Playing it Safe wrote:
Do you have any information on how the length of hospital stays has changed over time?
i'd be interested in knowing this too.
Playing it Safe wrote:
Do you have any information on how the length of hospital stays has changed over time?
i'd be interested in knowing this too.
Honest question. How many of the unvaxxed had the shot and are in the 14-day wait period until they become vaxxed? Just a question.
I’m not not in the ICU but the ER…
For what it’s worth we are seeing a lot of flu A and COVID. So far no increase in admissions (ICU or general med). Assuming it’s Omi it has been more mild as the studies and experts suggest.
truthy1 wrote:
Playing it Safe wrote:
Do you have any information on how the length of hospital stays has changed over time?
i'd be interested in knowing this too.
This is a more complicated question than it seems because you have to decide which patient population to include. If you include every single patient that came through our doors with a COVID diagnosis, it would skew very short. Especially during surges, a lot of folks with a couch would come to the ED thinking that they would get tested faster. These folks would get tested, maybe get some O2 or fluids if appropriate, and discharged. There are also folks who simply expire in the ED shortly after arrival. Should we exclude them? Next, at the other end of the spectrum, we had a lot of patients who were simply waiting to test negative before being discharged back to their nursing home. This was especially common in 2020 when nursing homes would send anyone who tested positive to the hospital and not take them back until they were negative, regardless of symptoms. Sometimes it can take months for that negative test to come. In our two hospitals, the orthopedic inpatient units had the most beds. They essentially became boarding units for nursing home residents. It might make sense to also exclude these folks because they were largely asymptomatic and didn't really require hospital care...they just had no where else to go.
In our hospital the current running average for length of stay (LOS) is 10.6 days, which is down from almost 18 in mid 2020.
That LOS ebbs and flows with the number of cases, and was longer over the summer with delta. When we have a lot of cases, it actually dips slightly because we have a lot of folks with 1 or 2 day stays. Then when cases drop again we're left with the really sick folks and those numbers get pushed higher. For example, at one point, prior to the delta surge we were down to 8 patients for a little while. One of those patients was on a ventilator for 152 days, with a total stay of 183 days and another was on a ventilator for 116 days with a total stay of 141 days. When 25% of your patients have stays of over 4 months, it pushes the mean LOS really high and doesn't tell the whole story.
how to with statistics wrote:
Honest question. How many of the unvaxxed had the shot and are in the 14-day wait period until they become vaxxed? Just a question.
In all of my posts so far, I've included the partially vaxxed in with the unvaxxed, but we do track it separately. At this point, there simply aren't very many of those folks. For our total hospitalizations currently we have 2 partially vaxxed neither is in the ICU. Over the summer we had more, because more people were getting vaccinated. Now, almost a year after the vaccine became available most people are either vaccinated or not. I was personally hoping to see a surge in vaccines with the holidays, with families saying you couldn't visit without being vaccinated, but so far it doesn't really seem to be moving the needle much.
carmine9 wrote:
GWT wrote:
I just listened to a doctor on NPR who said that based on the statistics that we have so far, you're 20 times more likely to die of Covid if you're unvaxed and not boosted, than if you are.
It's crazy that people are still arguing about this stuff.
It's crazy for you to believe that.
What is unvaxxed and not boosted? All those who don't have 3 shots?
The odds of a person who is under age 80 and not sickly dying of Covid is tiny, vaxxed or not.
Stop fear mongering
Have you done the math?
333,000,00 people in the US. Roughly 830,000 deaths so far. .
That works out to 1 death for every 403 people. Doesn't sound like bad odds, unless your # 403.
Get your damn shots, or don't blame me if you end up on a vent, or worse.
People aren't dying from the jab. They ARE dying because they're too ignorant and stubborn to get it.
RN..... wrote:
carmine9 wrote:
It's crazy for you to believe that.
What is unvaxxed and not boosted? All those who don't have 3 shots?
The odds of a person who is under age 80 and not sickly dying of Covid is tiny, vaxxed or not.
Stop fear mongering
Have you done the math?
333,000,00 people in the US. Roughly 830,000 deaths so far. .
That works out to 1 death for every 403 people. Doesn't sound like bad odds, unless your # 403.
Get your damn shots, or don't blame me if you end up on a vent, or worse.
People aren't dying from the jab. They ARE dying because they're too ignorant and stubborn to get it.
1. People are dying from the jab. Nobody knows how many.
2. As illustrated ad infinitum, the 800k plus number is massively inflated due to the bogus method of calling deaths covid related.
3. The odds of dying from Covid, thus far, for healthy people under the age of 80 is tiny.
4. You go ahead and get the damn shots if you want. I will not presume to tell you what to do for your own health
For those of you who have provided numbers of COVID patients in the ICU, can you also provide information on how many of the patients are:
1. Over the age of 80
2. Obese
3. Smokers
4. A combination of the above three
It seems the real issue is all the people who have been convinced to to get Covid tests.
Long lines outside of hospitals.
No symptoms? No problem, Forget about it.
Mild symptoms or head cold symptoms? If old or otherwise vulnerable get it checked out cuz if Covid may be at some risk of getting serious. At least if Delta variant. Omicron probably not. If not vulnerable, do the usual to avoid passing on to others, as you would do for any infectious disease.
If you are sick seek medical help.
