus usual care and 5763 received usual care alone in 177 UK National Health Service hospitals. Ninety-two percent received corticosteroids. The study was halted prematurely, as there were no significant differences between groups in all-cause 28-day mortality (24%), progression to invasive ventilation (12-13%), renal replacement therapy (4%) or the proportion discharged from hospital within 28 days (66%). Mean age was 63, nearly 2/3 were male, and 77% were white. Median number of days since symptom onset was 9. Only 5% required mechanical ventilation at randomization. A well-written editorial reviewing this study and findings of other studies of CP can be found here.
SAB Comment: The RECOVERY trial includes the largest randomized study thus far of CP therapy for COVID-19. Although some retrospective observational studies of CP were encouraging, randomized controlled studies have not confirmed benefit. Questions remain about whether the average timing of CP therapy in this study was beyond the window of potential efficacy and whether selected patients may benefit from CP, particularly those with immune deficiencies.
- Coronavirus Disease 2019-Associated PICU Admissions: A Report From the Society of Critical Care Medicine Discovery Network Viral Infection and Respiratory Illness Universal Study Registry. 5/9/21. Tripathi S. Pediatr Crit Care Med.
A country-wide study from the Society of Critical Care Medicine reporting on COVID-19 infected children admitted to intensive care over an 11-month period with and without associated MIS-C. Age, gender and race were similar between groups. The low numbers enrolled provide evidence that the disease incidence of either variety is low in children. MIS-C resulted in longer-lasting severe illness, but the overall mortality of 3.8% was low and similar between groups.
- Functional Outcomes and Their Association With Physical Performance in Mechanically Ventilated Coronavirus Disease 2019 Survivors at 3 Months Following Hospital Discharge: A Cohort Study. 5/10/2021. van Gassel RJJ. Crit Care Med.
These authors evaluated 46 previously ventilated ICU patients 3 months after hospital discharge (of the 52 who survived 3 months) with a 6-minute walk test (6MWT), complete PFTs, muscle strength testing, and a chest CT scan which was used to analyze skeletal muscle architecture. The 6MWT was below 80% of predicted in 48% of patients. Patients with impaired physical performance had more muscle weakness, lower lung diffusing capacity, and higher intermuscular adipose tissue area. Reduced lung diffusing capacity and increased intermuscular adipose tissue were independently associated with physical performance. Repeat PFTs 7 months after discharge in 28 of these patients showed substantial improvement in diffusion capacity (4% of these 28 patients were normal at 3 months improved to 48% normal at 7 months).
- Immunogenicity of COVID-19 mRNA Vaccines in Pregnant and Lactating Women. 5/13/21. Collier AY. JAMA.
This excellent cohort report of the immunologic response to mRNA vaccination in pregnant (30), lactating (16), nonpregnant (57), and post SARS-CoV-2 pregnant (22) and nonpregnant women (6) demonstrates its effectiveness in pregnancy and potential for newborn protection. At 2 to 8 weeks post second dose, both neutralizing antibodies and cellular responses were measured in maternal serum, cord blood, and breast milk. Vaccination-produced neutralizing antibody titers higher than those from infection. Antibodies were detected in both cord blood and breast milk. Neutralizing antibody titers to variants were reduced, but cellular responses were preserved. A very useful glossary of immunological assays is included.
- Non-steroidal anti-inflammatory drug use and outcomes of COVID-19 in the ISARIC Clinical Characterisation Protocol UK cohort: a matched, prospective cohort study. 5/17/21. Drake TM. Lancet Rheumatol.
This prospective, multicenter cohort study shows convincingly that patients who take NSAIDs before and in the early stages of a SARS-CoV-2 infection are not at a higher risk of dying or experiencing more severe disease. Using a proven data mining protocol, 72,179 hospitalized patients in 255 hospitals in the UK, with confirmed COVID-19, were enrolled and analyzed. Of those patients, 4,211 or 5.8% used NSAIDS (but not aspirin) before their illness. Propensity score matching resulted in balanced, well matched treatment groups and matched odds ratios for mortality, ICU admission, invasive ventilation, acute kidney injury, among others, showed no statistical difference. The authors urge policy makers to review advice issued early in the course of the pandemic regarding the use of NSAIDs and disease severity.
May 10, 2021:
- 3-month, 6-month, 9-month, and 12-month respiratory outcomes in patients following COVID-19-related hospitalisation: a prospective study. 5/8/21. Wu X. Lancet Respir Med.
This is a prospective, longitudinal cohort study from China of 83 severe COVID-19 patients (admitted February and March 2020, so none received glucocorticoids) who did not require IMV, yet still had 29-day hospital stays. Patients with HTN, DM, CVD, cancer, any pulmonary disease or tobacco use had been excluded. At 3-, 6-, 9- and 12-months post admission, they underwent pulmonary function testing, documenting abnormalities with gradual improvement even after 9 months. Radiological abnormalities (24%) and DLCO less than 80% of predicted (33%) persisted at 12 months despite near normal lung volumes, 6M walk and dyspnea assessment.
SAB Comment: These results indicate that even previously healthy patients who have recovered from COVID-19 may warrant pulmonary evaluation and consideration of timing regarding elective surgery.
- A molecular single-cell lung atlas of lethal COVID-19. 4/29/2021. Melms JC. Nature.
Single-nucleus RNA-sequencing of 19 Covid-19 and 7 control decedents’ lungs was performed after rapid autopsies. Highly inflamed Covid-19 lungs showed activated monocyte-derived macrophages, alveolar macrophages but impaired T cell responses. Monocyte/macrophage-derived IL-1β and epithelial cell-derived IL-6 were unique features of SARS-CoV-2 infection vs other viral/bacterial pneumonias. Transition failure from alveolar type-2 cells to type 1 alveolar cells impaired lung regeneration. They identified expansion of recently described CTHRC1+ pathological fibroblasts contributing to rapid pulmonary fibrosis in COVID-19. This atlas identifies a road map of pathological proteins and cell interactions useful for putative drug targets to disrupt deleterious circuits.
- Impact and effectiveness of mRNA BNT162b2 vaccine against SARS-CoV-2 infections and COVID-19 cases, hospitalisations, and deaths following a nationwide vaccination campaign in Israel: an observational study using national surveillance data. 5/8/21. Haas EJ. Lancet.
This is a prospective, longitudinal cohort study of 83 severe COVID-19 patients (admitted February and March). This data-rich study demonstrates graphically and convincingly the effectiveness of 2 doses of the Pfizer-BioNTech vaccine against a range of SARS-CoV-2 outcomes in Israel using surveillance data from the first 4 months of the vaccination campaign which began in December 2020. By April 3, 2021, 72% of 6.5 million people over age 16 had been vaccinated and the incidence rate dropped from 91.5 in unvaccinated individuals to 3.1 per 100,000 person-days in those fully vaccinated. Effectiveness against critical illness and death was 97.5% and 96.7% respectively. Widespread testing revealed effectiveness of the vaccine against the predominant B.1.1.7. (British) variant. Aspects of the Israeli health care system, concomitant lockdown measures as well as cultural and ethnic influences vis-à-vis the goal of achieving herd immunity are discussed. The Israeli Ministry of Health and Pfizer collaborated on this project.
- Mortality after In-Hospital Cardiac Arrest in Patients with COVID-19: A Systematic Review and Meta-Analysis. 5/8/21. Ippolito M. Resuscitation.
This is a well-performed meta-analysis of resuscitation (CPR) following in-hospital cardiac arrest, confirming bleak survival statistics. The article includes an interesting debate regarding universal do not resuscitate orders for COVID-19 arrest resuscitation and comparison with ICU resuscitation of comparably ill patients without COVID-19. The authors suggest further discussion and data analysis is necessary following improved results for in-hospital cardiac arrest (IHCA) over time. Conclusion: Although one of three COVID-19 patients undergoing IHCA may achieve return of spontaneous circulation, 90% are not expected to survive 30 days or to hospital discharge.
May 7, 2021:
- Association of Maternal SARS-CoV-2 Infection in Pregnancy With Neonatal Outcomes. 4/29/21. Norman M. JAMA.
To determine the outcome in newborn infants of mothers testing positive for SARS-CoV-2 in pregnancy, this prospective cohort study looked at the outcomes of 88,159 infants born in Sweden during the first 10 months of the pandemic. After matching infants by maternal characteristics, the 2,323 infants of SARS-CoV-2-positive mothers were found to have more respiratory problems (2.8% vs 2.0%, OR 1.42), mostly explained by a more preterm birth. Mortality, breastfeeding rates at discharge, length of stay in neonatal care, hypoxic-ischemic encephalopathy, meconium aspiration, pneumonia, sepsis, and hypoglycemia did not differ significantly between the two groups. Twenty-one (0.9%) of the 2,323 infants of SARS-CoV-2-positive mothers had positive PCR tests, most with no morbidity and none with pneumonia. View a pertinent accompanying editorial here.
- Effectiveness of the BNT162b2 Covid-19 Vaccine against the B.1.1.7 and B.1.351 Variants. 5/5/21. Abu-Raddad LJ. New Engl J.
This letter to the editor reports effectiveness of the Pfizer-BioNTech vaccine against UK and S. African variants that represented 50% and 44.5% of infections, respectively, in the Qatari research cohort community at the time of study. Estimated vaccine effectiveness against any documented B.1.1.7 variant infection was 89.5% (95% CI 85.9-92.3) and 75% against B.1.351 (CI (70.5–78.9) at 14 or more days after second doses in nearly 400,000 people. Effectiveness against severe, or fatal disease due to any SARS-CoV-2 variant was 97.4% (95% CI, 92.2-99.5). Although effectiveness against the B.1.351 variant was ~20% below previous reports from the clinical trial or real-world conditions in Israel and the US, protection from hospitalization or death was >90%. Effectiveness was found to be significantly improved after second dose.
- SARS-CoV-2 vaccine and thrombosis: Expert opinions. 5/4/21. Elalamy I. Thromb Haemost.
This article reviews the status of 4 COVID-19 vaccines (Pfizer, Moderna, Johnson & Johnson and AstraZeneca) with respect to thrombosis from an international viewpoint. Not only is it current and timely, but reviews:
- What is known about the pathophysiology;
- Goes over the risk/benefit ratio of vaccination;
- What to do if there is a concern for thrombosis after vaccination; and
- What not to do.
Overall, this comprehensive article focuses on clinically relevant issues in a concrete fashion.
- Tocilizumab in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial. 5/2/21. RECOVERY Collaborative Group. Lancet.
This long-awaited trial assessing the effectiveness of tocilizumab differentiated itself from several earlier attempts in two important aspects:
- It enrolled 4,116 of 21,550 adults at 131 sites in the UK as part of the RECOVERY trial between April 23, 2020 and January 24, 2021 and is therefore adequately powered and statistically sound.
- It demonstrated a small but significant benefit across a spectrum of disease severity and various degrees of respiratory support. Results included an improvement in mortality from 35% to 31% (rate ratio 0·85; 95% CI 0·76–0·94; p=0·0028) and an impressive drop in median time to being discharged from more than 28 days to 19 days.
In addition, patients who were not receiving invasive mechanical ventilation at randomization were less likely to progress to invasive mechanical ventilation or death. An accompanying editorial that addresses the still unacceptably high mortality figures and the urgent need for additional therapies can be found here.
- Trends in Patient Characteristics and COVID-19 In-Hospital Mortality in the United States During the COVID-19 Pandemic. 5/3/21. Roth GA. JAMA Netw Open.
This analysis of mortality trends in the US among 20,736 patients in 107 hospitals in 31 states comes from the American Heart Association COVID-19 cardiovascular disease registry. In comparison with March/April patients, the odds ratio of mortality decreased approximately one-third later in the year, after adjusting for age, sex, medical history, and COVID-19 severity. ICU length of stay, use of mechanical ventilation, and mortality in age groups over 50 decreased, although mortality remained highly associated with age. Use of corticosteroids and remdesivir increased. Reasons and other independent risk factors are discussed.
May 3, 2021:
- Hospital-Level Variation in Death for Critically Ill Patients with COVID-19. 4/23/21. Churpek MM. Am J Respir Crit Care Med.
This multicenter cohort study utilized the STOP-COVID database to explore the wide variation in published mortality rates for critically ill COVID-19 patients. Data were evaluated on 4019 adult ICU patients admitted to 70 US hospitals between March-June 2020. Thirty-eight percent of patients died within 28 days, with an unadjusted interhospital mortality range of 12-91% (OR 2.06). After mixed-effect regression adjustment for patient- and hospital-level domains, the interhospital range attenuated to 32-44% (OR 1.22). In individual patients, acute physiology contributed 49%, demographics, comorbidities and socioeconomic status 32%, hospital strain and quality 17%, and treatments 3% to mortality risk. The authors emphasized that lower socioeconomic status of the community served by the hospital (characterized by a high percentage of patients who traveled more than 45 min to get to work) is an important contributor to interhospital variability, suggesting that COVID-19 exacerbates disparities in US healthcare. Individual mortality is also impacted by hospital ICU-bed capacity and strain, but treatments had the least impact on outcome variability. [Readers should note that the study reflects an early stage of the pandemic, prior to the positive evidence of steroid therapy on outcome in ventilated patients.]
- Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons. 4/21/21. Shimabukuro TT. N Engl J Med.
Early results of mRNA COVID-19 vaccination of pregnant women between 12/14/2020 and 2/28/2021 were obtained from v-safe after-vaccination health checker, v-safe pregnancy registry (patients enrolled by identification through v-safe participation), and VAERS, the vaccine adverse event reporting system. Comparison was to nonpregnant v-safe participants and historical pregnancy outcome statistics. The 35,691 pregnant v-safe participants (94% healthcare workers) reported reactions to vaccination similar to those who were not pregnant. In the registry, 827 pregnancies were completed, 86% with a live birth, and 9% with preterm births. There were 104 spontaneous abortions among the 92 preconception and 1132 first trimester participants. These frequencies are comparable to historical rates. The most common VAERS pregnancy report was spontaneous abortion, reported in 46 patients out of at least 35,691 (0.16%), a rate far lower than published, probably because of underreporting. Although more longitudinal follow-up is necessary, no problems regarding the administration of mRNA COVID-19 vaccine during pregnancy were revealed.
- Vaccine Breakthrough Infections with SARS-CoV-2 Variants. 4/21/2021. Hacisuleyman E. N Engl J Med.
In this brief scientific report, authors describe 2 cases of women fully vaccinated with the mRNA vaccines (1 Pfizer, 1 Moderna) who nonetheless developed SARS-CoV-2 infection within a few weeks of vaccination. Both had evidence of vaccine efficacy (neutralizing Abs to the wild type spike protein). Complete genomic sequencing revealed somewhat unique variants. In one, the variant was related to, but not identical to, the B.1.1.7 (UK) variant along with elements of the B.156 (NY) variant. Both patients had mild disease.
April 26, 2021:
- The immune response to SARS-CoV-2 and COVID-19 immunopathology – Current perspectives. 4/19/21. Boechat JL. Pulmonology.
These authors review publications through January 2021 on the immunobiology of SARS-CoV-2, virus-receptor interactions, and host immune responses. They focus on impaired innate and acquired immunity as it relates to disease progression and mortality. Immunotherapeutic and pharmacologic strategies targeting both the virus and dysfunctional immune responses are also addressed.
April 23, 2021:
- Genomic characteristics and clinical effect of the emergent SARS-CoV-2 B.1.1.7 lineage in London, UK: a whole-genome sequencing and hospital-based cohort study. 4/12/21. Frampton D. Lancet Infect Dis.
Between 11/9/20 and 12/20/20 samples from 341 COVID-19 inpatients from 2 London hospitals were analyzed with full genomic sequencing. Fifty-eight percent had B.1.1.7 (the UK variant), known to be more transmissible. However in this study the variant was not shown to confer increased risk of severe disease or death compared with non-B.1.1.7 lineages, using the WHO clinical progression ordinal scale. This contrasts with results from other preliminary studies that focused on community cohorts rather than inpatients that appeared to show higher morbidity and mortality among those with B.1.1.7. The study antedates the onset of the UK vaccination program.
- Intermediate vs Standard-dose Prophylactic Anticoagulation in Patients with COVID-19 Admitted to ICU: Ninety-day Results from the INSPIRATION Trial. 4/17/2021. Bikdeli B. Thromb Haemost.
This is a 90-day follow-up of previously highlighted multicenter Iranian randomized control trial designed to evaluate effects of intermediate (enoxaparin, 1mg/kg qd) vs. standard (enoxaparin 40mg/day) prophylactic anticoagulation in COVID-19 patients admitted to the ICU between July 29 to November 19, 2020; December 19 final 90-day follow-up was made to primary outcome – composite venous or arterial thrombosis, treatment with ECMO or mortality within 90 days. Results don’t support intermediate-dose prophylactic anticoagulation in unselected COVID-19 ICU patients.
April 21, 2021:
- SARS-CoV-2 infection rates of antibody-positive compared with antibody-negative health-care workers in England: a large, multicentre, prospective cohort study (SIREN). 4/12/2021. Hall VJ. Lancet.
Workers from NHS hospitals across England were enrolled from June 18, 2020 to Dec 31, 2020, and data up to January 21, 2021 from 25,661 was analyzed. Due to worker demographics, the cohort was primarily white and female. The primary outcome was a reinfection in the antibody-positive (Ab+) cohort or a primary PCR(+) infection in the antibody-negative (Ab-) cohort. A previous history of SARS-CoV-2 infection was found to be associated with an 84% lower risk of infection, with median protective effect observed 7 months following primary infection. The incidence density was 7.6 reinfections per 100,000 person-days in the Ab+ cohort, compared with 57.3 primary infections per 100,000 person-days in the Ab- cohort.
