{"id":2469,"date":"2020-05-12T13:58:26","date_gmt":"2020-05-12T13:58:26","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=2469"},"modified":"2020-05-12T13:58:26","modified_gmt":"2020-05-12T13:58:26","slug":"how-does-australias-icu-capacity-compare","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/pl_pl\/how-does-australias-icu-capacity-compare\/","title":{"rendered":"Jak wypada por\u00f3wnanie mo\u017cliwo\u015bci oddzia\u0142\u00f3w intensywnej terapii w Australii?"},"content":{"rendered":"

Jak dot\u0105d dowody sugeruj\u0105, \u017ce liczba przypadk\u00f3w i zgon\u00f3w Covid-19 w Australii by\u0142a niska\n\n ni\u017cszy ni\u017c w wielu innych krajach\n<\/a>\n, nawet je\u015bli nie mo\u017cna jeszcze uzna\u0107, \u017ce epidemia zosta\u0142a opanowana.<\/p>\n

Wydaje si\u0119, \u017ce australijskie szpitale r\u00f3wnie\u017c stosunkowo dobrze poradzi\u0142y sobie z nap\u0142ywem pacjent\u00f3w z Covid-19, a jedn\u0105 z potencjalnych przyczyn jest to, \u017ce na pocz\u0105tku dysponowano rozs\u0105dn\u0105 ilo\u015bci\u0105 dodatkowych miejsc. Oczywi\u015bcie dzia\u0142ania podj\u0119te przez rz\u0105d, poszczeg\u00f3lne stany i szpitale r\u00f3wnie\u017c mia\u0142y wp\u0142yw, \u0142\u0105cznie z odwo\u0142aniem planowych operacji i wykorzystaniem elastycznej infrastruktury modu\u0142owej, kt\u00f3r\u0105 mo\u017cna bardzo szybko uruchomi\u0107.<\/p>\n

Cho\u0107 jest zbyt wcze\u015bnie, aby spekulowa\u0107 na temat wyniku, warto przyjrze\u0107 si\u0119, jak pojemno\u015b\u0107 australijskiego oddzia\u0142u intensywnej terapii wypada na tle innych kraj\u00f3w. Oficjalne dane pokazuj\u0105, \u017ce w Australii istnieje 191 oddzia\u0142\u00f3w intensywnej terapii, z kt\u00f3rych w okresie wyj\u015bciowym dost\u0119pnych by\u0142o \u0142\u0105cznie 2378 \u0142\u00f3\u017cek intensywnej terapii, co stanowi oko\u0142o 9,4 \u0142\u00f3\u017cek OIT na 100 000 mieszka\u0144c\u00f3w. Dane zosta\u0142y zebrane przed kryzysem i dlatego nie obejmuj\u0105 \u0142\u00f3\u017cek dodanych w szpitalach, oddzia\u0142ach tymczasowych lub tzw. \u201eszpitalach polowych\u201d od tego czasu.<\/p>\n

Jaki\u015b\n\n por\u00f3wnanie mi\u0119dzynarodowe\n<\/a>\nwskazuje, \u017ce Australia ma wi\u0119cej \u0142\u00f3\u017cek na intensywn\u0105 terapi\u0119 w przeliczeniu na populacj\u0119 ni\u017c wiele kraj\u00f3w, w tym Wielka Brytania, kt\u00f3ra ma oko\u0142o 6,6 \u0142\u00f3\u017cek na 100 000 os\u00f3b, Japonia (7,3) i Chiny (3,6), ale znacznie mniej ni\u017c Stany Zjednoczone (34,7) i niekt\u00f3re inne kraje g\u0142\u00f3wnych kraj\u00f3w europejskich. Liczba ta jest r\u00f3wnie\u017c nieco ni\u017csza ni\u017c w Kanadzie, kt\u00f3ra jest stosunkowo blisko pod wzgl\u0119dem wielko\u015bci populacji i szacuje si\u0119, \u017ce na 100 000 mieszka\u0144c\u00f3w przypada 10\u201312 \u0142\u00f3\u017cek na oddzia\u0142ach intensywnej terapii, w zale\u017cno\u015bci od metody zastosowanej do oblicze\u0144.\n\"\"\nPonadto,\n\n ostatnie \u0107wiczenia modelarskie\n<\/a>\nw sprawie zwi\u0119kszonej wydajno\u015bci australijskich oddzia\u0142\u00f3w intensywnej terapii, kt\u00f3ry ukaza\u0142 si\u0119 pod koniec marca w czasopi\u015bmie \u201e\n\n Dziennik medyczny Australii\n<\/a>\nwykaza\u0142y, \u017ce w odpowiedzi na przewidywane zwi\u0119kszone zapotrzebowanie na Covid-19 istnieje potencja\u0142 niemal trzykrotnego zwi\u0119kszenia liczby \u0142\u00f3\u017cek do intensywnej terapii.<\/p>\n

