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Medical Specialties Commons

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Journal Articles

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Articles 211 - 240 of 2016

Full-Text Articles in Medical Specialties

Intensive Care Unit Admissions For Pregnant And Nonpregnant Women With Coronavirus Disease 2019, M J. Blitz, A Grünebaum, A Tekbali, E Bornstein, B Rochelson, M Nimaroff, Fa Chervenak Jan 2020

Intensive Care Unit Admissions For Pregnant And Nonpregnant Women With Coronavirus Disease 2019, M J. Blitz, A Grünebaum, A Tekbali, E Bornstein, B Rochelson, M Nimaroff, Fa Chervenak

Journal Articles

No abstract provided.


Limiting Hospital Resources For Acute Appendicitis In Children: Lessons Learned From The U.S. Epicenter Of The Covid-19 Pandemic, Cl Kvasnovsky, Y Shi, B S. Rich, R D. Glick, S Z. Soffer, A M. Lipskar, S Dolgin, A Hong, J M. Prince, C Sathya, +2 Additional Authors Jan 2020

Limiting Hospital Resources For Acute Appendicitis In Children: Lessons Learned From The U.S. Epicenter Of The Covid-19 Pandemic, Cl Kvasnovsky, Y Shi, B S. Rich, R D. Glick, S Z. Soffer, A M. Lipskar, S Dolgin, A Hong, J M. Prince, C Sathya, +2 Additional Authors

Journal Articles

No abstract provided.


Maternal Mortality Among Women With Coronavirus Disease 2019 Admitted To The Intensive Care Unit, Mj Blitz, B Rochelson, H Minkoff, N Meirowitz, L Prasannan, V London, Tj Rafael, S Chakravarthy, La Bracero, Sw Wasden, Sl Pachtman Shetty, O Santandreu, Fa Chervenak, Bm Schwartz, M Nimaroff Jan 2020

Maternal Mortality Among Women With Coronavirus Disease 2019 Admitted To The Intensive Care Unit, Mj Blitz, B Rochelson, H Minkoff, N Meirowitz, L Prasannan, V London, Tj Rafael, S Chakravarthy, La Bracero, Sw Wasden, Sl Pachtman Shetty, O Santandreu, Fa Chervenak, Bm Schwartz, M Nimaroff

Journal Articles

No abstract provided.


Negative Sars-Cov-2 Antibody Testing Following Covid-19 Infection In Two Ms Patients Treated With Ocrelizumab, Jr Thornton, A Harel Jan 2020

Negative Sars-Cov-2 Antibody Testing Following Covid-19 Infection In Two Ms Patients Treated With Ocrelizumab, Jr Thornton, A Harel

Journal Articles

No abstract provided.


Coronavirus Neurosurgical/Head And Neck Drape To Prevent Aerosolization Of Coronavirus Disease 2019 (Covid-19): The Lenox Hill Hospital/Northwell Health Solution, Rs D'Amico, D Khatri, K Kwan, G Baum, Y Serulle, D Silva, Ml Smith, Ja Ellis, M Levine, R Ortiz, Dj Langer, Ja Boockvar Jan 2020

Coronavirus Neurosurgical/Head And Neck Drape To Prevent Aerosolization Of Coronavirus Disease 2019 (Covid-19): The Lenox Hill Hospital/Northwell Health Solution, Rs D'Amico, D Khatri, K Kwan, G Baum, Y Serulle, D Silva, Ml Smith, Ja Ellis, M Levine, R Ortiz, Dj Langer, Ja Boockvar

Journal Articles

No abstract provided.


North American Covid-19 St-Segment-Elevation Myocardial Infarction (Nacmi) Registry: Rationale, Design, And Implications: Rationale And Design Of Nacmi Registry, P Dehghani, Lj Davidson, Cl Grines, K Nayak, J Saw, P Kaul, A Bagai, R Garberich, P Meraj, Td Henry, +9 Additional Authors Jan 2020

North American Covid-19 St-Segment-Elevation Myocardial Infarction (Nacmi) Registry: Rationale, Design, And Implications: Rationale And Design Of Nacmi Registry, P Dehghani, Lj Davidson, Cl Grines, K Nayak, J Saw, P Kaul, A Bagai, R Garberich, P Meraj, Td Henry, +9 Additional Authors

Journal Articles

No abstract provided.