April 19, 2021:
- Inhaled budesonide in the treatment of early COVID-19 (STOIC): a phase 2, open-label, randomised controlled trial. 4/12/21. Ramakrishnan S. Lancet Respir Med.
This is a prospective, randomized, open-label, phase-2, parallel-group, age-stratified, 146-patient UK study from July 16 to December 2, 2020 testing inhaled budesonide within 7 days of early symptom development versus standard care. Participants were self-monitored (temperature, pulse oximetry), contacted daily to record symptoms (O2 saturation and temperature), and intermittently self-collected nasopharyngeal swab specimens for analysis. Primary endpoints compared urgent care and emergency room visits and hospitalizations for worsening symptoms, which occurred in 1% of budesonide treated participants, and 14% of the usual care treated group. The study was terminated early with positive results for budesonide inhalant use. Authors concluded that budesonide was effective in treating early COVID-19 infection, could be applicable to global healthcare systems, and that further validation was required.
- Editorial: Early treatment with inhaled budesonide to prevent clinical deterioration in patients with COVID-19. 4/12/21. Agusti A. Lancet Respir Med.
This editorial, accompanying the article above, gives perspective to the study and discusses the implications of terminating the study early. The rationale for and use of budesonide (and potentially other inhaled corticosteroids) encourages further trials to confirm the value of this readily available therapy, with significant implications for a cost-effective and easily accessible disease mitigation strategy that could be used globally.
- Sensitivity of infectious SARS-CoV-2 B.1.1.7 and B.1.351 variants to neutralizing antibodies. 3/27/2021. Planas D. Nat Med.
These investigators examined SARS-CoV-2 antibodies present in noses and sera from infected individuals or vaccinees, for potency vs. authentic mutants B.1.1.7 (UK) and B.1.351 (S-Africa) and the common D614G (US). They utilized a new “S-Fuse” neutralization assay: reporter cells become fluorescence positive overnight. Vaccinee nasal antibodies were rarely detected. Sera from 54/58 individuals at 9 months, neutralized UK and US. However, against S-Africa, sera had a 6-fold reduction; 40% lacked activity. Only 6-weeks post full Pfizer mRNA vaccination (n=19), sera already showed 14-fold reductions against S-Africa compared to US. Thus, the S-Africa strain may pose ongoing risks even in immunized individuals.
April 16, 2021:
- Exponential increase in neutralizing and spike specific antibodies following vaccination of COVID-19 convalescent plasma donors. 4/8/2021. Vickers MA. Transfusion.
In this small (n=11) case series measuring spike-specific antibody levels following Pfizer or Moderna vaccination of individuals who had recovered from COVID-19, all showed dramatic increases (~50 fold) and had at least a 20-fold increase in the IC50 neutralizing antibody titer based on plaque reduction neutralization testing (PRNT). These levels were not observed by the authors in people who had not had the virus prior to being vaccinated. The possibility of recruiting individuals who had recovered from SARS-CoV-2 infection and received a single vaccine dose to donate convalescent plasma is raised.
- Integrative respiratory follow-up of severe COVID-19 reveals common functional and lung imaging sequelae. 4/11/2021. Froidure A. Respir Med.
Researchers from Belgium evaluated 126 survivors of severe and critical COVID-19 with pulmonary function tests (PFTs), high resolution CT scans (HRCT) and clinical evaluation three months after discharge. At follow-up, 25% of patients complained of dyspnea and 35% of fatigue; lung diffusion capacity (DLCO) was decreased in 45%; 17% had HRCT abnormalities affecting more than 5% of their lung parenchyma while signs of fibrosis were found in 21%. The number of days in ICU were related to the extent of persisting lesions on HRCT, while intubation was associated with signs of fibrosis at follow-up (P = 0.0005). The severity of lung imaging or PFT changes were not predictive of fatigue and dyspnea.
- Provisional Mortality Data – United States, 2020. 4/8/2021. Ahmad FB. MMWR Morb Mortal Wkly Rep.
The estimated age-adjusted death rate in the US increased by 15.9% from 2019 to 2020, representing the first increase since 2017. COVID-19 caused or contributed to 377,883 or 11.3% of total death and ranked third behind heart disease (21%) and cancer (17%). When sorted by age, race, ethnicity and sex, this report by the CDC’s National Vital Statistics System found age-adjusted death rates to be highest in the over 85-year old population, the non-Hispanic Black and the non-Hispanic American Indian or Alaska Native people. Males died at 33% higher rate from COVID than females.
These provisional data are the result of a streamlined reporting mechanism which provides expanded mortality data for 2020 with a mere 4 month (prior 11 month) delay.
- The Society for Obstetric Anesthesia and Perinatology (SOAP) COVID-19 Registry: An analysis of outcomes among pregnant women delivering during the initial SARS-CoV-2 outbreak in the United States. 4/8/2021. Katz D. Anesth Analg.
This study initiated by the Society for Obstetric Anesthesia and Perinatology (SOAP), involved consecutive patients and controls at 14 institutions in the US from March-May 2020. There were 964 controls and 490 COVID parturients, 64% of whom had asymptomatic disease. COVID parturients were more likely to have C-section (OR1.6) and pre-term labor (OR2.1). They were less likely to receive neuraxial anesthesia for labor, and more likely to have GA for C-section due to respiratory failure.
- Use of low-molecular weight heparin, transfusion and mortality in COVID-19 patients not requiring ventilation. 4/12/21. Grandone E. J Thromb Thrombolysis.
Prior data has been conflicting with the utility of prophylactic low-molecular weight heparin (LMWH) with COVID-19. This group from Padua retrospectively examined the mortality of 264 non-ventilated inpatients with COVID-19 with respect to the prophylactic use of LMWH enoxaparin. One hundred fifty-six patients (87.7%) received standard LMWH prophylaxis during hospitalization. LMWH was significantly and independently associated with a reduction in mortality in these patients, (OR 0.31, 95% CI 0.13–0.85), as compared to patients who did not receive anticoagulation. Although transfusion or bleeding complications were not higher in these patients, the number of transfusions were significantly and independently associated with mortality. The median fatalities age was 80.5 years. These data suggest that COVID-19 patients who do not require ventilation benefit from prophylactic doses of LMWH.
April 12, 2021:
- 6-month neurological and psychiatric outcomes in 236 379 survivors of COVID-19: a retrospective cohort study using electronic health records. 4/6/21. Taquet M. Lancet Psychiatry.
This study provides a rich source of data covering a multitude of neurological and psychiatric symptoms in the wake of COVID-19. Using anonymized records from 62, mostly US healthcare organizations, from 3 patient cohorts, one with COVID-19 and two with other contemporaneous illnesses, the authors identify a COVID-specific incidence of neurologic and psychiatric diagnoses of 34% overall, with 13% receiving their first such diagnosis. They convincingly show a link to severity of illness with an incidence of 46% among all patients admitted to ICUs and to a diagnosis of delirium and encephalopathy where the overall incidence rose to 62%. The long-term impact of prolonged recovery due to neurological or psychiatric sequelae of COVID-19 represents a global public health challenge.
- Antibody responses to the BNT162b2 mRNA vaccine in individuals previously infected with SARS-CoV-2. 4/1/2021. Ebinger J. Nature Medicine.
The response to the Pfizer vaccine in individuals previously infected with SARS-CoV-2 was compared to that in individuals not previously infected. Spike-specific IgG antibody (Ab) levels and an assay for ACE2 binding inhibition as a surrogate for Ab neutralization were measured. Previously infected individuals (n=35) had a more robust neutralization response to vaccine dose #1 than naïve individuals (n=228), however after the second dose of vaccine the IgG levels and neutralization responses were similar between groups. Symptoms after dose #1 for those with prior infection more resembled those after dose #2 for naïve individuals (more severe). Authors question whether previously infected individuals need 2 vaccine doses. The question of whether previously infected individuals require 2 Pfizer vaccine doses to achieve equivalent protection from re-infection is raised, and will require further real-world study.
- Secondary Bacterial Pneumonias and Bloodstream Infections in Patients Hospitalized with COVID-19. 4/6/21. Adelman MW. Ann Am Thorac Soc.
These authors examined the secondary bacterial pneumonias and bloodstream infections (BSI) in 774 patients hospitalized with COVID-19 from February to May 2020. The most common bacteria grown was Staphylococcus aureus. Mortality did not differ between intubated patients with an identified bacterial respiratory pathogen and those without. Overall, mortality was 50% in patients with BSI versus 13.8% without (p<0.0001). These results suggest that hospitalization and central lines are more important than are COVID-19-specific effects in conferring susceptibility to specific pathogens. BSIs in their cohort were also largely related to risk factors, especially central lines, and pathogens associated with hospitalization and did not appear significantly different from the non-COVID data.
- Trends in Geographic and Temporal Distribution of US Children With Multisystem Inflammatory Syndrome During the COVID-19 Pandemic. 4/6/21. Belay ED. JAMA Pediatr.
A Center for Disease Control study of patients younger than 21 years old presenting with multisystem inflammatory syndrome in children demonstrating that, although rare (1733 patients countrywide), the presenting symptoms were constant including a rash and conjunctival hyperemia. Half of the affected patients progressed to hypotension and intensive care. These patients tended to be the older of the age range. Most patients were either Hispanic or Black with a median age of 9. The good news was a mortality of only 1.4%.
April 7, 2021:
- Association between pre-existing respiratory disease and its treatment, and severe COVID-19: a population cohort study. 4/4/21. Aveyard P. Lancet Respir Med.
This retrospective review of medical records from late January through April 2020 of 8,256,161 people registered in 1205 primary care practices in the English NHS showed that people with some respiratory diseases were at an increased risk of hospitalization or death due to COVID-19 compared with those without these diseases with hazard ratios for hospitalization or death respectively as follows: asthma 1·18, 0.99; severe asthma 1·29, 1.08; COPD 1·54, 1.54; bronchiectasis 1·34, 1.12; sarcoidosis 1·36, 1.41; idiopathic pulmonary fibrosis 1·59, 1.47; and lung cancer 2·24, 1.77. The study also provides evidence that the use of inhaled corticosteroids is not associated with a substantially increased risk of severe COVID-19, but nor does it appear to be associated with reduced risk.
- Mortality and Readmission Rates Among Patients With COVID-19 After Discharge From Acute Care Setting With Supplemental Oxygen. 4/1/21. Banerjee J. JAMA Netw Open.
A retrospective study of 621 adult COVID-19 pneumonia patients (65% male) who were discharged from inpatient care (76%) or ED (24%) from 2 large urban public hospitals with a carefully executed, patient-focused discharge and follow-up plan showed excellent outcomes. 76% were insured by Medicaid and 84% were Spanish-speaking. Interventions included pre-discharge patient education, non-automated daily telephone contact 7 days/week until not needed, facility-dispensed equipment (pulse oximeter, O2 tank, concentrator), and vendor support. All-cause mortality was low – 1.3% (95% CI, 0.6%-2.5%) with none outside hospital, and 30-day hospital readmission rate was 8.5% (95% CI, 6.2%-10.7%). Median follow-up time was 26 days. Readmission rates were lower than the overall post-acute care 30-day readmission rate (15.2%) for California Dept. of Health Care Services patients in 2020, and compare favorably to privately insured pre-COVID patients in an earlier, referenced report.
- New Decade, Old Debate: Blocking the Cytokine Pathways in Infection-Induced Cytokine Cascade. 3/31/21. Rizvi MS. Crit Care Explor.
Providing deep perspective, this narrative review summarizes literature beginning in 1994 evaluating the efficacy and safety of anticytokine therapy for dysregulated immune responses to infectious pathogens. The longstanding idea of neutralizing “cytokine storm” induced by bacterial sepsis and/or ARDS, using cytokine pathway inhibitors or nonpharmacologic cytokine removal has a “grim history.” Severe COVID-19 causes less cytokine release than either condition; however, anticytokine therapy is being used. Discussions include potential reasons for failure, such as the complexity and variation of cytokine cascades, and future directions.
- The role of antirheumatics in patients with COVID-19. 4/5/21. Nissen CB. Lancet Rheumatol.
This review, written by an international panel of rheumatologists, nicely summarizes current knowledge of COVID-19 therapy targeting the immune system. Topics include evidence for potentially useful immune modulators (steroids and baricitinib), those under active investigation (tocilizumab, colchicine and anakinra), undergoing early trials (TNF blockade, anti-complement therapy and intravenous immunoglobin) and disproven treatments (hydroxychloroquine). Authors stress that the timing, dosing and interaction of these therapies is incompletely understood, and the hope that studies now underway will provide more clarity.
- Toxicity of herbal medications suggested as treatment for COVID-19: A narrative review. 4/5/21. DiPietro MA. J Am Coll Emerg Physicians Open.
The lack of a proven COVID-19 remedy has led to a host of recommendations promoting the use of various plant-based therapeutics, particularly traditional Chinese medicines. Authored by two emergency medicine physicians, this well-researched review of the major characteristics and toxicities of herbal preparations currently in use and sometimes recommended as treatments for COVID-19 provides valuable information on the symptomatology of “toxidromes” caused by mismanagement or overdoses of potentially toxic extracts including oleander and Datura species.
April 2, 2021:
- ABCDEF Bundle and Supportive ICU Practices for Patients With Coronavirus Disease 2019 Infection: An International Point Prevalence Study. 3/31/21. Liu K. Crit Care Explor.
This is an international, 2-day (June 3 and July 1) survey on the compliance of nutrition, sleep hours and ABCDEF Bundles for 262 COVID-19 patients in 212 ICUs. The authors reported that 47.3% of patients were on mechanical ventilation and 4.6% were on ECMO. Each element of the ABCDEF Bundle was implemented at alarmingly low percentages (16% to 52% compliance), while nutritionally recommended protein was provided to only 50% of ICU patients. Because these supportive measures are known to prevent ICU patients from developing the physical, cognitive and mental disabilities of post-intensive care syndrome, authors strongly suggest that efforts be made to adhere to all evidence-based gold standards of the ABCDEF Bundles including protein supplements and avoiding sleep deprivation in ICU patients.
- Association Between Renin-Angiotensin-Aldosterone System Inhibitors and Clinical Outcomes in Patients With COVID-19: A Systematic Review and Meta-analysis. 3/31/2021. Baral R. JAMA Netw Open.
This is a meta-analysis of 52 studies involving approximately 100,000 COVID-19 patients, 26% of whom were taking ACE inhibitors or angiotensin blockers. Of those with hypertension, 42% were taking these medications. The risk of mortality was decreased (OR .57) as was that of severe adverse events (OR .68) in those on ACE inhibitors or AR blockers. Similar odds ratios were found in patients with hypertension. The authors state previous studies have shown only a lack of adverse outcomes in those on these medications.
- Escape of SARS-CoV-2 501Y.V2 from neutralization by convalescent plasma. 3/29/21. Cele S. Nature.
Using a live virus-neutralizing assay, investigators tested the effectiveness of convalescent plasma collected from donors during the first (original) and second (S. African variant) waves of COVID-19 against both types of virus. First-wave plasma was effective against first-wave virus, however showed a 15-fold decrease in effectiveness against S. African variant virus. Second-wave plasma was effective against the then-predominant variant strain and, although it demonstrated a 2.3 fold decrease in activity against the original strain, it was still effective. This provides preliminary evidence that vaccines based on variant-of-concern sequences could retain effective activity against other SARS-CoV-2 lineages.
- Functional status of mechanically ventilated COVID-19 survivors at ICU and hospital discharge. 4/1/2021. Musheyev B. J Intensive Care.
This retrospective single hospital study from New York investigated the functional status of 118 COVID-19 invasive mechanical ventilation (IMV) survivors at ICU and hospital discharge. Mental status, mobility and activities of daily living were assessed near discharge, and showed that half needed discharge oxygen, and most were not functionally independent (22% used cane or walker, 49% needed durable medical equipment, and 14% went to a rehabilitation facility). Worse functional status at hospital discharge was associated with longer IMV duration, older age, male sex and a higher number of comorbidities.
SAB Comment: This functional status impairment after invasive ventilation with COVID-19 should be compared to that of invasive ventilation from other causes (not detailed in the article).
- Post-covid syndrome in individuals admitted to hospital with covid-19: retrospective cohort study. 4/1/21. Ayoubkhani D. BMJ.
This is a study of post-COVID syndrome in 47,000+ hospitalized COVID-19 patients individually matched to United Kingdom NHS controls. Patients were discharged by 8/31/2020 and followed for a mean of 140 days, with the study ending on 9/30/2020. The readmission rate was 29% (3.5 times that of controls), and mortality was 12% (7.7 times that of controls). New respiratory disease was 27% more frequent than controls. The risk of diabetes increased 1.5 times, and that of a major cardiovascular event by three times. Younger and ethnic minority patients had greater relative risk than those over age 70. There is an accompanying editorial expressing a need for adjustment of the NHS patient follow-up practices.
- Pulmonary Rehabilitation in Patients Recovering from COVID-19. 3/30/2021. Zampogna E. Respiration.
This is an observational study reviewing the improvement in 140 previously severely ill hospitalized patients (mean acute care LOS, 47 days; 46% had required mechanical ventilation) who were then admitted to an in-patient pulmonary rehab center. Details of the specific interventions are provided. Patients’ physical status was assessed upon admission to rehab and upon discharge using the Short Physical Performance Battery for lower extremity function, the Barthel Index for general motor function and the six minute walk test. All measures improved for all patients. There was no control group, and rehab LOS average was not noted.
