RT Journal Article
SR Electronic
T1 Dying ‘due to’ or ‘with’ COVID-19: a cause of death analysis in hospitalised patients
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP e189
OP e190
DO 10.7861/clinmed.2020-0440
VO 20
IS 5
A1 Thomas A Slater
A1 Sam Straw
A1 Michael Drozd
A1 Stephe Kamalathasan
A1 Alice Cowley
A1 Klaus K Witte
YR 2020
UL http://www.rcpjournals.org/content/20/5/e189.abstract
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.