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Overall and cause-specific hospitalization and death after COVID-19 hospitalization in England: A cohort study using linked primary care, secondary care, and death registration data in the OpenSAFELY platform

PLoS Medicine Jan 29, 2022

In view of the concern regarding the medium to long-term adverse outcomes following acute coronavirus disease 2019 (COVID-19), researchers herein examined if there is a rise in the risks of hospital admission and death, overall and by specific cause, following discharge from a COVID-19 hospitalization.

  • Researchers conducted systematic quantification of the extent to which the risk of dying or being readmitted to hospital is higher for people who have been in hospital with COVID-19 (n = 24,673) compared with people with similar demographic characteristics in the 2019 general population (n = 123,362), and people who had been hospitalized with influenza in 2017 to 2019 (n = 16,058).

  • People who had had a COVID-19 hospitalization were noted to be more than twice as likely to be rehospitalized or die more than a week after discharge compared with people in the general population; there were higher risks overall and for a range of specific causes.

  • Compared with influenza patients, broadly similar or lower risk of several outcomes were recorded for COVID-19 patients, however, there was a higher risk of death overall, readmissions or death due to the initial infection, and dementia death in COVID-19 patients.

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