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Factors associated with Covid-19 deaths in records of 17M adult NHS patients

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Re: Factors associated with Covid-19 deaths in records of 17M adult NHS patients

#61
post #25

I think one of the key takeaways is in the abstract: > People from Asian and black groups are at markedly increased risk of in-hospital death from COVID-19, and contrary to some prior speculation is only partially attributable to pre-existing clinical risk factors or deprivation

Deprivation equals poverty. Asian in Britain will primarily be Indian/Pakistani descent. I wonder if this is vitamin d related? Darker complexion of black and Asian could cause higher risks of vitamin d deficiency in UK.

South Asians and East Asians are pretty different genetically, so the lack of distinction really doesn't help.

Re: Factors associated with Covid-19 deaths in records of 17M adult NHS patients

#63

The title / headline is overstating it a little. The sample only contains 5,683 people who died of the virus. The 17M is the sample of hospital patients in general. I don't know if this is on purpose, but it makes the study sound artificially more significant. Every study could claim the "17M" figure by this practice.

As far as I understand it, they are comparing the statistics of the 5,683 sample to the 17M in order to determine whether anything stands out. If Covid-19 deaths had no associated factors, then we shouldn't see much of a difference between the two.

However, we are seeing differences, for example with diabetes.

Re: Factors associated with Covid-19 deaths in records of 17M adult NHS patients

#64
post #43

Earlier quoted context omitted.

>> is only partially attributable to pre-existing clinical risk factors or deprivation I'd expect more it is attributable to less access to premium healthcare (remember, in the UK everyone gets healthcare, but not everyone gets privately-sponsored add-on healthcare)

UK privately-sponsored healthcare specialises in things that you cannot get free from the National Health Service or things where the wait time is long - for example knee surgery. People don’t use private healthcare for emergencies or intensive care. For example the prime minister was in intensive care in April - in an NHS hospital.

It would be surprising if in any EU country private clinics dealt with covid19 unless you're maybe super rich with personal doctors around you all the time.

Re: Factors associated with Covid-19 deaths in records of 17M adult NHS patients

#66

Obligatory, "Fucking Twitter thread" complaint. I dread reading - Bullet point - After bullet point - In the form of a tweet per bullet point - Trying to skip the bullshit - And find the conclusion (I'll stop now) ...and having the anxiety to be disappointed that I'll read so much bullshit and end up with nothing. Yes, in the end he links to the abstract which has the (unfortunately harder to parse) meat, but also ye…

I fully agree with you, and therefore:

a) the thread, in readable form https://threadreaderapp.com/thread/1258372975004389379.html

b) the full publication https://www.medrxiv.org/content/10.1101/2020.05.06.20092999v...

Re: Factors associated with Covid-19 deaths in records of 17M adult NHS patients

#67
post #25

Earlier quoted context omitted.

Deprivation equals poverty. Asian in Britain will primarily be Indian/Pakistani descent. I wonder if this is vitamin d related? Darker complexion of black and Asian could cause higher risks of vitamin d deficiency in UK.

South Asians and East Asians are pretty different genetically, so the lack of distinction really doesn't help.

In the UK Asian == South Asian

Re: Factors associated with Covid-19 deaths in records of 17M adult NHS patients

#68
post #56

It seems like a lot of people are interpreting this data as causal. I've already had people tell me they were surprised to learn that smoking protects against Covid! Here's a fantastic explanation of why you should not let your brain tell you that you're learning about things that cause Covid complications and death: https://twitter.com/EpiEllie/status/1258607277357006849

The thread is good, but a possible link with nicotine has been observed before. This might just be the unlikely case where smoking does indirectly confer some health benefit.

Maybe because it could cause you to go outside, increasing exposure to the sun.

Re: Factors associated with Covid-19 deaths in records of 17M adult NHS patients

#69

Obligatory, "Fucking Twitter thread" complaint. I dread reading - Bullet point - After bullet point - In the form of a tweet per bullet point - Trying to skip the bullshit - And find the conclusion (I'll stop now) ...and having the anxiety to be disappointed that I'll read so much bullshit and end up with nothing. Yes, in the end he links to the abstract which has the (unfortunately harder to parse) meat, but also ye…

I don't think this kind of comment is obligatory, really.

Re: Factors associated with Covid-19 deaths in records of 17M adult NHS patients

#70

Earlier quoted context omitted.

The thread is good, but a possible link with nicotine has been observed before. This might just be the unlikely case where smoking does indirectly confer some health benefit.

Maybe because it could cause you to go outside, increasing exposure to the sun.

Or kill you before you get to a vulnerable age.
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