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Most deaths from coronavirus die from the virus itself, not from comorbidities.
© APA (Subject)
The number of deaths is also increasing again as a consequence of the increasing number of coronavirus infections. As the figures from the pathology show, most victims die from Covid-19 and not from accompanying diseases. Severely restricted functionality worsens the prognosis.
The opinion, which repeatedly surfaces in the public and in the media, is obviously wrong that the majority of corona victims are among people who were seriously ill prior to their SARS-CoV-2 infection. His expected mortality had been “driven” by Covid-19.
Pre-existing diseases and old age make a severe course more likely
“That is not true. Comorbidity (accompanying disease; note) itself plays a less important role than restrictions on functionality for the patient. But that is the case for all serious illnesses, not just Covid-19.” Walter Hasibeder, upcoming President of the Austrian Society of Anesthesiology, Resuscitation and Intensive Medicine (ÖGARI) said Wednesday in front of the APA.
Certain previous diseases and especially age naturally increased the risk of a severe course of the disease. “But when patients with Covid-19 die, it is mainly from Covid-19, not from previous illnesses,” explained the intensive care doctor. But if functionality, that is, the ability to cope with daily life independently, is very limited, the prognosis of those affected worsens.
“A previous illness such as well-controlled high blood pressure or diabetes does not in itself mean a reduction in performance,” said Hasibeder, head of department at Zams hospital in Tyrol. On the contrary, as the expert put it: “Most of the patients admitted to our intensive care unit during the first phase of the pandemic suffered from typical lifestyle illnesses. Most of them were in good physical and mental shape at despite their average age of 72 “. Ironically, the two youngest patients, ages 30 and 40, would have developed the most severe lung failure and would have had to be connected to an ECMO device for artificial lung replacement.
86 percent died directly from coronavirus, not from comorbidities.
Of course, there is an age curve in mortality from Covid-19. The dashboard of the Agency for Health and Food Safety (AGES) shows a mortality rate of 0.5 cases for men for the age group between 55 and 64 years for every 100 sick people; for women it is still zero. Between the ages of 65 and 74, 4.5 percent of affected men and 1.7 percent of women die. Between 75 and 84 years of age, mortality from Covid 19 among men is eleven percent and among women almost half (6.4 percent). The 84-year-old or older group has a Covid-19 mortality rate of 22.2 percent among men and 13.9 percent among women.
In Germany, pathologists evaluated 154 autopsies at 68 institutes: 86 percent of Covid 19 victims examined had directly succumbed to the virus disease. The Italian National Statistical Institute (Istat) came up with a similar study of 89 percent. Only eleven percent had died of another underlying condition with a SARS-CoV-2 infection.
“It depends on the functional reserves”
A German registry of around 10,000 Covid-19 patients showed, however, that a significant proportion of those treated at the hospital had previous illnesses: more than half (56 percent) had high blood pressure, 27 percent had arrhythmias. heart disease, 14 percent had chronic obstructive pulmonary disease (COPD) and 6 percent had obesity.
“It depends on the functional reserves that patients have,” Hasibeder said. And it is reported from the US that 20 percent of those hospitalized or deceased due to Covid-19 are young, that would not be a contradiction. “They were young, but not healthy.” With obesity rates of 40 percent, that’s just a high risk.
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