admissions still declining

CORONAVIRUS HOSPITALIZATION – The number of people hospitalized has fallen below 11,000 for the first time since August 22. This is also accompanied by a decline in admissions to critical care. Evolution, figures, curves.

[Mise à jour le samedi 4 septembre à 16h49] The number of hospitalizations is finally ironed below 11,000 since August 22. Public Health France in its epidemiological update of September 2, a drop in the number of people in critical care was recorded, with nevertheless disparities at the territorial level. Indeed, new admissions were down after six weeks of increases, with 5,321 new hospitalizations, ie -14% compared to + 18% in week 33 and 1,183 new critical care admissions (-12% vs + 18% in week 33). However, the situation remains particularly critical in Martinique and Guadeloupe, and worrying in Guyana. How are the curves ? That age do Covid patients have? Are they vaccinated ? The point in figures and images to date.

Figures as of September 3 2021 :

  • 10 816 patients hospitalized with Covid (-3,1% in 7 days).
  • 2,259 Covid patients are in critical care (-0.5% in 7 days).
  • 44.7% of intensive care and intensive care beds are occupied by Covid patients
  • 88,105 Covid deaths in the hospital including 104 new in the last 24 hours according to Public Health France.

As of September 3, 10 816 people are hospitalized because of Covid-19 (-3,1% in 7 days) according to the government’s map-and-data website.

→ The average number of new daily hospitalizations is of 637 (-25.2% in 7 days).

→ 4,358 new hospitalizations over the last 7 days, according to Public Health France.

→ The average time between infection and hospitalization is of 11 days, reported the Scientific Council in an Opinion of October 26, 2020.

Unvaccinated people are 17 times more likely to be hospitalized than those vaccinated. According to an nhttps://twitter.com/CDCgov/status/1433174776181399552 (Centers for Disease Control & Prevention) posted on MedRxiv. Dr Benjamin Wyplosz, infectious disease specialist at the CHU de Bicêtre (Val-de-Marne) explained to us in July 2021 that when one is vaccinated against Covid “we do not or very little disease and there is no serious forms“. According to the press release published on August 6 by the DREES, at the end of July, the entry into critical care is 12 times lower among the fully vaccinated population than among people not vaccinated against Covid. Based on the number of people admitted to the hospital between July 19 and July 25, 2021 whose positive test could be identified in SI-DEP, 87% of critical care admissions and 83% of hospital admissions conventional are the work of unvaccinated people, while fully vaccinated patients represent 6% of critical care admissions and 11% of hospital admissions conventional. For the death, these ratios amount to 82% for unvaccinated people and 14% for people fully vaccinated. Remember that in the general population, the proportion of unvaccinated people (estimated over the same reference period) is 45% and those of fully vaccinated people 39%.

Men with Covid are 1.5 times more likely than women to be hospitalized and twice as likely to die.

Average number of new daily hospitalizations as of September 3 © Gouvernement.fr

According to Public Health France, the median age of people hospitalized with Covid since March 1 is 72 years old. Public Health France has not updated the figures since July 6, 2021. According to the Epi-Phare study conducted by 1is October 2020 to December 15, 2020 for people hospitalized in France, age is (along with gender) the main risk factor for hospitalization and death of Covid patients: hospitalizations are more than 8 times higher in people aged 85 and more compared to 40-44 year olds and hospital deaths for Covid-19 nearly 200 times higher.

Age des patients Hospitalized on July 6, 2021 In intensive care
0-14 years <1% <1%
15-44 years 6% 9%
45-64 years 23% 40%
65-74 years 26% 38%
75 and + 44%

12%

In week 33, epidemiological indicators indicated the beginning of a slowdown in the circulation of the SARS-CoV-2 virus in Île-de-France, but the latter remained high. The incidence rate was down for the first time in several weeks, as were indicators of new hospitalizations and critical care admissions. However, in a context of the end of the summer vacation period and the return of Ile-de-France residents, strong diffusion of the Delta variant, a decline in the population’s support for barrier measures and still incomplete vaccination coverage.

As of September 3, according to the latest government data:

2 001 patients Covid-19 are hospitalized in Ile-de-France (-4.1% over 7 days).

98 new patients Covid hospitalized on average every day over the last 7 days, a drop of 8.4%.

437 are in critical care

26 new entries in daily critical care (-10.7% over 7 days)

Curve of critical care (resuscitation) in Ile-de-France as of September 3 © Gouvernement.fr
curve-covid-reanimation-france
Curve of hospitalizations in Ile-de-France on September 3 © Gouvernement.fr

According to data from Public Health France, as of September 3, 88 105 people with Covid died in hospital (out of 114,773 deaths), +95 in 24 hours. the naverage shadow of daily hospital deaths stands at 92, i.e. -19.3% in 7 days. According to the Epi-Phare study conducted by 1is October 2020 to December 15, 2020 for people hospitalized in France, risk factors for hospitalization and death remained the same between the first and second wave of Covid: age (hospitalization more than 8 times higher among those 85 and over compared to 40-44 years and death in hospital for Covid-19 almost 200 times higher). Men had, at the same age and pathology, 1.5 times more risk than women of being hospitalized and twice as likely to die.

covid-death-hospital-curve-france
Curve of covid deaths in hospitals in France on September 3 © Gouvernement.fr

The hospitalization of Covid-19 patients in the intensive care unit is reserved for most serious cases :“We are obliged to assist them at the respiratory level because they are in acute respiratory distress” an AP-HP nurse told us in the spring of 2020, during the first epidemic wave.

→ September 3, 2,259 Covid patients are in critical care (+ 0.5% in 7 days).

151 new critical care admissions were recorded each day on average over the last seven days (-17.5%).

44.7% of intensive care and intensive care beds were occupied by Covid patients as of September 3, i.e. a drop of 0.5% in 7 days (relative to initial bed capacity, by region). This data had greatly exceeded the alert threshold set at 60%. France initially has 5,000 intensive care beds. This capacity increased to 10,000 during the first wave of the coronavirus epidemic.

covid-rate-occupancy-curve-france
Bed occupancy rate curve in France on September 3 © Gouvernement.fr
resuscitation-curve - critical-care-france
Curve of people currently in critical care as of September 3 © Gouvernement.fr

Source: Public Health France.

According to data from Public Health France, the median length of stay in intensive care is 11 days for Covid-19 patients but can go to 20 days, as explained to us by Dr Gérald Kierzek, emergency doctor at the Hôtel-Dieu in Paris.

Resuscitation staff caring for patients suspected / infected with COVID-19 wear the following protective elements:

  • wearing an FFP2 mask,
  • protection of professional clothing, ideally with a long-sleeved, waterproof over-coat,
  • hydro-alcoholic friction,
  • a charlotte,
  • Systematic wearing of gloves and protective goggles (or visor mask).

The health pass has been extended to hospitals since August 9: it is therefore necessary bring the associated supporting documents to be able to visit or accompany a loved one. Except in cases of emergency and exceptional circumstances such as the end of life or if the person justifies a medical contraindication to vaccination. “In order to protect patients, visitors and professionals as well as possible, the possibility of visiting patients is organized by the medical teams and the hospital management, taking into account each individual situation and in consultation with the patients and their relatives” AP-HP said in an updated August 9 statement. Until September 29, 2021, minors are not affected by this measure.

  • Source : Coronavirus: key figures and evolution of COVID-19 in France and around the world. Public Health France.
 
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