Chance of COVID-19 triage care looms over Arizona hospitals

Chance of COVID-19 triage care looms over Arizona hospitals

PHOENIX (AP) Arizona, currently facing the worst COVID-19 infection rate in the country, is teetering on the brink of having to ration life-saving care, leaders of the state’s major hospitals said Wednesday.

“During triage … it does mean that we might have to make very difficult decisions about what type of care would be be available for a patient,” said Dr. Marjorie Bessel of Banner Health. “We hope we do not get there. We’re asking you, we’re imploring you today to help us avoid that.”

The chief clinical officers of Arizona’s five biggest hospital systems spoke at a joint news conference — not just to get the attention of state officials but the public. Under a triage plan, “triage officers” at each hospital would decide which patients receive treatment if there are shortages in staffing, beds or ventilators.

The physicians believe at least 1 in 10 people in Arizona is infected with the virus. Despite the state ramping up vaccination efforts this week, the hospital officials said they still need people to keep wearing masks, only socializing within their household and avoiding large gatherings.

They also renewed a call for Gov. Doug Ducey to enact a statewide mask mandate and other mitigation measures “based on science and data.”

The Republican governor has rejected proposed statewide measures, saying they would only lead to workers in certain industries being out of work. In his State of the State address on Monday, he also issued an ultimatum that school districts that didn’t reopen classrooms for full-time, in-person learning would lose money.

Hospital administrators disagreed with him.

“We understand that learning and bringing our children together is very important,” said Dr. Michael White of Valleywise Health. “But at this time with uncontrolled spread of the virus, we need to do things that we know will reduce the chance that the virus will spread and that is not gathering with people we don’t live with.”

Arizona on Wednesday reported over 5,600 additional COVID-19 cases and nearly 200 more deaths as hospitalization levels from the surge remained high but didn’t set records.

The Department of Health Services reported 5,629 additional known cases and 191 deaths, increasing the state’s pandemic totals to 641,729 cases and 10,673 deaths.

Arizona had the worst state COVID-19 diagnosis rate over the past week, with one of every 105 people being diagnosed with COVID-19 from Jan. 5 to Tuesday. The rate is calculated by dividing a state’s population by the number of new cases over the past week.

According to the state’s coronavirus dashboard, 5,055 COVID-19 patients occupied inpatient beds as of Tuesday, down from Monday’s record high of 5,082. There were 1,158 COVID-19 patients in intensive care beds, down from Monday’s record of 1,183.

The number of infections is thought to be far higher than reported because many people have not been tested, and studies suggest people can be infected with the virus without feeling sick.

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