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Rome, October 20 – Little or nothing has been said about the characteristics of the patients who died positive in COVID-19. L ‘Faculty of Health published the latest update on October 4, analyzing as a sample the total deaths to that date, or 36,008 patients positive for the virus.
The average age of the deceased is 80 years.
The average age of patients who died with Covid-positive swabs is 80 years. In the vast majority, it was the mens be the most affected by the virus, or 57.3 percent (20,643). Deceased women, after contracting Covid, are older than men: the average age of women is 85, while that of men is 79. The ISS data also reveal another interesting piece of information: the relationship between the age of the deaths and that of the infected.
The mean age of deceased patients with positive Covid is 26 years older than that of infected patients (The mean age of deceased patients is 82 years, that of infected patients 56 years). Furthermore, as the graph shows, the average age of weekly deaths increased to 85 years (first week of July) and then stabilized, decreasing slightly until 82 years (week between September and October).
As for the Italian demography, according to the latest Istat report, the so-called life expectancy of women is 85.3 years, while that of men is 81. Women are approximately 1.6 million more than mens.
Only 3.6% of the dead had no other pathologies
From the data reported by the Higher Institute of Health that analyzed the medical records of 4,400 deceased patients (those available at the date of the report), it appears that 62.9 percent of positive deaths from Covid-19 already suffered from 3 or more pre-existing pathologies, 19.9 percent of 2 pathologies, 13.6 percent of one pathology, and only 3.6 percent had no pathologies Preexisting. Thus, the average number of pathologies observed is 3.4. In women, the average number of observed pathologies is 3.6, while in men, the average number of observed pathologies is 3.3.
The most frequent pathologies in deceased patients with positive Covid were arterial hypertension (65.6 percent), type 2 diabetes mellitus (29.6 percent), ischemic heart disease (28.1 percent), atrial fibrillation (23.5 percent). percent) and senile dementia (20.3 percent).
Other diseases are “forgotten”
According to data from Istat, published on September 7, 2020, in 2017 in Italy, 232,992 people died from diseases of the circulatory system (35.8 percent, therefore, on average 638 deaths per day) and 180,085 people with cancer (27.7 percent, therefore 493 deaths per day). To date, I Covid-19 positive patient deaths (96.4 percent with pre-existing diseases, of which 62.9 percent with 3 or more diseases) are on average 155 per day, since the beginning of the pandemic. During the first shutdown, with the conversion of Italian hospitals into Covid lazarets, causing visits to be skipped and interventions postponed, mortality in patients affected by the most serious diseases is likely to increase, as stated by theItalian Association of Medical Oncology. Diagnostics were also affected by the lockdown: in the first five months of 2020, according to an estimate ofNational detection observatory, approx. 1.4 million fewer screenings compared to the same period of the previous year. A delay that the Observatory experts consider “massive” and that translates into a marked decrease in new early diagnoses and therefore to a reduction in cure rates, increasing mortality.
The effects of the reconversion of hospitals during the first wave of the Covid-19 emergency still have an impact on waiting lists in operating rooms, especially in the field of oncology. As of September 4, according to a survey by the Association of Hospital Surgeons (Acoi), planned surgical activity for cancer patients was fully restored in only 60 percent of the approximately 600 centers. Furthermore, only 21 percent of structures can guarantee the general surgery of choice at full capacity. Chronic disease patients fared no better: second the latest Cittadinanzattiva report, during the coronavirus emergency, for two out of five chronic patients (40 percent) visits, exams, or surgeries were canceledWhile one in three (33 percent) had difficulty staying in contact with the referral specialist or treatment centers for their pathology. The report also underlines that “practical difficulties have been added to psychological distress, reported by almost three out of five citizens: uncertainty, fear, anxiety, sadness, feeling of loneliness, anguish, fatigue, confusion. These are the effects that the pandemic has unleashed in patients with chronic and rare diseases, as of the confinement and with consequences that are still visible today ”.
Deaths in patients under 50 years of age are 1%
As of October 4, 2020, of the 36,008 deaths of positive patients for Covid-19, 407 (1.1%) were less than 50 years old. In particular, 89 of the 407 were under 40 (59 men and 30 women from 0 to 39 years old). As reported by the Higher Institute of Health, of 11 patients under 40 years of age there was no clinical information available at the time of notification. Of the other patients, 64 had serious pre-existing pathologies (cardiovascular, kidney, psychiatric diseases, diabetes, obesity) and 14 were not diagnosed with significant pathologies.
Covid-19 strikes again at the RSA
Now it is known that Covid-19 has claimed a large number of victims in RSA (nursing homes) during the first wave of last spring. There are talk of 9,154 deceased guests who tested positive for Covid. The virus has found easy ground due to the advanced age of the hosts and pre-existing diseases. As expected, as explained above, the average age of death is 80 years and 62.9 percent of the patients had 3 or more pathologies. Unfortunately, however, the Giallofucsia government, the Scientific Technical Committee and the regions seem to have underestimated the high danger of a new wave of coronavirus in nursing homes, by failing to protect the elderly guests with the proper ordinances. In fact, only in the last few days there were 53 positives (out of 55 guests) at the RSA “Città di Bollate” (Bollate, Milan), 26 positives (19 guests and 7 employees) at the RSA “Villa Magli” (Calenzano, Florence), 25 positives (16 guests and 9 operators) at the RSA of Monte Sant’Angelo in Foggia, 39 positives at the RSA “Anni Azzurri” in Rome, and already 12 deaths of positive guests RSA “Villa Teruzzi” ( Concorezzo, Monza).
Francesca Totolo
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