1681. Real-World Evidence of Neutralizing Monoclonal Antibodies for Preventing Hospitalization and Mortality in COVID-19 Outpatients.
作者: Matthew K Wynia.;Laurel E Beaty.;Tellen D Bennett.;Nichole E Carlson.;Christopher B Davis.;Bethany M Kwan.;David A Mayer.;Toan C Ong.;Seth Russell.;Jeffrey D Steele.;Heather R Stocker.;Adane F Wogu.;Richard D Zane.;Ronald J Sokol.;Adit A Ginde.
来源: Chest. 2023年163卷5期1061-1070页
Neutralizing monoclonal antibodies (mAbs) were authorized for the treatment of COVID-19 outpatients based on clinical trials completed early in the pandemic, which were underpowered for mortality and subgroup analyses. Real-world data studies are promising for further assessing rapidly deployed therapeutics.
1682. Topical Potassium Channel Blockage Improves Pharyngeal Collapsibility: A Translational, Placebo-Controlled Trial.
作者: Amal M Osman.;Sutapa Mukherjee.;Thomas J Altree.;Martina Delbeck.;Doris Gehring.;Michael Hahn.;Tina Lang.;Charles Xing.;Thomas Muller.;Gerrit Weimann.;Danny J Eckert.
来源: Chest. 2023年163卷4期953-965页
Potassium (K+) channel inhibition has been identified in animal models as a potential target to increase pharyngeal dilator muscle activity and to treat OSA. However, these findings have not yet been translated to humans.
1683. Racial Disparities in Lung Cancer Stage of Diagnosis Among Adults Living in the Southeastern United States.
作者: Jennifer Richmond.;Megan Hollister Murray.;Cato M Milder.;Jeffrey D Blume.;Melinda C Aldrich.
来源: Chest. 2023年163卷5期1314-1327页
Black Americans receive a diagnosis at later stage of lung cancer more often than White Americans. We undertook a population-based study to identify factors contributing to racial disparities in lung cancer stage of diagnosis among low-income adults.
1684. Motile Ciliary Disorders of the Nasal Epithelium in Adults With Bronchiectasis.
作者: Ri-Lan Zhang.;Cui-Xia Pan.;Chun-Li Tang.;Lai-Jian Cen.;Xiao-Xian Zhang.;Yan Huang.;Zhen-Hong Lin.;Hui-Min Li.;Xiao-Fen Zhang.;Lei Wang.;Wei-Jie Guan.;De Yun Wang.
来源: Chest. 2023年163卷5期1038-1050页
Motile ciliary disorder (MCD) has been implicated in chronic inflammatory airway diseases such as asthma and COPD.
1685. Incidence of Respiratory Pathogens in Naval Special Warfare Sea, Air, and Land Team Candidates With Swimming-Induced Pulmonary Edema.
作者: Benjamin A Sebreros.;Piotr Wisniewski.;Peter Lindholm.;Gilbert E Boswell.;Charles G Volk.
来源: Chest. 2023年163卷5期1185-1192页
Swimming-induced pulmonary edema (SIPE) is a respiratory condition frequently seen among Naval Special Warfare (NSW) trainees. The incidence of positive respiratory panel (RP) findings in trainees with a diagnosis of SIPE currently is unknown.
1686. Nebulized vs IV Tranexamic Acid for Hemoptysis: A Pilot Randomized Controlled Trial.
作者: Bharath Gopinath.;Prakash Ranjan Mishra.;Praveen Aggarwal.;Rakesh Nayaka.;Shivdas Rajaram Naik.;Vignan Kappagantu.;Prawal Shrimal.;Akshaya Ramaswami.;Sanjeev Bhoi.;Nayer Jamshed.;Tej Prakash Sinha.;Meera Ekka.;Akshay Kumar.
来源: Chest. 2023年163卷5期1176-1184页
Tranexamic acid (TA) is used to control bleeding in patients with hemoptysis. However, the effectiveness of the different routes of TA administration has not been studied.
1687. Cardiovascular Complications Are the Primary Drivers of Mortality in Hospitalized Patients With SARS-CoV-2 Community-Acquired Pneumonia.
作者: Ahmed Shebl Ali.;Daniya Sheikh.;Thomas R Chandler.;Stephen Furmanek.;Jiapeng Huang.;Julio A Ramirez.;Forest Arnold.;Rodrigo Cavallazzi.
