COVID-19 outcomes in UK centre within highest health and wealth band: a prospective cohort study

BMJ Open. 2020 Nov 16;10(11):e042090. doi: 10.1136/bmjopen-2020-042090.

Abstract

Objectives: To describe the characteristics and outcomes of hospitalised patients with COVID-19 from UK in the highest decile of health and gross regional products per capita.

Design: Prospective cohort study.

Setting: Recruited all adult inpatients with laboratory-confirmed COVID-19 symptoms admitted to a single Surrey centre between March and April 2020. Extensive demographic details were documented.

Outcome measure: COVID-19 status of alive/dead and intensive care unit (ICU) status of yes/no.

Participants: Patients with COVID-19 from Surrey centre UK (n=429).

Results: 429 adult inpatients (mean age 70±18 years; men 56.4%) were included in this study, of whom, 19.1% required admission to ICU and 31.9% died. Adverse outcomes were associated with age (OR with each decade of years: 1.78, 95% CI 1.53 to 2.11, p<0.001 for mortality); male gender (OR=1.08, 95% CI 0.72 to 1.63, p=0.72, present in 70.7%, of admissions to ICU versus 53% of other cases, p=0.004); cardiac disease (OR=3.43, 95% CI 2.10 to 5.63, p<0.001), diabetes mellitus (OR=2.37, 95% CI 1.09 to 5.17, p=0.028) and dementia (OR=5.06, 95% CI 2.79 to 9.44, p<0.001). There was no significant impact of ethnicity or body mass index on disease outcome.

Conclusions: Despite reports of worse outcomes in deprived regions, we show similar complication and mortality rates due to COVID-19 in an affluent and high life expectancy region.

Keywords: COVID-19; epidemiology; public health.

MeSH terms

  • Aged
  • Aged, 80 and over
  • COVID-19 / epidemiology*
  • Female
  • Hospital Mortality / trends
  • Hospitalization / trends
  • Humans
  • Inpatients*
  • Intensive Care Units*
  • Male
  • Pandemics*
  • Prospective Studies
  • Risk Factors
  • SARS-CoV-2*
  • United Kingdom / epidemiology