Thread by @NicolaMedical

THREAD
The latest @ICNARC report on ICU admissions was published last night, and on behalf of @ICS_updates and @COVID19actuary, please read this thread for an update
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There have been 321 new notifications of patients admitted to ICU with confirmed #COVID__19 . (9347 in total) This is largely static compared to last week, but still around 40% of 2 years’ worth of viral pneumonia admissions in ‘normal’ times
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The distribution according to critical care network remains unchanged with London and the SE showing the greatest number of admissions. The new admissions this week appear to be concentrated in the London – South ODN
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Patient demographic characteristics are unchanged; double the amount of males to females are admitted, 33% from #BAME backgrounds, and the most deprived are over-represented
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And as we have continuously stressed, you’re much less likely to be dependent and have preexisting conditions with severe COVID-19 compared to those who might ordinarily be admitted to #ICU with viral pneumonia. In addition, COVID patients require mechanical ventilation sooner
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As mentioned, males are disproportionately affected by severe symptoms
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As are those from a non-white background when compared to the background ethnicity of the local population. We are starting to see studies that are aiming to address this stark health disparity with some thoughts that SES inequalities may be driving this
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And here we can see that patients from a non-white ethnicity are more deprived, and, less likely to be obese. These patients are also younger than their white counterparts
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The next table displaying patient characteristics adds more understanding of what is happening by ethnicity. Apart from renal disease, patients of white ethnicity have more severe comorbidities and are more dependent on help with daily living
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Survival rates are improving; 56.8% discharged alive vs 50% in earlier reports.
72% of COVID patients require advanced respiratory support vs. 48% of standard pneumonia patients.
COVID patients need more renal support which may reflect the viruses method of cellular entry.
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The longer length of stay of COVID patients reflects the complexity of this disease and the additional pressure faced by healthcare facilities
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The hazard ratios of dying following admission to ICU with COVID show little change from last week. In each case comparison to a reference group where the risk is 1.0 by definition.
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Age is a key factor, a 70 year old is twice as likely to die compared to a 60 year old, and a 40 year old has around half the risk.
#BMI continues to be associated with increased risk of death
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There is no statistically significant difference for risk of death by sex despite males being admitted in higher numbers (assuming similar clinical profiles) Deprivation is significant in the most deprived groups only
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Thank you to @ICNARC for their timely reporting, to @ActuaryByDay for his support and to all @NHS staff who work so hard to keep us alive should we end up in hospital
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