Quote Originally Posted by Witton Park View Post
Here's my expectation.

Patient admitted and given a test.

That patient shouldn't be a covid admission without a confirmed test, so 48 hours in or whenever. Fine to treat them as with covid at first, but not to record them as such because once they are in as Covid, they will not be removed and it will distort the figures.

Then that patient should be retested again to confirm the first test.

That double test along with a doctor's diagnosis would give confidence to the "covid admission" label.

If they are admitted with symptoms, then there is perhaps a very good chance. But you want all admissions testing (and I agree) but if you test someone admitted with a kidney infection....

"if the test is positive, then they have got it"

is bogus. I'm sorry Mike, but that is just not right.

As far as what's "common" and "very uncommon" I can't see what you have to go off in order to make that assertion.

If False negatives are 20% and False Positives are 1% then they could be equally as common in a hospital setting and the False Positive will be far more common in a non-hospital setting such as the Pillar 2 testing and more common in non-respiratory admissions.

I'd also like to see "Covid Discharge" recorded.

Covid admissions = Covid discharges + covid deaths.

The stats constantly tell us the rate of admissions are on the increase, but an analysis the other day, I think of Liverpools hospitals, showed that discharges were actually higher than admissions and the pressure that has built up is now reducing.
Every admission should be regarded as having Covid until that has been excluded. It does not mean they will be counted as a Covid case forever more. It depends on their symptoms/signs/test results, just like all diagnoses.

The Covid test, if positive, is one of the most accurate tests in Medicine. Far more accurate than almost any other test we do.

Deaths per fortnight within 28 days of a positive test have gone from 113 (28th August - 10th September) to 2,996 in the last fortnight. This is serious. This is real. There are the equivalent of 22 District General Hospitals full of nothing but Covid in the NHS as a whole.