T1D patients with comorbidities have higher risk of COVID-19 hospital admission | Just 14% of diagnosed cancers in US are detected through screening | Study: Preterm infants may not get enough iron from formula
A 651-person study published in the journal Pediatric Diabetes suggests that certain comorbidities can elevate the risk of COVID-19 hospitalization in children and young adults who have Type 1 diabetes, and co-occurring conditions tended to be more prevalent in patients from minority ethnic and racial backgrounds. At least one comorbidity was seen in 31% of patients, the most common comorbidities were obesity and asthma, and 52% of hospitalized patients also required ICU admission.
Only 14.1% of cancer cases in the US are detected through a recommended preventive screening test, and the remaining cases are detected when symptoms emerge or when patients seek medical care or imaging for other reasons, according to new research from the NORC at the University of Chicago. The report, based on 2017 data, noted that majority of cancer types, except for cervical, lung, breast and colorectal cancer, don't have recommended screening tests, and report author Caroline Pearson said the findings underline the need for more cancer tests and more data on how cancers are diagnosed.
A study presented at the American Society of Hematology annual meeting found that babies born prematurely may not receive enough elemental iron from formula alone. The study included 392 very preterm infants born before 31 weeks of gestational age who were exclusively formula fed with iron-rich formula and 107 who were exclusively or partially breastfed.
A Wake Forest University-led long-term study found that individuals who take blood pressure medication or have a 140/90mmHg blood pressure reading and lipoprotein(a) that is at least 50 mg per deciliter may have a 24% increased risk of stroke or other cardiovascular diseases. The study, published in the journal Hypertension, was based on the US Multi-Ethnic Study of Atherosclerosis study data.
A study published in Tobacco Control found that most people who used both regular cigarettes and e-cigarettes were more likely to continue smoking than to stop. Only 10.3% of dual users quit vaping and smoking, researchers said. "As used by the general population, e-cigarettes have not contributed to substantial smoking cessation," said lead researcher Nandita Krishnan.
High contract labor costs and other factors have spurred some health systems to create in-house staffing networks that allow nurses and other clinicians to take shifts in various departments at different facilities instead of staying on the same unit in one hospital. Piedmont Healthcare, Jefferson Health and Allegheny Health Network are among the systems implementing the concept, which appears to reduce costs significantly, and Allegheny Chief Nurse Executive Claire Zangerle said the idea is poised to "change the labor market."
A study published in npj Digital Medicine found that telehealth reduces emergency department utilization and inpatient hospitalization, resulting in lower primary care costs. The study also found that telehealth saw greater use among people with complex medical needs, those with lower incomes, and Medicare and Medicaid beneficiaries.
The CDC has extended its body mass index-for-age growth charts to help clinicians assess the growth and treatment of children and adolescents with severe obesity, extending BMI to 60 and defining obesity as 120% of the 95th percentile. The extended charts were created using 1998 to 2016 data of youths with obesity and will be added to the current CDC 2000 BMI-for-age growth charts.