If the coronavirus epidemic is decreasing in France, 15,680 people are still hospitalized for a COVID-19 infection. Which departments are most affected? How many patients are still in intensive care? Map, number, curve, death in hospital: Balance sheet to date.
[Mis à jour le jeudi 28 mai 2020 à 11h21] The epidemic of coronavirus decreases in France but 15,680 people are still hospitalized for a COVID-19 infection, according to a press release from the Ministry of Health on May 27. Of which 1,609 patients with a severe form are in intensive care. All hospitals are mobilized to welcome and screen patients potentially contaminated with coronavirus.
Fever, dry cough, tiredness, body aches, colds, loss of smell… If you think you have the first symptoms of a coronavirus infection, you should not go immediately to the emergency room, But first call your doctor or a doctor by teleconsultation. You should only call 15 if you have difficulty breathing, or your condition suddenly deteriorates. The Samu doctor can refer you to an emergency service if he deems it necessary. Some patients can be brought directly by the Samu to the intensive care unit.
Since February 24: 151,920 emergency visits for suspected COVID-19 have been recorded (data as of May 17), according to the latest figures from Santé Publique France. Emergency room visits for this indication continue to decrease. From May 10 to 17, 5,035 were reported, representing 3% of total activity. 4 regions (Ile-de-France, Grand-Est, Auvergne-Rhône-Alpes, Hauts-de-France) account for 72% of patients hospitalized in intensive care. From 98,853 patients who were hospitalized since March 1 for coronavirus, 17,589 died and 61,728 patients returned home.
Rate of emergency visits for suspected covid-19 – oscour® – all ages
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What care when we arrive at the ER? “When they arrive at the emergency room, they are removed as they have symptoms suggestive of Covid-19 and then, depending on their state of health, they are either placed in a service to be monitored, for example in an infectious or internal medicine department, or, if they need resuscitation, they are transferred to dedicated Covid-19 units “, explains a nurse from the intensive care unit at Saint-Antoine hospital in Paris. These units, first installed in the intensive care units of hospitals, have also been deployed in other departments to respond to the increase in cases of coronavirus in France. “In case of strong suspicion, we isolate them in closed rooms and apply protective measures, until receiving the results of CoV-19 “detection continues our interlocutor.
“We have very sick people who come to intensive care and we also need to treat them”
The hospitalization of Covid-19 patients in the intensive care unit is reserved for most serious cases : “We are obliged to assist them at the respiratory level because they are in acute respiratory distress” tells us the nurse. If the number of new patients in intensive care has been decreasing for almost two weeks, it remains exceptionally high. For healthcare staff, this unprecedented situation is complicated to manage on a daily basis: “We are used to working on a just-in-time basis but we are worried about the consequences on our work with families who are going to be on a just-in-time basis. In addition, we have large patients who arrive in intensive care, apart from the Covid-19 patients, and we must also treat them “ remind the nurse.
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Resuscitation care staff taking care of patients suspected / infected with COVID-19 wear the following protective elements:
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According to data from Public Health France, the median length of stay in intensive care is 11 days for Covid-19 patients but can go to 20 days, as explained to us by Dr. Gérald Kierzek, emergency doctor at the Hôtel-Dieu in Paris. Before pointing out that “if 99% of patients recover from coronavirus, for the 1% of 15 million French people affected at the same time, who will need resuscitation care, 150,000 beds would be needed but we do not have them”. France initially has 5000 resuscitation beds. This capacity increased to 10,000 with the coronavirus epidemic.
The daily number of new admissions of patients in intensive care is in decrease, indicates the epidemiological point of Public Health France on May 21. The regions Ile-de-France, Corsica and Mayotte are those reporting the highest rates of hospitalization in intensive care of COVID-19 patients.
The number of cases hospitalized in intensive care had stabilized at a high level as of April 8 and has started a slow decrease since that date. 73% of Covid-19 cases admitted to intensive care are men. The average age is 66 (19% were aged 75 and over). 77% have at least one comorbidity.
Daily number of new resuscitation admissions for covid-19
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Hospitalization: number, curve, map by departments, patient management
As of March 1, 2020, 1,454 healthcare facilities have reported at least one case of coronavirus. On May 25, 16,798 people are still hospitalized for a COVID-19 infection according to the press release from the Ministry of Health. Of which 1,609 patients with a severe form are in intensive care. The median age of the patients is 72 years and 53% are men.
The number of Covid-19 cases hospitalized in France decreases but accumulates other hospitalizations of patients outside Covid-19 “This is precisely our problem. Because there are other patients, those who do not have coronavirus but who need to be taken care of” remind the nurse who insists“that it is absolutely necessary to limit the circulation of people to limit the circulation of the virus”. Faced with the influx of Covid-19 patients in March, hospitals had to quickly reorganize: “A palliative unit dedicated to Covid-19 has been opened in geriatrics and the recovery rooms have been transformed into a resuscitation room” reports our interlocutor.
Daily number of people newly hospitalized for covid-19
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“Normally, Covid-19 positive patients are not allowed access” replies the nurse. But for more serious cases, people at the end of life, “there may be exceptions”.
For all hospitalized cases (Covid-19 or not), visits are prohibited for minors and people with symptoms such as cough, fever and limited to one person per room.
“When a Covid-19 patient dies in intensive care, we can keep him for up to two hours before transferring him to the hospital morgue. If the family can come within two hours, we authorize a visit and equip the person” explains the nurse.
“A family member can come within two hours of the death”
During the visit : those close to you must comply with the greatest care with the hygiene precautions indicated by the caregivers. They must refrain from kissing the body of the deceased and avoid direct contact. They must carefully disinfect their hands by hydroalcoholic friction when leaving the room.
- Relatives of the deceased patient must take immediate steps to designate the funeral operator in charge of the funeral, to avoid any delay in placing the body in the coffin. They must make known the funeral operator they designate at the hospital and first of all to the agent responsible for the mortuary room.
- In the mortuary room when the body is lifted, the presence is reduced to the entourage very close to the deceased, without exceeding ten people. General barrier measures must be strictly observed, namely in particular a minimum spacing of one meter between each person.
- The ritual toilets as well as acts of thanatopraxia (conservation care) is not allowed on the bodies of people who have died from Covid-19.
Source: Coronavirus -Covid 19 – Information for people who have just lost a loved one, press release from the AP-HP general management, March 24, 2020.
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