January 20, 2022 4:22 pm

Coronavirus: due to the rise in infections, the occupation of intensive care beds increased

With recent figures of more than 100,000 daily cases of Covid-19, the demand for occupancy of intensive care beds grew significantly since December. According to a report from the Argentine Society of Intensive Therapy, it went from a occupancy from 4% to 22% for cases of infections coronavirus between December 13 and January 10.

The data belongs to a national survey carried out by the entity on January 10, between 189 units of public and private intensive care throughout the country, 39 of them, only dedicated to the pediatric field. The study was carried out, among other objectives, with the intention of analyzing the blow of the third wave in the different establishments.

The occupancy of intensive care beds in adult units (UTIA) and pediatric units (PICU). The requirement for mechanical ventilation (MRA) and high-flow cannulas (CAFO) is observedHOURS

The entity reported that intensive care units have a 75% occupancy, but of that total, 22% corresponds to cases of covid-19. “An increase in the occupancy of adult ICU beds was observed, at the expense of a significant increase in COVID-positive patients in the last month,” he stated.

Likewise, the SATI indicated that most of the admissions due to the disease “presented comorbidities.” “One-half of patients had incomplete or no vaccination, these being the ones that required greater indication of mechanical ventilation”, he expressed.

In relation to the immunization, the health entity clarified that it used the definition of the Ministry of Health for complete vaccination schedule, according to which, it is required to have less than five months from completed the outline with two doses or have recently received the booster dose.

A finding of the survey was that of the total number of positives for covid-19, about 24% did not know they had contracted the disease when entering the health facility. The positivity of the pandemic disease was confirmed by a “routine swab without criteria for SARS CoV 2 infection”.

The Argentine Society of Intensive Therapy specified that, of the total number of patients admitted with covid 19, “50% had incomplete or no vaccination. In turn, of that group, “62% required mechanical ventilation”, while only 28% of those who received full vaccination had “invasive ventilatory support”.

The occupation of intensive care beds in the provinces.
The occupation of intensive care beds in the provinces.HOURS

In relation to the bed occupancy, the largest proportions were recorded in the provinces of Tucumán, Salta and Santa Cruz, SATI reported.

Meanwhile, in the 833 intensive care beds in the Metropolitan Area of ​​Buenos Aires (AMBA), distributed in the 44 surveyed centers, occupancy due to covid-19 amounted to 15%. Of this value, 62% was associated with a requirement for mechanical ventilation.

The 13 centers in the north of the country They were the ones who most felt the rise in Covid cases that the country has experienced since December. The 242 beds in Tucumán, Salta and Jujuy had a 43% coronavirus patient occupancy of which 40% were with mechanical assistance (ARM).

One of the elements that the SATI incorporated into the survey was the measurement of the pediatric intensive care units. The total occupation is 61, but only 10% corresponds to patients with coronavirus. Of those positive for coronavirus, in 71% the diagnosis was given by a routine swab.

Occupation in pediatric therapy units was also analyzed in the report.
Occupation in pediatric therapy units was also analyzed in the report.HOURS

Even so, there is another fact that has weight. “Of a total of patients admitted with Covid-19, a 75% with incomplete or no vaccination”, states the SATI report.

In turn, it is detailed that, among the group of unvaccinated patients, 72% required mechanical ventilation, “while in the vaccinated group, 38% required invasive ventilatory support.”

“Given the enormous increase in patients with Covid-19 in ICUs, the SATI recommends that the population have a complete vaccination schedule, in order to reduce admissions for this serious pathology and require less use of mechanical ventilation,” recommended the entity in its conclusions.

AMBA (CABA and Buenos Aires suburbs): 44 centers, with a total of 833 beds, presented a Covid-19 occupation of 15%, with 62% in ARM (mechanical assistance).

Regional Buenos Aires North and South (Buenos Aires without AMBA and La Pampa): 19 centers, a total of 282 beds and an occupation of Covid-19 patients from 19% observing 60% in ARM.

Regional Center (Córdoba, Santa Fe, La Rioja, Catamarca, Santiago del Estero): 36 centers, a total of 453 beds with an occupation of Covid-19 patients of 29% of which 47% were in ARM.

Whose Region (Mendoza, San Juan and San Luis): 14 centers, a total of 173 beds with an occupation of Covid-19 patients of 10% of which 61% were in ARM.

Coastal Region (Chaco, Corrientes, Entre Ríos, Formosa): 10 centers, a total of 151 beds with an occupation of Covid-19 patients of 16% of which 67% were in ARM.

Northwest Regional (Tucumán, Salta and Jujuy): 13 centers, a total of 242 beds with an occupation of Covid-19 patients of 43% of which 40% were in ARM.

Regional Patagonia (Rio Negro, Neuquén, Chubut, Santa Cruz, T. del Fuego): 14 centers, a total of 121 beds with an occupation of Covid-19 patients of 20% of which 71% were in ARM.


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