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Hospital Strain and COVID-19 Fatality - England, April 2020-March 2022

Tengfei Lin¹, Ziyi Zhao¹, Zhirong Yang¹

¹Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen City, Guangdong Province, China.

China CDC Weekly

|February 13, 2023

Abstract

What Is Already Known About This Topic?:

During the coronavirus disease 2019 (COVID-19) pandemic, tremendous efforts have been made in countries to suppress epidemic peaks and strengthen hospital services to avoid hospital strain and ultimately reduce the risk of death from COVID-19. However, there is limited empirical evidence that hospital strain increases COVID-19 deaths.

What Is Added By This Report?:

We found the risk of death from COVID-19 was linearly associated with the number of patients currently in hospitals, a measure of hospital strain, before the Omicron period. This risk could be increased by a maximum of 188.0%.

What Are The Implications For Public Health Practice?:

These findings suggest that any (additional) effort to reduce hospital strain would be beneficial during early large COVID-19 outbreaks and possibly also others alike. During an Omicron outbreak, vigilance remains necessary to prevent excess deaths caused by hospital strain as happened in Hong Kong Special Administrative Region, China.

Keywords:

COVID-19 Fatality Healthcare strain Hospital strain

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