Deaths in people from Black, Asian and minority ethnic communities from both COVID-19 and non-COVID causes in the first weeks of the pandemic in London: a hospital case note review.
Aged
Aged, 80 and over
Asian People
Betacoronavirus
Black People
COVID-19
Cause of Death
Comorbidity
Coronavirus Infections
Female
Hospitals
/ statistics & numerical data
Humans
London
/ epidemiology
Male
Minority Groups
Pandemics
/ ethics
Pneumonia, Viral
Retrospective Studies
SARS-CoV-2
Survival Rate
/ trends
COVID-19
coronavirus
ethnicity co-morbidity deprivation
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
16 10 2020
16 10 2020
Historique:
entrez:
17
10
2020
pubmed:
18
10
2020
medline:
6
11
2020
Statut:
epublish
Résumé
To undertake a case review of deaths in a 6-week period during the COVID-19 pandemic commencing with the first death in the hospital from COVID-19 on 12th of March 2020 and contrast this with the same period in 2019. A large London teaching hospital. Three groups were compared: group 1-COVID-19-associated deaths in the 6-week period (n=243), group 2-non-COVID deaths in the same period (n=136) and group 3-all deaths in a comparison period of the same 6 weeks in 2019 (n=194). This was a descriptive analysis of death case series review and as such no primary or secondary outcomes were pre-stipulated. Deaths in patients from the Black, Asian and minority ethnic (BAME) communities in the pandemic period significantly increased both in the COVID-19 group (OR=2.43, 95% CI=1.60-3.68, p<0.001) and the non-COVID group (OR=1.76, 95% CI=1.09-2.83, p=0.02) during this time period and the increase was independent of differences in comorbidities, sex, age or deprivation. While the absolute number of deaths increased in 2020 compared with 2019, across all three groups the distribution of deaths by age was very similar. Our analyses confirm major risk factors for COVID-19 mortality including male sex, diabetes, having multiple comorbidities and background from the BAME communities. There was no evidence of COVID-19 deaths occurring disproportionately in the elderly compared with non-COVID deaths in this period in 2020 and 2019. Deaths in the BAME communities were over-represented in both COVID-19 and non-COVID groups, highlighting the need for detailed research in order to fully understand the influence of ethnicity on susceptibility to illness, mortality and health-seeking behaviour during the pandemic.
Identifiants
pubmed: 33067300
pii: bmjopen-2020-040638
doi: 10.1136/bmjopen-2020-040638
pmc: PMC7569709
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e040638Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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