Re:California’s Roadmap to Modify the Stay-at-Home Order [pdf]
by DanBC on Wednesday April 15, 2020 @11:45AM
(#22879120)
> One way to mitigate that is to report only cases requiring hospital admission. This isn't ideal by any stretch,
It doesn't count all the frail people living in care or nursing homes who are put onto a palliative pathway and allowed to die, for example.
This could be about half of all Covid-19 deaths.
https://ltccovid.org/2020/04/12/mortality-associated-with-co...
> Data from 3 epidemiological studies in the United States show that as many as half of people with COVID-19 infections in care homes were asymptomatic (or pre-symptomatic) at the time of testing
> Data from 5 European countries suggest that care home residents have so far accounted for between 42% and 57% of all deaths related to COVID-19.
Re:California’s Roadmap to Modify the Stay-at-Home Order [pdf]
by squillesque on Wednesday April 15, 2020 @09:48AM
(#22877646)
But hospital admission cases depends on perceived hospital resources too... if people think going to the hospital is worse than staying at home, or impossible, that will distort conclusions also.
Re:California’s Roadmap to Modify the Stay-at-Home Order [pdf]
by simonh on Wednesday April 15, 2020 @10:15AM
(#22877923)
That's true, but is mainly a problem when comparing one country or region with another. Within a region, assuming a roughly stable general perception of hospital capability, it should till give a reasonable indication of the relative rise and fall in numbers of severe cases. I don't know, it's a really hard problem.
As countries increase their testing capacity it is quite possible some countries (or states) will end up eventually reporting accelerating numbers of diagnoses even if the actual new case rate in the population is falling.
One way to mitigate that is to report only cases requiring hospital admission. This isn't ideal by any stretch, but is a reasonable proxy for the spread of the virus and at least gives a good indication of the impact on the health care system.