Wed\u0142ug badania australijskie oddzia\u0142y intensywnej terapii mog\u0142yby w razie potrzeby zwi\u0119kszy\u0107 liczb\u0119 \u0142\u00f3\u017cek na oddzia\u0142ach intensywnej terapii o dodatkowe 4261 (189%). Na tym poziomie brakowa\u0142oby jednak respirator\u00f3w i prawdopodobnie tak\u017ce sprz\u0119tu ochrony osobistej. W badaniu oszacowano, \u017ce potencja\u0142 udarowy respirator\u00f3w wynosi nieco ponad 2000, wi\u0119c tylko cz\u0119\u015bciowo spe\u0142nia\u0142by maksymaln\u0105 zdolno\u015b\u0107 przepi\u0119ciow\u0105 w zakresie \u0142\u00f3\u017cek.<\/p>\n

Inn\u0105 kwesti\u0105 potencjalnie ograniczaj\u0105c\u0105 wydajno\u015b\u0107 by\u0142by personel medyczny niezb\u0119dny do obs\u0142ugi respirator\u00f3w. Modelowanie wykaza\u0142o, \u017ce przy maksymalnym wzro\u015bcie wydajno\u015bci mo\u017ce by\u0107 potrzebnych a\u017c do 4000 dodatkowych starszych lekarzy i 42 700 zarejestrowanych piel\u0119gniarek na oddzia\u0142ach intensywnej terapii.<\/p>\n

Do tej pory w wi\u0119kszo\u015bci australijskich szpitali nadal s\u0105 wolne miejsca, podczas gdy wiele kraj\u00f3w w Europie o wi\u0119kszej liczbie przypadk\u00f3w Covid-19, takich jak W\u0142ochy, znajduje si\u0119 pod wi\u0119ksz\u0105 presj\u0105. Czas poka\u017ce, czy taka sytuacja b\u0119dzie trwa\u0142a, bior\u0105c pod uwag\u0119, \u017ce zbli\u017ca si\u0119 sezon zimowy i mo\u017cliwa jest druga fala zachorowa\u0144.<\/p>\n

Dokonywanie uczciwych por\u00f3wna\u0144 mi\u0119dzynarodowych jest trudne, poniewa\u017c kraje maj\u0105 r\u00f3\u017cne systemy opieki zdrowotnej i r\u00f3\u017cne sposoby gromadzenia statystyk, nale\u017cy zatem zauwa\u017cy\u0107, \u017ce wiarygodno\u015b\u0107 zg\u0142aszanej liczby \u0142\u00f3\u017cek na oddzia\u0142ach intensywnej terapii r\u00f3\u017cni si\u0119 w zale\u017cno\u015bci od kraju, podobnie jak wiek danych i metody stosowane do oblicze\u0144. Niemniej jednak liczby te stanowi\u0105 podstaw\u0119 do og\u00f3lnych por\u00f3wna\u0144.<\/p>\n

Kiedy pandemia si\u0119 sko\u0144czy lub przynajmniej zobaczymy powr\u00f3t do pewnego poziomu normalno\u015bci, ciekawie b\u0119dzie zobaczy\u0107, jaki wp\u0142yw obecny kryzys b\u0119dzie mia\u0142 w d\u0142u\u017cszej perspektywie na liczb\u0119 \u0142\u00f3\u017cek na oddzia\u0142ach intensywnej terapii na ca\u0142ym \u015bwiecie. Mo\u017cliwe jest, \u017ce w niekt\u00f3rych krajach podstawowa pojemno\u015b\u0107 oddzia\u0142\u00f3w intensywnej terapii zmieni si\u0119 na sta\u0142e w wyniku dodatkowych \u0142\u00f3\u017cek, kt\u00f3re trzeba by\u0142o utworzy\u0107 w wyniku wybuchu Covid-19, a jednocze\u015bnie du\u017cej liczby dodatkowych respirator\u00f3w wyprodukowanych w celu radzenia sobie z problemem z niedoborami mo\u017ce r\u00f3wnie\u017c mie\u0107 pozytywny wp\u0142yw.<\/p>","protected":false},"excerpt":{"rendered":"

Dowody sugeruj\u0105, \u017ce liczba przypadk\u00f3w i zgon\u00f3w Covid-19 w Australii by\u0142a ni\u017csza ni\u017c w wielu innych krajach<\/p>","protected":false},"author":1,"featured_media":693,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[136],"class_list":["post-2469","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-australia"],"acf":[],"yoast_head":"\nHow does Australia’s ICU capacity compare? - Q-bital Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"How does Australia's ICU capacity compare given lower number of Covid-19 cases and deaths than in many other countries.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.q-bital.com\/pl_pl\/how-does-australias-icu-capacity-compare\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How does Australia’s ICU capacity compare? 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