March 29, 2021:
- Effect of Helmet Noninvasive Ventilation vs High-Flow Nasal Oxygen on Days Free of Respiratory Support in Patients With COVID-19 and Moderate to Severe Hypoxemic Respiratory Failure: The HENIVOT Randomized Clinical Trial. 3/25/21. Grieco DL. JAMA.
This small, but important, 109-patient, 1:1 ratio, multicenter RCT compares the outcomes of providing non-invasive respiratory support to COVID-19 pneumonia patients with helmet noninvasive ventilation (HNIV) versus high-flow nasal oxygen (HFNO), and shows no significant difference in mortality at 28 days or in the primary end-point which was the number of days free of respiratory support within 28 days of application. It did show a significant decrease in the percent of patients requiring intubation in the HNIV group (30%) versus the HFNO group (51%). A very helpful editorial accompanies the article.
- Hospital load and increased COVID-19 related mortality in Israel. 3/26/21. Rossman H. Nature.
An analysis of all 22,636 Israeli COVID-19 inpatients from mid-July 2020 – mid-January 2021 determined that in-hospital mortality increased significantly when >62.5% of the national capacity for severely ill patients (800 beds) was occupied. A validated model using Monte-Carlo methods and a set of Cox regressions was used to predict mortality. Two high-occupancy periods had 22% (SE 3.1%) and 27% (SE 3.3%) greater mortality. Authors postulate that excess mortality during periods of high caseload was most likely due to “an insufficiency of health-care resources.”
- The first 12 months of COVID-19: a timeline of immunological insights. 3/15/21. Carvalho T. Nature Reviews.
Starting with a cluster in Wuhan, China in December 2019, this review summarizes in documentary style, month-to-month key clinical developments and laboratory discoveries over the first year of the COVID-19 pandemic. Many immunologists quickly pivoted from their existing research to study SARS-CoV-2. This brought about a remarkable convergence of knowledge focused on one viral infection. Clinical consortia were formed. In an unprecedented fashion, developments were announced in preprint servers and media to speed information dissemination. The authors prominently showcase the extraordinary leaps in understanding SARS-CoV-2 immune responses and highlight knowledge gaps and areas for future investigations.
March 26, 2021:
- CHA2DS2-VASc score and modified CHA2DS2-VASc score can predict mortality and intensive care unit hospitalization in COVID-19 patients. 3/17/21. Gunduz R. J Thromb Thrombolysis.
This manuscript examined 1000 Turkish patients admitted with COVID-19 and calculated the CHAD2DS2-VASc score for each patient. They found that this simple score (previously used to assess risk of thromboembolization with atrial fibrillation) was significantly correlated with mortality and the need for ICU admission. The sensitivity and specificity of the original score were 81.7% and 83.9%, respectively. For the modified score sensitivity and specificity were 85.4% and 84.1%. The potential strength of these data lie in the simplicity of the score and the ease of obtaining it.
SAB Comment: These retrospective data would need to be investigated in a prospective fashion before being applied.
- Incidence and mortality due to thromboembolic events during the COVID-19 pandemic: Multi-sourced population-based health records cohort study. 3/12/21. Aktaa S. Thromb Res.
This unique dataset examined the thromboembolic events (TE) in the United Kingdom during a 3-year period. As expected, TE increased with the COVID-19 pandemic and the mortality of TE with COVID-19 was increased as compared to pre-COVID-19. However, the rates of TE deaths in the community also increased. These data suggest that some patients may have avoided the hospital evaluation and that the outpatient evaluation and treatment of patients with COVID-19 may need further investigation.
- Post-acute COVID-19 syndrome. 3/23/21. Nalbandian A. Nat Med.
This comprehensive review of current literature divides post-acute COVID-19 into 2 categories: subacute, lasting 4-12 weeks, and chronic, lasting over 12 weeks. Concise discussions cover post-acute epidemiology, prevention and management of thromboemboli, pulmonary, cardiovascular, neurologic, renal, endocrine, and inflammatory complications as well as race/ethnicity factors, organ system involvement and potential interdisciplinary clinic management, findings from studies of post-acute COVID-19 prevalence, and active research. The need to include rehabilitation in multidisciplinary clinics is reinforced. Links to prominent patient advocacy groups are provided.
- Predictors of clinical deterioration in patients with suspected COVID-19 managed in a ‘virtual hospital’ setting: a cohort study. 3/24/21. Francis NA. BMJ Open.
The authors actively followed up on 900 UK COVID-19 patients to determine rates of overnight hospitalization or death over a median period of 21 days from outpatient diagnosis (n=455) or hospital discharge (n=445). 76 patients (8.4%) experienced clinical deterioration. 15 previously hospitalized patients and 3 never-hospitalized patients died, and 58 others required COVID-related hospitalization. Of 35 clinical and laboratory features examined, including O2 saturation, the only predictors of clinical deterioration were increased age (OR 1.04 per year of age), severe renal insufficiency (OR 9.1 for eGFR <30), a history of cancer (OR 2.9), or mental health problems (OR 1.76).
- Racial and Ethnic Disparities in COVID-19 Incidence by Age, Sex, and Period Among Persons Aged <25 Years – 16 U.S. Jurisdictions, January 1-December 31, 2020. 3/18/21. Van Dyke ME. MMWR Morb Mortal Wkly Rep.
This is a data-rich CDC report on nearly 700,000 COVID-19 cases in young people from jurisdictions representing 23% of the US population. (Included cases represent 77% of total cases due to absent ethnicity data in the remainder.) Incidences among multiple minorities ranged from 0.77 to 4.57 relative to non-Hispanic Whites and disparities evolved during 2020. Large disparities January–April generally decreased May–December, primarily due to higher incidence among Whites. Children <10 rarely tested positive, however incidence increased stepwise from ages 10-24. The largest persistent disparities involved Native Hawaiian and Pacific Islanders, Native Americans, and Hispanics. Ethnic minorities often live in multigenerational homes and include essential workers unable to shelter at home. Equitable and timely access to testing, prevention, and vaccination is urged.
- Recent Randomized Trials of Antithrombotic Therapy for Patients With COVID-19: JACC State-of-the-Art Review. 3/20/2021. Talasaz AH. J Am Coll Cardiol.
This manuscript summarizes the worldwide RCTs for antithrombotic therapy for COVID-19 including anticoagulation, fibrinolytics, antiplatelets and investigational agents with antithrombotic properties. The citations are brief and straight to the point and highlight the breadth of these trials. This article covers the present state of the data and points to the way forward.
March 24, 2021:
- Assessment of protection against reinfection with SARS-CoV-2 among 4 million PCR-tested individuals in Denmark in 2020: a population-level observational study. 3/17/21. Hansen CH. Lancet.
To define the degree to which infection with SARS-CoV-2 confers protection towards subsequent reinfection, the authors analyzed Denmark’s extensive PCR-test data from 2020. Before June, 11,727 people tested positive, and 72 (0.65%) of these again tested positive during the last three months of the year. Protection against repeat infection was 80.5%. Individuals older than 65 years had less protection (47%), and protection for males and females was equal. There was no evidence of waning protection over time (3-6 months vs over 7 months of follow-up). The lower natural immunity in people aged 65 and older underlines the need to vaccinate previously infected individuals in the age group.
SAB Comment: Though similar to a study from the Cleveland Clinic, highlighted in issue 69 of the COVID-19 Resource Newsletter, this is a much larger study with different details.
- Association of Age With SARS-CoV-2 Antibody Response. 3/22/2021. Yang HS. JAMA Netw Open.
In this retrospective study, 31,426 (hospital + outpatient, age 1 – 80+) patients with COVID-19 were evaluated for both quantitative and qualitative antibody/AB tests for functional neutralizing capacity. Authors note that despite similar seroprevalence in various age groups, COVID-IgG, total receptor binding domain/ (RBD= Avidity), total antibodies (TAb), and surrogate neutralizing antibody SNAb activities displayed an inverse/ variable relation with age. These findings are likely to be applied for screening, management in selecting CP prescription and vaccine strategies. The children and their AB response explains symptomatology and represent a reservoir of virus. The included graphs are illustrative and complimentary to the article conclusions.
- Early effects of ventilatory rescue therapies on systemic and cerebral oxygenation in mechanically ventilated COVID-19 patients with acute respiratory distress syndrome: a prospective observational study. 3/20/2021. Robba C. Crit Care.
This is a prospective study from a single hospital in Italy that evaluated the effect of respiratory maneuvers on arterial and cerebral oxygenation in 22 intubated COVID-19 ARDS patients. Using non-invasive cerebral oxygenation monitoring (rSO2), the authors found that SpO2 and PaO2 correlated with rSO2 as follows:
Respiratory Maneuver SpO2/PaO2 rSO2 Recruitment Maneuver No significant change Decreased* Prone Positioning Increased* Increased* Inhaled Nitric Oxide Increased* Increased* Extracorporeal CO2 Removal Decreased* Decreased*
*Indicates statistically significant change
The authors conclude that “the choice of rescue therapy should take into account both lung and brain needs.”
- Effect of Intermediate-Dose vs Standard-Dose Prophylactic Anticoagulation on Thrombotic Events, Extracorporeal Membrane Oxygenation Treatment, or Mortality Among Patients With COVID-19 Admitted to the Intensive Care Unit: The INSPIRATION Randomized Clinical Trial. 3/18/21. INSPIRATION Investigators. JAMA.
This is a multicenter Iranian study designed to evaluate effects of intermediate (enoxaparin, 1mg/kg qd) vs. standard (enoxaparin 40mg/day) prophylactic anticoagulation in COVID-19 patients admitted to the ICU between July 29 to November 19, 2020. On December 19, the final 30-day follow-up was made to primary outcome of composite venous or arterial thrombosis, treatment with ECMO or mortality within 30 days. The study data and safety monitoring board paused enrollment because of “futility for efficacy and potential excess of safety events, additional clarifications awaited.” The results do not support intermediate-dose prophylactic anticoagulation in unselected COVID-19 ICU patients.
- Finding the Optimal Thromboprophylaxis Dose in Patients With COVID-19. 3/18/21. Al-Samkari H. JAMA.
This is a useful, succinct, and well-referenced editorial. It notes the “preponderance of high-quality evidence at this time supports use of standard-dose thromboprophylaxis, not dose escalation, in critically ill patients with COVID-19. However, pending publication of final results from ATTACC, REMAP-CAP and ACTIV-4a multiplatform trial, escalated thromboprophylaxis could be appropriate in moderately ill hospitalized patients with COVID-19 while balancing known comorbidities and bleeding risks.” Together this editorial and accompanying manuscript provide useful insight into current therapeutic concerns regarding appropriate prophylactic anticoagulation regimens for COVID-19 patients prior to and following ICU admission.
- SARS-CoV-2 infection, COVID-19 and timing of elective surgery: A multidisciplinary consensus statement on behalf of the Association of Anaesthetists, the Centre for Peri-operative Care, the Federation of Surgical Specialty Associations, the Royal College of Anaesthetists and the Royal College of Surgeons of England. 3/18/21. El-Boghdadly K. Anaesthesia.
This consensus statement uses evidence from a systematic review and expert opinion to highlight key principles in the timing of surgery. Elective surgery should not be scheduled within 7 weeks of a diagnosis of SARS‐CoV‐2 infection unless the risks of deferring surgery outweigh the risk of postoperative morbidity or mortality associated with COVID‐19. Patients with persistent symptoms of COVID‐19 are at increased risk of postoperative morbidity and mortality even after 7 weeks. Vaccination several weeks before surgery will reduce risk to patients and might lessen the risk of nosocomial SARS‐CoV‐2 infection of other patients and staff.
March 22, 2021:
- Changes in Stress and Workplace Shortages Reported by U.S. Critical Care Physicians Treating Coronavirus Disease 2019 Patients. 3/17/21. Gray BM. Crit Care Med.
This article discusses questionnaire responses from 1356 (57%) of polled critical care attending physicians who reported stress graded moderate-high by 67.6% in spring 2020 and 50.7% in fall 2020. Staff shortages were reported by 48.3% in spring with nearly no decrease (46.5%) by fall. Medication and equipment shortages largely improved by fall. However, PPE often remained in short supply; N95 respirator supply was short for 42.5% despite altered practices. Physical and emotional exhaustion rates were high. Elevated patient mortality rates, potential risk of SARS-CoV-2 exposure to personal contacts, risk of personal exposure, patient isolation from their families, and ethical challenges were among the most important drivers.
SAB Comment: For interested readers, detailed results are available in the PDF available via a link in the article or here (http://links.lww.com/CCM/G302). We await updated studies following vaccination of most hospital workers and elderly persons that will likely show further evolution of the incidence of stress in ICU physicians and its drivers.
- Expert consensus statements for the management of COVID-19-related acute respiratory failure using a Delphi method. 3/17/21. Nasa P. Crit Care.
This article discusses the Delphi structured communication process used with 39 international experts, which yielded strong suggestions for use of systemic corticosteroids for critical COVID-19. The suggestions include awake self-proning to improve oxygenation and high flow nasal oxygen to potentially reduce tracheal intubation; non-invasive ventilation for patients with mixed hypoxemic-hypercapnic respiratory failure; tracheal intubation for poor mentation, hemodynamic instability or severe hypoxemia; closed suction systems; lung protective ventilation; prone ventilation (for 16–24 h per day) to improve oxygenation; neuromuscular blocking agents for patient-ventilator desynchrony; avoiding delay in extubation for the risk of reintubation; and similar timing of tracheostomy as in non-COVID-19 patients. There was no agreement on positive end-expiratory pressure titration or the choice of personal protective equipment.
March 17, 2021:
- Antibody Resistance of SARS-CoV-2 Variants B.1.351 and B.1.1.7. 3/8/21. Wang P. Nature.
These investigators report that the “UK variant” (B.1.1.7) remains sensitive to both convalescent plasma and serum collected from vaccinated individuals during Moderna phase I trials (both collected Spring 2020), but refractory to neutralization by most monoclonal antibodies (mAbs) to the spike N-terminal domain (NTD), and relatively resistant to a few mAbs to the receptor-binding domain (RBD). The “South African variant” (B.1.351), containing the E484K mutation is more resistant to neutralization by convalescent plasma (9.4x) and serum from vaccinated individuals (10.3-12.4x). The virus is refractory to most NTD mAbs and multiple individual mAbs to the RBD. This study reinforces concerns about emergent variants and the need for vaccines and mAbs that target them.
- Increased mortality in community-tested cases of SARS-CoV-2 lineage B.1.1.7. 3/8/21. Davies NG. Nature.
The B.1.1.7 “UK” variant is known to be more infectious. This British study shows it is more lethal. B.1.1.7 is identified with PCR, as the S gene is not amplified: S gene target failure = SGTF. Based on 4,945 deaths within 28 days of community testing of 1,146,534 patients with known SGTF status, authors estimate that the associated adjusted hazard of death is significantly increased across age groups. For example, in 55-69 year old subjects, estimated absolute risk of death within 28 days after a positive test in the community for males increased from 0.6% to 0.9% (95% CI 0.8–1.0%); for females it increased from 0.18% to 0.28% (0.25–0.31%).
SAB Comment: In a separate retrospective British study with similar results ~55,000 adults >30 years old with the B.1.1.7 variant were matched with an equivalent number of controls. It was highlighted in our Newsletter Issue 68, and can be found here.
- Long-term survival of critically ill patients stratified by pandemic triage categories: a retrospective cohort study. 3/12/2021. Darvall JN. Chest.
Australian study designed to evaluate accuracy/effectiveness of current triage (low, medium and high priority) criteria based on age, pre-existing co-morbidities and SOFA score with long-term survival at 5 and 10 years post discharge. Victoria hospital registry data (2007-2018; 23 ICU’s) linked with death registries to correlate predictive survival accuracy; 126,687 ICU admissions. Long-term survival for low and high priority admissions was similar. Triage score was unable to discriminate ICU utilization/cost when mortality factored with LOS and resource utilization. Survivor QALY’s/long term care not evaluated. “Future ICU triage research should focus on stratifying long-term survival outcomes for patients, accounting for a more detailed combination of premorbid functional status, comorbidities, and organ dysfunction severity scoring.”
- Reinfection Rates among Patients who Previously Tested Positive for COVID-19: a Retrospective Cohort Study. 3/15/21. Sheehan MM. Clin Infect Dis.
In a retrospective cohort study, PCR testing in the Cleveland Clinic Health System from March 2020 to February 2021 was analyzed to detect repeat SARS-CoV-2 infection. Of 8,845 individuals with initially positive PCR tests, 62 had reinfections, defined as a positive PCR test at least 90 days following the first positive PCR. Half were asymptomatic, few were hospitalized, and none required intensive care. Protection offered against reinfection was 82%. Risk of reinfection declined with time after initial infection. The authors suggest that the protection afforded by infection with SARS-CoV-2 is adequate to delay vaccination of these people, if vaccine is in short supply.
SAB Comment: A negative PCR test after the first infection was not part of their definition of reinfection therefore, the authors acknowledge that persistent shedding of virus could account for some reinfections.
- α1-Antitrypsin: Key Player or Bystander in Acute Respiratory Distress Syndrome? 3/15/2021. Hogan G. Anesthesiology.
This is a detailed review of α1-Antitrypsin (AAT), a serine protease inhibitor with a half-life of 4-5 days. AAT plays a vital role in conserving the balance between levels of pulmonary proteases and antiproteases, reduces inflammation, and modulates innate immune function and bacterial clearance. Investigators have demonstrated a therapeutic effect for sepsis, and potential benefit in models of endotoxin-induced acute lung injury, ventilator-induced lung injury, and lung transplantation. Authors discuss its potential as a novel treatment for ARDS and COVID ARDS.
