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On behalf of @ICNARC and @COVID19, a summary of the latest @ICNARC report which presents analyses of data on patients critically ill with confirmed #COVID19 reported to @ICNARC up to 4pm on 22 October 2020 and compares the second wave (1 Sep onwards) to the first.
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ICNARC have logged data for 1930 admissions of 1761 patients with confirmed COVID-19, of which outcomes are reported for 1004. The largest numbers were admitted in the North West, North East and Yorkshire, and Midlands regions.
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Here we can see the shape of the trends and Northern Ireland also notable for a steep increase.
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How are patients doing? The good news is compared to the first wave we are seeing improved survival. 757 are still receiving critical care and 690 have been discharged from critical care
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Also, less patients are requiring advanced respiratory & cardiovascular support, & renal, liver & neurovascular support. This could be due to less severe disease & potentially different clinical approaches due to increased understanding of how to manage COVID-19
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However, #APACHE2 scores, used to estimate #ICU mortality based on 12 physiological measurements are comparable to the first wave, indicating that severity of disease at this stage is similar
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As we have seen throughout the pandemic, certain groups are over-represented in the critically ill:
Black and Asian ethnicity
More deprived groups
BMI considered obese
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Black and Asian ethnicity
More deprived groups
BMI considered obese
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In summary, ICU admissions continue to rise with regional variation and survival is better compared to the first wave. Certain subgroups remain vulnerable.
The full report is available here:
https://www.icnarc.org/Our-Audit/Audits/Cmp/Reports
8/">https://www.icnarc.org/Our-Audit...
The full report is available here:
https://www.icnarc.org/Our-Audit/Audits/Cmp/Reports
8/">https://www.icnarc.org/Our-Audit...
Please join me in offering a huge thankyou to the dedication and skills of #NHS staff in every role and every department, let’s not add to their workload.
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