journal
https://read.qxmd.com/read/38444994/methylphenidate-causes-chronic-eosinophilic-pneumonia
#1
Dhafer Alghamdi, Hamdan Jahdali, Abdullah Alharbi, Ahmad Alshehri, Bandar Alfirm, Hanaa Bamefleh
A man who is 38 years old and diagnosed with attention-deficit hyperactivity disorder was prescribed methylphenidate. Three weeks later, he began experiencing progressive shortness of breath and coughing. Imaging of his chest showed patchy bilateral ground-glass opacities, and bronchoscopy revealed a 15% eosinophil count in his bronchoalveolar lavage. A transbronchial biopsy confirmed a diagnosis of eosinophilic pneumonia. The patient's condition improved when he was given steroids and stopped taking methylphenidate...
2024: Annals of Thoracic Medicine
https://read.qxmd.com/read/38444993/systematic-literature-review-of-treatments-used-for-refractory-or-unexplained-chronic-cough-in-adults
#2
REVIEW
Vishal Bali, Peter Kardos, Clive Page, Paola Rogliani, Luigino Calzetta, Ada Adriano, Aidan Byrne, Adekemi Adeyemi, Andrew Frederickson, Jonathan Schelfhout
BACKGROUND: Refractory or unexplained chronic cough (RCC or UCC) is difficult to manage and is usually treated by the off-label use of drugs approved for other indications. OBJECTIVE: The objectives of this systematic literature review (SLR) were to identify and characterize the current published body of evidence for the efficacy and safety of treatments for RCC or UCC. METHODS: The SLR was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
2024: Annals of Thoracic Medicine
https://read.qxmd.com/read/38444992/relationship-of-right-ventricular-functions-with-in-hospital-and-1-year-later-mortality-in-patients-hospitalized-for-covid-19-pneumonia
#3
JOURNAL ARTICLE
Muntecep Askar, Medeni Karaduman, Rabia Coldur, Selvi Askar
BACKGROUND: The aim of this study was to determine the association of right ventricular function with in-hospital mortality and mortality 1 year after discharge in patients hospitalized for COVID-19 pneumonia. METHODS: The study was conducted in Van Yuzuncu Yil University Faculty of Medicine hospital between February 10, 2021 and August 10, 2022. A total of 156 patients hospitalized in intensive care and wards due to COVID-19 pneumonia were included in this study...
2024: Annals of Thoracic Medicine
https://read.qxmd.com/read/38444991/the-saudi-initiative-for-asthma-2024-update-guidelines-for-the-diagnosis-and-management-of-asthma-in-adults-and-children
#4
JOURNAL ARTICLE
Mohamed Saad Al-Moamary, Sami A Alhaider, Riyad Allehebi, Majdy M Idrees, Mohammed O Zeitouni, Mohammed O Al Ghobain, Abdullah F Alanazi, Adel S Al-Harbi, Abdullah A Yousef, Hassan S Alorainy, Mohamed S Al-Hajjaj
The Saudi Initiative for Asthma 2024 (SINA-2024) is the sixth version of asthma guidelines for the diagnosis and management of asthma for adults and children that was developed by the SINA group, a subsidiary of the Saudi Thoracic Society. The main objective of the SINA is to have guidelines that are up-to-date, simple to understand, and easy to use by healthcare workers dealing with asthma patients. To facilitate achieving the goals of asthma management, the SINA Panel approach is mainly based on the assessment of symptom control and risk for both adults and children...
2024: Annals of Thoracic Medicine
https://read.qxmd.com/read/38444990/incidence-and-inhospital-outcomes-of-coronavirus-disease-2019-associated-pulmonary-aspergillosis-in-the-united-states
#5
JOURNAL ARTICLE
Aditya Sharma, Aditi Sharma, Ayman O Soubani
OBJECTIVE: The aim of this study was to estimate the predictors, associations, and outcomes of COVID-19-associated pulmonary disease (CAPA) in the United States. STUDY DESIGN AND METHODS: This retrospective cohort study was performed by using the National Inpatient Sample Database 2020 to identify coronavirus disease 2019 (COVID-19) and CAPA hospitalizations. Baseline variables and outcomes were compared between COVID-19 hospitalizations without aspergillosis and those with aspergillosis...
