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The next few weeks/months are going to answer some questions about whether inpatient care for severe #COVID19 has really improved.
Unfortunately, I am nervous that the narrative that "the treatment is better" is due to collider bias.
This is a more accurate curve
/
Unfortunately, I am nervous that the narrative that "the treatment is better" is due to collider bias.
This is a more accurate curve
/
The inpatient population is different!
In order to to be tested and admitted to a hospital in spring hot spots, you had to be really, really sick...
The death rates in those who convalesced at home were eye-popping.
The cases were also concentrated in a few cities. /
In order to to be tested and admitted to a hospital in spring hot spots, you had to be really, really sick...
The death rates in those who convalesced at home were eye-popping.
The cases were also concentrated in a few cities. /
For an excellent review of how collider bias has distorted almost all of the observational studies about this disease please see this wonderful review in @NatureComms/ https://www.nature.com/articles/s41467-020-19478-2
I believe in ICU medicine and am proud of the work that we do. However, #COVID19 is a complex public health problem, our treatments for severe disease can rescue many but the cost is great.
Be compassionate, be safe and be pragmatic.
Be compassionate, be safe and be pragmatic.
