Thread by @DrEricDing

Sobering for Brazil 🇧🇷—a very high 8 out of 10 #COVID19 patients who were intubated died in Feb-Dec 2020 (world average is 50%). Mortality % did not improve during 2020, which shows “Brazil did not effectively apply the lessons learned on treatment”. 🧵 bbc.com/portuguese/bra…

2) “according to the researchers involved in this study, preliminary data from 2021 show that the Brazilian mortality rate is expected to worsen.

3) “The data on death by intubation in 2021 are not consolidated, but the information available on hospital death points to a significant increase in mortality," Fiocruz researcher Fernando Bozza, head of the Clinical Research Laboratory in Intensive Care Medicine, told BBC News

4) “A first survey by him on mortality of covid-19 patients, published in Lancet Respiratory Medicine, revealed that almost 80% of patients intubated in Brazil between February 16 and August 15, 2020 died. For this survey, data from 254 thousand hospitalizations were analyzed.”

5) “the numbers show that after the first wave of covid-19 in Brazil, the country was not able to organize itself and adopt national treatment parameters to the point of reducing the mortality of critically ill patients.”

6) “To reach the percentage, 163.2 thousand hospitalizations of patients with covid-19 were analyzed between Aug 15 & Dec 31 2020. The data were obtained by the Ministry of Health's SIVEP-Gripe system, which requires all hospitals to report admissions for respiratory syndrome.

7) “The study reveals that 78.8% of patients who needed invasive mechanical ventilation died during the second half of 2020 in Brazil.
Among the main causes are the lack of a national protocol that unifies the techniques used and the use of personnel without adequate training”

8) “The rate remained high throughout the year. Time was wasted discussing early treatment without any scientific evidence and no investment was made in disseminating information on effective treatments for critically ill patients...”

9) “such as use of steroids, techniques for identifying respiratory failure, use of position prona and others ", evaluates Bozza of @fiocruz

10) Given the new crushing #P1 driven hospitalization surge, I think 2021 mortality % for intubated patients aren’t likely improving.

Parts of Brazil is even running out of sedative medications to do intubations, according to news reports.

https://twitter.com/DrEricDing/status/1372305355460517891

11) A photo of an intubated 30-year old in a hospital in Brazil.

@IzabelLula

https://twitter.com/brasildefato/status/1372888313992990723