Thursday, March 28

The brake on new ICU admissions relaxes the pressure with half of Spain at very high risk


Half of Spain continues to be at very high risk of uncontrollability of the coronavirus pandemic, with 26 provinces at the highest alert level, a figure identical to the previous week. Despite the fact that the contagion indicators are still at their highest, the pressure on hospitals and intensive care units (ICU) is being contained in most of the country, and they prevent the situation from worsening.

Spain has been approaching the very high risk level of ICU occupancy for weeks, but without exceeding the 25% level of occupancy of units by Covid patients. The expansion of available units and the lower rate of new revenues are containing the pressure. In fact,

In half of the provinces, the level of risk due to the rate of new admissions, which sets the trend in pressure from ICUs, is low or controlled, according to the weekly report of main monitoring indicators from the Ministry of Health.

Even so, the intensive care units drag an accumulation of patients that maintains the occupation at very high levels in twenty provinces, mainly in the northeast of the peninsula. Huesca and Gerona continue to be the most saturated, although now to a lesser extent.

The rate of new hospitalizations follows a path similar to that of the ICUs, with a containment in the rate of admissions that prevents the whole of Spain from entering a very high risk, set at 15% occupancy of beds with Covid patients. Most of the provinces are at medium risk in terms of hospitalization rates, and only one, Zaragoza, is at very high risk.

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Despite the contained pressure of new admissions, the accumulation of hospital employment, however, continues to be high in most of the provinces, and very high in a dozen of them, mainly again in the northeast of the peninsula.

infections

The contagion indicators, however, continue to be shot, with provinces that multiply the incidence by ten, considered very high. In the northeast of the peninsula, there have been more than 5,000 cases per 100,000 inhabitants in the last 14 days. In all the provinces, the maximum risk level is comfortably exceeded, set at an incidence of 500, and only Seville is below a thousand.

alert level

The general alert level, the calculation of the contagion and health care indicators, is very high in 26 provinces, the same number as the previous week. The situation, therefore, has not worsened. Valencia, Las Palmas and Ciudad Real have joined, and Murcia, Alicante and Zamora have left. All the provinces of Catalonia, Aragon and the Basque Country, the Community of Madrid, the Balearic Islands, Navarra, Cantabria, Santa Cruz de Tenerife, Castellón, Guadalajara, Cuenca, León, Palencia, Valladolid, Ávila and Soria remain at the highest alert level. All of Galicia is at medium risk, in addition to Badajoz and Huelva.

This is how the risk traffic light works

The traffic light of the Ministry of Health establishes four levels of alert, with specific numerical thresholds set from key indicators for the control of the pandemic. There are, however, no measures associated with each alert level.

The indicators established by Health are: accumulated incidence in the last 14 days and in the last seven days, that is, number of cases per 100,000 inhabitants in that period; positivity, that is, percentage of tests with a positive result; percentage of hospital beds occupied with Covid patients and admission rate; and percentage of ICU beds occupied with Covid-19 patients and admission rate.

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At the extreme level are the regions with a 14-day cumulative incidence greater than 500 cases per 100,000 inhabitants; a seven-day incidence greater than 250 cases per 100,000 inhabitants; a positivity greater than 15%; an occupation of hospital beds with Covid patients above 15% and a rate of 50 new hospitalizations per 100,000 inhabitants in the last seven days; and an occupation of ICU beds with Covid patients greater than 25% and a rate of 4 new admissions.

The optimal scenario of the new normality would be a 14-day cumulative incidence of less than 25 cases per 100,000 inhabitants; a seven-day incidence of less than 10 cases per 100,000 inhabitants; a positivity of less than 4%; hospital bed occupancy below 2% and new admission rate below 5; and ICU bed occupancy of less than 5% and a new admission rate of less than 1.


www.abc.es

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