NSW has 4500 people receiving hospital treatment for COVID

The official daily data from NSW Health says that 1,156 people being treated in hospital for COVID, with 207 being treated in ICU:

However, when ‘hospital in the home’ (HITH) admissions are also counted, there are currently more than 4500 people in NSW being treated for COVID:

NSW has dramatically increased its Hospital in the Home program, with more than 3400 COVID-19 patients being managed remotely in their homes as part of a strategy to bolster health capacity ahead of an expected surge in hospitalisations as the state reopens…

Many predict major hospitals will increasingly be for only acute cases and the bulk of admissions will be managed remotely through sophisticated monitoring and diagnostic applications.

HITH is obviously a great idea since it frees up hospital wards for the most serious cases.

That said, I wish NSW reported HITH admissions in its daily COVID briefing, since it would give a truer indicator of severe COVID infection and the health resources being used to fight it.

Unconventional Economist
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Comments

    • So, my kid got hit by a car and is a vegetable that needs two carers 18 hours a day – but that doesn’t matter because he didn’t die.

      Do you have any idea just how psychopathic your comment is?

      Extraordinary levels of inhumanity in the comment section on this website sometimes – really is out of control.

    • Not sure how they really count COVID related deaths. You may survive initially, but data from UK last year from 47000 hospital admissions(up to August 2020) showed about one third readmitted to hospital within 140 days. Of the 47000 about 12% (5700) died within the 140 days after initially surviving and being discharged from hospital alive.
      Deaths in the UK peaked at more than 100% above the expected average(2015-2019) during the first wave and above 40% in the 2nd wave. Dropped a bit below average mortality and then gradually picked up again. Currently running at 14% above average expected mortality with almost all of that accounted for by COVID. They are also rumoured to consider locking down again in October to prevent the NHS from being too overloaded. What does it mean for us? Probably nothing, but maybe a peek into the future as we are about a year behind the rest of the COVID world. It doesn’t look like there are any clear cut answers to the COVID problem yet. Vaccines may help, but COVID is still not going away.

    • 3 of the most recent deaths were in their homes.
      Were they being ‘cared for’ under the hospital in the home program?

      I wouldn’t put it past this government to let people die out of sight….

  1. I'll have anotherMEMBER

    Seems like a no brainer Leith and when you read stuff like this, makes them look dishonest.

    I mean, sure, if you could cover it up well, then politically, it’s a no brainer. But it’s not that easy to cover up.

    Someone should ask GB what the definition of a hospital visit is in the next press conference.

  2. Unvaccinated Treated As Sub-Human

    How about all that FREEDOM!

    The two ugly stepsisters Gladys and Chunt haven’t really thought through this whole Freedom Day. The virus does not obey deadlines from high ranking government officials.

  3. Jumping jack flash

    HITH is a bit of a stop-gap to quickly make up for the slow destruction of our once world-class public health system in the name of the privatisation agenda over the last couple of decades or so.

    I think it is a great idea. Perhaps they can employ some of those many, many trained nurses that simply can’t find work in hospitals.

    Of course, the level of care for HITH is fairly limited to a visit from a nurse once a week with a cold cloth and a packet of panadol, maybe a doctor and an O2 tank in extreme cases, so this can’t really be counted the same as an hospital admission. But who knows? Perhaps they’ll all get a machine that goes “ping” in their homes?

    Home “hospital” has been in use for mental health for at least a decade as far as I’m aware, for largely the same reasons.

  4. Mining BoganMEMBER

    What is the structure of this home health thingy anyway? How many home visits a week? How many patients does one health worker tend to? Do they deliver UberEats between patients?

    • Well, if it means they avoid mixing with plebs and maybe picking up a staph infection HITH might look like the best idea. Of course, if they can guarantee a private room somewhere nice where you don’t have to pay $20 a day extra to get commercial TV, hospital’s looking good again.

