Research Article

Hospital Mortality and Resource Implications of Hospitalisation with COVID-19 in London, UK: A Prospective Cohort Study

Table 1

Baseline characteristics of patients, by admission location.

Study population (n = 429)Treated only on ward (n = 353)Treated in ICU (n = 76)

Age, years65 (52–81)68 (54–82)57 (48–63)
 18–2912 (3%)9 (2%)3 (4%)
 30–3927 (6%)21 (6%)6 (8%)
 40–4937 (9%)26 (7%)11 (14%)
 50–5979 (18%)56 (16%)23 (30%)
 60–6990 (21%)69 (19%)21 (28%)
 70–7964 (15%)55 (16%)9 (12%)
 80–8982 (19%)79 (22%)3 (4%)
 ≥9038 (9%)38 (11%)0 (0%)

Sex
 Female195 (45%)169 (48%)26 (34%)
 Male234 (55%)184 (52%)50 (66%)

Ethnicity
 Black187/391 (48%)148 (47%)39 (53%)
 Asian15/391 (4%)9 (3%)6 (8%)
 White151/391 (38%)129 (40%)22 (30%)
 Mixed or others38/391 (10%)31 (10%)7 (9%)

BMI26.6 (23.2–31.2)26.2 (22.8–31.0)27.8 (24.2–32.0)
 ≤25115/296 (39%)90/222 (40%)25/74 (34%)
 26–3091/296 (31%)69/222 (31%)22/74 (30%)
 21–3554/296 (18%)36/222 (16%)18/74 (24%)
 36–4018/296 (6%)13/222 (6%)5/74 (7%)
 ≥4018/296 (6%)14/222 (6%)4/74 (5%)

ACCI4 (2–6)4 (2–6)2 (1–4)
 040/401 (10%)33/33 (10%)7/70 (10%)
 149/401 (12%)34 (10%)15 (21%)
 251/401 (13%)37 (11%)14 (20%)
 ≥3261/401 (65%)227 (69%)34 (49%)

IMD quintile§
 1 (least deprived)9/427 (2%)6/351 (2%)3 (4%)
 236/427 (8%)31/351 (9%)5 (7%)
 386/427 (20%)72/351 (20%)14 (18%)
 4204/427 (48%)167/351 (48%)37 (49%)
 5 (most deprived)92/427 (21%)75/351 (21%)17 (22%)

Prior residence
 Home382 (89%)308 (87%)74 (97%)
 Nursing home31 (7%)30 (8%)1 (1.5%)
 Health-related institution6 (1%)6 (2%)0 (0%)
 Others10 (2%)9 (3%)1 (1.5%)

Comorbidities
 Hypertension225 (52%)187 (53%)38 (50%)
 Diabetes mellitus161 (37%)122 (35%)39 (51%)
 Coronary heart disease41 (10%)36 (10%)5 (7%)
 Chronic heart failure28 (6%)28 (8%)0 (0%)
 Chronic kidney disease61 (14%)54 (15%)7 (9%)
 End-stage renal disease14 (3%)12 (3%)2 (3%)
 Chronic respiratory disease51 (12%)43 (12%)8 (10%)
 Chronic liver disease8 (2%)6 (2%)2 (3%)
 Cerebrovascular accident57 (13%)55 (16%)2 (3%)
 Immunosuppression (incl. HIV)26 (6%)25 (7%)1 (1%)
 Sickle cell disease7 (2%)5 (1%)2 (3%)
 Active cancer or haematological disease41 (10%)39 (11%)2 (3%)

Frailty
 Frail170 (40%)156/351 (44%)14 (18%)
 Not frail259 (60%)197/351 (56%)62 (82%)

Chief presenting symptoms
 Fever265 (62%)212 (60%)53 (70%)
 Cough266 (62%)212 (60%)54 (71%)
 Dyspnoea184 (43%)143 (40%)41 (54%)
 Fatigue101 (23%)80 (23%)21 (28%)
 Lethargy82 (19%)67 (19%)15 (20%)
Days since symptom onset3.5 (1–6)3 (1–6)4.5 (2–6)

Reason for hospital admission
 Medical (hypoxaemic respiratory failure)182 (42%)125 (35%)57 (75%)
 Medical (other reasons)215 (50%)203 (57%)12 (16%)
 Surgical or trauma29 (7%)22 (6%)7 (9%)
 Elective3 (1%)3 (1%)0 (0%)

Initial chest X-ray
 No abnormal findings95/405 (23%)88/329 (27%)7 (9%)
 Diffuse opacities155/310 (50%)105/241 (44%)50/69 (72%)
 Bilateral opacities178/310 (57%)124/241 (51%)54/69 (78%)
 Pleural effusion42/310 (13%)33/241 (14%)9/69 (13%)

Data are reported as median (IQR) or n (%), or n/N (%) when some data are missing. Abbreviations: ICU, Intensive Care Unit; BMI, body mass index (calculated as weight in kilograms divided by height in metres squared); ACCI, Age-adjusted Charlson Comorbidity Index; IMD, Index of Multiple Deprivation; HIV, human immunodeficiency virus. Ethnicity was missing in 38 patients (9%). BMI was missing in 133 patients (31%). ACCI was missing for 28 patients (6%). §IMD was missing in 2 patients (<1%). Data on symptom onset were missing in 217/429 (51%) of patients.