• Di von Essen

149 COVID-19 Patients Admitted to Intensive Care Units Since Australian Outbreak, New Data Reveals

Researchers have captured the first national snap shot of COVID-19 patients admitted to ICU’s around the country since the outbreak hit Australian shores.

To date, at least 103 patients have been admitted to intensive care units in Australia with either confirmed or strongly suspected COVID-19, while at least 46 more ICU patients await test results.

The data outlines the number of COVID-19 patients requiring ICU, the duration of their care, the type of treatments they received, and the survival rate.

ICU patients represent the sickest patients with COVID-19 in Australian hospitals, and therefore this data gives insight into the impact of COVID on Australian hospitals and the community.

Men were twice as likely to be admitted to ICU than women (67% vs 31%), and people over 60 make up over 69% of admissions. It also shows the most common medical treatments being administered to gravely ill COVID-19 patients, including mechanical ventilation.

The data is being collected and updated weekly as part of the Monash University-led SPRINT-SARI Australia study - a major international collaboration with the University of Oxford, endorsed by the WHO.

SPRINT-SARI Australia is a hospital-based surveillance database providing real-time tracking and reporting of the and Intensive Care Units.

The study provides imperative insights into the ability of Australia’s health system to cope with a pandemic - measured in part by the ability of hospital ICU’s to respond to the sickest patients. It also provides a benchmark for global comparison.

A collaborative study, led by Monash University, has captured national data on the number of COVID-19 patients admitted to ICU since 14 March when the outbreak began in Australia.

Over 76 ICUs are participating in the study nationally, recording 149 ICU admissions, the latest data reveals (as at May 7). Of those admissions, 85 tested positive to COVID‐19 (57 males, 27 females), 18 were strongly suspected but returned a negative swab test, and 46 with suspected COVID-19 were still awaiting test results.

Patients admitted to ICU with COVID-19 symptoms ranged from 39 to 85 years, however the majority of cases occurred in those aged over 60 (69%), with 41% occurring in the 70-79 age group.

Of the 85 confirmed COVID‐19 patients, 12 have died, 31 were discharged home, three were transferred to another hospital/facility, 20 remain in hospital ward care and 19 in ongoing ICU care.

The most common symptoms at time of admission to hospital included fever, cough, shortness of breath, fatigue/malaise and diarrhoea.

Men were twice as likely to be admitted to ICU than women, and patients with comorbidities such as diabeties, chronic cardiac disease and obesity were much more likely to be admitted.

Treatments used in the ICU to stabilise patients and support their recovery included antibiotics, invasive (tube) ventilation, inotropic and vasopressor medications to support blood pressure and the heart, high‐flow nasal canula oxygen therapy, and neuromuscular blocking agents, which turn off the body’s muscles to allow mechanical ventilation.

The project, led by Dr Aidan Burrell and Professor Andrew Udy of Monash University’s Australian and New Zealand Intensive Care Research Center (ANZIC‐RC), is also contributing the data to the University of Oxford, that is managing the global SPRINT-SARI database.

“This is the first time we have data outlining the number of COVID-19 patients requiring ICU, the duration of their care, the type of treatments they’re receiving, and the number that are surviving,” said Professor Udy, Co-Deputy Director of ANZIC-RC and an intensive care clinician and researcher at The Alfred ICU.

"From a broad national perspective, this data gives us important insights into the type of therapy, care, and medical intervention our sickest COVID-19 patients need. It means we can inform clinicians and improve the therapies provided, as well as appraise resourcing, particularly if we experience a sudden spike in cases over the coming months."

Professor Udy said the ability of Australia's health system to cope with a pandemic may be measured in part by the ability of ICU to respond to the sickest patients

“We’ve never seen this infectious disease before and as a consequence, a lot of the traditional ways that we manage a patient are being challenged. There are complications that can arise as a consequence of the disease, particularly in younger patients. This helps us to individualise therapy, and nuance the care that’s provided to ensure the best possible patient outcomes.”

To date, state and territory health authorities have reported 6,948 confirmed cases of COVID-19 in Australia, including 97 deaths.

“The COVID-19 viral pandemic may represent an unprecedented challenge to intensive care services throughout Australia and New Zealand. We are fortunate to have world class intensive care services, with a highly trained and professional workforce who are ready and able to serve their communities at this time,” Dr Burrell said.

ABOUT SPRINT-SARI

In response to the COVID‐19 pandemic, the Australian and New Zealand Intensive Care Society Clinical Trials Group (ANZICS‐CTG), the Australian and New Zealand Intensive Care Research Center (ANZIC‐RC), Monash University, and with international collaborators at the University of Oxford, launched the SPRINT‐SARI database.

The goal of SPRINT‐SARI was to provide real time, detailed reporting of the sickest patients admitted to the ICU with confirmed or suspected COVID‐19 infection.

This data is being used to inform the ongoing clinical management of patients and the public health response. Visit the SPRINT-SARI website for more information.

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