Saturation of critical care capacity and mortality in patients with the novel coronavirus (COVID-19) in Italy

Saturation of critical care capacity and mortality in patients with the novel coronavirus (COVID-19) in Italy
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DOI:
10.1016/j.tacc.2020.05.002
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发表时间:
2020-05-23
影响因子:
1.5
通讯作者:
Monami M
Monami M
中科院分区:
其他
文献类型:
--
作者:
Mannucci E;Silverii GA;Monami M

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北方意大利已成为当前COVID-19大流行的中心,死亡人数高于任何其他国家。意大利的死亡率明显高于中国湖北省[1],但对死亡率的估计存在问题,因为感染者的实际人数尚不清楚。此外,重症患者重症监护医疗资源的可用性可能是病死率的主要决定因素。我们从卫生部网站检索了各地区SARS-CoV 2阳性患者每日记录的死亡数据,以及重症监护病房(ICU)的患者人数[2]。我们在这里显示了截至2020年3月22日,重症病例数量最多的六个地区的数据,定义为死亡和入住ICU的总和:隆巴迪亚、韦内托、皮埃蒙特、埃米利亚-罗马涅、马尔凯和托斯卡纳。我们还估计了重症病例的病死率,计算了截至2020年3月22日的死亡人数与重症病例(定义为死亡人数和入住ICU人数之和)之间的比率。
Northern Italy has become the epicenter of the current COVID-19 pandemic, with a number of deaths higher than that of any other Country. Estimates of lethality, which is apparently higher in Italy than in the Chinese Hubei Province [1], are problematic, because the actual number of infected people is unknown. In addition, availability of healthcare resources for critical care in severely ill patients could be a major determinant of case fatality.We retrieved data on daily recorded deaths in SARS-CoV2-positive patients in each Region, together with the number of patients in intensive care units (ICU), from the Ministry of Health website [2]. We show here data for the six with the highest number of severe cases, defined as the sum of deaths and admissions to ICU, up to March 22nd, 2020: Lombardia, Veneto, Piemonte, Emilia-Romagna, Marche, and Toscana. We also estimated the case fatality of severe cases, calculating the ratio between number of deaths and severe cases (defined as the sum of deaths and admission to ICU) up to March 22nd, 2020.