If fine and curious, can get home testing kits that claim to be 99% accurate
Work in a 950 bed hospital, 141 patients admitted for COVID, which was < 40 total before T giving, and 39 in ICU. 129 unvaccinated
I work as a hospitalist at a small LA County hospital, for the last 6 months I have generally seen about 1 to 2 covid patients per week as and all but one were unvaccinated. This week I've seen 4 COVID patients and 3 were unvaccinated and the 4th was elderly with several underlying health conditions. Thus far we are not being overwhelmed by COVID patients but the hospital has been busy and my expectation is #'s will rise over the next few weeks.
The margin for manageable and overwhelmed is fairly small at a lot of smaller hospitals. We have 16 beds and most weeks we are at or over 80% capacity so 4 COVID patients can be the difference between accepting or needing to turn away patients.
Our latest stats (one week after stats from my last post)
83 hospitalized - 3 vaccinated
19 in ICU - 1 vaccinated
14 on Ventilators - 1 vaccinated
A spokesman for NYC public hospital system just stated on the news that there are currently 54 Covid patients in their ICU units while in March 2020 there were 790. This is specifically public hospitals not the many private hospitals NYC has. Frankly, those who are able and intelligent stay away from public hospitals. Nevertheless the numbers are low. Meanwhile thousands are waiting outside Covid vaccination sites to get tested.
I'm not a Covid denier, I have my booster, but a healthy dose of skepticism is warranted and the fear mongering is out of control.
Slim wrote:
For those of you who have provided numbers of COVID patients in the ICU, can you also provide information on how many of the patients are:
1. Over the age of 80
2. Obese
3. Smokers
4. A combination of the above three
1. Of our 22 in the ICU right now, 8 are over 80.
2. Obese by BMI? 7
3. 4
4. 1 is all three, 4 are 2
Thanks for providing facts to this board. This disease is really about math (number available beds vs number of people) which is so hard to get some people to grasp.
To keep it somewhat controlled, what about cases that are admitted with a diagnosis of covid? scratch the ED.
I'm wondering of the treatment strategies have been refined to the point where people are able to be sent home faster. This latest wave is supposed to be high spread/low virulence so i'm wondering if over time the LOS will be shorter?
Slim wrote:
For those of you who have provided numbers of COVID patients in the ICU, can you also provide information on how many of the patients are:
1. Over the age of 80
2. Obese
3. Smokers
4. A combination of the above three
No doubt a very large percent of the patients have these demographics. But at the end of the day it doesn't matter who the people are that are admitted. by law we are required to treat them and there are X beds, X providers, and Y people.
If this disease had a higher death rate, the hospitals wouldn't be overwhelmed.
I also suppose that if this disease wasn't very severe but if more blood and gore were involved, more people would be getting the vaccine.
truthy1 wrote:
Thanks for providing facts to this board. This disease is really about math (number available beds vs number of people) which is so hard to get some people to grasp.
To keep it somewhat controlled, what about cases that are admitted with a diagnosis of covid? scratch the ED.
I'm wondering of the treatment strategies have been refined to the point where people are able to be sent home faster. This latest wave is supposed to be high spread/low virulence so i'm wondering if over time the LOS will be shorter?
Are you asking how many people are being admitted for covid without coming in through the ED? Hardly any. Direct admission is relative rare for anything other than psych. Triage and initial diagnostics will be done in the ED. They may be directly admitted from there, but pretty much everyone goes through triage to determine which inpatient unit is most appropriate.
Maybe. Another thing that is shortening LOS is observation via telemed. In an effort to free up beds, folks are being discharged and followed up on a few times a day. This is useful where a physician might be deciding whether or not a patient meets the criteria for discharge and deciding whether or not they want to observe them for one more day or not. This is a balancing act, because you don't want to send someone home early just to have to readmit them.
Ah.. no. i was talking excluding those coming to the ED with covid and sent home.
Is the telemed increasing this time around since the course of the disease is more well-known?
truthy1 wrote:
Ah.. no. i was talking excluding those coming to the ED with covid and sent home.
Is the telemed increasing this time around since the course of the disease is more well-known?
I don't think it's because the disease is more well known...We keep people inpatient for flu or staph and those are really well-known diseases. It's a combination of having reliable tech and necessity due to lack of staffed beds. When you can't admit people because there are no beds, you do what you can to free them up.
I know that hospitals can have a bad reputation as being greedy money sucking institutions, and they can be...but of our 11,000 employees, 10,995 of us just really want to help sick people get better. It's been really interesting to see some of the ideas that people come up with to try to do that.
EpiRunner wrote:
truthy1 wrote:
Ah.. no. i was talking excluding those coming to the ED with covid and sent home.
Is the telemed increasing this time around since the course of the disease is more well-known?
I don't think it's because the disease is more well known...We keep people inpatient for flu or staph and those are really well-known diseases. It's a combination of having reliable tech and necessity due to lack of staffed beds. When you can't admit people because there are no beds, you do what you can to free them up.
I know that hospitals can have a bad reputation as being greedy money sucking institutions, and they can be...but of our 11,000 employees, 10,995 of us just really want to help sick people get better. It's been really interesting to see some of the ideas that people come up with to try to do that.
What's the saying "invention is the mother of necessity"??? I hear you on the reputation and I concur. 99% of the people are in the biz for the right reasons.