Shime Nobuaki
Department of Emergency and Critical Care Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551 Japan.
J Intensive Care. 2020 Jun 15;8:40. doi: 10.1186/s40560-020-00456-1. eCollection 2020.
Appropriate critical care delivery for Coronavirus disease 2019 (COVID-19) is a cornerstone in saving lives. Earlier publications worldwide demonstrate higher mortality among patients receiving mechanical ventilation in intensive care units during "surges" in the number of cases. In contrast, lower mortality outcomes are evident in Japan using CRISIS [CRoss Icu Searchable Information System] data by the national registry, Japan ECMOnet for COVID-19. This highlights the need for scientific analysis of the medical factors contributing to high survival rates and social factors associated with low case "surges," to gain insight into protective strategies for possible coming waves in the COVID-19 pandemic.
为2019冠状病毒病（COVID-19）提供适当的重症监护是拯救生命的基石。全球早期的出版物表明，在病例数“激增”期间，重症监护病房接受机械通气的患者死亡率更高。相比之下，日本使用国家登记处的CRISIS[跨重症监护病房可搜索信息系统]数据（日本COVID-19体外膜肺氧合网络）显示死亡率较低。这凸显了对促成高生存率的医学因素和与低病例“激增”相关的社会因素进行科学分析的必要性，以便深入了解COVID-19大流行可能到来的浪潮的保护策略。
