It's hard to believe we are undercounting COVID hospitalization or
death rates. Some states are now reporting whether a patient was admitted because of COVID versus admissions where they subsequently found the patient had COVID. One report had nearly 80% of omicron admissions did not know they had the disease. New York had >40% COVID admissions were admitted "with" versus "because." There are some good arguments to only test symptomatic patients, though it makes sense in the acute environment.
Dr. Birks early on said that the death rates were probably overstated by 40%, meaning they died "with" COVID versus "because," but our reporting requirements have encouraged counting both equally. And, yes, hospitals get paid a little extra to report patients/events as "COVID," though I'm doubtful that had massive bias on the reported #s - but am open to the jaded arguments on that. I've seen quite a bit of interesting behavior over 30+ years in healthcare, and financial incentives do modify behavior.
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In response to this post by MikeVT85)
Posted: 02/08/2022 at 10:16AM