Table 3.
COVID-19-related ICU admissions and mortality (COVID-19 cases, number of patients, proportion, crude IR per 1000 person-years, and IRR) in the population aged >12 years, overall and by immunocompromising condition, England, NHS-Digital, 2022.
COVID-19 ICU |
COVID-related mortality |
|||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N ICUa, d | % of ICUb | Total person-time (years) | Crude IR | IR 95% CI | Adjusted IRRc | IRR 95% CI | N deathsa | % of deathsb | Total person-time (years) | Crude IR | IR 95% CI | Adjusted IRRc | IRR 95% CI | |
Overall study population | ||||||||||||||
All individuals | 440 | 100.0 | 11,990,553 | 0.04 | 0.0–0.09 | 4810 | 100.0 | 11,930,335 | 0.4 | 0.3–0.5 | ||||
Total broadly defined immunocompromised | 125 | 28.1 | 470,844 | 0.3 | 0.0–0.6 | 4.13 | 3.30–5.18 | 1145 | 23.8 | 452,710 | 2.5 | 2.2–2.8 | 1.97 | 1.84–2.11 |
Total stringently defined immunocompromised | 75 | 16.5 | 83,144 | 0.9 | 0.2–1.6 | 12.48 | 9.60–16.22 | 355 | 7.4 | 77,810 | 4.6 | 3.9–5.3 | 3.99 | 3.58–4.46 |
Primary immunodeficiency | <10 | <2.2 | 9315 | 1.0 | 0.0–3.0 | 13.29 | 6.76–26.14 | 45 | 1.0 | 9070 | 5.1 | 3.0–7.2 | 5.66 | 4.20–7.61 |
Moderate to severe primary immunodeficiencye | 0 | 0.0 | 1270 | NA | NA | NA | NA | <10 | <0.2 | 1245 | 4.0 | 0.0–9.5 | 8.30 | 3.39–20.32 |
Secondary immunodeficiency | 25 | 5.7 | 8969 | 0.3 | 0.0–0.9 | 4.12 | 2.72–6.24 | 195 | 4.0 | 88,535 | 2.2 | 1.5–2.9 | 2.99 | 2.58–3.47 |
Active treatment with non-corticosteroid immunosuppressive or immunomodulatory therapye | 15 | 3.2 | 11,353 | 1.2 | 0.0–3.1 | 15.03 | 8.71–25.95 | 60 | 1.2 | 11,020 | 5.4 | 3.5–7.3 | 5.53 | 4.26–7.19 |
High-dose, long-term moderate dose corticosteroids | 0 | 0.0 | 4130 | NA | NA | NA | NA | <10 | <0.2 | 3930 | 2.0 | 0.–5.1 | 1.65 | 0.81–3.34 |
High-dose corticosteroidse | 0 | 0.0 | 3366 | NA | NA | NA | NA | <10 | <0.2 | 3160 | 1.3 | 0.0–4.8 | 1.14 | 0.42–3.09 |
End-stage kidney disease | 35 | 8.1 | 23,297 | 1.5 | 0.3–2.8 | 13.95 | 9.74–19.97 | 145 | 3.1 | 21,820 | 6.7 | 5.4–8.0 | 3.81 | 3.22–4.50 |
Solid organ transplant ≤5 years prior | 15 | 3.2 | 7364 | 1.9 | 0.0–4.2 | 24.74 | 14.28–42.85 | 35 | 0.7 | 7220 | 4.7 | 2.4–7.0 | 13.03 | 9.22–18.41 |
≤1 year priore | <10 | <2.2 | 2702 | 2.6 | 0.0–6.4 | 33.25 | 15.44–71.57 | 10 | 0.2 | 2645 | 4.2 | 0.4–8.0 | 12.25 | 6.69–22.42 |
1–2 years priore | <10 | <2.2 | 1538 | 0.7 | 0.0–5.6 | 8.48 | 1.14–62.90 | 10 | 0.2 | 1505 | 6.6 | 1.6–11.6 | 18.74 | 9.95–35.33 |
On anti-rejection therapiese | <10 | <2.2 | 2635 | 2.3 | 0.0–6.1 | 27.59 | 12.07–63.05 | 10 | 0.2 | 2595 | 4.6 | 0.8–8.4 | 12.09 | 6.78–21.58 |
Stem cell transplant ≤2 years priore | <10 | <2.2 | 1434 | 1.4 | 0.0–6.6 | 24.92 | 6.03–102.98 | <10 | <0.2 | 1390 | 1.4 | 0.0–6.6 | 6.36 | 1.55–26.18 |
Solid tumour ≤5 years prior | 35 | 7.9 | 309,379 | 0.1 | 0.0–0.5 | 1.22 | 0.85–1.74 | 625 | 13.0 | 295,030 | 2.1 | 1.7–2.5 | 1.30 | 1.19–1.42 |