来源: Chest. 2023年163卷5期1051-1060页
Hospitalized patients with SARS-CoV-2 community-acquired pneumonia (CAP) and associated comorbidities are at increased risk of cardiovascular complications. The magnitude of effect of cardiovascular complications and the role of prior comorbidities on clinical outcomes are not well defined.
1688. Achieving Molecular Profiling in Pleural Biopsies: A Multicenter, Retrospective Cohort Study.
作者: Anand Sundaralingam.;Avinash Aujayeb.;Baki Akca.;Clare Tiedeman.;Vineeth George.;Michael Carling.;Jennifer Brown.;Radhika Banka.;Dinesh Addala.;Eihab O Bedawi.;Rob J Hallifax.;Beenish Iqbal.;Poppy Denniston.;Maria T Tsakok.;Nikolaos I Kanellakis.;Florian Vafai-Tabrizi.;Michael Bergman.;Georg-Christian Funk.;Rachel E Benamore.;John M Wrightson.;Najib M Rahman.
来源: Chest. 2023年163卷5期1328-1339页
Pleural biopsy findings offer greater diagnostic sensitivity in malignant pleural effusions compared with pleural fluid. The adequacy of pleural biopsy techniques in achieving molecular marker status has not been studied, and such information (termed "actionable" histology) is critical in providing a rational, efficient, and evidence-based approach to diagnostic investigation.
1689. Repeat Expansions of RFC1 in Refractory Chronic Cough: A Missing Piece of the Puzzle?
作者: Laurent Guilleminault.;Pauline Chazelas.;Boris Melloni.;Corinne Magdelaine.;Thomas Villeneuve.;Danielle Brouquières.;Anne-Sophie Lia.;Laurent Magy.
来源: Chest. 2023年163卷4期911-915页 1690. Bronchodilator Responsiveness in Tobacco-Exposed People With or Without COPD.
作者: Spyridon Fortis.;Pedro M Quibrera.;Alejandro P Comellas.;Surya P Bhatt.;Donald P Tashkin.;Eric A Hoffman.;Gerard J Criner.;MeiLan K Han.;R Graham Barr.;Mehrdad Arjomandi.;Mark B Dransfield.;Stephen P Peters.;Brett A Dolezal.;Victor Kim.;Nirupama Putcha.;Stephen I Rennard.;Robert Paine.;Richard E Kanner.;Jeffrey L Curtis.;Russell P Bowler.;Fernando J Martinez.;Nadia N Hansel.;Jerry A Krishnan.;Prescott G Woodruff.;Igor Z Barjaktarevic.;David Couper.;Wayne H Anderson.;Christopher B Cooper.; .
来源: Chest. 2023年163卷3期502-514页
Bronchodilator responsiveness (BDR) in obstructive lung disease varies over time and may be associated with distinct clinical features.
1691. Preserved Ratio Impaired Spirometry in Relationship to Cardiovascular Outcomes: A Large Prospective Cohort Study.
作者: Jiazhen Zheng.;Rui Zhou.;Yingchai Zhang.;Kelei Su.;Haowen Chen.;Furong Li.;Daniel Nyarko Hukportie.;Fangbing Niu.;Kai-Hang Yiu.;Xianbo Wu.
来源: Chest. 2023年163卷3期610-623页
Preserved ratio impaired spirometry (PRISm) findings are a heterogeneous condition characterized by a normal FEV1 to FVC ratio with underlying impairment of pulmonary function. Data relating to the association of baseline and trajectories of PRISm findings with diverse cardiovascular outcomes are sparse.
1692. Near Hanging: Evaluation and Management.
Prior to the COVID-19 pandemic, the incidence of self-harm was already on the rise. Hanging/suffocation accounted for 50% of the increase in suicide attempts and remains the second leading cause of death from self-harm in the United States. Studies on the management of near-hanging patients are lacking, and most published literature is retrospective. Following airway and circulation assessment, clinical examination and imaging, namely CT angiography, remain the standard for identifying the injuries associated with near hanging: cervical spine fracture, blunt cerebrovascular injury, laryngeal injury, and injury to the trachea and oropharynx. These injuries, however, are uncommon, and each occur in < 5% of patients in most series. In a large series of critically ill near-hanging patients, > 50% survived to hospital discharge; however, cardiac arrest predicted a poor outcome. The management of asphyxia-related arrest remains controversial. Targeted temperature management has only been studied in a single large multicenter trial, which was retrospective. Given the significant selection bias of targeted temperature management in the treatment of the most ill patients, no firm recommendations can be made. Finally, for survivors, the underlying mental health issues must be addressed to avoid recurrent suicide attempts. Thirty percent of patients in a large near-hanging series were admitted for their second suicide attempt.
