Between 1st March 2020 and 15th June 2021 a total of 16,805 in-hospital deaths were recorded for a sizeable UK NHS Authority.
Of these 3,228 (19.2%) were designated as COVID deaths.
Analysis of diagnostic field information revealed 1,746/3,228 (54.1%) COVID designated deaths had no supporting clinical evidence of COVID other than a positive PCR test, with 1,416/3,228 (43.9%) deaths supported by a single respiratory diagnosis.
Only 66/3,228 (2.0%) COVID deaths were supported by a respiratory diagnosis and further supporting diagnoses indicative of advanced SARS-COV-2 infection.
Hypoxia and respiratory failure are hallmarks of SARS-COV-2 infection leading to death, yet in the sample of 3,228 COVID-19 designated deaths incidence of hypoxia was not recorded in any of the diagnostic fields.
A total of 182/16,805 deaths involving respiratory failure were noted for the period (1.1%), and of these 15/182 were associated with symptomatic COVID (8.2%).
Respiratory failure during the pandemic period to mid-June 2021 was therefore primarily a feature of non-COVID admissions (91.8% of deaths involving respiratory failure).
A breakdown of the 16,805 deaths by age band and COVID diagnostic status is provided in which we observe asymptomatic COVID death as a feature for the oldest age group of 80+y, with symptomatic COVID death being a feature of the 60 – 69y age group.
In terms of young death (under 21 years) we find 529/16,805 (3.1%), with 528/529 (99.8%) not being attributed to COVID.
The single young COVID death was an asymptomatic case.
Thus, among 16,805 in-hospital deaths registered over the period 1st March 2020 – 15th June 2021 not a single symptomatic COVID death occurred in a person under the age of 21y.