With active treatment (≤6 months prior)e | <10 | <2.2 | 27,698 | 0.2 | 0.0–1.4 | 2.42 | 1.06–5.52 | 60 | 1.3 | 24,405 | 2.5 | 1.3–3.7 | 2.58 | 2.00–3.33 |
With recent treatment (6–12 months prior) | <10 | <2.2 | 6985 | 0.3 | 0.0–2.6 | 3.20 | 0.78–13.23 | 10 | 0.2 | 6400 | 1.7 | 0.0–4.1 | 1.72 | 0.94–3.14 |
With distant treatment (>12 months prior) | <10 | <2.2 | 36,479 | 0.08 | 0.0–1.1 | 0.93 | 0.29–2.98 | 60 | 1.2 | 35,355 | 1.7 | 0.6–2.8 | 1.52 | 1.17–1.98 |
Haematological malignancy ≤5 years prior | 55 | 12.7 | 60,240 | 0.9 | 0.1–1.7 | 12.37 | 9.23–16.57 | 300 | 6.2 | 57,730 | 5.2 | 4.4–6.0 | 3.32 | 2.95–3.74 |
With active treatment (≤6 months prior)e | 25 | 5.9 | 8401 | 3.2 | 1.1–5.4 | 37.94 | 25.39–56.69 | 90 | 1.9 | 7745 | 11.9 | 9.7–14.1 | 10.12 | 8.20–12.50 |
With recent treatment (6–12 months prior) | <10 | <2.2 | 2248 | 2.2 | 0.0–6.4 | 24.92 | 10.12–61.37 | 10 | 0.2 | 2140 | 5.6 | 1.4–9.8 | 4.64 | 2.60–8.26 |
With distant treatment (>12 months prior) | <10 | <2.2 | 11,989 | 0.5 | 0.0–2.3 | 5.70 | 2.50–12.99 | 45 | 0.9 | 11,615 | 3.9 | 2.1–5.7 | 2.99 | 2.22–4.04 |
Chronic lymphocytic leukaemia, non-Hodgkin's lymphoma, multiple myeloma, acute leukaemia (≤2 years prior)e | 50 | 11.8 | 35,691 | 1.5 | 0.4–2.5 | 18.92 | 14.00–25.58 | 235 | 4.9 | 34,080 | 6.9 | 5.8–8.0 | 4.49 | 3.93–5.13 |
Advanced or untreated HIVe | 0 | 0.0 | 578 | NA | NA | NA | NA | <10 | <0.2 | 515 | 5.8 | 0.0–14.4 | 3.12 | 1.13–11.39 |
Vaccinated population (≥3 doses of a COVID-19 vaccine) | ||||||||||||||
All individuals | 255 | 100 | 6,060,529 | 0.04 | 0.0–0.1 | 3425 | 100.0 | 6,013,350 | 0.6 | 0.5–0.7 | ||||
Total broadly defined immunocompromised | 90 | 36.1 | 397,784 | 00.2 | 0–0.5 | 4.66 | 3.56–6.11 | 855 | 24.9 | 383,315 | 2.2 | 1.9–2.5 | 1.98 | 1.83–2.14 |
Total stringently defined immunocompromised | 55 | 22 | 69,524 | 0.08 | 0.08–1.6 | 14.34 | 10.56–19.48 | 295 | 8.7 | 65,260 | 4.6 | 3.8–5.4 | 4.55 | 4.03–5.14 |
Primary immunodeficiency | <10 | <3.9 | 6601 | 1.4 | 0–3.8 | 20.43 | 10.33–40.41 | 35 | 1.1 | 6410 | 5.6 | 3.2–8.0 | 6.09 | 4.35–8.51 |
Moderate to severe primary immunodeficiencye | 0 | 0 | 872 | 0 | NA | NA | <10 | <0.3 | 855 | 4.7 | 0–11.4 | 9.43 | 3.47–25.65 | |
Secondary immunodeficiency | 20 | 7.8 | 75,450 | 0.3 | 0–1.0 | 4.84 | 3.03–7.72 | 130 | 3.9 | 74,400 | 1.8 | 1.1–2.5 | 2.81 | 2.35–3.35 |
Active treatment with non-corticosteroid immunosuppressive or immunomodulatory therapye | 10 | 3.9 | 9363 | 1.2 | 0–3.2 | 17.49 | 9.42–32.47 | 45 | 1.3 | 9100 | 4.9 | 2.9–6.9 | 5.72 | 4.24–7.73 |
High-dose, long-term moderate dose corticosteroids | 0 | 0 | 3511 | 0 | NA | NA | <10 | <0.3 | 3365 | 1.8 | 0–5.2 | 1.65 | 0.73–3.74 | |
High-dose corticosteroidse | 0 | 0 | 2771 | 0 | NA | NA | <10 | <0.3 | 2635 | 0.8 | 0–4.7 | 0.76 | 0.18–3.12 | |
End-stage kidney disease | 25 | 10.2 | 18,040 | 1.4 | 0–2.9 | 16.15 | 10.55–24.74 | 100 | 2.9 | 16,935 | 6.0 | 4.5–7.5 | 3.68 | 3.00–4.50 |