March 15, 2021:
- Attributes and predictors of long COVID. 3/11/21. Sudre CH. Nat Med.
This letter addresses cases of so-called “long COVID” that are rising. These authors examine prevalence and early predictive risk factors. Starting when they were pre-symptomatic, individuals prospectively self-reported symptoms between 3/2020-9/2020 using the COVID Symptom Study app. In 558/4,182 (13.3%) incident cases, symptoms lasted ≥4 weeks; 189 (4.5%) for ≥8 weeks and 95 (2.3%) for ≥12 weeks. Symptoms of fatigue, headache, dyspnea and anosmia increased with age, BMI and female sex. Experiencing >5 symptoms in week 1 predicted long COVID (odds ratio = 3.53 (2.76–4.50)). A simple model identifies at-risk individuals with early symptom patterns for trials of prevention or treatment and plan education and rehabilitation.
- Body Mass Index and Risk for COVID-19-Related Hospitalization, Intensive Care Unit Admission, Invasive Mechanical Ventilation, and Death – United States, March-December 2020. 3/11/2021. Kompaniyets L. MMWR Morb Mortal Wkly Rep.
From March-December 2020, the authors evaluated the association between body mass index (BMI) and risk for severe COVID-19 outcomes in 148,494 adults who were diagnosed with COVID-19 during an emergency department or inpatient visit at 238 US hospitals. Of those patients, 28.3% were overweight and 50.8% were obese. Authors conclude that being overweight and obesity are risk factors for hospitalization, ICU admission, and death among patients aged ≥65 years. There was a downslope for death in patients with BMIs of 23.7 to 25.9; an upswing was similar for patients with a median age of 55 years at the dynamic point. The authors discuss the clinical and public health implications of higher BMI, the need for COVID-19 illness management, vaccine prioritization and policies to increase access to nutrition and physical activities to help address the increases in obesity severity.
- COVID-19 Associated Pulmonary Aspergillosis in Mechanically Ventilated Patients. 3/11/2021. Permpalung N. Clin Infect Dis.
Of 396 mechanically ventilated patients, 39 developed probable or possible COVID-19 associated pulmonary aspergillosis (CAPA). Compared to people without CAPA (controls), people with CAPA had significantly lower median BMI (26.6 vs 29.9, p=0.04), but more underlying pulmonary vascular disorders, which included pulmonary hypertension and chronic pulmonary emboli (41% vs 21.6%, p=0.010), liver disease (35.9% vs 18.2%, p=0.018), coagulopathy (51.3% vs 33.1%, p=0.033), solid tumors (25.6% vs 10.9%, p=0.017), and multiple myeloma (5.1% vs 0.3%, p=0.027). People with CAPA were intubated twice as long as those without, but there was no significant mortality difference between the two groups.
- Difficult Airway Management in Adult COVID-19 Patients: Statement by the Society of Airway Management. 3/12/2021. Foley LJ. Anesth Analg.
This statement represents recommendations by the Society for Airway Management task force for the difficult airway management of adults with COVID-19 with the goal to optimize successful airway management while minimizing the risk of clinician exposure. Extensive discussion of almost all aspects of difficult intubations is summarized by three pages of tables, which outline, among other things, an emphasis on preparedness, proper PPE, awake intubation, extubation, equipment and drugs.
- Severe covid-19 pneumonia: pathogenesis and clinical management. 3/11/21. Attaway AH. BMJ.
The authors reviewed COVID-19 publications from 1/2020 to 2/2021 and collated the conclusions into a succinct review of major topics descriptive of the disease and its treatment. Concise overviews by topic include mechanism of infection, immunology, pulmonary injury, treatment, outcomes, etc. A table summarizes results of 27 studies regarding respiratory support including high flow nasal cannula, non-invasive ventilation, and invasive mechanical ventilation. Long-term morbidity is also discussed.
March 12, 2021:
- Association between ABO blood types and coronavirus disease 2019 (COVID-19), genetic associations, and underlying molecular mechanisms: a literature review of 23 studies. 3/9/21. Zhang Y. Ann Hematol.
International reports generally agree that blood type O is a protective factor. Most, but not all, report that the blood type conferring greatest risk for infection is A. One of the largest retrospective cohort studies indicated risk ratios for infection of 0.87, 1.09, 1.06, and 1.15 for O, A, B, and AB individuals, respectively. Although some report no correlation between blood type and COVID-19 severity or mortality, most studies found that types A and AB had higher risk of severe illness or death, while type O was protective against severe outcomes or death. Potential molecular mechanisms are discussed.
- Association of State-Issued Mask Mandates and Allowing On-Premises Restaurant Dining with County-Level COVID-19 Case and Death Growth Rates — United States, March 1–December 31, 2020. 3/5/21. Guy GP. MMWR Morb Mortal Wkly Rep.
During March 1-December 31, 2020, state-issued mask mandates applied in 2,313 (73.6%) of the 3,142 U.S. counties. Mandating masks was associated with a decrease in daily COVID-19 case and death growth rates within 20 days of implementation. During the study period, states allowed restaurants to reopen for on-premises dining in 3,076 (97.9%) U.S. counties. This was associated with an increase in daily COVID-19 case growth rates 41–100 days after implementation and an increase in daily death growth rates 61–100 days after implementation. The study did not distinguish between indoor and outdoor on-premises dining.
- Risk of mortality in patients infected with SARS-CoV-2 variant of concern 202012/1: matched cohort study. 3/10/21. Challen R. BMJ.
The authors gauged the mortality and future healthcare needs resulting from the new COVID-19 infection variant, B.1.1.7 (VOC-202012/1, from southeast UK in late 2020). The absence of the S gene was found to be a proxy for the B.1.1.7 variant. Patients with this variant were matched for age, sex, ethnicity, and region, with patients with the prior common variants to produce 54,906 pairs. The mortality hazard ratio associated with infection with VOC-202012/1 compared with infection with previously circulating variants was 1.64 in patients who tested positive for COVID-19 in the community. In this comparatively low-risk group, this represents an increase in deaths from 2.5 to 4.1 per 1,000 detected cases.
- Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study. 3/10/21. COVIDSurg Collaborative. Anaesthesia.
This prospective cohort study included 140,000 patients undergoing surgery in 1647 hospitals in 116 countries during October 2020. Thirty-one hundred twenty-seven patients with SARS-CoV-2 diagnosed, 0-2, 3-4, 5-6, and >7 weeks prior to surgery were compared with those without SARS-CoV-2. Mortality was increased in all SARS-CoV-2 groups except the >7-week group, as were pulmonary complications. Patients with symptoms lasting >7 weeks also had increased mortality. Mortality in all patients from 0-6 weeks was increased from 1.5% up to 4%. Even asymptomatic patients in the 0-6 week group had increased mortality. Deferring elective surgery for seven weeks, and even longer in the presence of ongoing symptoms is recommended. The report explains statistical methods and includes many graphs.
- Transpulmonary pressure measurements and lung mechanics in patients with early ARDS and SARS-CoV-2. 3/7/21. Baedorf Kassis E. J Crit Care.
To further explore respiratory mechanics in COVID-ARDS, this cohort study from Boston analyzed 40 ventilated patients with chest wall and transpulmonary pressures measured using esophageal pressure monitoring. Lung and respiratory system compliance varied widely over the entire cohort. Elevated basal pleural pressures correlated with increased BMI. Respiratory system and lung mechanics were similar to known existing ARDS cohorts. The wide range of respiratory system mechanics illustrates the inherent heterogeneity that is consistent with typical and COVID-19 ARDS. This information reinforces the practice of treating patients individually, rather than trying to treat with general algorithms.
SAB Comment: Esophageal pressure monitoring, not usually part of routine ventilator care, provides an indirect measurement of intrapleural pressure, which allows one to determine the compliance/elastance of the chest wall separately from transpulmonary pressure.
March 10, 2021:
- Impact of the intersection of anaesthesia and gender on burnout and mental health, illustrated by the COVID-19 pandemic. 3/8/21. Lorello GR. Anaesthesia.
What exactly is “physician burnout”? Does it differ from exhaustion or depression? What is its relationship to gender? These are some of the important questions raised in this review by Canadian authors who discuss the impact of being an anesthesia provider and of gender on professional “burnout” and mental health. The COVID-19 pandemic is used as an example to illustrate how women and men experience stressors and burnout differently. Personal, organizational and governmental factors may contribute to stress as well as its potential amelioration. A useful table is included.
- Neurological outcome and quality of life three months after COVID-19: a prospective observational cohort study. 3/8/21. Rass V. Eur J Neurol.
This prospective, multicenter, observational study (n=135) includes patients from 3 categories of disease: severe (n=32 in ICU), moderate (n=72 in COVID-19 ward) and mild (n=31 outpatient). The authors conducted a detailed and systemic evaluation for neurological, psychological, and functional outcomes with a battery of tests at 3 months post COVID-19 infection. The article notes an alarming frequency of central and peripheral nervous systems and functional long-term issues. New onset of neurological disease was found in 20 patients while 82 patients showed neurological signs and symptoms on follow-up. There were disturbing numbers of quality of life, cognitive and functional outcome as well. The majority of those numbers came from ICU patients.
- The Answer to the Silent “Super Spreader”: An Innovative Way to Manage Chest Drains on Coronavirus Patients With Active Air Leaks. 3/8/21. Angeles C. A A Pract.
In this brief and well-illustrated report, authors propose an innovative mechanism to minimize potential aerosolization of SARS-CoV-2 virus during transportation of patients with chest drains and an active air leak. The main venting of the drain is filtered with an adapted section of an endotracheal tube and airway viral filter while the positive pressure release valve is sealed with bone wax.
March 8, 2021:
- Altered pulmonary blood volume distribution as a biomarker for predicting outcomes in COVID-19 disease. 2/26/21. Morris MF. Eur Respir J.
This group examined the CT scans of 313 COVID-19 patients and used an automated program to obtain the percentage of blood vessels with a cross-sectional area 1.25–5 mm2 (BV5%). If the (BV5%) was < 25 %, the data suggested odds ratio (OR) 5.58 for death, and OR 3.20 for intubation. Decreased BV5% has been noted in prior literature in patients with COPD and ARDS. While the decrease in BV5% may represent a change associated with ARDS, this novel marker is noteworthy and merits further investigation.
SAB Comment: This is a tool we have not seen before, and if validated, may become clinically relevant due to the high-observed odds ratio for mortality and death.
- Azithromycin for community treatment of suspected COVID-19 in people at increased risk of an adverse clinical course in the UK (PRINCIPLE): a randomised, controlled, open-label, adaptive platform trial. 3/4/21. PRINCIPLE Trial Collaborative Group. Lancet.
This study reports the results of the British PRINCIPLE trial, an open armed comparison of azithromycin plus usual care versus usual care alone in outpatients over the age of 65 or over 50 with a comorbidity. Investigators enrolled 540 in the azithromycin arm, 875 controls, and ended the study on November 30, 2020. There was no benefit for time to recovery or prevention of hospitalization.
- Baricitinib Therapy in Covid-19 Pneumonia – An Unmet Need Fulfilled. 3/3/21. Goletti D. N Engl J Med.
This clinically valuable editorial interprets the results of three therapeutic studies. By looking at a scoring system for disease severity the optimal timing for peak benefit from treatment with remdesivir, dexamethasone and baricitinib is defined and an algorithm for therapy is offered. In the ACCT-1 trial, remdesivir was most effective in patients not receiving oxygen or receiving low-flow oxygen. In the RECOVERY trial patients receiving invasive ventilation benefitted most from dexamethasone, however those receiving oxygen also benefitted. In the ACCT-2 trial, the combination of remdesivir and baricitinib was most effective for those receiving high-flow oxygen or noninvasive ventilation. An excellent, clinically useful, graphic defines stages of severity and optimal treatment windows along with a typical timeline of days since symptom onset.
- Comparison of Saliva and Nasopharyngeal Swab Nucleic Acid Amplification Testing for Detection of SARS-CoV-2: A Systematic Review and Meta-analysis. 1/15/21. Butler-Laporte G. JAMA Internal Med.
This systematic review and meta-analysis compared PCR testing (here called “nucleic acid amplification testing – NAAT”) on saliva samples versus nasopharyngeal samples using data from 16 studies. In ambulatory patients with minimal or mild symptoms the pooled saliva NAAT sensitivity (83.2%) and specificity (99.2%) were comparable to the nasopharyngeal swab NAAT sensitivity (84.8%) and specificity (98.9%). Secondary analysis restricted to the 10 peer-reviewed articles gave essentially identical results. Given greater ease and lesser cost of saliva sample collection, the authors propose that saliva NAAT should be prioritized for larger-scale deployment with prospective studies conducted by clinical microbiology laboratories and public health authorities.
- Effect of Ivermectin on Time to Resolution of Symptoms Among Adults With Mild COVID-19: A Randomized Clinical Trial. 3/4/21. López-Medina E. JAMA.
This double-blind, randomized trial from Colombia, South America studied ivermectin as a treatment for COVID-19. Four hundred seventy-six patients with symptomatic disease (within 7 days of symptom onset, hospitalized or home, up to but not including high flow nasal oxygen) were randomized to 5 days of oral ivermectin or placebo, then followed to day 21. There was no significant difference in the primary outcome (time to resolution of symptoms), nor in secondary outcomes (adverse events and multiorgan failure). The authors state, “The findings do not support the use of ivermectin for treatment of mild COVID-19.”
- Predictors of failure with high-flow nasal oxygen therapy in COVID-19 patients with acute respiratory failure: a multicenter observational study. 3/6/21. Mellado-Artigas R. J Intensive Care.
The authors developed a simple online tool to predict the eventual need for intubation and mechanical ventilation in patients treated with high-flow nasal oxygen (HFNO) based on the outcome of 259 patients from 36 Spanish and Andorran intensive care units. Inputs required include those from the SOFA score (platelet count, bilirubin, mean arterial pressure, Glasgow Comma Scale, creatinine, and FiO2) plus SpO2 and respiratory rate. Performance measured by area under the curve was 0.88, (95% CI 0.80-0.96).
March 3, 2021:
- Acute covid-19 and multisystem inflammatory syndrome in children. 3/2/21. Rubens JH. BMJ.
This is a clinical summary of children with acute COVID-19 and the associated multiple inflammatory syndrome in children (MIS-C). A small proportion of children go on to develop severe acute COVID-19 disease and require hospitalization because of respiratory compromise or complications of SARS-CoV-2 infection. Clinicians should consider MIS-C in children presenting with fever and abdominal symptoms, particularly if they develop conjunctivitis or rash, and refer to a pediatric emergency department for evaluation. MIS-C can have overlapping symptomatology with disease processes that require prompt treatment, such as sepsis, toxic shock syndrome, myocarditis, and meningitis.
- Acute Respiratory Distress Syndrome: Contemporary Management and Novel Approaches during COVID-19. 2/4/21. Williams GW. Anesthesiology.
This is a concise yet comprehensive review of 25 years of ARDS intervention trials, primarily supported through the US ARDS and the Prevention and Early Treatment of Acute Lung Injury (PETAL) Networks and the RECOVERY trial in the UK. Although outcomes and understanding of ARDS has improved significantly, not all interventions studied resulted in clinical benefit and some were potentially harmful. In addition to the discussion, figures and a table nicely summarize findings from pre-COVID-19 and recent reports.
- Development of Severe COVID-19 Adaptive Risk Predictor (SCARP), a Calculator to Predict Severe Disease or Death in Hospitalized Patients With COVID-19. 3/1/21. Wongvibulsin S. Ann Intern Med.
This article presents a simple web-based calculator for the risk of developing severe disease (requiring high-flow nasal oxygen, non-invasive or mechanical ventilation) or of death in the following day or in the following week. The input values include only the worst O2 saturation, and highest O2 flow rate in the last 6 hours and in the last 24 hours, plus, for milder cases, the absolute neutrophil and lymphocyte count. Development was facilitated by a machine learning tool used to analyze 105 parameters from 3294 patients hospitalized from May to December in Baltimore area hospitals. The final calculator requiring only the above few measures showed an area under the curve (AUC) of 0.89 for one-day predictions and 0.83-0.87 for one-week predictions.
- “Silent” Presentation of Hypoxemia and Cardiorespiratory Compensation in COVID-19. 2/4/21. Bickler PE. Anesthesiology.
This well-written review discusses variability in the human response to hypoxemia from any cause, based upon longstanding research in both normal subjects and patients with pathologic conditions. The theory that COVID-19 is unique in its ability to cause hypoxemia without dyspnea (so-called “happy hypoxia”) is refuted, and the physiologic basis for this somewhat surprising condition is explained. When oxygen concentration falls, the most important compensatory mechanism to preserve oxygen delivery is augmentation of cardiac output. If cardiac reserve is compromised, patients experiencing profound hypoxemia are at increased risk for hypoxic organ damage and death.
March 1, 2021:
- Interleukin-6 Receptor Antagonists in Critically Ill Patients with Covid-19. 2/25/21. The REMAP-CAP Investigators. New Engl J.