2024: Annals of Thoracic Medicine
https://read.qxmd.com/read/38444989/corticosteroid-treatment-for-persistent-pulmonary-infiltrates-following-covid-19-infection-clearing-the-fog
#6
JOURNAL ARTICLE
Prince Ntiamoah, Michelle Biehl, Victoria Ruesch, Atul C Mehta, Samar Farha
BACKGROUND: Systemic corticosteroids have been shown to improve outcomes in severe coronavirus disease 2019 (COVID-19) pneumonia; however, their role in post-COVID-19 persistent lung abnormalities is not well defined. Here, we describe our experience with corticosteroids in patients with persistent lung infiltrates following COVID-19 infection. RESEARCH QUESTION: What is the efficacy of systemic corticosteroids in improving lung function and radiological abnormalities in patients following COVID-19 pneumonia? STUDY DESIGN AND METHODS: This is a single-center retrospective study evaluating patients with persistent respiratory symptoms and abnormal chest computed tomography findings...
2024: Annals of Thoracic Medicine
https://read.qxmd.com/read/38444988/quality-of-life-impact-of-diaphragm-plication-in-patients-with-diaphragmatic-paralysis-a-retrospective-study
#7
JOURNAL ARTICLE
Jasmin Valenti, Khea Tan, Kelly Rubino, Ziad Hanhan, Dennis Vega, Matthew Kaufman, Thomas Bauer
OBJECTIVES: While the overall incidence and prevalence of diaphragmatic paralysis are unknown due to a wide variety of underlying causes, symptomatic patients experience a marked decline in their quality of life. The goal of this study was to measure the impact of diaphragm plication surgery on the quality of life in patients who were diagnosed with diaphragmatic paralysis. METHODS: A retrospective review of the medical records of 46 patients who underwent diaphragmatic plication surgery was performed...
2024: Annals of Thoracic Medicine
https://read.qxmd.com/read/38444987/risk-factors-for-discontinuing-intravenous-patient-controlled-analgesia-after-thoracic-surgery
#8
JOURNAL ARTICLE
Saeyeon Kim, Beatrice Chia-Hui Shih, In-Ae Song, Tak Kyu Oh
PURPOSE: This study examined the risk factors of experiencing side effects from using intravenous patient-controlled analgesia (IV PCA) following lung and esophageal surgery. METHODS: Our study included adult patients who underwent lung or esophageal surgery and received IV PCA for postoperative acute pain control between 2020 and 2022. We collected information on side effects from IV PCA use, the decision to discontinue PCA, and the PCA regimen from the daily reports of the acute pain management team and verified the accuracy using electronic records from ward nurses...
2024: Annals of Thoracic Medicine
https://read.qxmd.com/read/38058790/post-covid-19-pulmonary-fibrosis-an-ongoing-concern
#9
REVIEW
Nuha Nasser Alrajhi
Coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 rapidly spread across the globe causing over 6 million deaths and major compromization of health facilities. The vast majority of survivors post-COVID-19 are left with variable degrees of health sequelae including pulmonary, neurological, psychological, and cardiovascular complications. Post-COVID-19 pulmonary fibrosis is one of the major concerns arising after the recovery from this pandemic. Risk factors for post-COVID-19 pulmonary fibrosis include age, male sex, and the severity of COVID-19 disease...
2023: Annals of Thoracic Medicine
https://read.qxmd.com/read/38058789/a-pulmonary-rehabilitation-program-reduces-hospitalizations-in-chronic-obstructive-pulmonary-disease-patients-a-cost-effectiveness-study
#10
JOURNAL ARTICLE
Maria Elena Toubes-Navarro, Francisco Gude-Sampedro, José Manuel Álvarez-Dobaño, Francisco Reyes-Santias, Carlos Rábade-Castedo, Carlota Rodríguez-García, Óscar Lado-Baleato, Raquel Lago-Fidalgo, Noelia Sánchez-Martínez, Jorge Ricoy-Gabaldón, Ana Casal-Mouriño, Romina Abelleira-Paris, Vanessa Riveiro-Blanco, Carlos Zamarrón-Sanz, Nuria Rodríguez-Núñez, Adriana Lama-López, Lucía Ferreiro-Fernández, Luis Valdés-Cuadrado
BACKGROUND: Although pulmonary rehabilitation (PR) is recommended in patients with chronic obstructive pulmonary disease (COPD), there is a scarcity of data demonstrating the cost-effectiveness and effectiveness of PR in reducing exacerbations. METHODS: A quasi-experimental study in 200 patients with COPD was conducted to determine the number of exacerbations 1 year before and after their participation in a PR program. Quality of life was measured using the COPD assessment test and EuroQol-5D...
