Page 73 - COVID-19-Mortality-review-in-Malaysia-and-updates-on-clinical-management-of-COVID-19

Number of Cases Managed in ICU

We have about 63% of the deceased which were managed in ICU, while approximately

21% were managed outside ICU. Bear in mind, during the initial stages, COVID-19 was
(and still is) a new disease. Early days, the patients were intubated in a negative

pressure room in the ward. With time and due to the rapid disease progression, we
have learnt that we need to manage the patient by intubating and ventilating them in
ICU. 13 patients from the 21% (whom were managed outside the ICU) were intubated,

ventilated and managed in the negative pressure rooms in ward while 4 of them were
brought in dead (BID) and 4 of them had do-not-resuscitate (DNR) order (as per

requested by the family member and next of kin).