Emergency Department Admissions: Analysis of CDS Dataset (part 12)

I analyse an anonymised data dump of 1.9 million admissions records to the emergency departments of an undisclosed NHS Trust for the period June 2017 – September 2021

Summary

• Five weekly periods have been identified when the ratio of in-hospital to emergency department death was substantially and remarkably elevated, these occurring during lockdown (2020/w15 - w16 covering the period 3 April - 17 April 2020) and immediately after vaccine rollout (2021/w2 - w4 covering the period 9 January – 29 January).

• The anonymised electronic patient records for a sample of 21,928 adult in-hospital deaths occurring between 1 January 2020 and 10 September 2021 for an undisclosed NHS Trust were subject to statistical analysis in order to identify correlates for the peculiar periods.

• Staged multivariate logistic regression modelling was employed to verify correlates among 18 carefully chosen clinical variables. Acute respiratory conditions (OR = 0.79, p=0.001), other cardiac conditions (OR = 1.26, p=0.038), cancer diagnosis (OR = 0.79, p=0.003) and COVID-19 diagnosis (OR = 4.43, p<0.001) were identified as statistically significant discriminators for the three weeks i…