Powerless In The Icu: Perspectives From Icus In The Face Of Covid-19., P Ramachandran, L Swamy, V Kaul, A Agrawal, M Narasimhan Jan 2020

Powerless In The Icu: Perspectives From Icus In The Face Of Covid-19., P Ramachandran, L Swamy, V Kaul, A Agrawal, M Narasimhan

Journal Articles

No abstract provided.


The Underrecognized Prothrombotic Vascular Disease Of Covid-19., Kp Cohoon, G Mahé, Ac Spyropoulos Jan 2020

The Underrecognized Prothrombotic Vascular Disease Of Covid-19., Kp Cohoon, G Mahé, Ac Spyropoulos

Journal Articles

No abstract provided.


Febrile Infant: Covid-19 In Addition To The Usual Suspects, E Robbins, Z Ilahi, P Roth Jan 2020

Febrile Infant: Covid-19 In Addition To The Usual Suspects, E Robbins, Z Ilahi, P Roth

Journal Articles

No abstract provided.


Management Of Covid-19 Myopericarditis With Reversal Of Cardiac Dysfunction After Blunting Of Cytokine Storm: A Case Report., A. Li, Y. Garcia-Bengochea, R. Stechel, B. M. Azari Jan 2020

Management Of Covid-19 Myopericarditis With Reversal Of Cardiac Dysfunction After Blunting Of Cytokine Storm: A Case Report., A. Li, Y. Garcia-Bengochea, R. Stechel, B. M. Azari

Journal Articles

Background:Coronavirus disease 2019 (COVID-19) is a syndrome that has been associated with multiple cardiac complications including myopericarditis. The pathophysiology and treatment for myopericarditis in the setting of COVID-19 infection is still under investigation. Case summary:We present a case of a 60-year-old male admitted for dyspnoea due to COVID-19. He developed new ST-segment elevation, elevated cardiac enzymes, severe left ventricular dysfunction, and high inflammatory markers in the setting of haemodynamic and respiratory collapse from the viral illness. He was diagnosed with COVID-19-induced myopericarditis. He showed rapid clinical improvement with a rapid wean off pressure support, resolution of electrocardiogram (ECG) findings, and …


Multisystem Imaging Manifestations Of Covid-19, Part 2: From Cardiac Complications To Pediatric Manifestations., M. V. Revzin, S. Raza, N. C. Srivastava, R. Warshawsky, C. D'Agostino, A. Malhotra, A. S. Bader, R. D. Patel, K. Chen, C. C. Kyriakakos, J. S. Pellerito Jan 2020

Multisystem Imaging Manifestations Of Covid-19, Part 2: From Cardiac Complications To Pediatric Manifestations., M. V. Revzin, S. Raza, N. C. Srivastava, R. Warshawsky, C. D'Agostino, A. Malhotra, A. S. Bader, R. D. Patel, K. Chen, C. C. Kyriakakos, J. S. Pellerito

Journal Articles

Infection with severe acute respiratory syndrome coronavirus 2 results in coronavirus disease 2019 (COVID-19), which was declared an official pandemic by the World Health Organization on March 11, 2020. COVID-19 has been reported in most countries, and as of August 15, 2020, there have been over 21 million cases of COVID-19 reported worldwide, with over 800 000 COVID-19-associated deaths. Although COVID-19 predominantly affects the respiratory system, it has become apparent that many other organ systems can also be involved. Imaging plays an essential role in the diagnosis of all manifestations of the disease and its related complications, and proper utilization …


Racial And Ethnic Disparity And Spatiotemporal Trends In Severe Acute Respiratory Syndrome Coronavirus 2 Prevalence On Obstetrical Units In New York., M. J. Blitz, B. Rochelson, L. Prasannan, W. Shan, F. A. Chervenak, M. Nimaroff, E. Bornstein Jan 2020

Racial And Ethnic Disparity And Spatiotemporal Trends In Severe Acute Respiratory Syndrome Coronavirus 2 Prevalence On Obstetrical Units In New York., M. J. Blitz, B. Rochelson, L. Prasannan, W. Shan, F. A. Chervenak, M. Nimaroff, E. Bornstein

Journal Articles

No abstract provided.


