Transudative chylothorax and frailty: a diagnostic and therapeutic challenge.

Transudative chylothoraces are a rare entity and their management in the presence of multiorgan dysfunction and frailty is complex. A woman in her 90s was investigated during acute hospital admission and found unexpectedly to have a transudative chylothorax secondary to cryptogenic cirrhosis. Not all chylothoraces have the classically described milky appearances and a high index of suspicion is vital in determining appropriate investigation and management.

How achievable are COVID-19 clinical trial recruitment targets? A UK observational cohort study and trials registry analysis.

Objectives: To analyse enrolment to interventional trials during the first wave of the COVID-19 pandemic in England and describe the barriers to successful recruitment in the circumstance of a further wave or future pandemics.

Design: We analysed registered interventional COVID-19 trial data and concurrently did a prospective observational study of hospitalised patients with COVID-19 who were being assessed for eligibility to one of the RECOVERY, C19-ACS or SIMPLE trials.

Setting: Interventional COVID-19 trial data were analysed from the clinicaltrials.

Sleep medicine - prevalent and relevant.

There is an increasing awareness of different sleep disorders among the public and healthcare professionals, and the impact they can have on an individual. This conference was organised jointly with the British Thoracic Society to discuss some of these pertinent conditions, issues around driving and around service planning to accommodate an increasing specialty.