Hospitalization of mild cases of community-acquired pneumonia decreased more than severe cases during the COVID-19 pandemic

This article has been Reviewed by the following groups

Read the full article See related articles

Discuss this preprint

Start a discussion What are Sciety discussions?

Abstract

No abstract available

Article activity feed

  1. SciScore for 10.1101/2021.03.18.21253861: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variableThe A-DROP system is a 6-point scale (0–5) that assess the clinical severity of CAP according to the following parameters: (i) age (male ≥ 70 years, female ≥ 75 years), (ii) dehydration (blood urea nitrogen (BUN) ≥ 210 mg/L), (iii) respiratory failure (arterial oxygen saturation (SpO2) ≤ 90% or partial pressure of oxygen in arterial blood (PaO2) ≤ 60 mmHg), (iv) orientation disturbance (confusion), and (v) low blood pressure (systolic blood pressure (SBP) ≤ 90 mmHg) (Shindo et al., 2008).

    Table 2: Resources

    No key resources detected.


    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Our study has several limitations. First, the study population was restricted to patients in hospitals that voluntarily participated in the QIP. Therefore, a selection bias cannot be excluded. Second, the diagnoses of the outpatient pneumonia cases recorded in files E and F were not classified as in form 1 and may not be sufficiently robust. However, files E and F contained the start date of diagnosis and date of visit and allowed us to extract the outpatient cases newly diagnosed with pneumonia. Therefore, the trend for the number of outpatient pneumonia cases was approximately assessed. Despite these limitations, our research provided important information on the impact of the COVID-19 epidemic on CAP inpatients using a large-scale Japanese database. Further studies are warranted to identify the long-term impact of the decrease of inpatient CAP cases on patient outcomes and health care systems. In conclusion, we showed a marked reduction of inpatient CAP cases during the COVID-19 epidemic in Japan using large-scale administrative data. The decrease in the year-over-year ratio of the number of inpatient cases was greater for the milder pneumonia cases.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.