Lessons Learnt From Covid-19: How Can We Prepare For Another Pandemic?, M. I. Ehrlich, M. W. Saif Jan 2020

Lessons Learnt From Covid-19: How Can We Prepare For Another Pandemic?, M. I. Ehrlich, M. W. Saif

Journal Articles

No abstract provided.


Lung Ultrasonography As An Alternative To Chest Computed Tomography In Covid-19 Pneumonia?, A. Vieillard-Baron, A. Goffi, P. Mayo Jan 2020

Lung Ultrasonography As An Alternative To Chest Computed Tomography In Covid-19 Pneumonia?, A. Vieillard-Baron, A. Goffi, P. Mayo

Journal Articles

No abstract provided.


Machine Learning To Assist Clinical Decision-Making During The Covid-19 Pandemic., S. Debnath, D. P. Barnaby, K. Coppa, A. Makhnevich, E. J. Kim, S. Chatterjee, V. Tóth, T. J. Levy, M. D. Paradis, S. L. Cohen, J. S. Hirsch, T. P. Zanos, Northwell Covid-19 Research Consortium Jan 2020

Machine Learning To Assist Clinical Decision-Making During The Covid-19 Pandemic., S. Debnath, D. P. Barnaby, K. Coppa, A. Makhnevich, E. J. Kim, S. Chatterjee, V. Tóth, T. J. Levy, M. D. Paradis, S. L. Cohen, J. S. Hirsch, T. P. Zanos, Northwell Covid-19 Research Consortium

Journal Articles

Background:The number of cases from the coronavirus disease 2019 (COVID-19) global pandemic has overwhelmed existing medical facilities and forced clinicians, patients, and families to make pivotal decisions with limited time and information. Main body:While machine learning (ML) methods have been previously used to augment clinical decisions, there is now a demand for "Emergency ML." Throughout the patient care pathway, there are opportunities for ML-supported decisions based on collected vitals, laboratory results, medication orders, and comorbidities. With rapidly growing datasets, there also remain important considerations when developing and validating ML models. Conclusion:This perspective highlights the utility of evidence-based prediction tools in …


Major Thrombotic Event Despite Anticoagulation In A Patient With Covid-19., B. Ataallah, A. Sharma, S. Tamanna, J. Ng, G. Haggerty Jan 2020

Major Thrombotic Event Despite Anticoagulation In A Patient With Covid-19., B. Ataallah, A. Sharma, S. Tamanna, J. Ng, G. Haggerty

Journal Articles

The outbreak of coronavirus disease 2019 (known as COVID-19), which started in Wuhan, China in December 2019, is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It has been associated with both venous and arterial thromboembolism likely secondary to significant cytokine activation and inflammation. Reports on the incidence of thrombotic complications, however, are not well documented. Our case will examine a young man diagnosed with COVID-19 who developed an acute, severe bilateral saddle pulmonary embolism while on prophylactic dose anticoagulation after being admitted to the hospital and treated for two weeks with significant improvement.


Monoclonal Antibodies Capable Of Binding Sars-Cov-2 Spike Protein Receptor Binding Motif Specifically Prevent Gm-Csf Induction., X. Qiang, S. Zhu, J. Li, P. Wang, K. J. Tracey, H. Wang Jan 2020

Monoclonal Antibodies Capable Of Binding Sars-Cov-2 Spike Protein Receptor Binding Motif Specifically Prevent Gm-Csf Induction., X. Qiang, S. Zhu, J. Li, P. Wang, K. J. Tracey, H. Wang

Journal Articles

A severe acute respiratory syndrome (SARS)-like coronavirus (SARS-CoV-2) has recently caused a pandemic COVID-19 disease that infected more than 25.6 million and killed 852,000 people worldwide. Like the SARS-CoV, SARS-CoV-2 also employs a receptor-binding motif (RBM) of its envelope spike protein for binding the host angiotensin-converting enzyme 2 (ACE2) to gain viral entry. Currently, extensive efforts are being made to produce vaccines against a surface fragment of a SARS-CoV-2, such as the spike protein, in order to boost protective antibody responses. It was previously unknown how spike protein-targeting antibodies would affect innate inflammatory responses to SARS-CoV-2 infections. Here we generated …


Multisystem Imaging Manifestations Of Covid-19, Part 1: Viral Pathogenesis And Pulmonary And Vascular System Complications, M. V. Revzin, S. Raza, R. Warshawsky, C. D’Agostino, N. C. Srivastava, A. S. Bader, R. D. Patel, K. Chen, C. Kyriakakos, J. S. Pellerito, +1 Additional Author Jan 2020

