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Are Hospitals counting patients that test positive for Covid as "Covid Hospitalizations"?
Posted on 6/29/20 at 1:24 pm
Posted on 6/29/20 at 1:24 pm
Does anyone know officially? If you are admitted to the hospital or there for an elective procedure, hospitals are testing literally everyone for Covid right? So if you give birth and test positive for Covid, are you a "Covid Hospitalization"?
My county has 349 people admitted to the hospital, and 4 Covid beds as well as 46 ICU beds filled with 9 Covid. Are they double dipping here and anyone in the ICU with Covid and anyone in the hospital with Covid count as those numbers?
I mean the testing rates for Florida are something like 4% positive, so if you test 349 patients you are going to certainly get a handful positive for Covid right now?
My county has 349 people admitted to the hospital, and 4 Covid beds as well as 46 ICU beds filled with 9 Covid. Are they double dipping here and anyone in the ICU with Covid and anyone in the hospital with Covid count as those numbers?
I mean the testing rates for Florida are something like 4% positive, so if you test 349 patients you are going to certainly get a handful positive for Covid right now?
10
Posted on 6/29/20 at 1:24 pm to baldona
Yes absolutely
We have several “covid positive” inpatients who are there for other reasons, no covid symptoms at all
We have several “covid positive” inpatients who are there for other reasons, no covid symptoms at all
This post was edited on 6/29/20 at 1:26 pm
Posted on 6/29/20 at 1:25 pm to baldona
Don’t question our heroes
Posted on 6/29/20 at 1:26 pm to Cosmo
I have to assume so also. So its very possible with 349 people admitted and only 4 Covid Patients, there are 0 hospitalizations due to Covid and they are all there for something else "with Covid"?
ETA; This is absolutely maddening if so. Why in the frick would the government not want the people to know exactly how many people are hospitalized DUE TO COVID?
ETA; This is absolutely maddening if so. Why in the frick would the government not want the people to know exactly how many people are hospitalized DUE TO COVID?
This post was edited on 6/29/20 at 1:28 pm
Posted on 6/29/20 at 1:27 pm to baldona
My mom was not tested 2 weeks ago before a back surgery at OLOL
Posted on 6/29/20 at 1:29 pm to baldona
quote:
Does anyone know officially? If you are admitted to the hospital or there for an elective procedure, hospitals are testing literally everyone for Covid right? So if you give birth and test positive for Covid, are you a "Covid Hospitalization"?
My county has 349 people admitted to the hospital, and 4 Covid beds as well as 46 ICU beds filled with 9 Covid. Are they double dipping here and anyone in the ICU with Covid and anyone in the hospital with Covid count as those numbers?
I mean the testing rates for Florida are something like 4% positive, so if you test 349 patients you are going to certainly get a handful positive for Covid right now?
Clearly, the COVID+ patients who are not hospitalized due to COVID symptoms should not count as a "COVID hospitalization," but the hospitals do have to move these folks to their COVID units. This means it is an important metric as far as capacity, but using it as a means to measure severity of the COVID pandemic is bullshite.
Posted on 6/29/20 at 1:33 pm to baldona
I help report the daily COVID numbers for CDC for my healthcare system I work for
CDC asks for Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19(suspected means they are awaiting test results but patients has symptoms or known exposure)
It also asks for the number of patients currently hospitalized in an inpatient ICU bed who have suspected or confirmed COVID-19
So don’t get upset at the hospitals....they are mandated by the CDC to report these numbers....in this manner and based on these definitions... every single day.
ETA: They ask for several other numbers as well. Amount of beds available, vents, etc.
How many COVID deaths as well, etc.
And even asymptomatic COVID patients require more resources than a non COVID patients. MUCH more PPE, etc.
CDC asks for Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19(suspected means they are awaiting test results but patients has symptoms or known exposure)
It also asks for the number of patients currently hospitalized in an inpatient ICU bed who have suspected or confirmed COVID-19
So don’t get upset at the hospitals....they are mandated by the CDC to report these numbers....in this manner and based on these definitions... every single day.
ETA: They ask for several other numbers as well. Amount of beds available, vents, etc.
How many COVID deaths as well, etc.
And even asymptomatic COVID patients require more resources than a non COVID patients. MUCH more PPE, etc.
