Asthma, Author Interviews, Brigham & Women's - Harvard, Race/Ethnic Diversity / 09.05.2021

MedicalResearch.com Interview with: [caption id="attachment_57391" align="alignleft" width="150"]Justin Salciccioli, MBBS, MA  Research Fellow in Medicine Dr. Salciccioli[/caption] Justin Salciccioli, MBBS, MA Research Fellow in Medicine [caption id="attachment_57392" align="alignleft" width="150"]Elliot Israel, MD Professor of Medicine, Harvard Medical School Pulmonary and Critical Care, Rheumatology, Medicine Dr. Israel[/caption] Elliot Israel, MD Professor of Medicine, Harvard Medical School Pulmonary and Critical CareRheumatologyMedicine Brigham and Women's Hospital MedicalResearch.com: What is the background for this study? Response: Asthma attacks account for almost 50% of the cost of asthma care, which costs $80 billion each year in the United States. Asthma is more severe in African-American/Black and Hispanic/Latinx patients, with these groups having double the rates of attacks and hospitalizations as the general population. The PREPARE study is an ongoing national clinical trial for African American/Black and Hispanic/Latinx adults with moderate-to-severe asthma from different U.S. cities in which reporting of asthma control and asthma exacerbations was monitored entirely remotely. With the arrival of the Covid19 pandemic, several studies suggested that asthma exacerbations may have decreased during the pandemic. However, multiple reports have suggested people were avoiding health services because of the pandemic, making it difficult to tell whether exacerbations truly decreased or whether people were simply avoiding their doctors. This is the first study done to assess asthma exacerbations before and during the pandemic that is unlikely to be impacted by patient healthcare avoidance.
Author Interviews, COVID -19 Coronavirus, Critical Care - Intensive Care - ICUs, Race/Ethnic Diversity / 13.04.2021

MedicalResearch.com Interview with: [caption id="attachment_57126" align="alignleft" width="300"]Dr. Jennings and Dr. Lazar Dr. Jennings and Dr. Lazar[/caption] Michael H. Lazar MD Jeffrey H Jennings, MD Pulmonary and Critical Care specialists Henry Ford Hospital Detroit Michigan MedicalResearch.com: What is the background for this study? What are the main findings? Response: Persons of color who are infected with COVID-19 have a higher incidence of hospitalization and death when compared to white patients.  However, it was previously unknown if there was a difference in outcomes based upon race in patients who are sick enough to be treated in an intensive care unit (ICU). Our study found that race made no difference in ICU outcomes. MedicalResearch.com: What should readers take away from your report? Response: Lack of racial differences in survival and other meaningful outcomes in the intensive care unit may be related to the highly protocolized nature of care and experience of the critical care team.