Tyrolean study: More than two thirds of intensive care patients …
The corona mortality in the Tyrolean intensive care units corresponded to the general average of other diseases with lung failure last autumn.
That around half of corona intensive care patients do not survive the disease – this many assumption does not hold up, at least one Tyrolean study. This showed that in the second wave, which began last autumn, more than two thirds of Tyrolean intensive care patients can have left the intensive care units alive, said Michael Joannidis, head of the internal intensive care unit at the Innsbruck University Clinic.
The corona mortality in the Tyrolean intensive care units thus corresponds to the general average of other diseases with lung failure (Acute Respiratory Distress Syndrome, ARDS), for example with severe flu. According to Joannidis, the numbers are particularly noteworthy as significantly more older and older patients were affected in the second wave than in the first, and the number of intensive care patients had quadrupled compared to the first wave. 401 corona intensive care patients were recorded in the second wave, dying was documented until March 2021 – compared to 107 in the first.
The “intensive mortality” in the first wave in Tyrol was 21.5 percent, in the second it was 28.9 percent, i.e. Joannidis on the data listed in the study by the Medical University of Innsbruck. This is significantly lower than abroad. Incidentally, the basis for the study was an intensive care register for all corona intensive care patients. Such was the only federal state to have been created in Tyrol.
“Experimental therapies” avoided
The medically necessary measures and at least the necessary lessons would have to be drawn from the first wave and a “structured approach” would have to be put in place or put in place. “Optimized resources”. As a result, greater damage can be averted. “We had to intubate, for example,” a much less well-known doctor. In Tyrol, “experimental therapies” outside of controlled studies were generally avoided. Among other things, the administration of many possible medications such as HIV or malaria medication was dispensed with, which would then have proven to be disadvantageous in studies. This also resulted in a lower mortality rate in corona patients.
In the state, an overload of hospitals can also be avoided – such an overload is one of the main factors for mortality, the intensive care doctor and intensive care bed coordinator of the state said. This was achieved not least thanks to a “structured intensive care bed management” as part of an initiative by the Tyrolean intensive care physicians. The latter included, for example, the treatment of severe corona cases primarily “in the center”, also at the Innsbruck University Clinic, and less severe cases “on the periphery” in the district hospitals. In addition, according to Joannidis, the intensive care patients were distributed to all district hospitals in Tyrol according to a common key, depending on the workload.
(APA)