Estimated surge in hospital and intensive care admission because of the coronavirus disease 2019 pandemic in the Greater Toronto Area, Canada: a mathematical modelling study

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Abstract

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  1. SciScore for 10.1101/2020.04.20.20073023: (What is this?)

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

    Table 1: Rigor

    NIH rigor criteria are not applicable to paper type.

    Table 2: Resources

    No key resources detected.


    Results from OddPub: Thank you for sharing your code and data.


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Limitations include our assumption that the distribution of hospitalizations and ICU admissions would follow 2019 patterns, and that transmission was homogenous across the city. However, distribution of admissions may be expected to follow even more granular patterns of transmission in the hospital’s neighborhood-level catchment area (30). Future work includes capturing heterogeneity within the five health units and near real-time adjustment of the catchment using observed patterns of hospital-specific admissions. Finally, our objective was to conduct a scenario-based analyses, and not to explicitly fit the model to observed cases, hospitalizations, ICU admissions and deaths in the GTA; these are the next step in supporting local GTA hospitals and re-distribution of ICU care across the city (31). In summary, a surge in hospital capacity in the GTA is expected across a range of pessimistic to optimistic scenarios during the COVID-19 pandemic, with important and practical variability anticipated at the hospital-level. What is happening outside the hospital will have the largest influence on each hospital’s surge, with an opportunity for increasing diagnostic (testing or syndromic) capacity to mitigate each hospital’s surge, especially if there are pragmatic constraints on physical distancing measures. ICU admissions at the city-level is expected to surge past baseline even in best-case scenarios, but with variability across hospitals – thus, signaling the importance of efforts ...

    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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