art wrote:https://www.aftonbladet.se/nyheter/a/zG ... -hoppfullt
What is interesting is that people entering intensive care have 80% survival rate compared to 50% in most other countries.
Yes, that is interesting.
People taken to intensive care earlier in Sweden than elsewhere?
Better equipped/staffed intensive care units?
Something genetic involved?
80 percent survive intensive care at Karolinska: "Hopeful"
Profile picture Anna Sjögren
PUBLISHED: MONTH 13 APR 2020
UPDATED: US APR 15, 2020
International studies show that half of the coronary patients who are intensive care in respirators die.
At the Karolinska University Hospital, new figures show instead that the majority of patients - 80 percent - survive.
"This gives us hope in healthcare and society as a whole," says physician David Konrad.
Those who become seriously ill in covid-19 are often affected by severe pneumonia and lung failure. Often they are intensively cared for with a respirator to help with oxygenation. But the treatment is tough for the body and several studies show that patients in many cases do not.
The largest study to date, conducted in the UK of 3,883 patients, showed that half of the patients survived the treatment. A smaller study from Washington in the US also showed that the chance of survival was around 50 percent.
Breaking the trend
Karolinska University Hospital, where a quarter of the country's intensive care covid patients are admitted, is against the gloomy trend. Here, preliminary figures show that as many as 80 percent of those discharged have survived intensive care in respirators, SVT could report on Sunday. Of 62 patients, 48 survived and 14 died.
- We have not seen this kind of positive figures to survive intensive care that we are seeing now. We were worried that we would end up with a survival rate of between 10 and 25 percent based on the reports we saw from other countries. It gives us hope in healthcare and the whole community, says David Konrad, chief physician at IVA, to Aftonbladet.
How to assess which patients become relevant for intensive care and when, during the course of the disease, care is used are factors that can explain the results of different countries.
- We don't know today, but there could be possible explanations. We look closely to see if you have reasonable prospects for coping with intensive care and recovery. If we make the assessment that the patient cannot benefit from the care we can refrain from offering it. We also work closely with infectious doctors and we do not delay in setting up this treatment so that patients receive care before the disease is too long.
"We will be strengthened"
According to the British study, the risk of dying increases the longer a patient is connected to a respirator. Here, too, the early figures from Karolinska show hopeful results: on average, a patient is on intensive care for just over a week.
- It's shorter than we've heard from other parts of the world, says David Konrad.
But it is too early to draw any certain conclusions from the results that are based on a small basis.
- Does this mean that we have succeeded better than other countries? We don't know yet. We will be strengthened by that, but we need at least another month to draw some certain conclusions.
Fewer new patients
Intensive care units at the hospital have in recent weeks had a steady influx of about six to twelve patients per day, with peaks of 20 patients some days. Here too, the hospital is beginning to see a trend break.
- We were worried that we would see a massive increase in cases last weekend or this week. But we see a flare-up of patients in intensive care. We believe that people have listened to the authorities' recommendations and that is what we are seeing the result of now.
At present, 177 patients are being cared for at Karolinska's intensive care unit. If needed, another 39 seats can be opened.
But David Konrad hopes that as few of them as possible will be needed and comes with a call to the public:
- If you want to help, you should continue to adhere to the recommendations of the Public Health Authority. Otherwise, we will be flushed out by patients and then we will not be able to handle this.