The impact of COVID-19 and vaccination status on outcomes in veterans with head and neck squamous cell carcinoma. (Record no. 14225)

MARC details
000 -LEADER
fixed length control field 04129nam a22004337a 4500
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fixed length control field 240723s20242024 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1043-3074
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Original cataloging agency Ovid MEDLINE(R)
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PMID 38433326
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Title The impact of COVID-19 and vaccination status on outcomes in veterans with head and neck squamous cell carcinoma.
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Source Head & Neck. 2024 Mar 03
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Abbreviated source Head Neck. 2024 Mar 03
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Journal name Head & neck
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Year 2024
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Publication date 2024 Mar 03
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status Publisher
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Date added to catalog 2024-07-23
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1996 - present
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Abstract BACKGROUND: The impact of both COVID-19 infection and vaccination status on patients with head and neck squamous cell carcinoma (HNSCC) remains unknown.
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Abstract CONCLUSION: COVID-19 infection may significantly increase rates of 60-day mortality and respiratory complications in patients with HNSCC. COVID-19 vaccination between 2 weeks and 6 months prior to infection may decrease severity of respiratory complications but did not show significant mortality benefits in this study. These data highlight the need for surveillance of respiratory infection and vaccination in this vulnerable population. Copyright © 2024 Wiley Periodicals LLC.
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Abstract METHODS: This was a retrospective cohort study through the Veterans Affairs (VA) Corporate Data Warehouse of Veterans with HNSCC who were tested for COVID-19 during any inpatient VA medical center admission. A cohort of patients was created of Veterans with a diagnosis of HNSCC of the oral cavity,oropharynx, hypopharynx, larynx, and nasopharynx based on International Classification of Disease (ICD) codes. Data collected included clinical/demographic data, vaccination status, and incidence of 60-day mortality, 60-day cardiovascular complication (including myocardial infarction, venous thromboembolism, cerebrovascular accident), and 60-day respiratory complication (including acute respiratory failure, acute respiratory distress syndrome, and pneumonia). The interactions between COVID-19 infection, vaccination status, morbidity and mortality were investigated.
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Abstract OBJECTIVE: To determine the impact of COVID-19 infection and vaccination status on 60-day mortality, cardiovascular, and respiratory complications in patients with a prior diagnosis of HNSCC.
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Abstract RESULTS: Of the 14 262 patients with HNSCC who were tested for COVID-19 during inpatient admission, 4754 tested positive (33.3%), and 9508 (67.7%) tested negative. Patients who tested positive demonstrated increased 60-day mortality (4.7% vs. 2.0%, respectively; p < 0.001), acute respiratory failure (ARF; 15.4% vs. 7.1%, p < 0.001), acute respiratory distress syndrome (ARDS; 0.9% vs. 0.2%, p < 0.001), and pneumonia (PNA; 20.0% vs. 6.4%, p < 0.001) compared to those who never tested positive, respectively. Patients who received COVID-19 vaccination between 2 weeks and 6 months prior to a positive test demonstrated decreased rates of ARF (13.2% vs. 16.0%, p = 0.034) and PNA (16.7% vs. 20.9%, p = 0.003) compared to the unvaccinated group. A logistic regression of patients with COVID-19 infections who died within 60 days was performed, with no significant survival advantage among patients vaccinated between 2 weeks and 6 months prior to the positive test.
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Language note English
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Indexing Automated
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Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
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Institution MedStar Health Research Institute
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Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
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Department Otolaryngology Residency
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Medline publication type Journal Article
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Local Authors Chisolm, Paul
Institution Code MGUH
Program Otolaryngology Residency
Degree MD
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Local Authors Chou, JiLing
Institution Code MHRI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Johns, James
Institution Code MGUH
Program Otolaryngology Residency
Degree MD
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Local Authors Randolph, Jackson
Institution Code MGUH
Program Otolaryngology Residency
Degree MD
790 ## - Authors
All authors Johns JD, Choe EJ, Chisolm PF, Pothast MJ, Randolph JR, Chou J, Maxwell JH
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DOI <a href="https://dx.doi.org/10.1002/hed.27714">https://dx.doi.org/10.1002/hed.27714</a>
Public note https://dx.doi.org/10.1002/hed.27714
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
              07/23/2024   38433326 38433326 07/23/2024 07/23/2024 Journal Article

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