COVID-19 pandemic after Omicron

Lai, C K C; Lam, W; Tsang, K Y; Cheng, Frankie Wai Tsoi; Wong, Martin Cs

doi:10.12809/hkmj215130

Cited by 5 publications

(2 citation statements)

References 21 publications

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“…Patients with diabetes with a positive diagnosis of COVID‐19 (Supplements) during the inclusion period were selected. For the HK cohort, most of the COVID‐19–infected participants were from the fifth wave of infection, as the emergence of the Omicron variant from January 2022 onwards led to the highest numbers of infections and deaths in Hong Kong compared with previous waves, 15 whereas the infected participants from the UKB cohort encompassed the first and second waves of infection (before the emergence of the Omicron variant in the UK) 16 . To evaluate the long‐term effects, only those infected participants surviving the acute phase of infection (the 21‐day period postdiagnosis) were identified as the ‘exposed group’.…”

Section: Methodsmentioning

confidence: 99%

Long‐term effects of coronavirus disease 2019 on diabetes complications and mortality in people with diabetes: Two cohorts in the UK and Hong Kong

Wan,

Mathur,

Zhang

et al. 2023

Diabetes Obesity Metabolism

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AimTo evaluate the long‐term associations between coronavirus disease 2019 (COVID‐19) and diabetes complications and mortality, in patients with diabetes.Materials and MethodsPeople with diabetes diagnosed with COVID‐19 infection (exposed group), from 16 March 2020 to 31 May 2021 from the UK Biobank (UKB cohort; n = 2456), and from 1 April 2020 to 31 May 2022 from the electronic health records in Hong Kong (HK cohort; n = 80 546), were recruited. Each patient was randomly matched with participants with diabetes but without COVID‐19 (unexposed group), based on age and sex (UKB, n = 41 801; HK, n = 391 849). Patients were followed for up to 18 months until 31 August 2021 for UKB, and up to 28 months until 15 August 2022 for HK. Characteristics between cohorts were further adjusted with Inverse Probability Treatment Weighting. Long‐term association of COVID‐19 with multi‐organ disease complications and all‐cause mortality after 21 days of diagnosis was evaluated by Cox regression.ResultsCompared with uninfected participants, patients with COVID‐19 infection with diabetes were consistently associated with higher risks of cardiovascular diseases (coronary heart disease [CHD]: hazard ratio [HR] [UKB]: 1.6 [95% confidence interval {CI}: 1.0, 2.4], HR [HK]: 1.2 [95% CI: 1.0, 1.5]; and stroke: HR [UKB]: 2.0 [95% CI: 1.1, 3.6], HR [HK]: 1.5 [95% CI: 1.3, 1.8]), microvascular disease (end stage renal disease: HR [UKB]: 2.1 [95% CI: 1.1, 4.0], HR [HK]: 1.2 [95% CI: 1.1, 1.4]) and all‐cause mortality (HR [UKB]: 4.6 [95% CI: 3.8, 5.5], HR [HK]: 2.6 [95% CI: 2.5, 2.8]), in both cohorts.ConclusionsCOVID‐19 infection is associated with long‐term increased risks of diabetes complications (especially cardiovascular complications, and mortality) in people with diabetes. Monitoring for signs/symptoms of developing these long‐term complications post‐COVID‐19 infection in the infected patient population of people with diabetes may be beneficial in minimizing their morbidity and mortality.

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Section: Methodsmentioning

confidence: 99%

Long‐term effects of coronavirus disease 2019 on diabetes complications and mortality in people with diabetes: Two cohorts in the UK and Hong Kong

Wan,

Mathur,

Zhang

et al. 2023

Diabetes Obesity Metabolism

View full text Add to dashboard Cite

show abstract

“…For example, the COVID-19 pandemic has presented new challenges that require novel solutions with respect to infection prevention, early recognition, rapid identification, disease control, rehabilitation, and resilience. [8][9][10][11][12] These changes have been addressed by research conducted in Hong Kong. A recent territory-wide cross-sectional survey revealed a high prevalence of burnout among physicians who had completed specialist registration within the past 10 years and EDITORIAL among residents-in-training, as well as a high level of depression among junior physicians who reported substantial dissatisfaction with their current job positions.…”

mentioning

confidence: 99%

Physician motivation and satisfaction matter in healthcare

Wang

Duan

et al. 2023

Hong Kong Med J

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Evolution of Clinical Education under COVID-19 Pandemic: Blended Clinical Education

Woo

Ngai

2022

Global Perspectives on Educational Innovations for Emergency Situations

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Clinical education is traditionally face-to-face and includes hands-on experience with patients. Under the pandemic, all clinical practice in various settings were suspended because of the safety concern of students, patients and clinical educators. Under the pandemic, the demand of the healthcare professionals for acute management and post-pandemic rehabilitation was increased. The suspension of clinical training delayed students’ graduation which was especially undesirable because of the insufficient manpower in society and the healthcare system. With limited knowledge on the transmission, management and post-COVID health impact, strict rules of infectious control have been executed. When considering the resumption of clinical education to students, the issue of everyone’s safety, students’ learning experience, fulfilling the intended learning outcomes, and most importantly, meeting the criteria of professional licensure registration must be balanced. Given the urgency, the clinical education team had reviewed the key intended learning outcomes of clinical education in the existing curriculum and revamped the content by including concepts of effective learning and blended strategies. A new model—“Blended Clinical Education”—a combination of face-to-face and online modes was established. To ensure successful launch of the new model, numerous briefings with students, clinical educators, faculty members and licensure registration board were organized for easing their stress. With all colleagues’ efforts, students finally graduated in time and joined the healthcare system providing urgent supply of manpower.

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COVID-19 pandemic after Omicron

Cited by 5 publications

References 21 publications

Long‐term effects of coronavirus disease 2019 on diabetes complications and mortality in people with diabetes: Two cohorts in the UK and Hong Kong

Long‐term effects of coronavirus disease 2019 on diabetes complications and mortality in people with diabetes: Two cohorts in the UK and Hong Kong

Physician motivation and satisfaction matter in healthcare

Evolution of Clinical Education under COVID-19 Pandemic: Blended Clinical Education

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