PT - JOURNAL ARTICLE AU - Slater, Thomas A AU - Straw, Sam AU - Drozd, Michael AU - Kamalathasan, Stephe AU - Cowley, Alice AU - Witte, Klaus K TI - Dying ‘due to’ or ‘with’ COVID-19: a cause of death analysis in hospitalised patients AID - 10.7861/clinmed.2020-0440 DP - 2020 Sep 01 TA - Clinical Medicine PG - e189--e190 VI - 20 IP - 5 4099 - http://www.rcpjournals.org/content/20/5/e189.short 4100 - http://www.rcpjournals.org/content/20/5/e189.full SO - Clin Med2020 Sep 01; 20 AB - 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.