A comparison of the clinical outcomes of patients requiring hospitalization and intensive care unit care shows that there are important differences in the trends between the two pandemics: “It may change due to the combined effects of patient behavior changes, medical center adjustments, and optimal treatment.”
Even in general wards, the intensive care unit is under tremendous pressure, which puts pressure on the resilience of the health systems of the countries most affected by the Covid-19 pandemic.In terms of infectious diseases, there have been more than 4 million cases in several countries, including France In recent weeks, the total number of positives even surpassed that of the United Kingdom. Regions outside the Alps need to fully characterize the needs of hospital care and the trajectory of patients requiring hospitalization and intensive care, as well as their trends over time, which is considered essential for resource planning.This analysis was carried out by researchers from the Department of Mathematical Modeling of Infectious Diseases at the Pasteur Institute in Paris, who developed a model in cooperation with the University of Cambridge. Probabilistic model The detailed trend of hospitalizations was assessed based on 198,846 hospitalizations that occurred in France during the first nine months of the pandemic (March 2020 to November 2020). The model takes into account the changes in patient age and gender, and explores the probability of ICU admission, death and discharge, and changes in hospital stay over time.
Trends in hospitalization and mortality in France
The results are published in About The Lancet Healthy Europe, Indicating that the characteristics of French hospital inpatients have changed significantly between the two pandemics. in particular, Over 80 years old During the study period, this proportion increased from 27% to 48%, while the proportion of women varied between 45% and 53%.
Scholars have also discovered the possibility of hospitalization for hospitalized patients In the intensive care unit In the first four months (March to June), it dropped from 25.4% (24.4%-26.4%) to 12.6% (11.6%-13.6%). At the same time, the number of cases declined, and then rose to 19.3% ( 18.9%-19.7%).There Possibility of death Following a similar path, it dropped from 24.9% (24%-25.9%) to 10% (8.7%-11.3%) after the first wave, and then rose again to 18.6% (18.1%-19%) in the second wave . Overall, the trends for men and women are similar.
“When planning hospital care needs, the huge difference in ICU admission and death odds must be taken into account.The head of the Department of Mathematical Modeling of Infectious Diseases and the corresponding co-author of the study, Simon Cauchemez explained. “s reason Mortality difference Still not clear -Added Dr. Noémie Lefrancq, Ph.D. from the Department of Genetics, University of Cambridge, and was the first author of the study-. They probably represent A combination of changes Patients’ understanding of health research behaviors, adjustments to health centers, and more understanding of diseases lead to improvements in treatment methods“.