Focusing on therapeutic success for COVID-19 patients requiring organ support measures, 895 patients were randomly assigned to receive one of two IL-6 receptor antagonists and were compared to a 402-patient control group receiving standard care, including glucocorticoids and antivirals. Tocilizumab was given to 366 patients starting in April, and sarilumab, available only since June, to 49 patients. Statistical criteria for efficacy were met in October 2020 and demonstrated significant therapeutic benefit for the primary outcome, expressed in more organ-support free days and lower in-hospital mortality. Both drugs also improved secondary outcomes, including 90-day survival, time to ICU and hospital discharge, among others. Authors link the success of IL-6 antagonists in this series to their use in the sickest patients while organ dysfunction is still reversible.
February 26, 2021:
- Cardiovascular risk factors and COVID-19 outcomes in hospitalised patients: a prospective cohort study. 2/23/2021. Collard D. BMJ Open.
Data from 1604 hospitalized COVID-19 patients enrolled in the prospective Dutch Covid Predict cohort was analyzed to determine the association of cardiovascular risk factors, using medication history as a surrogate, with short-term outcomes. Hypertension, dyslipidemia and diabetes were associated with increased 21-day mortality or discharge to palliative care, independent of age and sex. Mortality was 11.9%, 20.5% and 29.1% for patients with 0, 1 and ≥2 CVD risk factors. No association was seen for ICU admission. Of the 3 factors, diabetes, especially if treated with more than one medication, conferred the highest risk of death.
- Incidence of venous thromboembolism among patients with severe COVID-19 requiring mechanical ventilation compared to other causes of respiratory failure: a prospective cohort study. 2/18/21. Pellegrini JAS. J Thromb Thrombolysis.
This paper examines 57 ICU patients admitted with COVID-19 and compares them to 13 ICU patients without COVID-19. All the patients had lower extremity ultrasonography scans on days 3, 7 and 14. The incidence of deep venous thrombosis, pulmonary embolism, and thrombosis at the central catheter insertion sites was higher in those with COVID-19 as compared to those without (36.8% vs. 0%, p = 0.023). Independent risk factors for venous thromboembolism were COVID-19 and D-dimers. These data help establish the incidence of thrombosis in ICU patients with COVID-19 with a rigorous standard protocol.
SAB Comment: These data are some of the best quality data examining the incidence of venous thrombosis in ICU patients with COVID-19.
- Intensive care management of patients with COVID-19: a practical approach. 2/19/21. Hajjar LA. Ann Intensive Care.
This is an excellent, comprehensive and refreshing examination and review of the major organ system and pathophysiology. It illustrates management at each corresponding steps of pathology with a few, very clear infographics to support it. The article lives up to the title: practical management of COVID-19 in the ICU.
- Intracerebral Hemorrhage in COVID-19 Patients with Pulmonary Failure: A Propensity Score-Matched Registry Study. 2/23/21. Lang CN. Neurocrit Care.
Some reassurance comes from this retrospective study of all patients 18 years old and older admitted to a tertiary care hospital from 2018 to May 2020 comparing the incidence of intracerebral hemorrhage (ICH) between COVID-19 and non-COVID-19 ARDS patients. The authors found that the 19% incidence of ICH in the 47 COVID-19 ARDS patients was not significantly higher than the 11% incidence in the 116 non-COVID-19 ARDS patients despite higher rates of therapeutic anticoagulation and antiplatelet therapy in the COVID-19 patients.
- Progesterone in Addition to Standard of Care Versus Standard of Care Alone in the Treatment of Men Hospitalized with Moderate to Severe COVID-19: A Randomized, Controlled Pilot Trial. 2/23/21. Ghandehari S. Chest.
This is a small, early pilot study based on the observation that men are faring worse than women when contracting severe COVID-19. It also discusses the theory that progesterone may modulate the immune response to the SARS-CoV-2 virus, decrease severity of illness and shorten the need for supplemental oxygen. A group of 42 men with respiratory symptoms of COVID-19 were randomized 1:1 to receive a 5-day course of progesterone or standard care. Over a 7-day observation period, the progesterone group improved significantly by 1.5 points on a 7-point clinical status scale. Other results of 2.5 fewer days in the hospital and 3 fewer days on supplemental oxygen did not reach significance. There were no side effects, specifically no increase in thromboembolic events.
- The Pathophysiology and Dangers of Silent Hypoxemia in COVID-19 Lung Injury. 2/23/21. Swenson KE. Ann Am Thorac Soc.
COVID-19 patients who develop minimally symptomatic hypoxemia are at risk for rapid decompensation, but the pathophysiology of silent hypoxemia in COVID-19 lung injury remains inadequately explained. This review describes the mechanisms, either viral-induced or within the broad normal range of hypoxic sensitivity in the lung and nervous system in healthy people, which could lead to profound hypoxemia without apparent dyspnea, based on what is currently known about SARS-CoV-2 and normal respiratory physiology and pathophysiology in other forms of ARDS. Three aspects are addressed: differences in lung compliance, pulmonary vascular responses to hypoxia, and nervous system sensing and response to hypoxemia. All could be inextricably linked to the phenomenon of silent hypoxemia.
February 24, 2021:
- D-dimer and Death in Critically Ill Patients With Coronavirus Disease 2019. 2/16/21. Short SAP. Crit Care Med.
This is a study of 68 hospitals across America demonstrating that D-dimers, the result of cross-linked fibrin degradation, correlates to the prognosis of death. In a population of 3418 studied with an average age of 62 years, the majority males and significant numbers with hypertension and diabetes mellitus, the risk of death increased with level of D-dimer elevation as measured during the first 2 days of ICU admission. Patients were followed as close as possible to 90 days with an overall mortality of 39.6%. Most patients who died, 34.5% of all patients, did so in the first 28 days. The authors are careful to state this study is not intended to make recommendations for anticoagulation but only as a risk stratification for mortality.
- Oral Complications of ICU Patients with COVID-19: Case-Series and Review of Two Hundred Ten Cases. 2/9/21. Hocková B. J Clin Med.
Oral complications are common in long-term ICU COVID-19 patients requiring prolonged prone positioning and mechanical ventilation. This three patient case series and accompanying literature review of 210 cases suggests not only traumatic complications associated with positioning and mechanical ventilation (report re: intubation versus tracheostomy) but also use of antibiotics, antivirals and steroids plus difficulties associated with performing effective oral toilet as causative factors. Authors recommend a multidisciplinary approach in severe cases including dermatology, oral surgery and dentistry to study causation and routine monitoring and management of at-risk patients.
February 22, 2021:
- Effect of High-Dose Zinc and Ascorbic Acid Supplementation vs Usual Care on Symptom Length and Reduction Among Ambulatory Patients With SARS-CoV-2 Infection: The COVID A to Z Randomized Clinical Trial. 2/12/21. Thomas S. JAMA Netw Open.
Four groups of out-patients with confirmed COVID-19 were randomized to receive either zinc 50 mg, ascorbic acid 8 grams, a combination of both, or usual care, and were asked to report a 50% reduction of symptoms as a primary endpoint. Between late April and mid-October 2020, when the trial was stopped, a total of 214 patients in the Cleveland Clinic system in Ohio and Florida were enrolled. No difference in primary outcome between the groups was detected.
SAB Comment: The linked editorial adds perspective to the role of supplements and highlights value and shortcomings of this RCT.
- mRNA vaccine-elicited antibodies to SARS-CoV-2 and circulating variants. 2/3/21. Wang Z. Nature.
This basic science article in Nature showed similar antibody and memory B cell responses in volunteers who received mRNA vaccinations vs those naturally infected. Of note, against emerging variants, whole plasma (containing many diverse antibodies) remained active, neutralizing, and protective, though reduced in both groups. Monoclonal antibodies (mAbs) from laboratory-derived single B cells remain active in neutralizing current virus. However, against emerging mutants, neutralization by the most potent single mAbs was reduced/abolished. Further, when single mAbs were placed in extended virus co-culture, virus mutations resulted. This suggests that clinically, caution is warranted in treating with single mAb infusions rather than mAb combinations as single mAbs may drive virus mutations.
- Outcomes of Patients With Coronavirus Disease 2019 Receiving Organ Support Therapies: The International Viral Infection and Respiratory Illness Universal Study Registry. 2/8/21. Domecq JP. Crit Care Med.
Through the Society of Critical Care Medicine platform, data was collected 2/15/20-11/30/20 on 20,608 hospitalized COVID-19 patients from 168 hospitals in 16 countries. This article reports mortality of hospitalized COVID-19 patients according to age and type(s) of organ support therapy. For centers reporting >10 intubated patients, risk and age adjusted mortality averaged 52.6% but ranged from 24% to 76%. Main drivers of mortality and discharge to home were duration of hospital stay, ICU admission, age, number of comorbidities, and number of organ degree support (MV, MV + Vaso active drugs, MV + RRT, MV+ RRT+ Drugs, ECMO).
- Surviving Sepsis Campaign Guidelines on the Management of Adults With Coronavirus Disease 2019 (COVID-19) in the ICU: First Update. 2/8/21. Alhazzani W. Crit Care Med.
This is an update of the published Society of Critical Care Medicine (SCCM) Surviving Sepsis Guidelines for COVID-19 therapy and management. A multinational task force (43 experts; 14 countries) reviewed guidelines; three new and six revised are included. Rationale was included in discussions. This is a good reference and resource for latest SCCM guidelines, incorporating the best available evidence.
February 19, 2021:
- Early initiation of prophylactic anticoagulation for prevention of coronavirus disease 2019 mortality in patients admitted to hospital in the United States: cohort study. 2/12/21. Rentsch CT. BMJ.
Of 4297 patients admitted to the Veterans’ Administration system with COVID-19, 3627 (84.4%) received prophylactic anticoagulation within 24 hours of admission. Early initiation of prophylactic anticoagulation compared with no anticoagulation among patients admitted to hospital with COVID-19 was associated with a 27% decreased risk of 30-day mortality. Receipt of prophylactic anticoagulation was not associated with increased risk of bleeding that required transfusion. These findings provide strong real-world evidence to support guidelines recommending the use of prophylactic anticoagulation as initial treatment for patients with COVID-19 on hospital admission.
- High-flow nasal oxygen in patients with COVID-19-associated acute respiratory failure. 2/12/2021. Mellado-Artigas R. Crit Care.
In this multicenter, observational, retrospective, non-randomized study, authors noted: the beneficial impact of high-flow nasal oxygen (HFNO) on the outcome for ventilator-free days, ICU stay and in-hospital mortality on day 28 or 60. Two groups were selected by an extensive statistical tool and reduced to 61 patients to compare HFNO vs mechanical ventilation (MV). HFNO was associated with an increase in ventilator-free days by 8 days and a reduction in ICU length of stay by 8.2 days. A significant (15% vs. 21%) difference in hospital mortality between groups. Patients in MV group were sicker than HFNO.
- Medium-term impact of COVID-19 on pulmonary function, functional capacity and quality of life. 2/12/2021. Anastasio F. Eur Respir J.
After a median of 135 days, 260 (68.6%) of 379 patients had on average one persistent symptom. Patients who developed pneumonia during COVID-19 showed lower SpO2 at rest (p<0.001), SpO2 during 6-min walking test (p<0.001), total lung capacity (p<0.001), airway occlusion pressure after 0.1 s [P0.1] (p=0.02), P0.1/maximal inspiratory pressure [MIP] ratio (p=0.005) and higher Borg category-ratio scale (p=0.006) and modified Medical Research Council breathlessness scale (p=0.003), compared to patients without pneumonia. SpO2/FiO2 ratio and pneumonia severity index during SARS-COV-2 pneumonia were directly associated with mid-term alteration of partial oxygen saturation at rest (p<0.001), SpO2 during 6-min walking test (p<0.001), residual volume (p<0.001), total lung capacity (respectively p<0.001 and p=0.003) and forced vital capacity (respectively p=0.004, p=0.03).
- Should Remdesivir Be Used for the Treatment of Patients With COVID-19? Rapid, Living Practice Points From the American College of Physicians (Version 2). 2/9/21. Qaseem A. Ann Intern Med.
This clinical guideline updates the 10/5/2020 version, based on a U.S. Dept. of Veterans Affairs Evidence Synthesis Program review through 12/7/2020. Target patients include all hospitalized, non-pregnant, adults with COVID-19. Current evidence suggests an overall modest net benefit of remdesivir for patients who require oxygen but not invasive mechanical ventilation (IMV) or ECMO at initiation, and suggests that 5-day treatment may be as effective as 10 days, without increased harm. Recovery is modestly better and more rapid and serious adverse events are modestly reduced. Mortality is slightly reduced. Evidence quality was low-moderate in all RCTs.
- Begin 5 days of remdesivir for hospitalized patients requiring oxygen but not IMV or ECMO.
- Extend remdesivir to 10 days if IMV or ECMO is initiated during the 5-day course.
SAB Comment: A NEJM study published 12/11/20, titled, Baricitinib plus Remdesivir for Hospitalized Adults with Covid-19, and highlighted in our newsletter issue 47, indicates that dual therapy with remdesivir and the anti-inflammatory baricitinib was found to be superior to remdesivir alone.
- Six-Month Survival After Extracorporeal Membrane Oxygenation for Severe COVID-19. 2/12/21. Biancari F. J Cardiothorac Vasc Anesth.
An international study done early in the pandemic of 132 COVID-19 patients defined the conditions for optimal survival at 6 months after ECMO. Ninety-two percent of the patients received venovenous canulation. A Ph >7.23 and age under 60 years resulted in survival over 50% while an 80% overall mortality was noted in severely acidotic, older patients. Sixty-three percent of the 70 deaths reported occurred during ECMO.
- Static compliance of the respiratory system in COVID-19 related ARDS: an international multicenter study. 2/9/21. Vandenbunder B. Crit Care.
This multicenter, prospective observational study in 21 ICUs in France and Belgium in early Spring compared respiratory mechanics in 372 ventilated COVID-19 patients on Day 1 and Day 14 (when possible) in an effort to predict outcome at 28 days. The mean respiratory system compliance (Crs) on day 1 was 38 +/- 13 ml/cmH2O, with a monomodal distribution, similar to ARDS of other causes. Crs decreased between Day 1 to Day 14 but the decrease was not associated with Day 28 outcome. Higher compliance values on Day 1 were not associated with faster weaning of mechanical ventilation nor with improved survival.
SAB Comment: Despite reporting a median compliance of 38 ml/cm H2O, we treat individuals according to their own specific physiology that may not reflect the median. As recommended in multiple guidelines, respiratory therapy should be tailored at an individual level.
- Thrombotic complications in 2928 patients with COVID-19 treated in intensive care: a systematic review. 2/15/21. Jenner WJ. J Thromb Thrombolysis.
This is a systematic review of ICU patients with COVID-19. The article reviewed 28 studies with 2,928 patients. The incidence of thrombotic events was 34%, but studies employing systematic screening reported a significantly higher incidence of venous thrombosis compared to those relying on clinical suspicion alone (56.3% vs. 11.0%, p < 0.001) despite anticoagulant thromboprophylaxis. Consideration should be given to systematic screening and increased dose anticoagulant thromboprophylaxis in patients with COVID-19 in the ICU.
SAB Comment: Two limitations of the review include that the prophylaxis and the screening protocols were not uniform.
February 12, 2021:
- Association of chronic anticoagulant and antiplatelet use on disease severity in SARS-COV-2 infected patients. 2/2/21. Ho G. J Thromb Thrombolysis.
This article reviews data from Kaiser Permanente Northern California, which covers 4.4 million patients, and examined the records of the 28,076 patients with confirmed positive SARS-CoV-2 infection. 1% were prescribed anticoagulants within 3 months prior to diagnosis and 3% were taking antiplatelet agents. Neither was associated with a reduced risk of hospitalization, venous thromboembolism, emergency department visit, ICU stay, invasive ventilation or death. Based upon these data, authors do not recommend broad institution of anticoagulation or antiplatelet therapy for patients testing positive for SARS-CoV-2 infection.
- Cardiopulmonary Resuscitation in the Prone Position in the Operating Room or in the Intensive Care Unit: A Systematic Review. 2/1/21. Anez C. Anesth Analg.
The discussion section in this article provides an excellent, practical “how-to,” including diagrams, for prone CPR and defibrillation. This review is based on 52 selected pre-COVID-19 articles including case reports of 14 intubated patients (13 during surgery). The data presented confirms that CPR in the prone position is a reasonable alternative to supine CPR when the latter cannot be immediately implemented, and the airway is already secured. Defibrillation in the prone position is also possible.
- Mortality and renal outcomes of patients with severe COVID-19 treated in a provisional intensive care unit. 1/21/21. Hittesdorf E. J Crit Care.
This study involves 116 COVID-19 patients who required mechanical ventilation and were cared for in an OR-ICU. The patients were followed for 90 days for mortality and renal outcomes. 30.2% died (n=35). Mortality among 45 patients receiving continuous replacement therapy (CRRT) was 40% (n=18) vs. 23.4% (n=17) in 71 patients who did not receive CRRT. The stage of AKI did not affect mortality compared with no AKI. However, those with stage 3 were more likely to require CRRT and to die during hospitalization. Only two survivors required dialysis at 90 days and outcomes did not differ from those cared for in a regular ICU.
- Occurrence and Timing of Subsequent Severe Acute Respiratory Syndrome Coronavirus 2 Reverse-transcription Polymerase Chain Reaction Positivity Among Initially Negative Patients. 2/5/2021. Long DR. Clin Infect Dis.
The authors compared the occurrence of a discordant result of RT- PCR in two health systems. They assessed the conversion rate to a new positive in less than 7 days. They noted the conversion rate was at 3.5% (4.1% UW, 2.8% Stanford). Retesting was done based on clinical symptoms of patients. These observations suggest that false-negative RT-PCR results do occur, but at a lower frequency. Neither team was able to calculate a true clinical sensitivity or false-negative proportion due to the lack of a gold-standard.