2023: Annals of Thoracic Medicine
https://read.qxmd.com/read/38058788/the-diagnostic-accuracy-of-perfusion-only-scan-in-the-diagnosis-of-pulmonary-embolism-in-the-era-of-covid-19-a-single-center-study-of-434-patients
#11
JOURNAL ARTICLE
Turgut Bora Cengiz, Ahmed Abdelrahman, Scott A Rohren, John Doucette, Munir Ghesani
INTRODUCTION: There is a paucity of data in the literature regarding the diagnostic accuracy of perfusion (Q)-only studies in the absence of ventilation images. This study aims to assess the diagnostic accuracy of Q-only imaging in the pandemic era. METHODS: Patients who underwent Q-only imaging for pulmonary embolism between March 2020 and February 2021 were analyzed. Patients who underwent lung quantification analysis were excluded. Q-only test results were reported as per modified PIOPED II criteria and single positron emission tomography/computed tomography (SPECT/CT) imaging was performed as needed...
2023: Annals of Thoracic Medicine
https://read.qxmd.com/read/38058787/clinicodemographic-characteristics-and-prognostic-role-of-myasthenia-gravis-in-thymoma-experience-from-a-saudi-population
#12
JOURNAL ARTICLE
Abdullah Al Shammari, Aida Saad, Lama Tareq Saif, Safy A Othman, Mohammad J Ghosheh, Ghadir M Khdeir, Omniyah Alashgar, Mohammed A Abu-Rayya, Mohamed Hussein Ahmed, Khaled AlKattan, Waleed Saleh
OBJECTIVES: The objectives of the study were to determine the clinicodemographic characteristics and the prognostic role of myasthenia gravis (MG) in thymoma. METHODS: The records of patients who underwent surgical resection of thymoma at King Faisal Specialist Hospital and Research Center in the past 23 years were reviewed. Seventy thymoma patients were finally included and were then categorized based on MG status into the MG group (39 patients) and the non-MG group (31 patients)...
2023: Annals of Thoracic Medicine
https://read.qxmd.com/read/38058786/the-advantages-of-inhalational-sedation-using-an-anesthetic-conserving-device-versus-intravenous-sedatives-in-an-intensive-care-unit-setting-a-systematic-review
#13
REVIEW
Zohair Al Aseri, Mariam Ali Alansari, Sara Ali Al-Shami, Bayan Alaskar, Dhuha Aljumaiah, Alyaa Elhazmi
BACKGROUND: Sedation is fundamental to the management of patients in the intensive care unit (ICU). Its indications in the ICU are vast, including the facilitating of mechanical ventilation, permitting invasive procedures, and managing anxiety and agitation. Inhaled sedation with halogenated agents, such as isoflurane or sevoflurane, is now feasible in ICU patients using dedicated devices/systems. Its use may reduce adverse events and improve ICU outcomes compared to conventional intravenous (IV) sedation in the ICU...
2023: Annals of Thoracic Medicine
https://read.qxmd.com/read/38058785/algorithmic-approach-in-the-management-of-covid-19-patients-with-residual-pulmonary-symptoms
#14
REVIEW
Albina Guri, Lauren Groner, Joanna Escalon, Anthony Saleh
Coronavirus-19 emerged about 3 years ago and has proven to be a devastating disease, crippling communities worldwide and accounting for more than 6.31 million deaths. The true disease burden of COVID-19 will come to light in the upcoming years as we care for COVID-19 survivors with post-COVID-19 syndrome (PCS) with residual long-term symptoms affecting every organ system. Pulmonary fibrosis is the most severe long-term pulmonary manifestation of PCS, and due to the high incidence of COVID-19 infection rates, PCS-pulmonary fibrosis has the potential of becoming the next large-scale respiratory health crisis...
2023: Annals of Thoracic Medicine
https://read.qxmd.com/read/38058784/outcomes-of-patients-admitted-to-the-intensive-care-unit-with-community-acquired-pneumonia-in-a-tertiary-care-center-in-riyadh-saudi-arabia
#15
JOURNAL ARTICLE
Talal Oreibi, Farhan Alenezi, Amjad M Ahmed, Felwa Bin Humaid, Musharaf Sadat, Hani Mohammed Tamim, Faisal Fouad Baseet, Brintha Naidu, Yaseen M Arabi
BACKGROUND: Community-acquired pneumonia (CAP) is a leading cause of intensive care unit (ICU) morbidity and mortality. Despite extensive international epidemiological and clinical studies to improve those patients' outcomes, local statistics in Saudi Arabia are limited. The objective of this study is to describe the clinical characteristics and outcomes of patients admitted to the ICU with the diagnosis of CAP reflecting the experience of a tertiary center over an 18-year period. METHODS: A retrospective cohort study included all consecutive adult ICU patients diagnosed with CAP between 1999 and 2017...
