Corona-patients had to be ventilated, had to die a much higher probability than those who were able to dispense with artificial respiration. About one-fifth of the inpatient Covid-19-patients were recorded by the end of February to mid-April in German hospitals, have died. In patients with mechanical ventilation, the mortality was 53 per cent, in the case of those without mechanical ventilation at 16 percent. A total of 17 percent of the patients were ventilated. These are the most important results of an analysis of the Scientific Institute of the AOK (WIdO), the German Interdisciplinary Association for Intensive and emergency medicine (DIVI) and the Technical University of Berlin, the Tuesday night in the UK in the medical journal “The Lancet Respiratory Medicine” was published.
Heike Schmoll
Political correspondent in Berlin, responsible for the “formation of worlds”.
F. A. Z.
the data from 10000 patients with a confirmed Covid-19-infection, the of 26 were Evaluated. February to to 19. April in 920 German hospitals have been treated. It is the first study, the population provides representative results for the treatment on the basis of AOK billing data, which represent almost a third of the German population. Many of the previously published studies with a large data base include still in the hospital lying patients. The duration of hospital stay and mechanical ventilation, and mortality are not determined exactly.
In the case of the ventilated patients died, mainly the Elderly
The mortality rate of inpatients treated men was 25 per cent, and for women at 29 per cent. Regardless of the gender of the older patients died, mainly – 27 per cent belonged to the age group of 70 to 79-year-old people, 38 per cent were over 80. Also in the ventilated patients, the Elderly died, especially in the patients over 80, there were even 72 percent. A significantly higher mortality in patients undergoing dialysis during kidney failure, in addition, liable to pay (27 percent of ventilated patients). In the case of artificial respiration, there was no difference in mortality between men and women. The high mortality rates showed that in the clinics, a relatively large number of patients had been treated with a severe course of the disease.
The were mainly older and with health already impaired people, but also younger patients were affected, said the managing Director of WIdO, Jürgen Klauber. “Even if the infection figures in Germany at the Moment are low, should continue to be all the necessary precautions taken, the infection risk in the population as low as possible.”
a Total of 1727 (17 percent) have been 10021 patient, artificial respiration, and more than three-quarters were receiving invasive ventilation. The average age of these patients was 68 years. The older the patients were, the more likely they are to be well ventilated. In the 60-to 69-year-old Covid-Infected, there were 24 percent in the 70 to 79 year old patients, 25 percent, and in the group of 18 to 59 years old, only 15 percent of Patients.
Twice as many men as women have been given artificial respiration
the speaker of The DIVI-section “pulmonary – respiratory failure”and head of the ECMO-center of the lung clinic Cologne-Merheim, Christian what the authorities confirmed that, in Germany, every Patient can be ventilated, in which it was to therapeutically necessary. Because the capacity of the intensive care units was never fully utilised. There is evidence that in other countries, less the oldest elderly people with Covid-ventilated 19 – probably for reasons of capacity, said what the authorities. The proportion of ventilated men was 22 percent, almost twice as high as among women (12 percent), the mortality to a comparable level.
