Coronavirus, hospitals now at the limit, but the case record is in Brianza- Corriere.it



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It’s not just about numbers. But of events that can have a direct and potentially dramatic consequence in our daily lives. There Veneto Region has suspended all planned surgical activities including the use of intensive care. A stop that concerns both hospitals and affiliated clinics, following similar choices already made by other regions such as Lombardy me Campania. And that aims to protect the resuscitation rooms, the royal front against the second wave. But also to eliminate slippage towards the Red zone.

Along with the Rt, which measures the speed of transmission of contagion, precisely the employment rate of intensive care units is one of the indicators that weighs the most in evaluations of the level of risk of individual regions. According to the findings ofAgents, the National Agency for Regional Health Services, the percentage of resuscitation beds occupied by Covid patients has exceeded the 30% threshold, considered a wake-up call. But in some cases the situation is already much more serious: in Piedmont we are at 46%, in Lombardy at 49%, in Umbria at 51%, in the province of Bolzano at 55%. According to the latest survey, Veneto was only 17%, but the situation is getting worse and it was preferred to intervene immediately.

The contagion keeps running especially in the northwest and in Tuscany. Between October 21 and November 4, the province that had the most positives per 100,000 inhabitants was Monza and Brianza: 1,422 cases. It is followed by Aosta with 1,331, Milan with 1,255 and Varese with 1,245. But compared to the two previous weeks, Prato rose in position with 1,046 positives, Arezzo with 861 and Pisa with 839. They are useful but not decisive indications, because asymptomatic patients also end up on the account and, if they remain so, they do not have a direct impact in the health of hospitals. . But they give a general idea of ​​the trend, which is still worrying. The ECDC, the European Center for Disease Control and Prevention, publishes every day the contagion data recorded in the last 14 days, again per 100,000 inhabitants. Italy reached 625. At the end of October we were at 424, by mid-October at 95, at the beginning of the month at just 38. The plastic representation of the second wave.

Yesterday, however, there was a clash for another indicator of Agenas, less heavy in the assessments on the level of risk but still important: the occupancy rate, again by Covid patients, of beds in the medical area, that is, outside of resuscitation. In Italy we are at 46% (10 regions above the critical threshold of 40%) with peaks of 69% in Lombardy, 93% in Piedmont, even 98% in Alto Adige. Figures disputed by Dario Manfellotto, president of the Federation of Hospital Internists: In almost all Italian hospitals we occupy more than 100% of the beds. There are no vacancies in most of our hospitals considering patients out of the ward, those with Covid and those with other illnesses. Unfortunately, there is no contradiction between Agenas data and his statements. The Agenas tables only measure the employment rate of patients hospitalized for Covid, without taking into account those who are in hospital for other reasons. So the hospitals are full. And they are filled with not only, but also, Covid patients. This is the real problem, the sustainability of health establishments in the face of a second wave that grows while winter has not yet begun.

November 7, 2020 (change November 8, 2020 | 08:10)

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