This post was edited on 6/29/20 at 1:36 pm
Posted on 6/29/20 at 1:38 pm to lsunurse
quote:
CDC asks for Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19(suspected means they are awaiting test results but patients has symptoms or known exposure)
It also asks for the number of patients currently hospitalized in an inpatient ICU bed who have suspected or confirmed COVID-19
So absolutely nothing the CDC is asking for is how many patients are being treated directly for Covid? Even the patients in the ICU may not be there with Covid but asymptomatic?
This is absolutely maddening.
Posted on 6/29/20 at 1:39 pm to LSUJML
quote:
My mom was not tested 2 weeks ago before a back surgery at OLOL
That was just plain foolishness on OLOL’s part. Or LA state health department was just that lax about resuming electives.
Our hospital couldn’t even resume electives until we could provide a plan to AZ state department showing how we were going to test everyone prior to their procedure.
ETA: and this was long before AZ became the next COVID shitshow it currently is
This post was edited on 6/29/20 at 1:44 pm
Posted on 6/29/20 at 1:41 pm to baldona
quote:
Even the patients in the ICU may not be there with Covid but asymptomatic?
Pretty hard to determine if a person is having chills or a sore throat or body aches......if they are currently intubated and sedated.
Posted on 6/29/20 at 1:43 pm to baldona
quote:I think they are testing before admitting you to the hospital on elective surgeries. I think they just reschedule until the patient is Covid negative.
If you are admitted to the hospital or there for an elective procedure
Posted on 6/29/20 at 1:46 pm to baldona
if they are following CDC guidelines, yes.
Posted on 6/29/20 at 1:47 pm to lsunurse
quote:
Pretty hard to determine if a person is having chills or a sore throat or body aches......if they are currently intubated and sedated.
Certainly.
But what I meant is I assumed everyone in ICU as a "COVID ICU" meant they are in ICU for Covid. Not that they were in a bad car accident and also positive for Covid.
Posted on 6/29/20 at 1:52 pm to baldona
quote:
Not that they were in a bad car accident and also positive for Covid
Well....how do you know that COVID won’t make things worse for them? Especially if they sustained lung injuries from the accident?
The numbers I report to CDC are just supposed to be a quick snapshot for the day.
This post was edited on 6/29/20 at 1:53 pm
Posted on 6/29/20 at 1:56 pm to baldona
I wouldn't put it past the people in charge of that kind of shite. I'm sure they're getting federal and/or state funds to treat Covid patients so they're going to grab every dollar they can.
My aunt had a knee surgery last week and they just called her today and told her she was positive. She doesn't feel bad or have symptoms. She said she didn't even know they tested her for it.
My aunt had a knee surgery last week and they just called her today and told her she was positive. She doesn't feel bad or have symptoms. She said she didn't even know they tested her for it.
This post was edited on 6/29/20 at 1:58 pm
Posted on 6/29/20 at 2:04 pm to lsunurse
quote:
Well....how do you know that COVID won’t make things worse for them? Especially if they sustained lung injuries from the accident?
The numbers I report to CDC are just supposed to be a quick snapshot for the day.
It may make it worse, but what I was getting at is they likely wouldn't be in the ICU for Covid without the other reason for them being in the ICU right?
When I see "Covid ICU" numbers, I have always expected that to mean that they were in the ICU specifically for Covid. As in Covid led them to the ICU.
I'd like to see some sort of freaking method to know how many people this is truly effecting.
If you die of a brain injury in ICU due to a car accident it should not be labeled as a damn Covid death.
Posted on 6/29/20 at 2:10 pm to baldona
Yes, this has been reported.
Posted on 6/29/20 at 3:27 pm to IAmNERD
quote:
wouldn't put it past the people in charge of that kind of shite. I'm sure they're getting federal and/or state funds to treat Covid patients so they're going to grab every dollar they can.
Hospitals are not getting wealthier from COVID. Any federal money they get is to recoup losses from dealing with this.
They are having to spend much more on staff, hazard pay so staff don’t walk out, PPE, etc. My hospital spent $$$$ to quickly convert an entire unit to negative pressure so they could house vented COVID patients (who many of them need to be in airborne iso cause of the aerosolizing procedures). This was not a cheap venture at all...and had to be done rapidly which also increased the cost.
Also factor in the extended length of stay for these intubated COVID patients. That the hospital will likely not get fully reimbursed on. We have COVID patients here that have been on a vent here since April.
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