{"id":32725,"date":"2020-06-24T09:44:54","date_gmt":"2020-06-24T15:44:54","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=32725"},"modified":"2023-06-22T10:03:43","modified_gmt":"2023-06-22T16:03:43","slug":"colorado-hospital-systems-teamed-up-to-save-lives-of-covid-19-patients","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/colorado-hospital-systems-teamed-up-to-save-lives-of-covid-19-patients\/","title":{"rendered":"Colorado hospital systems teamed up to save lives of COVID-19 patients  \u00a0"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_32727\" aria-describedby=\"caption-attachment-32727\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-32727\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/06\/24093610\/health-workers-in-masks-tiny.webp\" alt=\"Colorado hospitals COVID - doctors teamed up to save lives\" width=\"600\" height=\"400\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/06\/24093610\/health-workers-in-masks-tiny.webp 600w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/06\/24093610\/health-workers-in-masks-tiny-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/06\/24093610\/health-workers-in-masks-tiny-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/06\/24093610\/health-workers-in-masks-tiny-200x133.webp 200w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-32727\" class=\"wp-caption-text\">Colorado doctors from multiple health systems teamed up to save lives during the first wave of the COVID-19 pandemic. Photo: Getty Images.<\/figcaption><\/figure>\n<p>A rare collaboration among hospital systems during the first wave of the COVID-19 pandemic almost certainly saved lives in Colorado, according to <a href=\"https:\/\/catalyst.nejm.org\/doi\/full\/10.1056\/CAT.20.0402\" target=\"_blank\" rel=\"noopener noreferrer\">new data that the hospitals released on Tuesday<\/a>.<\/p>\n<p>Soon after the first known case of COVID-19 emerged in Colorado on March 5, doctors with Colorado\u2019s largest health systems started meeting daily. They shared updates on the new virus that was sickening people in the U.S. and around the world, along with insights on how best to care for patients.<\/p>\n<p>In all, the hospital systems cared for 96% of patients hospitalized with COVID-19 in Colorado. This included 4,903 people, nearly one-third of whom received care at UCHealth hospitals.<\/p>\n<p>The collaboration also included Banner Health, Boulder Community Health, Centura Health, Denver Health, HealthOne and SCL Health.<\/p>\n<p>These health systems dedicated resources to collecting and sharing data and now are sharing the information with both the State of Colorado and the public.<\/p>\n<p>\u201cI have never seen health systems come together like this to serve the state,\u201d said Scott Bookman, incident commander for the State of Colorado\u2019s COVID-19 response team. \u201cThis group is to be commended in the way that they have come together to serve all of Colorado.\u201d<\/p>\n<p>Across all the systems, nearly 66% of hospitalized patients were able to go home after their treatments. About 18% were discharged to a different facility, including nursing homes, long term care and hospice care. Of patients hospitalized in the seven systems, 14 percent did not survive COVID-19.<\/p>\n<figure id=\"attachment_32731\" aria-describedby=\"caption-attachment-32731\" style=\"width: 644px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-32731 size-full\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/06\/24100026\/Discharged-patients-tiny.webp\" alt=\"Colorado hospitals teamed up to better care for COVID-19 patients. Chart shows how many patients got to go home after hospital treatments.\" width=\"644\" height=\"343\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/06\/24100026\/Discharged-patients-tiny.webp 644w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/06\/24100026\/Discharged-patients-tiny-300x160.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/06\/24100026\/Discharged-patients-tiny-150x80.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/06\/24100026\/Discharged-patients-tiny-200x107.webp 200w\" sizes=\"auto, (max-width: 644px) 100vw, 644px\" \/><figcaption id=\"caption-attachment-32731\" class=\"wp-caption-text\">Colorado hospitals teamed up to better care for patients during the first wave of the COVID-19 pandemic. All data and charts are available at www.coloradohospitalcovid19.com.<\/figcaption><\/figure>\n<p>Dr. J.P. Valin, chief clinical officer for SCL Health and one of the leaders of the collaborative, said Colorado is unique in having so many disparate health systems work together. Valin also said no other state has released such comprehensive data about COVID-19.<\/p>\n<p>\u201cThis summary of the first wave shows that length of stay, mortality rates and ventilator use were higher in older age groups. Older patients had higher mortality rates and (longer) lengths of stay. Ventilator use decreased from March to May. That could be related to better therapies including antivirals and convalescent plasma,\u201d Valin said.<\/p>\n<p>While the deaths were all tragic, survival rates improved over time as doctors learned how to better care for people sick with COVID-19. Among patients who had to be hospitalized in March, 15% died compared to 10.5% by May.<\/p>\n<p>\u201cClearly there was a change in how we were able to care for the patients, and there was a change in their outcomes, said <a href=\"https:\/\/www.uchealth.org\/about\/leadership\/\">Dr. William Neff<\/a>, chief medical officer for UCHealth, and a member of the collaborative.<\/p>\n<p>\u201cEarly on, there was a lot we didn\u2019t know,\u201d Neff said. \u201cThe change in results is probably driven more by our education and learning how to better care for patients.\u201d<\/p>\n<p>Younger patients fared the best, while people ages 60 and older who became sick with COVID-19 had the highest mortality rates.<\/p>\n<p>More younger people now appear to be getting sick with COVID-19. Neff and other health leaders believe that\u2019s because older people know they are at higher risk for faring poorly with COVID-19. Thus, more older adults appear to be staying home as much as possible, while many younger people are venturing out now.<\/p>\n<p>As a result of the collaboration among the diverse hospital systems, doctors and health leaders learned critical lessons that improved care for patients. Among the group\u2019s findings:<\/p>\n<ul>\n<li>Patients who did not have to go on ventilators fared better.<\/li>\n<li>Doctors learned over time that they could allow patients\u2019 oxygen levels to dip lower than usual in order to keep them from needing to be intubated or placed on a ventilator.<\/li>\n<li>Turning patients on their sides or stomachs or \u201cproning\u201d them helped both patients who did not need to be intubated as well as those who were on ventilators.<\/li>\n<li>Patients who were ages 50 to 59 required ventilators at higher rate than any other age group.<\/li>\n<li>Care for patients with COVID-19 improved over time as providers learned how to care for them better. Fewer patients needed to go on ventilators in May than in March. The length of time on a ventilator also declined from 14 days in March to nearly 12 days in May.<\/li>\n<li>Patients ages 60 and older had the hardest time coping with COVID-19 and had more difficulty surviving time on a ventilator. Among patients over 60 who needed a ventilator to breathe for them, the mortality rate was between 40 and 48%.<\/li>\n<\/ul>\n<p>The health systems\u2019 chief medical officers say this information, including the length of stay and ventilatory use data, will help hospitals plan for potential future waves of COVID-19.<\/p>\n<p>Click <a href=\"https:\/\/catalyst.nejm.org\/doi\/full\/10.1056\/CAT.20.0402\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a> to learn more about the new collaborative and their research findings.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A rare collaboration among hospital systems during the first wave of the COVID-19 pandemic almost certainly saved lives in Colorado, according to new data that the hospitals released on Tuesday. Soon after the first known case of COVID-19 emerged in Colorado on March 5, doctors with Colorado\u2019s largest health systems started meeting daily. They shared [&hellip;]<\/p>\n","protected":false},"author":2123,"featured_media":32727,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[4859,4860,235,1774,3357],"class_list":["post-32725","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-coronavirus","tag-covid-19","tag-emergency-care","tag-icu","tag-lung-and-respiratory-care-pulmonology"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - 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