2023: Annals of Thoracic Medicine
https://read.qxmd.com/read/38058783/retransplantation-for-covid-19-related-lung-graft-failure-a-case-report-of-successful-outcome-in-a-critically-ill-lung-transplant-recipient
#16
Prince Ntiamoah, Marie Budev, Jason Turowski, Charles Randall Lane, Kenneth R McCurry
End-stage lung disease from nonrecovered COVID-19 acute respiratory distress syndrome has become an increasingly frequent indication for lung transplant. Although reports of lung transplant recipients (LTRs) with COVID-19 suggest an increased risk for hospitalization, respiratory failure, and death, little is known about retransplant for COVID-19-related lung graft failure. In this manuscript, we present a 49-year-old man who received bilateral lung retransplantation for COVID-19-related lung graft failure, 7½ years after his initial transplant for idiopathic pulmonary fibrosis...
2023: Annals of Thoracic Medicine
https://read.qxmd.com/read/37663882/the-most-common-pulmonary-diseases-length-of-stay-and-characteristics-of-patients-admitted-to-pulmonary-service
#17
JOURNAL ARTICLE
Hamdan Al-Jahdali, Anwar Ahmed, Abdullah Al-Harbi, Ayaz Khan, Majed ALGamedi, Sami Alyami, Hajar Hayyan, Mohamed Al-Moamary, Ahmed Almuttari
BACKGROUND: Although chronic respiratory diseases are prevalent in Saudi Arabia, there are limited data on the patient burden and associated factors. The aim of this study is to identify the chronic respiratory diseases frequently admitted to pulmonary services and to determine the patient's characteristics, associated comorbidities readmission rate, and reason for a more extended stay in hospital. METHODS: A prospective study was conducted over a 5-year period at King Abdulaziz Medical City-Riyadh, Saudi Arabia, in the Pulmonary Division, between March 2015 and December 2019...
2023: Annals of Thoracic Medicine
https://read.qxmd.com/read/37663881/case-of-uncontrolled-asthma-with-ceriporia-lacerata-related-broncholithiasis
#18
Chihiro Nakano, Norio Kodaka, Toshiaki Oharaseki, Hiroto Matsuse
An 81-year-old Japanese male patient was treated for asthma. He complained of persistent cough and wheezing. Chest computed tomography scan revealed atelectasis in the right middle lobe. Fiberoptic bronchoscopy was performed. Results showed a calcified stone with filamentous fungi with septa in the right middle lobe bronchus, which was subsequently removed. Ceriporia lacerata was detected repeatedly on sputum culture. Thus, the filamentous fungi were suspected as C. lacerata . Broncholithiasis possibly caused mucous membrane damage owing to C...
2023: Annals of Thoracic Medicine
https://read.qxmd.com/read/37663880/covid-19-associated-pulmonary-aspergillosis-in-patients-with-severe-sars-cov-2-infection-a-single-center-observational-study-from-greece
#19
JOURNAL ARTICLE
Konstantinos Ouranos, Kalliopi Tsakiri, Eleni Massa, Vassiliki Dourliou, Christina Mouratidou, Stella Soundoulounaki, Eleni Mouloudi
INTRODUCTION: COVID-19-associated pulmonary aspergillosis (CAPA) is a serious complication affecting patients with severe SARS-CoV-2 infection, and is associated with increased mortality. OBJECTIVE: The objective of this study was to investigate potential risk factors, and to estimate the incidence and mortality in patients diagnosed with CAPA. METHODS: A single-center retrospective observational study was conducted on patients admitted to the intensive care unit (ICU) with severe COVID-19 from October 2020 to May 2022...
2023: Annals of Thoracic Medicine
https://read.qxmd.com/read/37663879/the-impact-of-pulmonary-cachexia-on-inpatient-outcomes-a-national-study
#20
JOURNAL ARTICLE
Mohamad Alhoda Mohamad Alahmad, Cheryl A Gibson
BACKGROUND: Cachexia has been associated with chronic lung disease (pulmonary cachexia syndrome), which is associated with increased mortality. However, studies that looked into this association was relatively small, and national level data are lacking. Herein, we aim to study the association between chronic obstructive lung disease (COPD) and cachexia. RESEARCH QUESTION: Do patients with COPD and cachexia has worse inpatient outcomes in comparison to those with no cachexia? STUDY DESIGN AND METHODS: We used the Nationwide Readmissions Database from 2016 to 2019, extracting adult patients with a primary diagnosis of COPD who were admitted between January and November of each year studied...
2023: Annals of Thoracic Medicine
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