Multisystem Imaging Manifestations Of Covid-19, Part 1: Viral Pathogenesis And Pulmonary And Vascular System Complications, M. V. Revzin, S. Raza, R. Warshawsky, C. D’Agostino, N. C. Srivastava, A. S. Bader, R. D. Patel, K. Chen, C. Kyriakakos, J. S. Pellerito, +1 Additional Author

Journal Articles

© RSNA, 2020. Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) results in coronavirus disease 2019 (COVID-19), which was declared an official pandemic by the World Health Organization on March 11, 2020. The infection has been reported in most countries around the world. As of August 2020, there have been over 21 million cases of COVID-19 reported worldwide, with over 800 000 COVID-19–associated deaths. It has become appar-ent that although COVID-19 predominantly affects the respiratory system, many other organ systems can also be involved. Imaging plays an essential role in the diagnosis of all manifestations of the disease, as …


Myocardial Injury Associated With Coronavirus Disease 2019 In Pregnancy., S. L. Pachtman Shetty, N. Meirowitz, M. J. Blitz, T. Gadomski, C. R. Weinberg Jan 2020

Myocardial Injury Associated With Coronavirus Disease 2019 In Pregnancy., S. L. Pachtman Shetty, N. Meirowitz, M. J. Blitz, T. Gadomski, C. R. Weinberg

Journal Articles

OBJECTIVE:Coronavirus disease 2019 (COVID-19) is associated with cardiac injury1-3 and bradycardia4 in the non-pregnant population. The incidence of these complications in pregnancy is unknown. The objective of this study was to determine the rate of abnormal serum cardiac biomarkers or bradycardia among pregnant and immediately postpartum women admitted for treatment of severe or critical COVID-19 in a large integrated health system in New York. STUDY DESIGN:This is a retrospective review of all pregnant and immediately postpartum women hospitalized for COVID-19 at 7 hospitals within Northwell Health, the largest academic health system in New York state, from March 1 to April …


Nebulized In-Line Endotracheal Dornase Alfa And Albuterol Administered To Mechanically Ventilated Covid-19 Patients: A Case Series, A. G. Weber, A. S. Chau, M. Egeblad, B. J. Barnes, T. Janowitz Jan 2020

Nebulized In-Line Endotracheal Dornase Alfa And Albuterol Administered To Mechanically Ventilated Covid-19 Patients: A Case Series, A. G. Weber, A. S. Chau, M. Egeblad, B. J. Barnes, T. Janowitz

Journal Articles

© 2020 The Author(s). Background: Mechanically ventilated patients with COVID-19 have a mortality of 24-53%, in part due to distal mucopurulent secretions interfering with ventilation. DNA from neutrophil extracellular traps (NETs) contribute to the viscosity of mucopurulent secretions and NETs are found in the serum of COVID-19 patients. Dornase alfa is recombinant human DNase 1 and is used to digest DNA in mucoid sputum. Here, we report a single-center case series where dornase alfa was co-administered with albuterol through an in-line nebulizer system. Methods: Demographic and clinical data were collected from the electronic medical records of five mechanically ventilated patients …


Outcomes Of Patients With End-Stage Kidney Disease Hospitalized With Covid-19., J. H. Ng, J. S. Hirsch, R. Wanchoo, M. Sachdeva, V. Sakhiya, S. Hong, K. D. Jhaveri, S. Fishbane, Northwell Covid-19 Research Consortium, Northwell Nephrology Covid-19 Research Consortium Jan 2020

Outcomes Of Patients With End-Stage Kidney Disease Hospitalized With Covid-19., J. H. Ng, J. S. Hirsch, R. Wanchoo, M. Sachdeva, V. Sakhiya, S. Hong, K. D. Jhaveri, S. Fishbane, Northwell Covid-19 Research Consortium, Northwell Nephrology Covid-19 Research Consortium

Journal Articles

Given the high risk of infection-related mortality, patients with end-stage kidney disease (ESKD) may be at increased risk with COVID-19. To assess this, we compared outcomes of patients with and without ESKD, hospitalized with COVID-19. This was a retrospective study of patients admitted with COVID-19 from 13 New York. hospitals from March 1, 2020, to April 27, 2020, and followed through May 27, 2020. We measured primary outcome (in-hospital death), and secondary outcomes (mechanical ventilation and length of stay), Of 10,482 patients with COVID-19, 419 had ESKD. Patients with ESKD were older, had a greater percentage self-identified as Black, and …


