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Decreased COVID-19 Mortality—A Cause for Optimism

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

After a hard year, good news related to coronavirus disease 2019 (COVID-19) is welcome. In this issue of JAMA Internal Medicine, Asch and colleagues1 provide a reason for optimism that our health care system has improved in our ability to care for persons with COVID-19. The authors performed a national analysis of COVID-19–associated mortality that spanned 955 US hospitals, representing nearly 40 000 patients. Using administrative claims data from a large national health insurer, they found that a hospital’s risk-standardized event rate (a composite of hospital mortality or referral to hospice) because of COVID-19 had significantly decreased. Specifically, the risk-adjusted mortality decreased from 16.56% to 9.29% in the early period of this study (January through April 2020) compared with the later period (May through June 2020).

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Leon Boudourakis, MD, MHS, NYC Health + Hospital/Kings County Hospital, 451 Clarkson Ave, #3211, Brooklyn, NY 11207 (leon.boudourakis@nychhc.org).

Published Online: December 22, 2020. doi:10.1001/jamainternmed.2020.8438

Conflict of Interest Disclosures: None reported.

References
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2.
Dennis  J , McGovern  A , Vollmer  S , Mateen  BA .  Improving COVID-19 critical care mortality over time in England: a national cohort study, March to June 2020.   medRxiv. Posted online August 3, 2020. doi:10.1101/2020.07.30.20165134Google Scholar
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Horwitz,  et al.  Trends in COVID-19 Risk-Adjusted Mortality Rates. Society of Hospital Medicine; 2020.
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Beigel  JH , Tomashek  KM , Dodd  LE ,  et al; ACTT-1 Study Group Members.  Remdesivir for the treatment of covid-19—final report.   N Engl J Med. 2020;383(19):1813-1826. doi:10.1056/NEJMoa2007764PubMedGoogle ScholarCrossref
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