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1. sj-pdf-1-pmj-10.1177_02692163211040981 – Supplemental material for Changes in mortality patterns and place of death during the COVID-19 pandemic: A descriptive analysis of mortality data across four nations

Author

O’Donnell, Sean B, Bone, Anna E, Finucane, Anne M, McAleese, Jenny, Higginson, Irene J, Barclay, Stephen, Sleeman, Katherine E, and Murtagh, Fliss EM

Subjects
FOS: Clinical medicine, 111702 Aged Health Care, FOS: Health sciences, 110308 Geriatrics and Gerontology
Abstract

Supplemental material, sj-pdf-1-pmj-10.1177_02692163211040981 for Changes in mortality patterns and place of death during the COVID-19 pandemic: A descriptive analysis of mortality data across four nations by Sean B O’Donnell, Anna E Bone, Anne M Finucane, Jenny McAleese, Irene J Higginson, Stephen Barclay, Katherine E Sleeman and Fliss EM Murtagh in Palliative Medicine

Published
2021
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3. Changes in mortality patterns and place of death during the COVID-19 pandemic: A descriptive analysis of mortality data across four nations.

Author

O'Donnell, Sean B, Bone, Anna E, Finucane, Anne M, McAleese, Jenny, Higginson, Irene J, Barclay, Stephen, Sleeman, Katherine E, and Murtagh, Fliss EM

Subjects
COVID-19, TERMINAL care, CONFIDENCE intervals, PLACE of death, RESEARCH methodology, RESIDENTIAL care, DESCRIPTIVE statistics, ODDS ratio, COVID-19 pandemic, PALLIATIVE treatment, HEALTH care rationing
Abstract

Background: Understanding patterns of mortality and place of death during the COVID-19 pandemic is important to help provide appropriate services and resources. Aims: To analyse patterns of mortality including place of death in the United Kingdom (UK) (England, Wales, Scotland and Northern Ireland) during the COVID-19 pandemic to date. Design: Descriptive analysis of UK mortality data between March 2020 and March 2021. Weekly number of deaths was described by place of death, using the following definitions: (1) expected deaths: average expected deaths estimated using historical data (2015–19); (2) COVID-19 deaths: where COVID-19 is mentioned on the death certificate; (3) additional non-COVID-19 deaths: above expected but not attributed to COVID-19; (4) baseline deaths: up to and including expected deaths but excluding COVID-19 deaths. Results: During the analysis period, 798,643 deaths were registered in the UK, of which 147,282 were COVID-19 deaths and 17,672 were additional non-COVID-19 deaths. While numbers of people who died in care homes and hospitals increased above expected only during the pandemic waves, the numbers of people who died at home remained above expected both during and between the pandemic waves, with an overall increase of 41%. Conclusions: Where people died changed during the COVID-19 pandemic, with an increase in deaths at home during and between pandemic waves. This has implications for planning and organisation of palliative care and community services. The extent to which these changes will persist longer term remains unclear. Further research could investigate whether this is reflected in other countries with high COVID-19 mortality. [ABSTRACT FROM AUTHOR]

Published
2021
Full Text
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4. 'Changes in mortality patterns and place of death during the COVID-19 pandemic: A retrospective analysis of mortality data'

Author

O'Donnell, Sean, Bone, Anna, Finucaine, Anna, McAleese, Jenny, Higginson, Irene, Barclay, Stephen, Sleeman, Katherine, Murtagh, Fliss, Barclay, Stephen [0000-0002-4505-7743], and Apollo - University of Cambridge Repository

Abstract

Background Understanding patterns of mortality and place of death during the COVID-19 pandemic is important to help provide appropriate services and resources. Aims To analyse patterns of mortality including place of death in the United Kingdom (UK) (England, Wales, Scotland and Northern Ireland) during the COVID-19 pandemic to date. Design Descriptive analysis of UK mortality data between March 2020 and March 2021. Weekly number of deaths was described by place of death, using the following definitions: (1) Expected deaths: average expected deaths estimated using historical data (2015-19); (2) COVID-19 deaths: where COVID-19 is mentioned on the death certificate; (3) Additional non-COVID-19 deaths: above expected but not attributed to COVID-19; (4) Baseline deaths: up to and including expected deaths but excluding COVID-19 deaths. Results During the analysis period, 798,643 deaths were registered in the UK, of which 147,282 were COVID-19 deaths and 17,672 were additional non-COVID-19 deaths. While numbers of people who died in care homes and hospitals increased above expected only during the pandemic waves, the numbers of people who died at home remained above expected both during and between the pandemic waves, with an overall increase of 41%. Conclusions Where people died changed during the COVID-19 pandemic, with an increase in deaths at home during and between pandemic waves. This has implications for planning and organisation of palliative care and community services. The extent to which these changes will persist longer term remains unclear. Further research could investigate whether this is reflected in other countries with high COVID-19 mortality.

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