Presentation Of Severe Acute Respiratory Syndrome-Coronavirus 2 Infection As Cholestatic Jaundice In Two Healthy Adolescents, A. Perez, D. Kogan-Liberman, S. Sheflin-Findling, A. Raizner, K. L. Ahuja, N. Ovchinsky Jan 2020

Presentation Of Severe Acute Respiratory Syndrome-Coronavirus 2 Infection As Cholestatic Jaundice In Two Healthy Adolescents, A. Perez, D. Kogan-Liberman, S. Sheflin-Findling, A. Raizner, K. L. Ahuja, N. Ovchinsky

Journal Articles

© 2020 Elsevier Inc. Liver abnormalities in severe acute respiratory syndrome-coronavirus 2 infection, including hepatitis and cholestasis, have been observed in adults and are associated with worse outcomes. We describe 2 adolescents with cholestasis and hepatitis with mild presentation of severe acute respiratory syndrome-coronavirus 2 lacking typical symptoms. Our intention is to raise index of suspicion for testing and protective equipment use.


Prevalence, Risk Factors, And Outcomes Of Hospitalized Patients With Covid-19 Presenting As Acute Pancreatitis., S. Inamdar, P. C. Benias, Y. Liu, D. V. Sejpal, S. K. Satapathy, A. J. Trindade, Northwell Covid-19 Research Consortium Jan 2020

Prevalence, Risk Factors, And Outcomes Of Hospitalized Patients With Covid-19 Presenting As Acute Pancreatitis., S. Inamdar, P. C. Benias, Y. Liu, D. V. Sejpal, S. K. Satapathy, A. J. Trindade, Northwell Covid-19 Research Consortium

Journal Articles

No abstract provided.


Pulmonary Embolism And Increased Levels Of D-Dimer In Patients With Coronavirus Disease, D. O. Griffin, A. Jensen, M. Khan, J. Chin, K. Chin, J. Saad, R. Parnell, C. Awwad, D. Patel Jan 2020

Pulmonary Embolism And Increased Levels Of D-Dimer In Patients With Coronavirus Disease, D. O. Griffin, A. Jensen, M. Khan, J. Chin, K. Chin, J. Saad, R. Parnell, C. Awwad, D. Patel

Journal Articles

No abstract provided.


Pulmonary Embolism In Patients Hospitalized With Covid-19 (From A New York Health System), H. Xu, A. Martin, A. Singh, M. Narasimhan, J. Lau, M. Weinberg, R. Jauhar, G. Rao Jan 2020

Pulmonary Embolism In Patients Hospitalized With Covid-19 (From A New York Health System), H. Xu, A. Martin, A. Singh, M. Narasimhan, J. Lau, M. Weinberg, R. Jauhar, G. Rao

Journal Articles

© 2020 Elsevier Inc. Pulmonary embolisms (PEs) in coronavirus disease 2019 (COVID-19) have increasingly been reported in observational studies. However, limited information describing their clinical characteristics and outcomes exists. Our study aims to describe clinical features and risk stratification strategies of hospitalized COVID-19 patients with PE. We retrospectively analyzed 101 hospitalized patients with COVID-19 infection and acute PE. Clinical outcomes measured were intensive care unit admission, mechanical ventilation, bleeding and transfusion events, acute kidney injury (AKI) and mortality. Pulmonary severity index (PESI) scores were used for risk stratification. The most common comorbidities were hypertension (50%), obesity (27%) and hyperlipidemia (32%) …


Rapid Emergence Of Sars-Cov-2 In The Greater New York Metropolitan Area: Geolocation, Demographics, Positivity Rates, And Hospitalization For 46,793 Persons Tested By Northwell Health., S. B. Reichberg, P. P. Mitra, A. Haghamad, G. Ramrattan, J. M. Crawford, G. J. Berry, K. W. Davidson, A. Drach, S. Duong, S. Juretschko, N. I. Maria, Y. Yang, Y. C. Ziemba, Northwell Covid-19 Research Consortium Jan 2020

