Skip to main content
. 2023 Oct 13;35:100747. doi: 10.1016/j.lanepe.2023.100747

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.

a

Counts are rounded to the nearest 5 in compliance with the NHS Privacy Policy.

b

Percentages are based on the total number of events.

c

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.

d

Number of patients with ≥1 COVID-19 ICU admission.

e

Stringent immunocompromised subgroups.