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. 2023 Jan 30;13:1634. doi: 10.1038/s41598-023-28831-6

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© The Author(s) 2023

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Estimated and observed trends of in-hospital mortality at the Virgen del Rocío University Hospital during the first pandemic wave (sub-period 1). Estimated mortality is the in-hospital mortality for this period observed in 2017–2019. Excess mortality due to COVID-19 results in the addition of both direct (COVID-attributed mortality) and indirect (non-COVID attributed mortality). Mortality rate is expressed as deaths for 100 admissions.