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by undo123 1999 days ago
Not looking to start or participate in a conspiracy, but I do think it’s valid to ask for both numbers: The number of people hospitalized (or died) who have C19, and the number of people hospitalized (or died) because of C19. Unless the coding systems simply can’t make that distinction, it seems like a no brainer to publish both numbers. The conspiracy theorists lose traction, and we get more data.

Despite this, I see precious few C19 dashboards that show the ratio. We’re lucky to see one that describes precisely what is counted as a hospitalization. We’ve had plenty of time to figure out how to report this, I’m stunned that there isn’t more transparency.

2 comments

> Unless the coding systems simply can’t make that distinction

They probably can’t, assuming that they haven’t adopted a more complex (and, consequently, probably less reliable at what it purports to represent) diagnostic categorization than is generally used for other purposes in healthcare; the usual systems can distinguish admitting and primary diagnoses and diagnoses that are neither admitting nor primary (though I don’t know that the distinction is in what is shared for public health reasons), but it can’t distinguish between “diagnosis that are part of the reason that they were admitted to or not yet released from the hospital” and “diagnoses that aren’t part of that despite being present”.

At least, that’s my understanding based on a couple decades of contact with health IT systems and the associated data models.

Then you haven't been around long enough to absorb all the perverse incentives there are around how things get coded, and ways to use metrics in novel and completely unintended ways.