- Perspectives of Ketamine Use in COVID-19 Patients. 1/1/21. Weinbroum A. J Korean Med Sci.
This article is a brief review from Israel of the use of ketamine sedation in the context of COVID-19. It includes the rationale, practical aspects and potential benefits such as evidence of reduced IL-6 and CRP following infusion. Advantages include minimal hemodynamic suppression, bronchodilation, and lack of respiratory depression during spontaneous or assisted ventilation. Authors also discuss a potentially lower incidence compared with other sedatives of psychological complications including acute anxiety and post-traumatic stress and depression following illness.
- Rapid decline of neutralizing antibodies against SARS-CoV-2 among infected healthcare workers. 2/8/21. Marot S. Nature Communications.
Serological testing is used to identify individuals who are immunized and potentially “protected” against re-infection. From 28 January to 21 March 2020, 26 healthcare workers from Pitié-Salpêtrière University Hospital in France were enrolled in this study. Healthcare workers with mild COVID-19 were tested three weeks (D21), two months (M2) and three months (M3) after the onset of symptoms. All healthcare workers displayed seroconversion at D21 after symptom onset, and elicited a neutralizing antibodies response to SARS-CoV-2 correlated with the anti-receptor binding domain antibody levels. However, this neutralizing activity declines, and may even be completely lost, in association with a decrease in systemic IgA antibody levels from 2 months after disease onset.
- SAB Comment: The SAB policy is to only review articles that have undergone peer review for inclusion on this website. We are making an exception for the following two studies due to their therapeutic implications for COVID-19 patients. Final versions of these studies will be presented as they become available.
- ATTACC, ACTIV-4a & REMAP-CAP multiplatform RCT: Results of interim analysis. 1/28/21. NHLBI.
This is new, exciting RCT data for decreasing morbidity and mortality for COVID-19 with therapeutic anticoagulation. This interim data from NHLBI examines 3 international trials, suggesting decreased morbidity and mortality for COVID-19 patients with therapeutic anticoagulation for patients not in the ICU.
- Inhaled budesonide in the treatment of early COVID-19 illness: a randomised controlled trial. 2/8/21. Ramakrishnan S. medRxiv.
This open label trial from Oxford, UK, convincingly showed that a steroid inhaler used twice daily within 7 days of onset of mild COVID-19 significantly improves outcome measured primarily in hospitalization and secondarily in days to recovery from symptoms, fever and low oxygen saturation. Statistically, the difference in proportions was 0.131, 95% CI (0.043, 0.218), p=0.004, indicating a relative risk reduction of 90% for patients using the budesonide inhaler compared to usual care.
SAB Comment: This study has not yet been peer reviewed, was partially funded by Astra Zeneca and was halted early due to the December surge in COVID-19 cases in the study area. However, the authors plead convincingly that this ubiquitous treatment modality can influence the course of illness and possibly avoid prolonged recovery from SARS-CoV-2.
- ATTACC, ACTIV-4a & REMAP-CAP multiplatform RCT: Results of interim analysis. 1/28/21. NHLBI.
February 10, 2021:
- Autoantibodies May Drive COVID-19 Blood Clots. 2/2/2021. Hampton T. JAMA.
This is a commentary and discussion of the potential role of autoantibodies in COVID-19 thrombosis. In a recent study of 172 hospitalized COVID-19 patients, 52% had at least 1 anti-phospholipid (aPL) antibody. Antibody levels were associated with severity of respiratory disease, kidney dysfunction, and immune hyperactivity. They promote thrombosis in animal models via release of neutrophil extracellular traps (NETs). Neutrophils from healthy people over-produced NETs when cultured with autoantibodies from COVID-19 patients, as seen with aPL antibodies from patients with antiphospholipid syndrome (associated with bacterial and viral infections). Strategies to reduce NET levels may prove beneficial in COVID-19.
- Azithromycin in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial. 2/5/21. RECOVERY Collaborative Group. Lancet.
As part of the British RECOVERY trial which includes 176 hospitals, 2582 hospitalized patients with COVID-19 were randomized to receive azithromycin 500 mg daily for 10 days and compared to 5181 patients receiving standard care. The 28-day all-cause mortality for both patient groups was 22% indicating that azithromycin has no benefit for COVID-19 and should be used for antimicrobial indications only.
SAB Comment: The Randomised Evaluation of COVID-19 Therapy (RECOVERY) trial is an investigator-initiated, individually randomized, controlled, open-label, adaptive platform trial to evaluate the effects of potential treatments in patients admitted to hospital with COVID-19. After completing work on azithromycin, dexamethasone, hydroxychloroquine, lopinavir–ritonavir, convalescent plasma, and tocilizumab, study into the effects of REGN-COV2 (a combination of two monoclonal antibodies directed against SARS-CoV-2 spike glycoprotein), aspirin, and colchicine are still underway.
- Extracorporeal membrane oxygenation in patients with severe respiratory failure from COVID-19. 2/2/21. Shaefi S. Intensive Care Med.
This article reports the results of a study on the use of V-V ECMO in selected COVID-19 patients treated in experienced centers with mortality reduction (66.8% survival at 60 days). The study represents ECMO patients admitted across all participating ICUs during the trial period (190/5122). The article includes detailed analysis and an interesting use of an emulation cohort to support conclusions, eliminate confounders and immortal time bias and provide comparator between ECMO and non-ECMO patients to provide a non-ECMO control group lacking in prior studies. The author emphasizes the importance of early initiation in carefully selected patients treated in experienced centers to maximize outcomes.
- Global absence and targeting of protective immune states in severe COVID-19. 1/25/21. Combes A. Nature.
This fascinating study shows that immune response to COVID-19 is complex and differs between severe systemic effects in some patients and milder symptoms in others. Authors exposed the differences by studying whole blood analysis identifying individual cellular elements and expression in samples of severe and mild disease. Examination of serum in mild disease shows production of interferon-stimulated genes which blunt overproduction of anti-SARS-CoV-2 antibodies which in severe disease are higher and associated with lower viral titers than seen in mild disease. The authors make research suggestions to study modification of this response.
- Occurrence and Timing of Subsequent Severe Acute Respiratory Syndrome Coronavirus 2 Reverse-transcription Polymerase Chain Reaction Positivity Among Initially Negative Patients. 2/5/21. Long DR. Clin Infect Dis.
The authors compared the occurrence of a discordant result of RT- PCR in two health systems. They assessed the conversion rate to a new positive in less than 7 days. They noted the conversion rate was at 3.5% (4.1% at the University of Washington, 2.8% at Stanford). Retesting was done based on clinical symptoms of patients. These observations suggest that false-negative RT-PCR results do occur, but at a low frequency. Neither team was able to calculate a true clinical sensitivity or false-negative proportion due to the lack of a gold-standard.
- Transmission of COVID-19 in 282 clusters in Catalonia, Spain: a cohort study. 2/2/21. Marks M. Lancet Infect Dis.
In an attempt to identify variables that affect the transmission dynamics of SARS-CoV-2, these investigators from Spain analyzed contact tracing data associated with a randomized control trial. Quantitative RT-PCR and clinical data was analyzed on 282 adult, non-hospitalized index cases with a total of 753 contacts. The viral load of the index case was the leading determinant of the risk of PCR positivity among contacts and viral load significantly influenced the risk of developing the symptomatic disease in a dose-dependent manner. No association of risk of transmission was found with reported mask usage by contacts, with the age or sex of the index case, or with the presence of respiratory symptoms in the index case.
February 8, 2021:
- A rapid review of the pathoetiology, presentation, and management of delirium in adults with COVID-19. 12/25/20. Hawkins M. J Psychosomatic Res.
In this in-depth literature review of delirium in COVID-19, the authors initially identified 10,000 publications and after removing duplicates and screening abstracts, 229 studies were included in the review. This review serves as a source of reference for intensivists dealing with various aspects of diagnosing and treating delirium. After reviewing current information on prevalence, symptoms and etiology, prevention and management are highlighted in a summarizing table. In the absence of randomized clinical trials on this topic, the discussion is limited to reporting diverse empirical management with and without pharmacological intervention, stressing the fact that delirium can be a core symptom at presentation and may be under-recognized and under-diagnosed.
- Assessment of Maternal and Neonatal Cord Blood SARS-CoV-2 Antibodies and Placental Transfer Ratios. 1/29/21. Flannery DD. JAMA Pediatr.
This data rich article is from a single institution describing a study in which 6% of 1714 women became infected with COVID-19 during pregnancy. This multi-ethnic/race study revealed that of the 83 women infected, 72 (87%) passed igG antibodies to the fetus offering neonatal protection from infection.
SAB Comment: Maternal infections during pregnancy (HIV) can alter IgG transfer to the fetus. Reference: Immunohorizons. 2018 Jan 1; 2(1): 14–25.
- Evolution of antibody immunity to SARS-CoV-2. 1/18/21. Gaebler C. Nature.
SARS-CoV-2 neutralizing antibody levels eventually decrease post-illness or vaccination. It is unknown how well memory B cells produce antibodies many months later. Eighty-seven individuals were assessed at 1.3- and 6.2-months post-infection. As expected, IgM, and IgG anti-SARS-CoV-2 spike protein receptor binding domain (RBD) antibody titers decreased significantly. Functionally, plasma viral killing activity decreased fivefold. However, at 6.2 months, memory B-cells remained unchanged and continued evolving antibodies showing antibody sequence changes with increased potency and resistance to RBD mutation. Following up on known stool SARS-CoV-2 persistence, the authors related ongoing memory B-cell evolution to lingering antigen immunoreactivity shown in intestinal biopsies 4 months post-infection.
- SARS-CoV-2 infects and replicates in cells of the human endocrine and exocrine pancreas. 2/4/21. Müller JA. Nat Metab.
These investigators show that SARS-CoV-2 can cause diabetes in the absence of autoantibodies and other pancreatic disorders by directly infecting human exocrine (enzyme-producing) and endocrine (hormone-producing) pancreatic cells. Beta-cells (insulin-producing) express ACE-2, and TMPRSS2 allowing entry and then viral replication, inhibitable by remdesivir. The reduction in insulin-secretory granules in beta-cells results in reduced glucose-stimulated insulin secretion. The nucleocapsid protein was detected in four post-mortems in exocrine cells, beta-cells and in close proximity to the islets of Langerhans. These data suggest that SARS-CoV-2 targeting the pancreas leads to endocrine dysregulation (hyperglycemia, DKA, new onset Type-1 diabetes) and pancreatitis (up to 33%).
- SARS-CoV-2 viral load is associated with increased disease severity and mortality. 10/30/20. Fajnzylber J. Nature Communications.
The authors quantified SARS-CoV-2 viral load from participants with a diverse range of COVID-19 disease severity, including those requiring hospitalization, outpatients with mild disease, and individuals with resolved infection. Amongst participants hospitalized with COVID-19, the authors report that a higher prevalence of detectable SARS-CoV-2 plasma viral load is associated with worse respiratory disease severity, lower absolute lymphocyte counts, and increased markers of inflammation. Forty-four percent of those on a ventilator had detectable viremia compared to 19% of those receiving supplemental oxygen by nasal cannula and 0% of individuals not requiring supplemental oxygen. Compared to individuals who were discharged from the hospital, those who eventually died had significantly higher levels of plasma viremia at the time of initial sampling.
- The Association of Preinfection Daily Oral Anticoagulation Use and All-Cause in Hospital Mortality From Novel Coronavirus 2019 at 21 Days: A Retrospective Cohort Study. 2/1/21. Harrison RF. Crit Care Explor.
Of 1027 patients 60 years old or older admitted for COVID-19, the 28 who were on warfarin upon admission did not have a significantly different mortality at 28 days than the 894 patients who were on no anticoagulation. However, the 104 patients taking a direct oral anticoagulant had improved mortality (14.4% vs 23.8%; odds ratio, 0.57) prior to adjustment and after controlling for age, gender, and comorbidities. They had a mortality odds ratio of 0.44 when compared to patients on no oral anticoagulant on admission. No statistical difference was noted between the groups in the prevalence of bleeding events. The authors recommend an RCT to better evaluate this possible effect.
- The effect of early treatment with ivermectin on viral load, symptoms and humoral response in patients with non-severe COVID-19: A pilot, double-blind, placebo-controlled, randomized clinical trial. 1/19/21. Chaccour C. eClin Med.
Ivermectin has been shown to inhibit SARS-CoV-2 replication in vitro. This 24-patient pilot randomized, double-blind, placebo-controlled trial was launched in Spain to determine whether a single 400mcg/kg dose of ivermectin could provide a public health benefit by limiting viral spread when administered early to young patients attending the emergency room with symptoms compatible with COVID-19 and with no more than 72 h of fever or cough. No difference in the proportion of PCR positives were found but a marked reduction of self-reported anosmia/hyposmia, a reduction of cough and a tendency to lower viral loads and lower IgG titers was noted. A significantly faster recovery from anosmia (76 v 158 days) is among the results and – along with multiple retrospective studies showing favorable outcomes – calls for further investigations into the potential benefits of this widely available drug.
February 3, 2021:
- Association of Serum Mannose With Acute Respiratory Distress Syndrome Risk and Survival. 1/27/2021. Wei Y. JAMA Netw Open.
This two-phase study initially used Mendelian randomization to analyze gene variations in an historical population of 1630 ICU patients at risk for ARDS and found that genes for high mannose level were associated with a lower risk for, and better outcome from, ARDS. They used that outcome to then compare risk and outcomes in a different population of 83 patients with ARDS and 83 matched at-risk patients in the ICU without ARDS and found a protective association of higher mannose levels with a reduction of ARDS risk (OR, 0.67) and, within the ARDS group, a lower 60-day mortality (OR, 0.36). The authors note that these findings could inform prevention and clinical intervention in ARDS.
- Efficacy and Safety of the mRNA-1273 SARS-CoV-2 Vaccine. 12/31/20. Baden LR. NEJM.
This phase 3 randomized, observer-blinded, placebo-controlled trial was conducted at 99 centers across the US. Persons at high risk for SARS-CoV-2 infection or its complications (with locations or circumstances that put them at an appreciable risk of SARS-CoV-2 infection, a high risk of severe COVID-19, or both) were randomly assigned in a 1:1 ratio to receive two intramuscular injections of mRNA-1273 (Moderna) (100 μg) or placebo 28 days apart. Site-selection and enrollment processes were adjusted to increase the number of persons from racial and ethnic minorities in the trial. The mRNA-1273 vaccine showed 94.1% efficacy at preventing COVID-19 illness, including severe disease. All the severe COVID-19 cases were in the placebo group. Aside from transient local and systemic reactions, no safety concerns were identified.
- Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine. 12/31/20. Polack FP. NEJM.
In this ongoing multinational, placebo-controlled, observer-blinded, pivotal efficacy trial, the authors randomly assigned persons 16 years of age or older in a 1:1 ratio to receive two doses, 21 days apart, of either placebo or the BNT162b2 (BioNTech-Pfizer) vaccine candidate. Forty-three thousand four hundred forty-eight (43,448) individuals received injections. Eight patients who received the vaccine developed COVID-19 compared to 162 patients who received placebo, i.e., the vaccine was 95% effective. None of the eight vaccinated patients who developed COVID-19 required hospitalization. The safety profile included short-term, mild-to-moderate pain at the injection site, fatigue, and headache. Although the vaccine can be stored for up to 5 days at standard refrigerator temperatures once ready for use, very cold temperatures are required for shipping and longer storage.
February 1, 2021:
- Association of Intensive Care Unit Patient Load and Demand With Mortality Rates in US Department of Veterans Affairs Hospitals During the COVID-19 Pandemic. 1/19/2021. Bravata DM. JAMA Netw Open.
VA Study – 88 facilities/8516 RT-PCR + COVID-19 patients admitted March-August 2020. Defined 2 variables: ICU Load (ratio mean number COVID-19 ICU patients during patients’ hospitalization and facility total number ICU beds;) ICU Demand (ratio mean number COVID-19 ICU patients and the peak number of COVID-19 ICU patients at facility during study period). Trended data suggested mortality increased when ICU resources overextended. While not surprising, authors suggest mechanisms to reduce ICU overload including regional referrals/transfers and enhanced public health awareness to reduce ICU and hospital burden. Results may not reflect current therapeutic interventions and mortality statistics.
- Intensive Care Unit Strain and Mortality Risk Among Critically Ill Patients With COVID-19-There Is No “Me” in COVID. 1/19/2021. Rubinson L. JAMA Netw Open.
Commentary adds context and stimulates consideration/discussion beyond primary hypothesis. Raises questions regarding regional patient transfer and newer management strategies developed during study that may have impacted results. Discusses positive effects of public policy interventions and organized central/community/government response to implement pandemic control strategies designed to decrease requirements for hospital admissions.
- Core Outcome Measures for Trials in People With Coronavirus Disease 2019: Respiratory Failure, Multiorgan Failure, Shortness of Breath, and Recovery. 1/5/21. Tong A. Crit Care Med.
This is a multinational effort of 130 panel participants to establish standardized core outcome measures for research trials involving COVID-19 patients. Definitions and scoring criteria were established for respiratory failure, multiple organ failure, shortness of breath and recovery. If adopted in all trials, these relevant, meaningful, and feasible to implement sets of core outcome measures can strengthen the evidence basis for decision-making and can reduce wasted research efforts.
- Effect of Bamlanivimab as Monotherapy or in Combination With Etesevimab on Viral Load in Patients With Mild to Moderate COVID-19: A Randomized Clinical Trial. 1/21/2021. Gottlieb RL. JAMA.
