Many seriously ill COVID-19 patients in Almaty self-medicated - resuscitator
Many seriously ill COVID-19 patients in Almaty self-medicated - resuscitator
Photo: Kazpravda.kz/Adilbek Tauekelov
The chief freelance resuscitator-anesthesiologist of the Almaty Public Health Department, Tleuberdy Kuandykov, during an online briefing at the Regional Communications Service, spoke about the peculiarities of the COVID-19 course in people with chronic diseases and the elderly, Kazpravda.kz reports.
T. Kuandykov noted that more than 17 thousand cases have been registered in Almaty since the beginning of the pandemic.
"If at the beginning of the pandemic there were many "resuscitation" patients with pneumonia of a relatively young age, today patients admitted to intensive care with CVI are patients often over 65 years old, with many chronic concomitant diseases. Among them are heart failure, respiratory failure, renal failure and stroke. It often happens that a patient is admitted to the clinic with an already existing serious illness, and the COVID infection is discovered by chance during his examination," the resuscitator said.
According to him, more than half of the patients are brought to the intensive care unit by ambulance from home.
“We found out that more than half of the patients who were admitted in an extremely serious condition directly from home, before admission, were self-medicating or did not go to a doctor at all,” said T. Kuandykov.
He also noted that, on average, 15-20% of patients in intensive care units are in an extremely serious and unstable condition, with deaths.
"Mortality today has significantly decreased and is at the lowest levels. The patients we are losing today are patients with a number of concomitant diseases. These include patients with heart disease; diabetes mellitus; liver cirrhosis; cancer patients who have repeatedly undergone chemotherapy; with immunodeficiency. Most of the deceased patients are elderly people. At the same time, the proportion of young and middle-aged patients who have died in recent months has sharply decreased. This can be noted as a positive trend," the speaker concluded.
He recalled that the period from the end of June to July was the most unfavorable in terms of the spread of coronavirus infection in Almaty. During this period, a large number of patients were registered, including those with a severe form.
Today the situation is under control. In Almaty, 11 hospitals have been identified, which, if necessary, can be re-profiled to receive patients with coronavirus infection. In these hospitals, intensive care units with a total of 250 beds are deployed. In hospitals identified as infectious, there are 100 beds for intensive care patients, the remaining 150 beds are currently in reserve in case of a possible second wave of infection.
19:23, 15 December 2020
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