      • Frank DrebinMEMBER

        Agree with this, geez I want to avoid hospitals at the best of times. No greater chance of getting sick/sicker than going to hospital.

        As an aside I will always remember this couple who had their daughter checked into hospital for some “symptoms” in the bed next to ours. They disappeared for 3-4 hours and it turned out they had been at the Casino for night out and had used the hospital as a baby sitting service.

        Will never forget that poor little 7 year old girl sitting all alone frightened in her bed. There are some real fcking scumbags in this world.

        • My experience of public hospital was a guy who’d tried to off himself having psych consults on one side, and a girl who apparently had a necrotizing condition in her legs on the other. She needed urgent surgery, but so many relatives visited (up to twenty in the room at a time) she became exhausted and the doctor decided they couldn’t operate. I was begging them to let me home so I could die in a peaceful environment after a day or two.

  5. I cannot believe that if someone is on permanent oxygen or oxy/helium mix they would allow that at home. Too much risk for frying your lungs, fitting the mask incorrectly, running out. Oxygen has a toxic dose and unless they make the process idiot proof someone could do more harm than good. Same with ventilators, too complex for 3400 people.

    Steroid inhalers, tablets…sure thing. Full blown, cannot move, plugged into the wall hospital care, yeah nah.

    So, what is the care definition for HITH relating to CV-19?

    • Lung disease often has patients on oxygen at home. Surely there are systems set up to allow home delivery of at least a certain mix? Lots of people on sleep apnea machines at home too.

    • Frank DrebinMEMBER

      No it happens all the time, especially amongst elderly with chronic breathing issues. A couple of relatives have been at home with this pre-Covid.

      Interestingly – there is only one way to get your power connected instantaneously if it has been cut off, and that is if a resident is at home and needs electricity for crucial medical equipment like oxygen concentrators.

  6. It’s a “no brainer” if you can back it up with a fully functioning and efficient ambulance service in case you take a turn for the worst in the home and need to get to a respirator in a hurry.

  7. It’s All good. Vaccines will fix everything. Except it wont.
    Look at numbers in England and Scotland which are two of very few countries with real time mortality data
    All cause mortality is running about 10% higher. And they are 80% vaccinated.
    https://coronavirus.data.gov.uk/details/deaths

    But hey, being vaccinated can’t hurt, right? Wrong again. Study has found link between spike protein from MRNA vaccine and damage to heart cells. Bonus: study also shows the spike protein from the virus itself does NOT interact with these specific heart cells, so you can’t blame the virus.
    https://www.biorxiv.org/content/10.1101/2020.12.21.423721v2.full.pdf

    Have a good weekend. Rest your hearts…

    • The linked article does not support your claims. In fact, it is describing the (secondary) cardiac effects of cleaved S-protein particles from the virus itself. It does not mention vaccines at all. The paper’s title kinda gives it away:

      “The SARS-CoV-2 Spike protein disrupts human cardiac pericytes function through CD147-receptor-mediated signalling: a potential non-infective mechanism of COVID-19 microvascular disease.”

      This kind of moronic distortion of research is straight out of the Coming/DicX playbook.

      Sign..so many dimwits on MB these days. It used to be much more enlightened in the Comments.

    • Frank DrebinMEMBER

      Mortality is only 10% extra in the middle of a pandemic ?.

      I will take that every day of the week and twice on Sunday.

      What a pointless and meaningless stat.

  8. HITH patients are counted as admissions – it’s not like the patient is paying for the nurses and they’re still under the care of the public health system. As such, deaths in HITH should certainly be counted – you can bet if a patient dies the coroner will be investigating.

    Usually it’s stuff like wound dressings that can be managed remotely – a nurse could check in once a day. Can also remember doing variable warfarin levels as a junior doctor over the phone. These patients would have come in for another matter, then discharged to HITH to free up a hospital bed. Pathology would take their bloods in the morning and a nurse would call with the results and want to know what dose to chart at 4pm. I assume during the day they’d go about their business as normal.

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