Initiated to investigate the effect of early treatment with anti-spike neutralizing monoclonal antibodies on SARS-CoV-2 viral load in outpatients with mild to moderate disease, the BLAZE-1 trial compared dose variations of bamlanivimab with a group receiving etesevimab in addition, and a placebo group.
On day 11, there was a significant reduction in viral load in the combination therapy group (0.57 (95% CI, –1.00 to –0.14; P = .01) compared to the placebo group. In addition, COVID-19–related hospitalizations and emergency department visits were reduced from 5.8% in the placebo group to 1-2% when one of the drug regimens was used. Further assessment of the value of this intervention for non-hospitalized patients is ongoing.
- Neutralizing Monoclonal Antibody for Mild to Moderate COVID-19. 1/21/21. Malani PN. JAMA.
This editorial compares the BLAZE-1 trial results published in January 2021 with an interim analysis published online in October 2020. Because final data resulted in changes in the effect sizes for all 5 cohorts, earlier results indicating that one dose cohort made a significant difference had to be overturned. Authors note that in normal times an interim analysis of an ongoing clinical trial would not have been published. The FDA has issued emergency use authorizations for both bamlanivimab (Lilly) and for the combination of casirivimab and imdevimab (Regeneron) for outpatients with mild to moderate symptoms of COVID-19 and risk factors for progression to severe disease (such as advanced age, obesity, diabetes, chronic kidney disease, and immunosuppression).
- Effect of Discontinuing vs Continuing Angiotensin-Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers on Days Alive and Out of the Hospital in Patients Admitted With COVID-19: A Randomized Clinical Trial. 1/19/21. Lopes RD. JAMA.
This article discussed the BRACE CORONA trial, a registry-based open label clinical trial of 659 participants admitted to 29 Brazilian hospitals with mild to moderate COVID-19 disease. The results corroborated that discontinuing ACEI or ARB therapy for 30 days did not affect the number of days alive and out of the hospital in patients hospitalized with mild to moderate COVID-19.
SAB Comment: This trial is characterized by a single-country design and a notably younger (mean age 55 years) patient population with less comorbid disease (33% with diabetes; 5% with cardiovascular diseases) than the REPLACE COVID trial and had fewer total deaths despite the larger sample size (3% mortality in the BRACE CORONA trial vs 14% mortality in the REPLACE COVID trial).
- Evaluation of N95 respirators, modified snorkel masks and low-cost powered air-purifying respirators: a prospective observational cohort study in healthcare workers. 1/20/2021. Clinkard D. Anaesthesia.
Authors used qualitative fit testing in 51 individuals to evaluate N95 FFR, and Snorkel masks adapted with high efficiency filters (>99%) or adapted with positive air purifying respirators. N95s failed one or more testing steps in 59%, and snorkel masks with high‐efficiency filters failed in 20% of participants. 24% and 12% failed overall fit factors, respectively. The snorkel masks with powered‐air purifying respirators had zero individual or overall failures.
- Intermediate-dose anticoagulation, aspirin, and in-hospital mortality in COVID-19: a propensity score-matched analysis. 1/21/21. Meizlish ML. Am J Hematol.
This article describes a complex scientific analysis of 2785 hospitalized COVID-19 patients advocating for the daily use of 0.4-0.7 mg/kg enoxaparin, which is considered an intermediate dose, and 81 mg daily aspirin as the means to achieve the lowest in-hospital mortality from COVID-19 from thromboembolic cause. The Rothman Index (RI), a computer based and complex in itself calculation was used as a means of defining study groups.
- Occurrence of Invasive Pulmonary Fungal Infections in Severe COVID-19 Patients Admitted to the ICU. 1/22/21. Fekkar A. Am J Respir Crit Care Med.
A careful clinical review of 145 severely ill (72 on ECMO), intubated COVID-19 patients in March and April 2020 where suspicion of ventilator acquired pneumonia led to evaluation for invasive fungal infection. 475 respiratory samples were submitted to direct examination/culture, galactomannan index determination, and PCR targeting. In addition, 532 sera were tested for galactomannan, beta-D-glucan, and/or A. fumigatus PCR. Only 4.8% of these patients were felt to have invasive fungal disease while another 17.2% were considered to have clinically irrelevant colonization. Most were not being treated with steroids. Patients on long-term high-dose steroids and recipients of solid organ transplants were at highest risk.
- Pediatric Eye Injuries by Hydroalcoholic Gel in the Context of the Coronavirus Disease 2019 Pandemic. 1/21/21. Martin GC. JAMA Ophthalmol.
This is a brief report describing a 7-fold increase in pediatric eye injuries during the COVID-19 pandemic resulting from increased prevalence and use of alcohol-based hand sanitizer. The authors urge for the safe use of hand sanitizers and to warn parents and caregivers of the danger presented to children.
- Prevalence of Thrombotic Complications in ICU-Treated Patients With Coronavirus Disease 2019 Detected With Systematic CT Scanning. 1/20/21. Mirsadraee S. Crit Care Med.
72 ICU patients with COVID-19 underwent CT of the chest, abdomen and pelvis on admission to a tertiary care cardiorespiratory ICU. 35 were on ECMO. 58% had thrombosis, most commonly in the pulmonary arteries (47%). Thrombosis was not correlated with biomarkers, however mortality was significantly greater (33% vs 10%; p = 0.022). All but one patient was receiving at least prophylactic doses of anticoagulation. The authors suggest the routine use of CT scanning of the chest, abdomen and pelvis for extremely ill COVID-19 patients.
SAB Comment: These authors have a CT scanner in proximity to their ICU.
- Repeated vaporised hydrogen peroxide disinfection of 3M 1860 N95 mask respirators does not degrade quantitative fit performance. 1/24/2021. Moschella P. Br J Anaesth.
Authors tested randomly selected 3M model 1860 N95 respirators, a widely available model, for fit and function after repeated vaporized hydrogen peroxide (VHP) sterilization. They found that fit and function were preserved after either 5 or 10 disinfection Bioquell VHP cycles. They used quantitative NIOSH fit testing involving talking and head movements in accordance with 29 Code of Federal Regulations 1910.134, utilising a TSI PortaCount® device.
- Residual symptoms and lower lung function in patients recovering from SARS-CoV-2 infection. 1/22/21. Trinkmann F. Eur Respir J.
This is a study of persistent symptoms and PFT abnormalities 2 months after PCR-proven infection in 246 consecutive initially symptomatic patients (median age 48). Only 9% required hospital admission or received specific therapy, and only 2 of the 22 hospitalized patients required ICU treatment. However, at follow up, 46% still had 1-3 symptoms, particularly those initially more symptomatic. Symptom frequencies at presentation vs. 2 month follow-up were olfactory loss (66% vs. 4%), cough (65% vs 14%), fever (59% vs <1%), dyspnea (31% vs 32%), sore throat (26% vs <1%), rhinitis (25% vs 1%), headache (16% vs <1%), and fatigue (6% vs 1%). Mild spirometry and DLCO reductions were found in persistently symptomatic patients.
January 27, 2021:
- Development and validation of the ISARIC 4C Deterioration model for adults hospitalised with COVID-19: a prospective cohort study. 1/11/21. Gupta R. Lancet Resp Med.
ISARIC4C is a global initiative with the purpose of preventing illness and death from infectious disease outbreaks. This article presents information on development and validation of a multivariable logistic regression model for in-hospital clinical deterioration (defined as any requirement of ventilatory support or critical care, or death) among consecutively hospitalized adults with suspected or confirmed COVID-19 prospectively recruited to ISARIC4C study across 260 hospitals in England, Scotland, and Wales. The authors contend that the 4C Deterioration model, designed to be used on admission, has strong potential for clinical utility and generalizability to predict clinical deterioration and inform decision-making among adults hospitalized with COVID-19. The Mortality and Deterioration calculator can be accessed with the following link: isaric4c.net/risk/.
SAB Comment: While the SAB does not endorse management strategies or interventions, its members believe this manuscript and accompanying calculator to evaluate risk of disease progression or death MAY be useful in supplementing case management decisions.
- Improving clinical management of COVID-19: the role of prediction models. 1/11/21. Wynants L. Lancet Resp Med.
This is an editorial indicating that the main clinical advantage of the ISARIC4C predictive model is that required patient specific data is available from daily routine care and may help inform stratification of patients on the basis of clinical severity. In combination, the 4C Deterioration and Mortality models could be utilized in creating an evidence-based clinical pathway for patients with COVID-19. Validated predictive models may improve clinical management and resource utilization.
January 25, 2021:
- Circuits between infected macrophages and T cells in SARS-CoV-2 pneumonia. 1/11/21. Grant RA. Nature.
In this basic science article, using flow cytometry and transcriptomic profiling these investigators compared bronchoalveolar lavage (BAL) samples from 88 patients with SARS-CoV-2 respiratory failure to 211 patients with non-SARS-CoV-2 failure. In 10 SARS-CoV-2 BALs they analyzed single-cell RNA-seq. In SARS-CoV-2, the alveolar space was enriched in T cells (CD4+ and CD8+) and monocytes; only 31% had neutrophilia. Transcriptomes suggested that SARS-CoV-2 directly infects alveolar macrophages (AM), which produce T-cell chemo-attractants. T-cells then produce interferon-gamma. Feedback to AM promotes further T-cell activation. In contrast to non-SARS-CoV-2, SARS-CoV-2 causes a slowly unfolding, spatially limited alveolitis. Infected AM and T cells form a positive feedback circuit.
- Neutralizing antibody titres in SARS-CoV-2 infections. 1/4/21. Lau E. Nature Communications.
SARS-CoV-2 infection elicits effective neutralizing antibody titers in most individuals. Using plaque reduction neutralization (PRNT) assays, a “gold-standard,” kinetics of virus neutralizing antibody responses were examined from a cohort of 195 infections collected days 0 to 209 after symptom onset. Of 115 sera collected ≥61 days after onset of illness tested, 99.1% remained seropositive for both 90% (PRNT90) and 50% (PRNT50) neutralization endpoints. Investigators estimated it takes at least 372, 416 and 133 days for PRNT50 titers to drop to the detection limit for severe, mild, and asymptomatic patients, respectively. Results were uninfluenced by age or corticosteroid use.
January 22, 2021:
- Renin-angiotensin system inhibitors in hospitalised patients with COVID-19. 1/10/21. Williams B. Lancet Respir Med.
This editorial provides a commentary on the ACEI/ARB controversy. While highlighting the REPLACE COVID trial which examined the impact of continuing or withdrawing chronic ACEIs or ARB treatment in 152 patients hospitalized with COVID-19 across 20 international centers which resulted in no difference in outcome, it stresses the global collaboration, scale and speed with which investigators conducted observational cohort studies with similar results which made this small RCT’s results convincing. In addition, the authors refer to the larger BRACE CORONA RCT with identical yet unpublished results and refer to recent literature showing that there is no increase in ACE2 expression caused by ACEIs and ARBs in pulmonary or renal tissue.
- The Association of Low Molecular Weight Heparin Use and In-hospital Mortality Among Patients Hospitalized with COVID-19. 1/4/21. Shen L. Cardiovasc Drugs Ther.
This paper examines 525 COVID-19 hospitalized patients from Wuhan. Twenty-three percent were treated with low molecular weight heparin (LMWH). These patients were likely to be older, have more co-morbidities and had more severe COVID-19 parameters. Compared with non-LMWH group, LMWH group had a higher unadjusted in-hospital mortality rate (21.70% vs. 11.10%; p = 0.004), but a lower adjusted mortality risk (adjusted odds ratio [OR], 0.20; 95% CI, 0.09–0.46). These retrospective data suggest that LMWH use was associated with lower all-cause in-hospital mortality. The survival benefit was particularly significant among more severely ill patients.
SAB Comment: This retrospective study suggests benefits of LMWH on mortality and contributes to the ongoing debates about the use of anticoagulants in these patients. This further highlights the need for the upcoming RCTs.
- Thromboembolic complications in critically ill COVID-19 patients are associated with impaired fibrinolysis. 12/8/20. Kruse JM. Crit Care.
While this review only has 40 ICU COVID-19 patients, the data suggest that a severe decrease in clot breakdown is a cause of the coagulopathy associated with COVID-19. Maximum lysis, especially following stimulation of the extrinsic coagulation system using rotational thromboelastometry (ROTEM), was inversely associated with an enhanced risk of thromboembolic complications. Combining values for maximum lysis with D-dimer concentrations revealed high sensitivity and specificity of thromboembolic risk prediction (area under curve of 0.92).
- Venous thromboembolism and major bleeding in patients with COVID-19: A nationwide population-based cohort study. 1/5/21. Dalager-Pedersen M. Clin Infect Dis.
This review from 6 Danish hospitals examines 30-day VTE and bleeding risks in 9,460 PCR+ patients for SARS-CoV-2, 226,510 SARS-CoV-2 negative patients and 16,281 patients with influenza. One thousand five hundred and forty of the COVID-19 patients were hospitalized. Overall 30-day risk for VTE was 0.4% (40/9,460) among COVID-19 positive patients compared with 0.3% (649/226,510) for COVID-19 negative patients and 1.0% (158/16,281) among influenza patients. Among hospitalized patients, risks for VTE were 1.5% (23/1,540) in COVID-19 positive patients compared with 1.8% (483/26,131) in COVID-19 negative patients and 1.5% (147/9,599) in hospitalized influenza patients. No differences were noted in major bleeding events. In this nationwide survey, the data demonstrate a low rate of VTE and bleeding for outpatients with SARS-CoV-2.
January 19, 2021:
- Duration and key determinants of infectious virus shedding in hospitalized patients with coronavirus disease-2019 (COVID-19). 1/12/21. van Kampen JJA. Nat Commun.
The CDC currently uses a minimum disease duration of 10 days in their symptom-based strategy as the statistically estimated likelihood of recovering a replication-competent virus approaches zero after ten days of symptoms. In a study of 129 hospitalized patients, duration and key determinants of infectious SARS-CoV-2 shedding in patients with severe and critical COVID-19 was assessed. Median time for infectious virus shedding was 8 days post-symptom onset; ≤5% probability for isolating infectious SARS-CoV-2 when duration of symptoms was ≥ 15.2 days. Median viral load was significantly higher in culture + samples than culture – samples. Probability of isolating infectious virus was < 5% when neutralizing antibody titer was 1:80 or higher. Detection of subgenomic RNAs outlasted detection of infectious virus. Based on their findings, a longer disease duration could be considered for severely-ill patients.
- Lung ultrasound score predicts outcomes in COVID-19 patients admitted to the emergency department. 1/11/21. de Alencar JCG. Ann Intensive Care.
Lung ultrasound (LUS) was performed in the emergency department (ED) on 180 patients who were PCR positive for COVID-19. The protocol involved the examination of 12 lung regions, was performed at bedside by experienced ED physicians, and typically required five minutes. LUS scores correlated with findings from chest commuted tomography (CT) (when performed) and predicted the estimated extent of parenchymal involvement, death, endotracheal intubation, and ICU admission. The authors believe that LUS is more sensitive than chest radiography, requires less resource and infection risk than CT, and could be used as an effective evaluation tool, particularly in resource-constrained settings.
- Persistent Post-COVID-19 Inflammatory Interstitial Lung Disease: An Observational Study of Corticosteroid Treatment. 1/12/21. Myall KJ. Ann Am Thorac Soc.
This is a well-written narrative following 837 COVID-19 patients seen between February and May 2020 in metropolitan London, UK hospitals. Four weeks after discharge, 39% had not returned to baseline and underwent further study. Thirty patients with persistent respiratory symptoms and interstitial lung disease received an initial maximal dose of prednisolone 0.5mg/kg with rapid weaning over a 3-week period which improved diffusion capacity by 31.6% and FVC by 9.6% which resulted in symptomatic and radiological improvement. This preliminary data requires further study into the natural history and potential treatment for patients with persistent inflammatory interstitial lung disease following SARS-CoV2 infection.
- Stability of SARS-CoV-2 on critical personal protective equipment. 1/13/21. Kasloff SB. Nature Scientific Reports.
Persistence of viable virus was measured on eight PPE materials. Viable SARS-CoV-2 persisted for 21 days on plastic, 14 days on stainless steel, 7 days on nitrile gloves and 4 days on chemical resistant gloves, though at significantly reduced levels compared to the initial inoculum. Viable SARS-CoV-2 was nearly undetectable, but could still be recovered from N-95 and N-100 materials for up to 21 days. On 100% cotton, the virus underwent rapid degradation and was not detectable within 24 hours. These findings underline the importance of appropriate handling of contaminated PPE and a potential advantage of cotton.
SAB Comment: Many of the results in this study differ from other often-quoted reports. This is not surprising as experimental conditions including contaminating load, medium, ambient temperature and humidity have a large influence on the time viruses remain viable and vary among studies.
- Ventilator-associated pneumonia in critically ill patients with COVID-19. 1/12/21. Maes M. Crit Care.
This retrospective observational study from the UK studied ventilator-associated pneumonia (VAP) in mechanically ventilated COVID-19 (n=81) and non-COVID-19 (n=144) patients at a single hospital. All patients were studied between March and August 2020, and VAP was defined by the European Center for Disease Control using clinical and microbiological criteria. COVID-19 was associated with an increased risk of VAP (28 per 1,000 ventilator days) compared with non-COVID-19 patients (13 per 1,000 ventilator days). Although the distribution of organisms causing VAP was similar between the two groups, aspergillosis was only found in COVID-19 patients (n=3, none on steroids), though one patient without COVID-19 was borderline positive and met clinical criteria.
