Mean age of patients dying for COVID-2019 infection was 78 (median 79, range 30–100, IQR 73-85).
Mean number of diseases was 2.7 (median 3, SD 1.6). Overall, 2.1% of the sample presented with a no comorbidities, 21.3% with a single comorbidity, 25.9% with 2, and 50.7% with 3 or more.
Ischemic heart disease…27.8%
Atrial Fibrillation…23.7%
Heart failure…17.1%
Stroke…11.3%
Hypertension…73.0%
Diabetes…31.3%
Dementia…14.5%
COPD…16.7%
Active cancer in the past 5 years…17.3%
Chronic liver disease…4.1%
Chronic renal failure…22.2%
For 6% of the deaths, COVID‑19 was the only cause mentioned. For deaths with conditions or causes in addition to COVID‑19, on average, there were 2.6 additional conditions or causes per death.
A 60-year-old man who died from a gun shot wound to the head.
A 90-year-old man who fell and died from complications of a hip fracture.
A 77-year-old woman who died of Parkinson’s disease.
These are some of the deaths in Palm Beach County recently, and incorrectly, attributed to COVID‑19 in medical examiner records.
May 8, [Washington State Department of Health] dashboards reported 828 total COVID‑19 deaths. Of these:
681 (82 percent) “list some variation of ‘COVID-19’ in one of the causes of death” on the death certificate
We currently do have some deaths that are being reported that are clearly from other causes. We have about five deaths — less than five deaths — that we know of that are related to obvious other causes. In this case, they are from gunshot wounds.
A person who died in a motorcycle accident was added to Florida’s COVID‑19 death count, according to a state health official.
FOX 35 News found this out after asking Orange County Health Officer Dr. Raul Pino whether two coronavirus victims who were in their 20s had any underlying conditions. One of his answers surprised us.
“The first one didn’t have any. He died in a motorcycle accident,” Pino said.
Dr. Pino was asked if the man’s data was removed.
“I don’t think so. I have to double-check,” Pino said. “We were arguing, discussing…you could actually argue that it could have been the COVID‑19 that caused him to crash.”
I think in this country we’ve taken a very liberal approach to mortality. …if someone dies with COVID‑19 we are counting that as a COVID‑19 death.
“Any individual who has a positive COVID‑19 test and subsequently dies is counted….”
The CARES Act [Sec. 3710] provided for a 20% add-on to the inpatient prospective payment system (PPS) DRG rate for COVID‑19 patients for the duration of the public health emergency.
To project how much hospitals would get paid by the federal government for treating uninsured patients, we look at payments for admissions for similar conditions. For less severe hospitalizations, we use the average Medicare payment for respiratory infections and inflammations with major comorbidities or complications in 2017, which was $13,297. For more severe hospitalizations, we use the average Medicare payment for a respiratory system diagnosis with ventilator support for greater than 96 hours, which was $40,218. Each of these average payments was then increased by 20% to account for the add-on to Medicare inpatient reimbursement for patients with COVID‑19 that was included in the CARES Act [Sec. 3710].
Questions to ask? Comments to add?
Send an email to nathan@legionsletters.com.