5 ms·
This twitter thread is excellent. Here are selected tweets to highlight the crisis from hospital and ambulance waiting times. --- "England & Wales as the only
by cirrus-clouds 4y ago
This twitter thread is excellent. Here are selected tweets to highlight the crisis from hospital and ambulance waiting times.
---
"England & Wales as the only part of Europe that has recorded sustained and rising excess mortality over the last few months with no obvious natural explanation."
"Patients who waited 8-12 hours had a 16% higher chance of dying in the subsequent 30 days than average."
"This was after adjusting for a huge range of possible confounders, i.e this was not due to those patients’ characteristics, conditions etc, but due to the length of the wait."
"You may have heard almost 30,000 people waited 12 hours in English A&Es in July, but that figure actually only refers to the wait after initial assessment"
"Thanks to @Rebeccasmt’s reporting, we know that if you include all time spent waiting, 100,000 people waited 12+ hours!!"
"Take ambulance delays, for example: for emergency situations including suspected strokes and heart attacks, the average wait for an ambulance to arrive on the scene is now one hour, and 40,000 people with these sorts of emergencies waited 2 hours last month."
"As before, the peaks in ambulance-related harms broadly coincide with peaks in England’s non-Covid excess mortality.
"It’s a grim picture, and an increasingly conclusive one."
- deleted 4y ago[deleted]
- simonswords82 4y agoAs somebody else in this thread pointed out the numbers don’t stack up. This thread is subjective at best
- pas 4y agocould you link to that pointing out? which parts don't stack up? the 12+ hour wait times, the hospital occupancy, the discharge rate, the aging population and the slashed spending are all seem to be hard numbers (dare I say facts?) ... what doesn't add up?
- dekhn 4y agoIf you can wait 12 hours, you didn't have an emergency.
- adolph 4y agoAnd if you can't wait 12 hours you become excess mortality. Sometime before the 12 hour period, one must make a choice whether to seek care or not.
- dekhn 4y agothe 12 hour wait is once the person enters the doors of the facility. In a hospital, if you walk into the ER, people are observing you closely and expediting people at immediate risk of death. A person who can sit in a chair for 12 hours waiting didn't have an emergency. Instead, they were using the ER for non-urgent care.
- eikenberry 4y agoWhat is the situation of urgent care establishments in the UK? Places you can go for non life threatening but life stopping events, like say a broken leg?
- gambiting 4y agoIt all goes through A&E, which unfortunately is meant for both the life threatening situations and urgent but not leathal ones yet. You have to go in, register and sit and wait - if it is "just" a broken leg yes you might wait a few hours before being seen.
- dekhn 4y agoThere's a trend in the US to have urgent care facilities. For example, in my system if I have a problem I call (24/7) and they route me either to urgent care or the ER. During my visit to urgent care (so early in the days of COVID that there was sign saying only people who had just flew in from Wuhan could be tested), I was seen immediately, the doctor stopped while seeing me, said "the person in the next room is having a heart attack and I have to send him to the ER immediately- I'll be back".