less than 3000 patients in intensive care

CORONAVIRUS HOSPITALIZATION – The number of Covid patients treated in critical care has dropped back below 3,000 and the occupancy rate of intensive care beds is below the 60% threshold. Hospital pressure is falling but remains high. Curves, number of cases, duration, deaths, age … Latest figures of the day in France.

[Mise à jour le mardi 1er juin mai à 11h03] The curves and figures for hospitalizations, including in critical care due to Covid-19 continue to decline in France. As of May 31, 16,596 patients are hospitalized because of the Covid. The number of patients treated in intensive care units fell below 3000: 2 945 people are currently in critical care, a decrease of 15.75% in 7 days. The occupancy rate of intensive care beds is still falling and has passed the threshold of less than 60%. How are the curves ? In critical care? What age do Covid patients have? The point in figures and images to date.

Figures as of May 31 2021 :

  • 16 596 patients Covid hospital patients (-15.76% in 7 days).
  • 2,945 Covid patients are in critical care (-15.76% in 7 days).
  • 83,145 Covid deaths in hospital, including 126 new in the last 24 hours.

May 31, 16 596 people are hospitalized because of Covid-19 (-15,76 % in 7 days) according to the government’s map-and-data website.

→ The average number of new patients admitted in the last 7 days is 510.

→ The average time between infection and hospitalization is of 11 days, reported the Scientific Council in an Opinion of October 26. During the press conference on Thursday, March 18, the Prime Minister indicated that the arrivals in intensive care “concern people who are younger and in better health than in previous waves and their length of stay in hospital is longer and longer.”

From 17 to 23 May 2021 (latest figures from Public Health France):

  • The weekly hospitalization rate by date of declaration was 6.9 / 100,000 inhabitants, compared to 8.3 in week 19.
  • In mainland France, the weekly rate of hospitalizations was decreasing in all regions.
  • The highest hospitalization rate in metropolitan France were registered in Hauts-de-France (10.2) and Île-de-France (10.1 / 100,000 inhabitants). The other metropolitan areas recorded rates below 8.2 per 100,000 inhabitants.

Evolution curve of hospitalizations of Covid-19 patients in France until May 31

Evolution curve of hospitalizations of Covid-19 patients in France © Gouvernement.fr

According to Public Health France, among the 467,959 Covid patients hospitalized since March 1, 2020, the median age was 73 years old and 52% were men.

Age des patients Hospitalized on May 25 In intensive care
0-14 years <1% <1%
15-44 years 6% 7%
45-64 years 24% 41%
65-74 years 25% 38%
75 and + 44%

13%

Rate of newly hospitalized COVID-19 patients by week and by age group according to the date of admission, since March 02, 2020, France (data as of May 25, 2021) © Public Health France

The Haute Autorité de Santé (HAS) analyzed two French studies: the Epi-Phare study carried out by Assurance Maladie and the National Agency for the Safety of Medicines and Health Products (ANSM), and the study of the Program of medical information systems (PMSI) carried out by the Bordeaux medical information department. Thus, according to the analysis of data from hospital stays in France, patients with Covid-19 present, compared to 18 to 49 years old, approximately:

  • 3 times more risk of dying from Covid-19 if they are between 50 and 64 years old,
  • 7 times more risk if they are 65 to 74 years old,
  • 10 times more risk if they are between 75 and 80 years old
  • 16 times more over the age of 80.

In week 20 (from May 17 to 23, 2021), Ile de France is the second region to have the highest hospitalization rate in France with 10.1 / 100,000 inhabitants, reports Santé Publique France in its epidemiological update of May 27. It is still one of the regions most affected by the virus.

They have May 31, according to the latest government data:

→ 4,322 Covid-19 patients are hospitalized in Ile-de-France (-17.2% over 7 days).

→ 125 new patients hospitalized on average every day over the last 7 days.

→ 859 are in critical care (-19.11% over 7 days).

Evolution of hospitalizations in Ile-de-France as of May 31, 2021

covid-curve-ile-de-france-hospitalization
Trend of hospitalizations in Ile-de-France as of May 31 © Gouvernement.fr

Curve of Covid patients in intensive care in Ile-de-France until May 31, 2021

covid-curve-ile-de-france-reanimation
Curve of Covid patients in intensive care in Ile-de-France until May 31, 2021 © Gouvernement.fr

According to data from Public Health France, as of May 31, 83,145 people with Covid died in hospital (out of 109,557 deaths), 126 in 24 hours. The naverage shadow of daily hospital deaths is 119, i.e. + 4.39% in 7 days.

covid-death-hospital-curve-france
Average number of daily hospital deaths © 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.

→ Le 31 mai, 2,945 Covid patients are in critical care (-15.76% in 7 days).

135 new critical care admissions were recorded each day on average over the last seven days.

58.22% of intensive care and intensive care beds are occupied (relative to initial bed capacity, by region). This data has greatly exceeded the alert threshold established at 60% and has not stopped increasing since January 10 when it was 51.8%. However, it has been falling since the beginning of May 2021. France initially has 5,000 intensive care beds. This capacity increased to 10,000 during the first wave of the coronavirus epidemic.

The decrease observed since week 15 in the number of declarations of new admissions to critical care services for COVID-19 patients continued in week 20: 1,124 against 1,256 in W19, or -11% Among these admissions:

  • 95% of patients were hospitalized for treatment of COVID-19;
  • the number of new declarations of admission to intensive care units was 775 (vs. 853 in W19, ie -9%).

Evolution of the number of Covid-19 patients in intensive care units as of May 31, 2021

curve-covid-reanimation-france
Evolution of the number of Covid-19 patients in intensive care units as of May 31, 2021 © Gouvernement.fr

Among the Covid-19 patients in intensive care between October 5 and May 25, 2021, Santé Publique France specifies that:

  • 69% are men.
  • the median age of patients fell from 68 to 65.

Age of patients with COVID-19 admitted to intensive care and reported from 05 October 2020 to 25 May 2021 by the intensive care units participating in sentinel surveillance, 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. In a study published in March 2021 and conducted on 478 patients hospitalized for COVID-19 at Bicêtre hospital during the first wave of the epidemic,, AP-HP reported that among ICU patients who experienced acute respiratory distress syndrome (the most severe form of lung involvement), pulmonary fibrosis lesions were observed in 39% survivors. This proportion is close to that observed in identical pulmonary attacks due to other pulmonary infections (such as influenza, for example). Of anxiety, depressive and post-traumatic symptoms were observed in 23%, 18% and 7% of patients, respectively.

Nursing staff in intensive care taking care of 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).

In the midst of the Covid-19 epidemic, the conditions for visiting hospitals have changed, as the AP-HP recalls in a press release dated March 22, 2021:

  • Visits take place in specific time slots, set by the healthcare team.
  • Visits are limited to one person per day and per patient (except in the case of a hospitalized child, both parents are allowed).
  • Minors are not allowed to visit patients.
  • Visits are not not allowed to people with Covid-19, showing symptoms compatible with Covid-19 or have been in contact with someone with Covid-19 in the previous 14 days.
  • Visits to patients with Covid-19 are not authorized except in special circumstances (end of life, major psychological difficulties of the patient, of a minor patient) and in this case supervision set by the healthcare team.
  • During the visits, the barrier gestures must be respected (hand disinfection, social distancing, wearing of the continuous mask …). If the barrier gestures are not respected, the visit can end.

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

 
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