CoVid-19 Part IX - 785 cases ROI (3 deaths) 108 in NI (1 death) (20 March) *Read OP*

Results
813 adult patients were hospitalised in Jinyintan Hospital or Wuhan Pulmonary Hospital with COVID-19 before Jan 31, 2020. After excluding 613 patients that were still hospitalised or not confirmed by SARS-CoV-2 RNA detection as of Jan 31, 2020, and nine inpatients without available key information in their medical records, we included 191 inpatients (135 from Jinyintan Hospital and 56 from Wuhan Pulmonary Hospital) in the final analysis. 54 patients died during hospitalisation and 137 were discharged.

The median age of the 191 patients was 56·0 years (IQR 46·0–67·0), ranging from 18 years to 87 years, and most patients were male (table 1). Comorbidities were present in nearly half of patients, with hypertension being the most common comorbidity, followed by diabetes and coronary heart disease (table 1). The most common symptoms on admission were fever and cough, followed by sputum production and fatigue (table 1). Lymphocytopenia occurred in 77 (40%) patients.

181 (95%) patients received antibiotics and 41 (21%) received antivirals (lopinavir/ritonavir; table 2). Systematic corticosteroid and intravenous immuno-globulin use differed significantly between non-survivors
and survivors (table 2). The comparison of characteristics, treatment, and outcomes of patients from the two hospitals are shown in the appendix (pp 2–4).

The median time from illness onset (ie, before admission)to discharge was 22·0 days (IQR 18·0–25·0), whereas the median time to death was 18·5 days (15·0–22·0; table 2). 32 patients required invasive mechanical ventilation, of
whom 31 (97%) died. The median time from illness onset to invasive mechanical ventilation was 14·5 days (12·0–19·0). Extracorporeal membrane oxygenation was used in three
patients, none of whom survived. Sepsis was the most frequently observed complication, followed by respiratory failure, ARDS, heart failure, and septic shock (table 2). Half of non-survivors experienced a secondary infection, and ventilator-associated pneumonia occurred in ten (31%) of 32 patients requiring invasive mechanical ventilation. The frequency of complications were higher in non-survivors than survivors (table 2).

Such a horrific and sad thought. 32 people put on iron lung machines and all but one of them died regardless.

bekker wrote: »

The other shoe has finally dropped.

Two thirds of cases are younger than 55, with almost one in four people with the virus aged between 35 and 44.
Irish Examiner - this evening.

This is NOT restricted to over 65s.

It was never said that only over 65s get infected though? It’s that it’s more likely to be severe in somebody elderly and/or immunocompromised. I haven’t read anywhere saying that immunocompromised or elderly people are the most likely to get it. Absolutely anyone can be infected, even children though rare. The high recovery rates likely reflect people in robust health getting it and recovering.