2021
DOI: 10.1016/j.eclinm.2021.100859
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Variability in COVID-19 in-hospital mortality rates between national health service trusts and regions in England: A national observational study for the Getting It Right First Time Programme

Abstract: Background: A key first step in optimising COVID-19 patient outcomes during future case-surges is to learn from the experience within individual hospitals during the early stages of the pandemic. The aim of this study was to investigate the extent of variation in COVID-19 outcomes between National Health Service (NHS) hospital trusts and regions in England using data from MarchÀJuly 2020. Methods: This was a retrospective observational study using the Hospital Episode Statistics administrative dataset. Patient… Show more

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Cited by 42 publications
(43 citation statements)
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“…transfer of patients from a 'high strain' hospital to a lower strain' hospital or varying application of conventional management). However, analysis of UK hospital-level variation provides little evidence of differing strain between sites [37,38] in context of nation-wide measures to 'offload' hospitals via patient transfer services [39]. Fourth, analysis is limited to in-hospital mortality, without examination of delayed out-of-hospital mortality, functional status of survivors or secondary complications on ECMO that may contribute to patient morbidity.…”
Section: Discussionmentioning
confidence: 99%
“…transfer of patients from a 'high strain' hospital to a lower strain' hospital or varying application of conventional management). However, analysis of UK hospital-level variation provides little evidence of differing strain between sites [37,38] in context of nation-wide measures to 'offload' hospitals via patient transfer services [39]. Fourth, analysis is limited to in-hospital mortality, without examination of delayed out-of-hospital mortality, functional status of survivors or secondary complications on ECMO that may contribute to patient morbidity.…”
Section: Discussionmentioning
confidence: 99%
“…GIRFT has a particular interest in assessing the variability of outcomes for COVID-19 during the pandemic to identify lessons to be learnt in terms of patient care that can be used to inform the response to future case surges. 3 Previous work by our team has noted a substantial fall in mortality for people hospitalised with COVID-19 during the early part of the first wave and consistently low in-hospital mortality rates, of around 11%–12%, during summer 2020. 4 5 …”
Section: Introductionmentioning
confidence: 77%
“…Discharge date was modelled using six knots at the 5th, 23rd, 41st, 59th, 77th and 95th percentile. The optimal number of knot and knot position was identified using the recommendations of Harrell 3 9 and with reference to Akaike Information Criterion. IMD score was modelled as a linear variable.…”
Section: Methodsmentioning
confidence: 99%
“…The primary outcome of our study was in-hospital mortality, a health indicator that captures the severity of the medical condition and the healthcare services' capacity of response. 15,16 In-hospital death was defined as a medical encounter with discharge status of "died" or "died in a medical facility".…”
Section: Dovepressmentioning
confidence: 99%