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Showing papers in "The Lancet in 2020"


Journal ArticleDOI
TL;DR: The epidemiological, clinical, laboratory, and radiological characteristics and treatment and clinical outcomes of patients with laboratory-confirmed 2019-nCoV infection in Wuhan, China, were reported.

36,578 citations


Journal ArticleDOI
TL;DR: Wang et al. as discussed by the authors used univariable and multivariable logistic regression methods to explore the risk factors associated with in-hospital death, including older age, high SOFA score and d-dimer greater than 1 μg/mL.

20,189 citations


Journal ArticleDOI
TL;DR: Characteristics of patients who died were in line with the MuLBSTA score, an early warning model for predicting mortality in viral pneumonia, and further investigation is needed to explore the applicability of the Mu LBSTA scores in predicting the risk of mortality in 2019-nCoV infection.

16,282 citations


Journal ArticleDOI
TL;DR: A review of the psychological impact of quarantine using three electronic databases is presented in this article, where the authors report negative psychological effects including post-traumatic stress symptoms, confusion, and anger.

10,370 citations


Journal ArticleDOI
TL;DR: The phylogenetic analysis suggests that bats might be the original host of this virus, an animal sold at the seafood market in Wuhan might represent an intermediate host facilitating the emergence of the virus in humans.

9,474 citations


Journal ArticleDOI
TL;DR: Re-analysis of data from a phase 3 randomised controlled trial of IL-1 blockade (anakinra) in sepsis, showed significant survival benefit in patients with hyperinflammation, without increased adverse events.

7,493 citations


Journal ArticleDOI
TL;DR: The findings are consistent with person-to-person transmission of this novel coronavirus in hospital and family settings, and the reports of infected travellers in other geographical regions.

7,392 citations


Journal ArticleDOI
Theo Vos1, Theo Vos2, Theo Vos3, Stephen S Lim  +2416 moreInstitutions (246)
TL;DR: Global health has steadily improved over the past 30 years as measured by age-standardised DALY rates, and there has been a marked shift towards a greater proportion of burden due to YLDs from non-communicable diseases and injuries.

5,802 citations



Journal ArticleDOI
TL;DR: The vascular endothelium is an active paracrine, endocrine, and Endothelial cell infection and endotheliitis in COVID-19 and recruitment of immune cells can result in widespread endothelial dysfunction associated with apoptosis.

4,855 citations


Journal ArticleDOI
TL;DR: It is inferred that epidemics are already growing exponentially in multiple major cities of China with a lag time behind the Wuhan outbreak of about 1–2 weeks, and that other major Chinese cities are probably sustaining localised outbreaks.

Journal ArticleDOI
TL;DR: Author(s): Livingston, Gill; Huntley, Jonathan; Sommerlad, Andrew ; Sommer Glad, Andrew; Ames, David; Ballard, Clive; Banerjee, Sube; Brayne, Carol; Burns, Alistair; Cohen-Mansfield, Jiska; Cooper, Claudia; Costafreda, Sergi G; Dias, Amit; Fox, Nick; Gitlin, Laura N; Howard, Robert; Kales, Helen C;

Journal ArticleDOI
TL;DR: The largest declines in risk exposure from 2010 to 2019 were among a set of risks that are strongly linked to social and economic development, including household air pollution; unsafe water, sanitation, and handwashing; and child growth failure.


Journal ArticleDOI
TL;DR: Wang et al. as mentioned in this paper evaluated the clinical characteristics of COVID-19 pneumonia in pregnant women and the intrauterine vertical transmission potential of CoV-19 infection in late pregnancy.


Journal ArticleDOI
TL;DR: In this view, COVID-19 has developed into a pandemic, with small chains of transmission in many countries and large chains resulting in extensive spread in a few countries, such as Italy, Iran, South Korea, and Japan and it is unclear whether other countries can implement the stringent measures China eventually adopted.

Journal ArticleDOI
TL;DR: Analysis of the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Italy might help political leaders and health authorities to allocate enough resources, including personnel, beds, and intensive care facilities, to manage the situation in the next few days and weeks.


Journal ArticleDOI
TL;DR: The burden of CKD was much higher than expected for the level of development, whereas the disease burden in western, eastern, and central sub-Saharan Africa, east Asia, south Asia, central and eastern Europe, Australasia, and western Europe was lower than expected.


Journal ArticleDOI
TL;DR: Children diagnosed after the SARS-CoV-2 epidemic began showed evidence of immune response to the virus, were older, had a higher rate of cardiac involvement, and features of MAS, and a similar outbreak of Kawasaki-like disease is expected in countries involved in the SEMS epidemic.


Journal ArticleDOI
TL;DR: The 2019 novel coronavirus (2019-nCoV) outbreak is a major challenge for clinicians as little data is available that describe the disease pathogenesis, and no pharmacological therapies of proven efficacy yet exist, so understanding the evidence for harm or benefit from corticosteroids in 2019-n coV is of immediate clinical importance.

