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Covid-19: Known risk factors fail to explain the increased risk of death among people from ethnic minorities

Published on May 11, 2020in BMJ27.604
· DOI :10.1136/BMJ.M1873
Jacqui Wise13
Estimated H-index: 13
Abstract
People from Asian and black ethnic backgrounds are at increased risk of dying from covid-19 and, contrary to speculation, this can only be partly explained by comorbidity, deprivation, or other risk factors, according to data from the largest study to date.1 The pseudonymised health data of over 17.4 million adults in the UK, which included 5683 hospital deaths attributed to covid-19, was analysed using the OpenSAFELY analytics platform. The study, which is published as a preprint before peer review, covered the time from 1 February to 25 April 2020. Academics from Oxford University and the London School of Hygiene and Tropical Medicine (LSHTM) working on behalf of NHS England and in partnership with NHSX confirmed that men are at increased risk from covid-19 death as well as older people and those with uncontrolled diabetes or obesity. The study found that black people had more than double the risk of dying from covid-19 compared with those with ethnicity recorded as white (age-sex adjusted hazard ratio 2.17, 95% CI 1.84-2.57). After adjusting for deprivation and clinical …
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#1Elizabeth Williamson (Lond: University of London)H-Index: 27
#2Alex J. Walker (University of Oxford)H-Index: 12
Last. P Inglesby (University of Oxford)
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Background Establishing who is at risk from a novel rapidly arising cause of death, and why, requires a new approach to epidemiological research with very large datasets and timely data. Working on behalf of NHS England we therefore set out to deliver a secure and pseudonymised analytics platform inside the data centre of a major primary care electronic health records vendor establishing coverage across detailed primary care records for a substantial proportion of all patients in England. The fo...
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