'The Japanese intensive care system is vulnerable to a pandemic,' the medical association said, what about the actual data?
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Nishida, Chairman of the Japanese Society of Intensive Care Medicine, has issued a statement by the President on New Type Coronavirus Infection (COVID-19) . Among them, President Nishida said that Japan's intensive care system is poorer than Italy, where medical care has collapsed due to overshoot (explosive patient surge), `` Overshoot in terms of deaths comes very quickly Is expected. '
Statement by the President on New Coronavirus Infection (COVID-19) | Japanese Society of Intensive Care Medicine
https://www.jsicm.org/news/statement200401.html
According to a study published in 2020, Critical Care Bed Capacity in Asian Countries and Regions , there were 590 intensive care units (ICUs) in Japan. The total number of rooms and ICU beds is 5,973. In addition, the number of intermediate intensive care units (IMCUs) is 401, and the total number of IMCU beds is 3,268. As of March 1, 2020, the population of Japan is about 125.95 million, so the total number of ICU beds per 100,000 people is about 4.7, and the number of beds for critically ill patients including IMCU beds is That's about 7.3 beds per 100,000 people. As of October 2009, medical institutions have 32,586 units of respirators, of which global shortage is a concern, of which 16,316 are in operation. Ministry of Health, Labor and Welfare (PDF file) has announced .
The number of beds for critically ill patients per 100,000 citizens is 10.6 in South Korea, which is next to the sea and has a total of 5402 beds in ICU, which is smaller than that in Japan. China, which has 1.4 billion people, has an overwhelmingly large total of 49,543 ICU beds, but only 3.6 beds per 100,000 people for critically ill patients.
In Italy, where overshoot has occurred, according to
According to the same data, France has a total of 4069 beds in ICU and 3,471 beds in IMCU, and 11.6 beds for critically ill patients per 100,000 people. However, if you have only ICU beds, about 9.9 beds per 100,000 people. In the UK, the total number of ICU beds is 2377, the total number of IMCU beds is 1737, and the number of beds for severely ill patients per 100,000 people is 6.6.
In Germany, it can be said that intensive care facilities are outstanding among the EU countries, the number of beds for severely ill patients is 23,890 in total, 29.2 beds per 100,000 people are prepared Become. Nishida said that as of March 31, 2020, 105,792 infected people and 12,428 were dead in Italy, while Germany had 71,808 infected people, He pointed out that there were only 775 people, and argued that 'the differences in intensive care regimes have created a difference in fatality rates between Italy and Germany.' Japan, which has fewer beds for critically ill patients per 100,000 people than Italy, says that intensive care systems are weak.
In addition, Mr. Nishida emphasized the ' lack of on-site personnel ' in the statement. In Japan, one nurse is responsible for two patients in the ICU and four in the IMCU. However, Mr. Nishida stated that `` one patient needs two nurses '' for severely ill patients with COVID-19, and to use a ventilator or ECMO for severe pneumonia. He points out that few doctors can handle it correctly.
Not only the maintenance of equipment, but also the maintenance of medical staff is important for hospitals. In Italy, healthcare workers have become infected with COVID-19 and have become severely ill or have died. Considering that healthcare workers have to leave the field due to further spread of infection, 'It is clear that manpower resources are a big issue, not just a problem such as the number of respirators,' said Nishida. The President strongly called for attention.
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