Journal ArticleDOI
TL;DR: A prospective observational cohort study on the epidemiology, clinical course, and outcomes of critically ill patients with COVID-19 in New York City and the relation between clinical risk factors, biomarkers, and in-hospital mortality is modelled using Cox proportional hazards regression.

Journal ArticleDOI
Marina Pollán1, Beatriz Pérez-Gómez1, Roberto Pastor-Barriuso1, Jesús Oteo1, Miguel A. Hernán2, Miguel A. Hernán3, Mayte Pérez-Olmeda1, Jose L Sanmartín, Aurora Fernández-García1, Aurora Fernández-García4, Israel Cruz1, Nerea Fernández de Larrea1, Marta Molina, Francisco Rodríguez-Cabrera1, Mariano Martín, Paloma Merino-Amador4, Jose León Paniagua1, Juan F Muñoz-Montalvo, Faustino Blanco, Raquel Yotti1, Rodrigo Gutiérrez Fernández, Saturnino Mezcua Navarro, Matías Salinero Hernández, Manuel Cuenca-Estrella, Pablo Fernández-Navarro, Ana Avellón, Giovanni Fedele, Jesús Oteo Iglesias, María Teresa Pérez Olmeda, Maria Elena Martinez, Francisco D. Rodríguez-Cabrera1, Susana Padrones Fernández, José Manuel Rumbao Aguirre, José M. Navarro Marí, Begoña Palop Borrás, Ana Belén Pérez Jiménez, Manuel Rodríguez-Iglesias, Ana María Calvo Gascón, María Luz Lou Alcaine, Ignacio Donate Suárez, Oscar Suárez Álvarez, Mercedes Rodríguez Pérez, Margarita Cases Sanchís, Carlos Javier Villafáfila Gomila, Lluis Carbo Saladrigas, Adoración Hurtado Fernández, Antonio Oliver, Elías Castro Feliciano, María Noemí González Quintana, José María Barrasa Fernández, María Araceli Hernández Betancor, Melisa Hernández Febles, Leopoldo Martín Martín, Luis-Mariano López López, Teresa Ugarte Miota, Inés De Benito Población, María Sagrario Celada Pérez, María Natalia Vallés Fernández, Tomás Maté Enríquez, Miguel Villa Arranz, Marta Domínguez-Gil González, Isabel Fernández-Natal, Gregoria Megías Lobón, Juan Luis Muñoz Bellido, Pilar Ciruela, Ariadna Mas i Casals, Maria Doladé Botías, M. Angeles Marcos Maeso, Dúnia Pérez del Campo, Antonio Félix de Castro, Ramón Limón Ramírez, Maria Francisca Elías Retamosa, Manuela Rubio González, María Sinda Blanco Lobeiras, Alberto Fuentes Losada, Antonio Aguilera, Germán Bou, Yolanda Caro, Noemí Marauri, Luis Miguel Soria Blanco, Isabel González, Montserrat Hernández Pascual, Roberto Alonso Fernández, Natalia Cabrera Castro, Aurora Tomás Lizcano, Cristóbal Ramírez Almagro, M. Hernández, Nieves Ascunce Elizaga, María Ederra Sanz, Carmen Ezpeleta Baquedano, Ana Bustinduy Bascaran, Susana Iglesias Tamayo, Luis Elorduy Otazua, Rebeca Benarroch Benarroch, Jesús Lopera Flores, Antonia Vázquez de la Villa 
TL;DR: In this paper, a nationwide population-based study aims to estimate the seroprevalence of SARS-CoV-2 infection in Spain at national and regional level.

Journal Article
TL;DR: The detection of infection in at least one household cluster— reported by Jasper Fuk-Woo Chan and colleagues in The Lancet—and the recently documented infections in health-care workers caring for patients with 2019-nCoV indicate human-to-human transmission and thus the risk of much wider spread of the disease.

Journal ArticleDOI

Journal ArticleDOI
Guanghai Wang1, Yun Ting Zhang1, Jin Zhao1, Jun Zhang1, Fan Jiang1 
TL;DR: It is the responsibility and keen interests of all stakeholders, from governments to parents, to ensure that the physical and mental impacts of the COVID-19 epidemic on children and adolescents are kept minimal.

Journal ArticleDOI
Nicole M. Kuderer, Toni K. Choueiri1, Dimpy P. Shah2, Yu Shyr3  +236 moreInstitutions (26)
TL;DR: The outcomes of a cohort of patients with cancer and COVID-19 are characterised and potential prognostic factors for mortality and severe illness are identified and race and ethnicity, obesity status, cancer type, type of anticancer therapy, and recent surgery were not associated with mortality.