(CNN)Nearly all coronavirus patients who needed ventilators in New York's largest health system to help them breathe died, a study found.
Overall, about 20% of Covid-19 patients treated at Northwell Health died, and 88% of those placed on ventilators died, according to the study. A ventilator is a device that forces air into the lungs of patients who cannot breathe on their own because of severe pneumonia or acute respiratory distress syndrome. Other, smaller reports have indicated that patients who need ventilation are unlikely to survive. Hospitals consider changes to do-not-resuscitate situations amid coronavirus pandemic Just 12% of the patients in the study needed ventilators, Dr. Safiya Richardson at the Feinstein Institutes for Medical Research, Northwell Health, and colleagues found. But this study, published in the Journal of the American Medical Association, shows how dire the outlook is for patients with severe Covid-19 disease. The team looked at the electronic health records of 5,700 patients with coronavirus disease hospitalized at Northwell Health. Final outcomes were known for 2,634 of them. He was on a ventilator, fighting for his life. A stranger sent reinforcements The records support what doctors have been saying about the coronavirus: most people who become severely ill have some sort of so-called underlying condition. More than half, or 57%, had high blood pressure, 41% were obese and 34% had diabetes. "Of the patients who died, those with diabetes were more likely to have received invasive mechanical ventilation or care in the ICU compared with those who did not have diabetes," the researchers wrote. They also confirmed that men were more likely to die than women, and no one under the age of 18 died. The symptoms of infection were far from clear-cut. About a third of all patients showed up with fevers, 17% were breathing too fast and just under 30% needed extra oxygen. On average, patients were sent home after four days. Get CNN Health's weekly newsletter
But 14% were treated in intensive care, 3% needed intensive dialysis and 21% died. Since final data was only available on about half of the patients, it's possible that more of those on ventilators survived, the researchers said -- something that would drive down the 88% fatality rate for that group. "This study reported mortality rates only for patients with definite outcomes (discharge or death), and a longer-term study may find different mortality rates as different segments of the population are infected," the Northwell Health team wrote. 原文链接
(CNN)Nearly all coronavirus patients who needed ventilators in New York's largest health system to help them breathe died, a study found.
Overall, about 20% of Covid-19 patients treated at Northwell Health died, and 88% of those placed on ventilators died, according to the study. A ventilator is a device that forces air into the lungs of patients who cannot breathe on their own because of severe pneumonia or acute respiratory distress syndrome. Other, smaller reports have indicated that patients who need ventilation are unlikely to survive.Sign up here to get The Results Are In with Dr. Sanjay Gupta every Tuesday from the CNN Health team.
But 14% were treated in intensive care, 3% needed intensive dialysis and 21% died. Since final data was only available on about half of the patients, it's possible that more of those on ventilators survived, the researchers said -- something that would drive down the 88% fatality rate for that group. "This study reported mortality rates only for patients with definite outcomes (discharge or death), and a longer-term study may find different mortality rates as different segments of the population are infected," the Northwell Health team wrote. 原文链接也期待洛杉矶方舱的几个中医可以带来惊喜。
中药在中国的一个重要功绩，是防止轻转重。
上海的张文宏说，上海的数据是100个确诊感染者15个人需要呼吸机，但是都是无创面罩那种的。只有其中3个人最后上有创的。美国纽约不知为什么，全部病人是有创呼吸机。还有新闻说，无创呼吸机医院仓库里面好多，都没有用上。
一个屁股可以占两个地铁座位的那种人。但是身体其实并不健康。是虚胖。我看到他们平时走路爬4层楼梯就气喘嘘嘘。一口气爬不上四楼。当中要停下来休息。这种人往往因为穷，主食就是美国工业肉。
对医生来说这个是非常危险的
纽约医院为什么不象中国医院，主要用无创的，对病人来说，能用无创呼吸机比有创更利于恢复。上了有创的，病人再也不能说话，跟亲人也不能说话，死的时候连遗言也没有，那种恐惧和焦虑，健康人想想也害怕。
纽约的搬尸工说，许多死尸嘴里的管子也不拔掉。他们脸色可怕，血水，尿水和粪水沾湿了被单。