This paper is in the following e-collection/theme issue:

Peer Reviews (210)

Published on in Vol 5 (2024)

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/59639, first published .
Peer Review of “Health Care System Overstretch and In-Hospital Mortality of Intubated Patients With COVID-19 in Greece From September 2020 to April 2022: Updated Retrospective Cohort Study”

Peer Review of “Health Care System Overstretch and In-Hospital Mortality of Intubated Patients With COVID-19 in Greece From September 2020 to April 2022: Updated Retrospective Cohort Study”

Peer Review of “Health Care System Overstretch and In-Hospital Mortality of Intubated Patients With COVID-19 in Greece From September 2020 to April 2022: Updated Retrospective Cohort Study”

Authors of this article:

Anonymous
Article Authors Cited by Tweetations (5) Metrics

    Related ArticlesPreprint (JMIR Preprints) http://preprints.jmir.org/preprint/43341
    Authors’ Response to Peer-Review Reports https://med.jmirx.org/2024/1/e59637
    Published Article https://med.jmirx.org/2024/1/e43341
    JMIRx Med 2024;5:e59639

    doi:10.2196/59639

    Keywords

    COVID-19; pandemic; health care disparities; intensive care unit; ICU; right to health; quality of care; intubation; mortality; health disparity; health inequality; surveillance data; in-patient; mortality; COVID-19 patient; hospitalization; disparity; inequality; surveillance; health care system; Greece; region; Delta; Omicron; vaccination; vaccine; public health; patient load; deterioration; time 

    This is the peer review report for “Health Care System Overstretch and In-Hospital Mortality of Intubated Patients With COVID-19 in Greece From September 2020 to April 2022: Updated Retrospective Cohort Study.”


    General Comments

    This paper [1] is interesting but needs improvement.

    Specific Comments

    Major Comments

    We aimed to update this analysis to include the large “Delta” and “Omicron” waves that affected Greece during 2021‐2022

    So why did you analyze data also from 2020?

    Vaccination did not affect the mortality of these already severely ill patients.

    Did you check how many months before they had received the vaccine? How many of the participants were not vaccinated?

    Vaccination did not show a statistically significant association with mortality, regardless of the number of doses received (Figure 2).

    This needs rephrasing if all participants were vaccinated at least once.

    Between 1 September 2020 and 3 April 2022...

    I see that your previous study included data up to May 2021. Thus, there is a lot of overlap in the data of these two studies.

    There are many errors in the use of English and typos which makes it difficult to understand. See examples below:

    Mortality was significantly higher above 400 patients

    This is not very clear (please rephrase).

    ...with an adjusted Hazard Ratio of 1.22, 95% CI: 1.09‐1.38)

    Where does the parenthesis open?

    ...rising progressively up to 1.48 (95% CI: 1.31‐1.69) for 800+ patients.

    This is not clear.

    ...we found no statistically association between mortality and...

    Please correct typo.

    Minor Comments

    It would be good to include DOIs to all references.

    Conflicts of Interest

    None declared.

    1. Lytras T. Health care system overstretch and in-hospital mortality of intubated patients with COVID-19 in Greece from September 2020 to April 2022: updated retrospective cohort study. JMIRx Med. 2024;5:e43341. [CrossRef]

    Edited by Edward Meinert; This is a non–peer-reviewed article. submitted 17.04.24; accepted 17.04.24; published 10.06.24.

    Copyright

    © Anonymous. Originally published in JMIRx Med (https://med.jmirx.org), 10.6.2024.

    This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIRx Med, is properly cited. The complete bibliographic information, a link to the original publication on https://med.jmirx.org/, as well as this copyright and license information must be included.