Rapid Emergence Of Sars-Cov-2 In The Greater New York Metropolitan Area: Geolocation, Demographics, Positivity Rates, And Hospitalization For 46,793 Persons Tested By Northwell Health., S. B. Reichberg, P. P. Mitra, A. Haghamad, G. Ramrattan, J. M. Crawford, G. J. Berry, K. W. Davidson, A. Drach, S. Duong, S. Juretschko, N. I. Maria, Y. Yang, Y. C. Ziemba, Northwell Covid-19 Research Consortium

Journal Articles

BACKGROUND:In March 2020, the greater New York metropolitan area became an epicenter for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The initial evolution of case incidence has not been well characterized. METHODS:Northwell Health Laboratories tested 46,793 persons for SARS-CoV-2 from March 4 through April 10. The primary outcome measure was a positive reverse-transcription-polymerase-chain-reaction (RT-PCR) test for SARS-CoV-2. The secondary outcomes included patient age, sex, and race if stated; dates the specimen was obtained and the test result; clinical practice site sources; geo-location of patient residence; and hospitalization. RESULTS:From March 8 through April 10, a total of 26,735 of 46,793 …


Correction To: Safety Of Psychotropic Medications In People With Covid-19: Evidence Review And Practical Recommendations (Vol 18, 215, 2020), G. Ostuzzi, D. Papola, C. Gastaldon, G. Schoretsanitis, F. Bertolini, F. Amaddeo, A. Cuomo, R. Emsley, C. U. Correll, C. Barbui, +12 Additional Authors Jan 2020

Correction To: Safety Of Psychotropic Medications In People With Covid-19: Evidence Review And Practical Recommendations (Vol 18, 215, 2020), G. Ostuzzi, D. Papola, C. Gastaldon, G. Schoretsanitis, F. Bertolini, F. Amaddeo, A. Cuomo, R. Emsley, C. U. Correll, C. Barbui, +12 Additional Authors

Journal Articles

No abstract provided.


Severe Acute Respiratory Syndrome Coronavirus 2 Antibodies In Pregnant Women Admitted To Labor And Delivery Units., L. Haizler-Cohen, A. Davidov, M. J. Blitz, G. Fruhman Jan 2020

Severe Acute Respiratory Syndrome Coronavirus 2 Antibodies In Pregnant Women Admitted To Labor And Delivery Units., L. Haizler-Cohen, A. Davidov, M. J. Blitz, G. Fruhman

Journal Articles

No abstract provided.


Severe Coronavirus Disease 2019 Infection In An Adolescent Patient After Hematopoietic Stem Cell Transplantation, G. Fisler, A. Haimed, C. F. Levy, J. Stiles, C. A. Capone, J. D. Fish, J. A. Brochstein, M. D. Taylor Jan 2020

Severe Coronavirus Disease 2019 Infection In An Adolescent Patient After Hematopoietic Stem Cell Transplantation, G. Fisler, A. Haimed, C. F. Levy, J. Stiles, C. A. Capone, J. D. Fish, J. A. Brochstein, M. D. Taylor

Journal Articles

© 2020 American College of Chest Physicians Infection with the severe acute respiratory syndrome coronavirus 2 causes severe acute lung injury in approximately 5% of infected adults, but few reports have been made of severe pediatric disease. We present an adolescent patient who contracted severe acute respiratory syndrome coronavirus 2 one week after a paternal haplo-identical hematopoietic stem cell transplant, with development of severe hyperferritinemic acute lung injury and macrophage activation-like syndrome. We present her case and a comparison of her laboratory data with those of a cohort of pediatric patients with coronavirus disease 2019 without severe disease.


The Crisis Close At Hand: How Covid-19 Challenges Long-Term Care Planning For Adults With Intellectual Disability, C. Wright, C. Steinway, S. Jan Jan 2020

The Crisis Close At Hand: How Covid-19 Challenges Long-Term Care Planning For Adults With Intellectual Disability, C. Wright, C. Steinway, S. Jan

Journal Articles

© 2020 Charmaine Wright et al. Published by Mary Ann Liebert, Inc. Whether cared for in the community or in a facility, adults with intellectual disability are among the most vulnerable individuals in the United States. Families caring for these individuals face financial, social, and emotional stress as they navigate long-term care choices for their loved ones. COVID-19 has stressed an already overwhelmed and disparate system.