Solid organ transplant ≥5 years prior | 10 | 3.9 | 5759 | 1.9 | 0–4.5 | 20.93 | 2.82–155.56 | 30 | 0.9 | 5650 | 5.3 | 2.7–7.9 | 17.91 | 12.38–25.90 |
≤1 year priore | <10 | <3.9 | 2062 | 2.9 | 0–7.2 | 46.31 | 20.12–106.68 | 10 | 0.3 | 2020 | 5.4 | 1.1–9.7 | 19.60 | 10.70–35.92 |
1–2 years priore | 0 | 0 | 1200 | 0 | NA | NA | <10 | <0.3 | 1180 | 5.9 | 0.2–11.6 | 19.94 | 9.35–42.53 | |
On anti-rejection therapiese | <10 | <3.9 | 2071 | 2.4 | 0–6.7 | 35.93 | 14.47–89.25 | 10 | 0.3 | 2045 | 5.4 | 1.1–9.7 | 13.32 | 4.89–36.27 |
Stem cell transplant ≤2 years priore | 25 | 9.8 | 996 | 0 | NA | NA | <10 | <0.3 | 970 | 1.0 | 0–7.2 | 5.16 | 0.70–38.17 | |
Solid tumour ≤5 years prior | <10 | <3.9 | 265,950 | 0.09 | 0–0.5 | 1.22 | 0.79–1.86 | 465 | 13.6 | 254,460 | 1.8 | 1.4–2.2 | 1.29 | 1.17–1.43 |
With active treatment (≤6 months prior)e | <10 | <3.9 | 23,475 | 0.2 | 0–1.5 | 2.85 | 1.15–7.05 | 50 | 1.5 | 20,840 | 2.4 | 1.1–3.7 | 2.91 | 2.19–3.86 |
With recent treatment (6–12 months prior) | <10 | <3.9 | 5958 | 0.2 | 0–2.7 | 2.27 | 0.31–16.86 | <10 | <0.3 | 5505 | 1.1 | 0–3.8 | 1.29 | 0.57–2.91 |
With distant treatment (>12 months prior) | 40 | 16.5 | 31,302 | 0.03 | 0–1.1 | 0.43 | 0.06–3.20 | 40 | 1.2 | 30,390 | 1.3 | 0.2–2.4 | 1.43 | 1.04–1.96 |
Haematological malignancy ≤5 years prior | 20 | 7.1 | 50,638 | 0.8 | 0–1.7 | 13.58 | 9.65–19.11 | 250 | 7.3 | 48,570 | 5.1 | 4.2–6.0 | 3.72 | 3.26–4.25 |
With active treatment (≤6 months prior)e | <10 | <3.9 | 6950 | 2.7 | 0.4–5.1 | 38.33 | 23.71–61.97 | 75 | 2.2 | 6430 | 11.5 | 9.1–13.9 | 11.26 | 8.90–14.26 |
With recent treatment (6–12 months prior) | <10 | <3.9 | 1870 | 2.1 | 0–6.7 | 28.43 | 10.36–78.02 | 10 | 0.3 | 1780 | 5.6 | 1.0–10.2 | 5.31 | 2.82–10.00 |
With distant treatment (>12 months prior) | 40 | 15.3 | 10,164 | 0.6 | 0–2.5 | 8.00 | 3.50–18.32 | 40 | 1.2 | 9850 | 4.1 | 2.1–6.1 | 3.59 | 2.61–4.94 |
Chronic lymphocytic leukaemia, non-Hodgkin's lymphoma, multiple myeloma, acute leukaemia (≤2 years prior)e | 0 | 0 | 30,269 | 1.3 | 0.2–2.4 | 20.55 | 14.46–29.20 | 200 | 5.9 | 28,955 | 6.9 | 5.8–8.0 | 5.18 | 4.48–5.99 |
Advanced or untreated HIVe | 25 | 9.8 | 454 | 0 | NA | NA | <10 | <0.3 | 405 | 4.9 | 0–14.6 | 2.85 | 0.69–11.75 |
CI – confidence interval. IR – incidence rate per 1000 person-years. IRR – incidence rate ratio. NA – not applicable.
Counts are rounded to the nearest 5 in compliance with the NHS Privacy Policy.
Percentages are based on the total number of events.
Incidence rate ratios (IRR) adjusted for age, sex, and number of non-immunocompromising comorbidities, comparing the incidence rate of individuals with the condition specified in each row to the incidence rate in individuals who do not have the condition specified in that row.
Number of patients with ≥1 COVID-19 ICU admission.
Stringent immunocompromised subgroups.