tetano
Editor, Senior Moderator
Clin Med (Lond)
. 2020 Aug 3;clinmed.2020-0440.
doi: 10.7861/clinmed.2020-0440. Online ahead of print.
Dying 'due to' or 'with' COVID-19: a cause of death analysis in hospitalised patients
Thomas A Slater[SUP] 1 [/SUP], Sam Straw[SUP] 1 [/SUP], Michael Drozd[SUP] 1 [/SUP], Stephe Kamalathasan[SUP] 2 [/SUP], Alice Cowley[SUP] 2 [/SUP], Klaus K Witte[SUP] 3 [/SUP]
Affiliations
Abstract
The SARS-CoV-2 pandemic is accompanied by an ever-rising death toll attributed to coronavirus disease 2019 (COVID-19), but questions have persisted regarding deaths formally attributed to COVID-19. We aimed to provide an independent review of clinical features of patients who died during hospitalisation with a positive PCR test for SARS-CoV-2 and relate these to the reported cause of death. Between 23 March and 28 April 2020, a total of 162 patients with a positive SARS-CoV-2 PCR died in our NHS trust. COVID-19 infection was documented as the direct cause of death in 150 (93%). Review of the records revealed 138 (92%) patients had pulmonary infiltrates on chest radiography, and 146 (97%) required oxygen therapy. This retrospective review of cause of death has demonstrated that the overwhelming majority of hospitalised patients with positive SARS-CoV-2 PCR died as a direct consequence of COVID-19 infection.
Keywords: COVID-19; SARS-CoV-2; coronavirus.
. 2020 Aug 3;clinmed.2020-0440.
doi: 10.7861/clinmed.2020-0440. Online ahead of print.
Dying 'due to' or 'with' COVID-19: a cause of death analysis in hospitalised patients
Thomas A Slater[SUP] 1 [/SUP], Sam Straw[SUP] 1 [/SUP], Michael Drozd[SUP] 1 [/SUP], Stephe Kamalathasan[SUP] 2 [/SUP], Alice Cowley[SUP] 2 [/SUP], Klaus K Witte[SUP] 3 [/SUP]
Affiliations
- PMID: 32753516
- DOI: 10.7861/clinmed.2020-0440
Abstract
The SARS-CoV-2 pandemic is accompanied by an ever-rising death toll attributed to coronavirus disease 2019 (COVID-19), but questions have persisted regarding deaths formally attributed to COVID-19. We aimed to provide an independent review of clinical features of patients who died during hospitalisation with a positive PCR test for SARS-CoV-2 and relate these to the reported cause of death. Between 23 March and 28 April 2020, a total of 162 patients with a positive SARS-CoV-2 PCR died in our NHS trust. COVID-19 infection was documented as the direct cause of death in 150 (93%). Review of the records revealed 138 (92%) patients had pulmonary infiltrates on chest radiography, and 146 (97%) required oxygen therapy. This retrospective review of cause of death has demonstrated that the overwhelming majority of hospitalised patients with positive SARS-CoV-2 PCR died as a direct consequence of COVID-19 infection.
Keywords: COVID-19; SARS-CoV-2; coronavirus.