Hospital admissions

Sam Handwich

Striker
So when does the new method of counting those in hospital because of Covid rather than those in hospital with Covid come into play. Or has it already started and I never noticed.
 


They're obviously worried that if we don't slow this variant down we'll have a big spike come Xmas, I'd rather keep social distancing and then be able to see each other through winter like.

Sorry but that’s one of the maddest things I’ve read on here in ages - what makes you think when it comes to winter, when we know the virus is more transmissible (indoors, bad weather), it’ll all be smooth? We need to understand the point at which we can live with this (is it cases, is it admissions, is it deaths) and stick to it.
 
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How many times is this now that the count has had to be corrected to show the true numbers. You would have thought that after 16 months we would have got it right, unless it was deliberately intended to be wrong. This just re-inforces the conspiracy theorists claims.

Any 'corrections' to the data being collected, have honestly been quite minor.

As I understand it, DHSC are asking for a split of patients in-hospital, who've tested positive for COVID-19 by:

  1. Those in hospital, with COVID-19, being treated for COVID-19 symptoms, and for whom the primary reason they are in hospital, is COVID-19
  2. Those in hospital, with COVID-19, being treated for COVID-19 symptoms, and for whom COVID-19 is NOT the primary reason they are in hospital
  3. Those in hospital, with COVID-19, who are NOT being treated for COVID-19 symptoms

My concern is that people will only see patients in Group 1 as being 'COVID patients' and claim that patients in Groups 2 and 3, are skewing the figures and making the pandemic look worse than it is. This would be an incorrect conclusion to reach.

Patients in Group 1 are of course, in-hospital because of COVID. The ICD-10 code for COVID-19 infection will be recorded as the primary diagnosis on admission, thereby making it the primary reason why they were admitted.

Patients in Group 2 may very well only be in hospital, because of COVID - the devil is in the detail here, and whilst the primary reason for admission, i.e. what they are there to be treated for in the main, may not BE COVID, COVID may have made their symptoms worse. We have to look at patients in Group 2 and ask "Would they be in hospital, if they didn't have COVID?"

Patients in Group 3 may also be in hospital due to COVID-19, but clearly, COVID-19 is not impacting them sufficiently to be treated for it. These patients, regardless, use up extra hospital capacity. People will absolutely claim that these patients are skewing the figures but people who say this are mistaken - every inpatient with COVID-19 uses extra resources, needs extra management and presents a risk of infection to other patients in the hospital.

Regardless of what group patients fall into, 1, 2 or 3, they're all bad news for the NHS and for the NHS' capacity, and anyone who uses this new data to claim that COVID is overblown is quite simply mistaken.
 
How many times is this now that the count has had to be corrected to show the true numbers. You would have thought that after 16 months we would have got it right, unless it was deliberately intended to be wrong. This just re-inforces the conspiracy theorists claims.
The have manipulated figures since the beginning. They will keep doing it as they see fit
 
Sorry but that’s one of the maddest things I’ve read on here in ages - what makes you think when it comes to winter, when we know the virus number is more transmissible (indoors, bad weather), it’ll all be smooth? We need to understand the point at which we can live with this (is it cases, is it admissions, is it deaths) and stick to it.
I don't think it will be smooth but the lower the starting number before the spikes them the less risk of deaths overall.

Totally agree we have to find a way to live our lives as normal with it now though, we fucked it when we didn't lock down properly to begin with, we should have shut the world down and closed borders for a month as soon as we saw this was a pandemic, we could then have focused on testing rapidly to contain any future spread. It would have stopped the whole thing in its tracks
 
Based on what?
That if you go to hospital for another procedure they automatically test you when you are in there. If you test positive and not needing hospital treatment for covid but are purely there for another reason you are automatically counted as being in hospital with covid
 
I don't think it will be smooth but the lower the starting number before the spikes them the less risk of deaths overall.

Totally agree we have to find a way to live our lives as normal with it now though, we fucked it when we didn't lock down properly to begin with, we should have shut the world down and closed borders for a month as soon as we saw this was a pandemic, we could then have focused on testing rapidly to contain any future spread. It would have stopped the whole thing in its tracks
Or we could just return to normality like Texas and Florida.
 
That if you go to hospital for another procedure they automatically test you when you are in there. If you test positive and not needing hospital treatment for covid but are purely there for another reason you are automatically counted as being in hospital with covid

And what is the problem with that? If you test positive whilst in hospital you require more complex management than before, which puts more demand on the hospital.

It seems you’re suggesting such patients should never have been counted. Why?
 
Sorry but that’s one of the maddest things I’ve read on here in ages - what makes you think when it comes to winter, when we know the virus is more transmissible (indoors, bad weather), it’ll all be smooth? We need to understand the point at which we can live with this (is it cases, is it admissions, is it deaths) and stick to it.
Keeping the cases as low as possible through summer will mean we are lower down on the curve going into autumn and winter. Furthermore they want to keep hospital numbers down in the summer to try and catch up with the severe backlog of non-covid work.

It is not as simple as 'understanding the point at which we can live with this'. You cannot say right we are at '20,000 daily cases (for example) so we need to keep things a bit tighter. The rate of infections, hospitalisations and death on any given day is determined by the action taken or not taken several weeks previous.

In addition to this it is much much easier to control infections, hospitalisations and deaths whilst the rate of growth is low. This is especially true given that the delta variant has an r-value of around 6. If you have not read up on exponential growth this video explains it well.

 
And what is the problem with that? If you test positive whilst in hospital you require more complex management than before, which puts more demand on the hospital.

It seems you’re suggesting such patients should never have been counted. Why?
I can understand your point re the extra demands placed upon the hospital, but when looking at the 'severity' of the pandemic in terms of how many people are being admitted to hospital due to the impact of their covid symptoms, do you not think it would be helpful to differentiate. Surely this would allow for better decision making by government etc.
 
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