The in-hospital death rate among adult COVID-19 patients in England early in the pandemic was 31% but declined significantly over time, with older age, male sex, low socioeconomic status, Asian or mixed ethnicity, and underlying conditions signaling poor outcomes, according to a retrospective, observational study published yesterday in The Lancet Respiratory Medicine. A team led by a researcher from University College London used the National Health Service Hospital Episode Statistics administrative dataset to estimate in-hospital deaths and contributing factors among 91,541 COVID-19 patients at 500 hospitals from Mar 1 to May 31, 2020. Of the 91,541 patients, 28,200 (30.8%) died in the hospital, with COVID-19 listed as the cause of death for 23,153 (88.2%) of 26,240 with a cause listed. The adjusted in-hospital death rate began to improve in early March to late May, falling from 52.2% to 16.8%.

 

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