Doreen Lam

90 posts

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Doreen Lam

Doreen Lam

@dor_lam

@ClevelandClinic ENT resident | Formerly @PennMedicine | Recovering architect and product manager

Katılım Mart 2018
1.2K Takip Edilen257 Takipçiler
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Doreen Lam
Doreen Lam@dor_lam·
Great work by the team assessing the value of pulse oximetry in Covid patients isolating at home. Turns out pulse ox monitoring doesn't improve clinical outcomes when compared to a simpler text message check-in program.
M. Kit Delgado, MD, MS@kit_delgadoMD

Pulse oximeters are widely used to monitor for low oxygen levels among #Covid19 patients at home. But does pulse oximetry improve outcomes over monitoring for symptoms of shortness of breath? Our team provides some answers today in @NEJM 🧵👇 nejm.org/doi/full/10.10… #SGIM22

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Neda Khan
Neda Khan@neda_khan_·
Excited to embark on a new journey leading strategy and operations at @PennNudgeUnit under the leadership of @kit_delgadoMD! Looking forward to coming back to @PM_Innovation and getting to work with phenomenal individuals to improve patient care.
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Doreen Lam
Doreen Lam@dor_lam·
Great work by the team assessing the value of pulse oximetry in Covid patients isolating at home. Turns out pulse ox monitoring doesn't improve clinical outcomes when compared to a simpler text message check-in program.
M. Kit Delgado, MD, MS@kit_delgadoMD

Pulse oximeters are widely used to monitor for low oxygen levels among #Covid19 patients at home. But does pulse oximetry improve outcomes over monitoring for symptoms of shortness of breath? Our team provides some answers today in @NEJM 🧵👇 nejm.org/doi/full/10.10… #SGIM22

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Doreen Lam retweetledi
M. Kit Delgado, MD, MS
M. Kit Delgado, MD, MS@kit_delgadoMD·
One more time for the people in the back... We have shown: Symptom based monitoring program > no monitoring (Annals of IM 2021) Monitoring program + pulse ox not better than monitoring program alone (NEJM 2022) We didn't study self-monitoring with pulse ox vs. no monitoring
M. Kit Delgado, MD, MS@kit_delgadoMD

..Important caveat. We did not compare handing out pulse oximeters to no monitoring in this trial. So for patients that don’t have access to on-call clinicians or a remote monitoring program, using a pulse oximeter may be reasonable. But so is monitoring for shortness of breath..

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Doreen Lam
Doreen Lam@dor_lam·
Valuable learnings for the future when designing interventions that optimise healthcare resource utilisation for patient outcomes. More tech/monitoring/data is not always the answer. See our last paper on the survival benefit conveyed by COVID Watch: acpjournals.org/doi/10.7326/M2…
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Doreen Lam
Doreen Lam@dor_lam·
Note, patients were enrolled in winter 2020/2021, a year before Omicron. Patients in the pulse ox cohort also showed increased utilisation of healthcare resources without improved outcomes (primary measure was days out of hospital within 30 days).
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Doreen Lam retweetledi
Penn Med Transformation & Innovation
Penn Med Transformation & Innovation@PM_Innovation·
Nearly 20,000 pts have been enrolled in COVID Watch to date, and this latest study found that it was equally accessible and effective for everyone - with all major racial and ethnic groups benefitting.
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Anna U. Morgan, MD, MSc, MSHP
Anna U. Morgan, MD, MSc, MSHP@AnnaUma·
Very excited to share our findings today in @AnnalsofIM Patients who received COVID Watch were 68% less likely to die — that comes out to one life saved every 2-3 days during the height of the pandemic. It took an amazing team!
M. Kit Delgado, MD, MS@kit_delgadoMD

1/ For the >80,000 people in the U.S who will test positive for #Covid19 today, what can we offer to support access to care but help them safely remain at home? Our team is excited to finally share important, new findings out today in @AnnalsofIM 👉acpjournals.org/doi/pdf/10.732…

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Lindsay Tuchman
Lindsay Tuchman@LindsayTuchman·
T-Rex is here at @AMNH to tell people extinction sucks, get the vaccine.
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Keşfet

@neda_khan_ @PennNudgeUnit @kit_delgadoMD @PM_Innovation @TheLancet @PennMedicine @AnnaUma @katleemd