A retrospective cohort study of risk factors for mortality among nursing homes exposed to COVID-19 in Spain
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SciScore for 10.1101/2020.11.09.20228171: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement IRB: The study protocol was approved by the institutional review board of Hospital Germans Trias Pujol. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable not detected. 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 analysis had the intrinsic limitations of retrospective studies, particularly regarding data completeness. Owing to the overload of …
SciScore for 10.1101/2020.11.09.20228171: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement IRB: The study protocol was approved by the institutional review board of Hospital Germans Trias Pujol. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable not detected. 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 analysis had the intrinsic limitations of retrospective studies, particularly regarding data completeness. Owing to the overload of the healthcare system during the investigated period, a large number of deaths could not be tested for SARS-CoV-2 PCR and remained unconfirmed. We were unable to gather information regarding the worker profiles in each nursing home. Unlike skilled nursing homes aimed at intermediate care or mental health resources, which tend to be coordinated by the healthcare authorities, non-specialized nursing homes aimed at long-term stay are a case-mix of organizational models. Hence, the inclusion of the characteristics of the work team profile (e.g., skills, resident/worker ratio, and presence of physicians) might have provided interesting insights regarding the capacity of the residence to cope with the outbreak.22 Our results raise important policy implications by suggesting structural factors of the nursing homes and their surrounding districts that are important drivers of Covid-19-related mortality in this setting. Identification of facilities with low capacity for pandemic response, located in areas with high incidence of Covid-19 and low density of population (e.g., rural areas) could help public health officers to identify facilities where preventative interventions need to be prioritized. The presence of complex patients and those with advanced chronic diseases also increased mortality risk, though these factors alone seem not to explain mort...
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.
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SciScore for 10.1101/2020.11.09.20228171: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement The study protocol was approved by the institutional review board of Hospital Germans Trias Pujol. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable not detected. 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 analysis had the intrinsic limitations of retrospective studies, particularly regarding data completeness. Owing to the overload of …
SciScore for 10.1101/2020.11.09.20228171: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement The study protocol was approved by the institutional review board of Hospital Germans Trias Pujol. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable not detected. 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 analysis had the intrinsic limitations of retrospective studies, particularly regarding data completeness. Owing to the overload of the healthcare system during the investigated period, a large number of deaths could not be tested for SARS-CoV-2 PCR and remained unconfirmed. We were unable to gather information regarding the worker profiles in each nursing home. Unlike skilled nursing homes aimed at intermediate care or mental health resources, which tend to be coordinated by the healthcare authorities, non-specialized nursing homes aimed at longterm stay are a case-mix of organizational models. Hence, the inclusion of the characteristics of the work team profile (e.g., skills, resident/worker ratio, and presence of physicians) might have provided interesting insights regarding the capacity of the residence to cope with the outbreak.22 Our results raise important policy implications by suggesting structural factors of the nursing homes and their surrounding districts that are important drivers of Covid-19-related mortality in this setting. Identification of facilities with low capacity for pandemic response, located in areas with high incidence of Covid-19 and low density of population (e.g., rural areas) could help public health officers to identify facilities where preventative interventions need to be prioritized. The presence of complex patients and those with advanced chronic diseases also increased mortality risk, though these factors alone seem not to explain m...
Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We found bar graphs of continuous data. We recommend replacing bar graphs with more informative graphics, as many different datasets can lead to the same bar graph. The actual data may suggest different conclusions from the summary statistics. For more information, please see Weissgerber et al (2015).
Results from JetFighter: We did not find any issues relating to colormaps.
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