Just had another masterclass in @ICNARC report interpretation by @ActuaryByDay

As I was reading the report, I noticed a couple of things too

Reports here

https://www.icnarc.org/Our-Audit/Audits/Cmp/Reports

Both national, and regional network reports available on this page
1/ https://twitter.com/actuarybyday/status/1264109818312372228

One of the things that’s apparent when you read the report is the distribution of the disease with social deprivation- the bottom 2 quintiles nationally have nearly 50% of ICU patients

@ActuaryByDay has analysed this, and ethnicity in his thread

2/

Mortality is definitely coming down.

But look at mortality by age

If ventilated, >80s had 80% mortality. >70s not much better

However even <40s has a significant chance of dying if needing ventilation

3/

Of course, as we get more survivors, our length of ICU stay keeps increasing

As you can see here, survivors who needed ventilation had a LOS nearly 3x the average before COVID

Thus they’re needing a lot more bed days/resources

4/

If you needed another organ support, in addition to ventilation, mortality was markedly higher

As you can see in this table

5/

Then you look at the regional networks

Just look at BBC: Birmingham and Black Country.

I was stunned to see that >half of our ICU admissions were from the bottom quintile!

That’s TWICE the national average

Why is disease hitting inner city poor so hard? (Manchester too)
6/