1693. Hospital-Level Care at Home for Patients With Acute Respiratory Disease: A Descriptive Analysis.
作者: Carme Hernandez.;Ann-Marcia C Tukpah.;Henry M Mitchell.;Nicole A Rosario.;Robert B Boxer.;Charles A Morris.;Jeffrey L Schnipper.;David M Levine.
来源: Chest. 2023年163卷4期891-901页
Home hospital (HH) care is hospital-level substitutive care delivered at home for acutely ill patients who traditionally would be cared for in the hospital. Despite HH care programs operating successfully for years and scientific evidence of similar or better outcomes compared with bricks-and-mortar care, HH care outcomes in the United States for respiratory disease have not been evaluated.
1694. Progressive Disease With Low Survival in Adult Patients With Pulmonary Fibrosis Carrying Surfactant-Related Gene Mutations: An Observational Study.
作者: Dymph Klay.;Jan C Grutters.;Joanne J van der Vis.;Mark G J P Platenburg.;Johannes C Kelder.;Ellen Tromp.;Coline H M van Moorsel.
来源: Chest. 2023年163卷4期870-880页
In some patients with progressive fibrosing interstitial lung disease (ILD), disease is caused by carriage of a mutation in a surfactant-related gene (SRG) such as SFTPC, SFTPA2, or ABCA3. However, no aggregated data on disease evolution and treatment outcome have been presented for these patients.
1695. Development and Validation of a Risk Assessment Model for Pulmonary Nodules Using Plasma Proteins and Clinical Factors.
作者: Anil Vachani.;Stephen Lam.;Pierre P Massion.;James K Brown.;Michael Beggs.;Amanda L Fish.;Luis Carbonell.;Shan X Wang.;Peter J Mazzone.
来源: Chest. 2023年163卷4期966-976页
Deficiencies in risk assessment for patients with pulmonary nodules (PNs) contribute to unnecessary invasive testing and delays in diagnosis.
1696. Evolution of Pulmonary Arteriovenous Malformations: The Role of Contrast Echocardiography.
作者: J Hessels.;S Kroon.;V V M Vorselaars.;S Boerman.;J J Mager.;M C Post.
来源: Chest. 2023年163卷3期669-677页
Pulmonary arteriovenous malformations (PAVMs) are direct connections between the pulmonary artery and the pulmonary vein, mostly associated with hereditary hemorrhagic telangiectasia (HHT). PAVMs can lead to severe neurologic complications such as stroke and brain abscess. The risk of complications decreases after embolization. Therefore, screening for PAVMs using transthoracic contrast echocardiography (TTCE) is recommended, including a rescreening interval of 5 years.
1698. Efzofitimod for the Treatment of Pulmonary Sarcoidosis.
作者: Daniel A Culver.;Shambhu Aryal.;Joseph Barney.;Connie C W Hsia.;W Ennis James.;Lisa A Maier.;Lucian T Marts.;Ogugua Ndili Obi.;Peter H S Sporn.;Nadera J Sweiss.;Sanjay Shukla.;Nelson Kinnersley.;Gennyne Walker.;Robert Baughman.
来源: Chest. 2023年163卷4期881-890页
Pulmonary sarcoidosis is characterized by the accumulation of immune cells that form granulomas affecting the lungs. Efzofitimod (ATYR1923), a novel immunomodulator, selectively binds neuropilin 2, which is upregulated on immune cells in response to lung inflammation.
1699. Trends in Intensive Care Admissions and Outcomes of Stroke Patients Over 10 Years in Brazil: Impact of the COVID-19 Pandemic.
作者: Pedro Kurtz.;Leonardo S L Bastos.;Fernando G Zampieri.;Gabriel R de Freitas.;Fernando A Bozza.;Marcio Soares.;Jorge I F Salluh.
来源: Chest. 2023年163卷3期543-553页
The coronavirus 2019 (COVID-19) pandemic affected stroke care worldwide. Data from low- and middle-income countries are limited.
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