Bengaluru: The death rate in the Covid Icus of the Government Hospital is 32.8% during a pandemic, according to data with the State Welfare Department and family welfare.
Officials said the global average was 42% -62%.
The Government of Karnataka, through a critical care support team and experts from private hospitals, has facilitated tele-ICU facilities in an icus in government hospitals throughout the state to monitor and guide doctors remotely.
“The case of case fatality (CFR) in Covid Icus is much lower in a government hospital where tele-ICU interventions are made.
Lower than the global average of 42% to 62%,” said KV Trilok Chandra, Nodal Officer, Critical Care, Critical Care, Critical care system support system (CCST) for Covid.
The state government recently provided tele-ICU intervention before the UNI Ministry of Health.
The death rate does not reflect the performance of the ICU: DocTortill September 2021, there are a total of 46,583 patients treated at a government hospital filled with tele-ICU.
Of those 15,275 patients died and the death rate of the ICU case was 32.7%, Chandra explained.
According to research published by the anesthetic association, global forum, in February 2021, the ICU mortality rate of Covid-19 has varied from 16.7% to 70% in various parts of the world at different intervals.
Jakarta began in April 2020 and began in April 2020 and his doctors conducted a telephoto round with a district hospital to sell care at all ICU.
“Compared to global data, it is an acceptable level,” said Dr.
Pradeep Rangappa, a member of CCST.
He highlighted that a turkey study showed a death rate of 62.8%, and in China was 25.7% to 37.7%.
According to Dr.
Rajesh Shetty, a member of the Indian Committee Committee of Critical Care Medicine, Bengaluru Chapter, to understand the ICU mortality rate, the patient group must be identified whether they are in a ventilator, non-invasive ventilator, in the high flow of nasal oxygen support, based on severity.
“The level of the ICU false depends on the type of patient treated in the ICU.
Some Ids only recognize patients who need non-invasive ventilators, ventilators or ECMOs.
The mortality rate is very difficult than,” he said.
However, there were no patients who underwent ECMO therapy, which replaced lung and heart function.
Covid ICU mortality rates at the Bengaloru company that critical cases that are widely treated that require a ventilator are 20-25%, said a senior doctor from the city.
Doctor Toi spoke by saying that there were variables – two different waves of Covid, the patient’s condition at the time of entering, age and comorbidity and treatment provided – to be considered to understand the ICU mortality rate.
“All of these factors tilt the mortality rate.
In some hospitals, it is higher during the first wave.
In the second wave, the number of people who need a ventilator amid a lack of the situation,” said a doctor.
In addition, the criteria for acceptance to the ICU and the causes of death and death definitions vary from country to another country, the doctor said.
Another top specialist mentions that the Covid fatality rate in the ICU does not reflect the ICU performance.
“What needs to be counted is the standard mortality rate (SMR), which is an indicator of critical care quality.
This gives us a comparison of the death of the actual hospital from all patients in the ICU with a predictable tendency.
If SMR is less than 1, that means that the ICU has Work well in saving lives.
SMR is a global parameter global, “said the doctor.
If SMR is more than 1, it means that the patient might survive but for some reason S / he has died and the ICU performance must improve.
The SMR score is based on acute physiological assessment and chronic health evaluation (Apache).
Apache scores depend on variables, including age and comorbidity.
It answers the question is a patient who is quite sick to die, said the doctor.
Sources said the district hospital was trying to find their Apache score.
“During the tele-Icu round, the general narrative is a patient arriving with a delayed presentation, a late reference,” said the source.
However, the SMR scores of government hospitals and wise ICU mortality rates in districts are inaccessible.
33% CFR in Govt Icus is better than the global average