January 15, 2021:
- COVID-19, Personal Protective Equipment, and Human Performance. 1/6/21. Ruskin KJ. Anesthesiology.
This article addresses the issue of the varieties of PPE worn by healthcare workers. The authors discuss how various varieties of PPE may cause increased work of breathing, reduced field of vision, communication mishaps, thermoregulation derangements, limitations of physical dexterity and mental, physical, and psychological fatigue and stress which lead to decreased human performance. These effects are not individual weaknesses. Here the authors suggest some helpful remedies to address the physiologic and psychologic challenges imposed by non-standardized PPE. There is a need for a new, standardized, integrated design for PPE to improve the safety of patients and healthcare workers.
- Early corticosteroids are associated with lower mortality in critically ill patients with COVID-19: a cohort study. 1/5/21. Monedero P. Crit Care.
This is a prospective, multicenter, observational, cohort study in 882 critically ill adult patients with COVID-19 admitted to 36 critical care units in Spain. Beginning in early March to the end of June 2020, patients receiving corticosteroids within 48 hours of ICU admission had a lower mortality compared to those receiving steroids later (30 vs. 40% – HR 0.71) or not at all. Patients treated early did better overall with shorter ICU stays, fewer ventilator days and a lower incidence of organ dysfunction. Higher dosages were found to be more effective. Corticosteroid administration occurred on average 12 days after symptom onset. The authors recommend corticosteroids as early as day 7 provided inflammatory markers are elevated.
- Facial Pressure Injuries from Prone Positioning in the COVID-19 Era. 1/3/21. Shearer SC. Laryngoscope.
This study highlights the high frequency (48%) of facial pressure injuries associated with intubated COVID-19 patients placed in the prone position at a single US institution. Most of these patients were continuously in the prone position. Of 143 intubated ICU patients proned for an average of 123 hours, cheek and ear injuries accounted for the majority of damage, with the likelihood of injury increasing as proning times increased. A particular problem seemed to be pressure caused by commercial endotracheal tube fasteners. Suggestions for reducing these injuries are made. The study did not address injuries to the eye or elsewhere on the body.
- Prone Positioning in Moderate to Severe Acute Respiratory Distress Syndrome Due to COVID-19: A Cohort Study and Analysis of Physiology. 12/31/2020. Shelhamer MC. J Intensive Care Med.
This retrospective cohort study from an overwhelmed hospital in the Bronx supports prone positioning as an intervention to increase survival and improve physiologic parameters in patients on mechanical ventilation with moderate to severe ARDS due to COVID-19. Of 261 patients who qualified for prone positioning by specific criteria, 62 received proning from a specially developed team for at least 16 hours per day, and outcomes were compared to those not proned (n=199). The proned group had 40% less mortality, with a mortality benefit (number needed to treat) of 8.
January 13, 2021:
- 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. 1/8/21. Huang C. Lancet.
175-199 days after symptom onset, 1733 of 2469 discharged Wuhan COVID-19 patients (median age 57) completed questionnaires to evaluate symptoms and quality of life along with physical examinations, a 6-min walking test, and blood tests. Reduced 6-min walk, fatigue, pulmonary abnormalities, and anxiety or depression were prevalent. 73% of men and 81% of women reported at least one symptom (76% overall). Most common were fatigue or muscle weakness (63%), sleep difficulties (26%), and anxiety or depression (23%). Symptoms were positively correlated with previous COVID-19 illness severity.
SAB Comment: Many with mobility or neurologic issues were excluded, therefore accurate percentages may be higher.
- Early High-Titer Plasma Therapy to Prevent Severe Covid-19 in Older Adults. 1/6/21. Libster R. N Engl J Med.
This article describes an Argentine randomized, double-blind, placebo-controlled trial of convalescent plasma (CP) with IgG titers >1:1000 against SARS-CoV-2 within 72 hours following the onset of mild COVID-19. CP reduced disease progression in adult patients older than 75 years or 65-74 years old with co-morbidities. Severe respiratory disease developed in 13/80 patients (16%) who received 250 ml of CP and 25/80 (31%) who received 250 ml normal saline (relative risk, 0.52). Benefit was more frequent following units with higher IgG titers, indicating a dose-dependent effect. Deaths were 2/80 in the CP group vs. 4/80 in the placebo group.
- Impact of cardiovascular disease and risk factors on fatal outcomes in patients with COVID-19 according to age: a systematic review and meta-analysis. 12/18/20. Bae S. Heart.
This is a retrospective meta-analysis to investigate the impact of cardiovascular disease (CVD) and associated risk factors (hypertension, diabetes) on age-related mortality in COVID-19 patients. Fifty-one studies, including 48,171 patients were included, along with PRISMA diagrams and tables. Unsurprisingly, CVD, hypertension and diabetes increased mortality across all groups. However, when present in younger ages, the odds ratio of mortality compared with same age patients without the risk factors was disproportionately higher than the same age ratio in the elderly. While young patients had lower prevalence rates of cardiovascular comorbidities than elderly patients, relative risk of fatal outcome in young patients with hypertension, diabetes and CVD was higher than in elderly patients.
- SARS-CoV-2 Transmission From People Without COVID-19 Symptoms. 1/7/21. Johansson MA. JAMA Netw Open.
A decision analytical model was used including multiple scenarios for the infectious period and the proportion of transmission from individuals who never have COVID-19 symptoms. Baseline assumptions were taken from meta-analyses and included an incubation period of a median of 5 days. In the various analyses peak infectiousness was varied between 3 and 7 days. Under a broad range of values for each of these assumptions, at least 50% of new SARS-CoV-2 infections were estimated to have originated from exposure to individuals who were asymptomatic at the time of transmission (combining those who never develop symptoms with those who are pre-symptomatic).
SAB Comment: This highlights the importance of mask-wearing and social distancing even as vaccines are rolled out.
January 11, 2021:
- Antibody Status and Incidence of SARS-CoV-2 Infection in Health Care Workers. 12/28/20. Lumley SF. N Engl J Med.
This is an original article from 4 Oxford University Hospitals that followed its employees for SARS-CoV-2 infection. Testing was performed every 2 weeks or if symptomatic. 10% of 12,541 staff tested positive from March through November 2020. Polymerase chain reaction assays of both anti-spike IgG and anti-nucleocapsid IgG demonstrated that healthcare workers who tested positive suffered mild disease and were afforded immunity for the length of the study, 31 weeks.
- Promising Therapy for Heart Failure in Patients with Severe COVID-19: Calming the Cytokine Storm. 1/6/2021. Peng X. Cardiovasc Drugs Ther.
This detailed and well referenced review covers key mechanistic links between Covid-19 cytokine-storm, subsequent myocardial injury and progression to heart failure (HF). Heightened release of cytokines may result in myocardial damage through direct injury, general inflammation, thrombosis, hypoxemia and downregulation of ACE2 on cardiomyocytes and vascular endothelium. Key inflammatory cytokines include TNFa and IL-1b; both produce accumulation of interstitial collagen fibers and IL-6 which can induce cardiomyocyte hypertrophy and diastolic dysfunction. HF therapies may include cytokine inhibitors, corticosteroids, type-I and -III interferons, but their timing needs investigation. Current guidance suggests maintaining or starting ACEIs and ARBs; benefits may outweigh risks.
- SARS-CoV-2 Variant – United Kingdom of Great Britain and Northern Ireland. 12/21/20. WHO.
UK scientists sequenced a SARS-CoV-2 variant (VUI 202012/01) now representing >50% of isolates in South East England. The variant shows 14 mutations resulting in amino acid changes and three deletions. Significant mutations in the receptor binding domain are N501Y and P681H. A deletion at position 69/70 affects the Spike (S)-gene. The variant increases transmissibility between 40-70%, adding 0.4 to R0 bringing it to 1.5-1.7. Investigations are ongoing to determine if this variant will change symptom severity, antibody responses or vaccine efficacy. Most PCRs target multiple sequences and therefore the impact of the variant on diagnostics is not anticipated to be significant.
SAB Comment: In order to understand the epidemiology of any variant, widespread and frequent genetic sequencing of viral testing samples is needed. Currently, the US lags far behind the UK in this regard, sequencing ~1% of samples vs. >10% in the UK. Therefore, relatively little is known about the spread of the “UK variant” in the US.
January 8, 2021:
- A Neutralizing Monoclonal Antibody for Hospitalized Patients with Covid-19. 12/28/20. ACTIV-3/TICO LY-CoV555 Study Group. N Engl J Med.
The antiviral drug remdesivir has been shown to decrease the time to recovery in hospitalized patients with COVID-19. However, the preliminary results of a study involving a single infusion of the neutralizing monoclonal antibody LY-CoV555 when co-administered with remdesivir, did not demonstrate efficacy, among hospitalized patients (sample size 300) who had COVID-19 without end-organ failure, measured at day 5 vs those who received placebo. LY-CoV555 met the pre-specified criteria for futility and further enrollment was stopped.
- Adaptation of an Obstetric Anesthesia Service for the Severe Acute Respiratory Syndrome Coronavirus-2 Pandemic: Description of Checklists, Workflows, and Development Tools. 12/14/20. Li Y. Anesth Analg.
In this pragmatic report from Boston, authors share their revised workflows and checklists for all aspects of obstetric anesthesia care in the COVID-19 era. A cyclical improvement methodology was used to design each new workflow. Challenges include simultaneous care of infected patients alongside noninfected patients, inherent uncertainties regarding the course of labor and delivery, and need for coordination with other departments such as neonatology. Authors developed independent workflows and procedure-specific material kits that may be used alone or in sequence without extensive staff training to facilitate care and conserve resources.
- Factors Associated with Positive SARS-CoV-2 Test Results in Outpatient Health Facilities and Emergency Departments Among Children and Adolescents Aged <18 Years – Mississippi, September-November 2020. 12/17/20. Hobbs CV. MMWR Morb Mortal Wkly Rep.
This investigation included children and adolescents younger than 18 years who received RT-PCR testing for presence of SARS-CoV-2 in nasopharyngeal swab specimens at outpatient testing health care centers or the ED during September 1–November 5, 2020. Of 397 participants, children and adolescents who received positive test results for SARS-CoV-2 were more likely than were similarly aged participants who had negative test results to have had close contact with persons with COVID-19. Exposure was attributed to gatherings with persons outside the household, and a lack of consistent mask use in school. However, attending school or childcare was not associated with receiving positive SARS-CoV-2 test results.
- Hypercoagulopathy in Severe COVID-19: Implications for Acute Care. 12/28/20. Waite AAC. Thromb Haemost.
This is a review of the coagulopathy associated with COVID-19. This is a good summary of the early literature up to current papers. It includes clinically relevant data and upcoming trials. This paper is a useful update.
- Incidence of symptomatic, image-confirmed venous thromboembolism following hospitalization for COVID-19 with 90-day follow-up. 12/22/20. Salisbury R. Blood Adv.
This paper presents new data examining venous thromboembolism (VTE) after discharge for patients with COVID-19. 303 patients were treated at Oxford University Hospitals. 5.9% were diagnosed with VTE in the hospital. Data were collected in 205 patients post discharge up to 90 days or until death if earlier. Based upon the national registry, 2.6% had VTE, all pulmonary emboli. The authors suggest that this needs to be further investigated as there may be a beneficial role for post-discharge anticoagulation in some patients.
- Update to living systematic review on drug treatments for covid-19. 12/18/20. Siemieniuk RAC. BMJ.
First 6-month follow-up and therefore “living” review of randomized trials examining COVID-19 treatment options were discussed, specifically their comparative effectiveness that have not been tested head-to-head. Leading off with a uniquely designed interactive infographic diagram (available on the web but not featured on the PDF download) that links therapeutics to 11 different outcomes, the review tabulates and discusses results and allows for a quick search as well as in-depth sourcing using extensive tables and bibliographic links sorted by outcome modality. This encyclopedic review originated from 20 institutions in 13 countries, including 3 in China, and in its conclusions highlights the beneficial effect of glucocorticoids on mortality and mechanical ventilation, while questioning other drugs, including tocilizumab and remdesivir.
January 6, 2021:
- Corticosteroid use in COVID-19 patients: a systematic review and meta-analysis on clinical outcomes. 12/15/20. van Paassen J. Crit Care.
This well-conducted systematic review and meta-analysis to evaluate safety and effectiveness of corticosteroids in COVID-19 included 44 studies and 20,197 patients collected between December 1, 2019 and October 1, 2020. Primary outcomes were short-term mortality and viral clearance (based on RT-PCR in respiratory specimens). Secondary outcomes were need for mechanical ventilation, other oxygen therapy, length of hospital stay and secondary infections. Non-peer reviewed and pre-published manuscripts were excluded from analysis. Findings from observational studies and RCTs confirm beneficial effect of corticosteroids on short-term mortality and reduction in mechanical ventilation. A possible signal of delayed viral clearance and an increase in secondary infections was noted. Optimal timing, dose and duration of corticosteroids, in relation to safety, remain subjects for further investigation.
- Corticosteroids for Patients With Coronavirus Disease 2019 (COVID-19) With Different Disease Severity: A Meta-Analysis of Randomized Clinical Trials. 12/10/20. Pasin L. J Cardiothorac Vasc Anesth.
In this meta-analysis of 5 studies involving treatment with steroids of 7,692 COVID patients, the authors note that the effect of corticosteroids therapy on survival with COVID patient varies with different respiratory support. The use of corticosteroids may be detrimental to patients who do not require oxygen support (NNH/number needed to harm=29) and increases mortality. Its effectiveness for mechanically ventilated patients was (NNT/number needed to treat=19). The majority of COVID-19 patients not requiring oxygen/mechanical ventilation will have a better survival benefit without steroids.
- COVID-19 Convalescent Plasma Treatment of Moderate and Severe Cases of SARS-CoV-2 Infection: A Multicenter Interventional Study. 12/7/20. Alsharidah S. Int J Infect Dis.
SAB Comment: This is a non-randomized observational study from Kuwait. Research is needed to determine patient groups that benefit.
One hundred and thirty-five patients with moderate-severe COVID-19 disease who received 2 units of convalescent plasma (CP) within 3 days of hospital admission had an earlier and higher rate of clinical improvement compared with 233 control patients. Moderate disease was found in 86.5% of CP group (n=89) who had a time to clinical improvement of 7 days versus 68% of controls with time to clinical improvement of 8 days (p=0·006). Severe disease was found in 61% of CP group (n=46) with time to clinical improvement of 7 days vs. 35% of controls with time to clinical improvement of 15.5 days (p=0·003). Overall 30-day mortality was 18% CP group vs. 39% controls. Moderate disease patients had a significantly lower mortality following CP (11% vs. 30%, p= 0.001).
- Factors Associated With Severe SARS-CoV-2 Infection. 12/16/20. Ouldali N. Pediatrics.
This 60-hospital French national study used an established meningitis surveillance network to study demographics of COVID-19 pediatric patients. Data collection was from February 15-June 1, with 397 children and included an estimated 38.5% of the total cases in France. The primary outcome was the proportion of patients with disease progression, and secondary outcomes were defined by age groups. The median age was 16 months. Three percent of children (4/135) <90 days old developed severe disease. MIS-C increased with age. There was severe disease overall in 11% (23/306). Of the 6 mortalities only one was entirely due to COVID-19. Findings suggested that the rate of severe forms was the lowest in very young children and was the highest for children ≥ 10 years.
- Masking the 6 Minutes-Walking-Test in the COVID-19 Era. 12/14/20. Salles-Rojas A. Ann Am Thorac Soc.
A small study of 77 COVID-19 pneumonia survivors who each performed the 6-Minute Walking Test twice, once with a surgical or an N-95 mask and once without a mask. No differences were observed between wearing or not wearing a mask in the meters walked, SpO2, HR, dyspnea or fatigue.
- Variation in US Hospital Mortality Rates for Patients Admitted With COVID-19 During the First 6 Months of the Pandemic. 12/22/20. Asch DA. JAMA Intern Med.
This cohort study from a US-managed health company evaluated outcomes for 38,517 adults with COVID-19 admitted to 955 US hospitals during two time periods (January to April and May to June). The primary outcome was the hospitals’ risk-standardized event rate (RSER) of 30-day in-hospital mortality or referral to hospice, adjusted for patient-level characteristics. RSERs declined from 16.6% to 9.3%. Individual hospitals did better when the prevalence of COVID-19 in their surrounding communities was lower. The article speculates on possible causes for this improvement, including fewer overwhelmed hospitals, improved knowledge and medical care, and possibly smaller infective inoculums as mask-wearing became more common.
January 4, 2021:
- Genetic mechanisms of critical illness in Covid-19. 12/11/20. Pairo-Castineira E. Nature.
Oriented towards research, this genome-wide association study (GWAS) examined 2,244 critical COVID-19 patients in 208 UK ICUs to uncover gene variants that are severity markers and potential treatment targets. GWAS findings implicated antiviral restriction enzyme activators (OAS1/OAS2/OAS3), high tyrosine kinase-2 (TYK2), dipeptidyl peptidase- 9 (DPP9) and low interferon receptor gene IFNAR2. Mendelian randomization techniques implicated as “causal” low IFNAR2 and high TYK2 expression. Lung tissue transcriptome-wide association implicated high monocyte/macrophage chemotactic receptor CCR2. These gene alterations implicating early anti-viral defense (IFNAR2, OAS) and late inflammation (DPP9, TYK2, CCR2) can be evaluated in clinical trials using licensed drugs (interferons, JAK inhibitors, CCR2 inhibitors, etc.).