Coronavirus Article Bar with counter
Deaths of patients who had their medical care disrupted quadrupled during the first lockdown, a study has found, prompting warnings about the health impact of Covid restrictions.
Data from seven mortuaries, covering nine areas of the country, found a significant increase in the number of people who had died “from a potentially treatable condition”.
In one case in the study, a patient with asthma who was experiencing Covid symptoms and chest pains was told to self-isolate and died several days later from an acute heart attack.
In another, a relative noticed that a loved one had deteriorated over the period of a few days, and their GP arranged for a community matron to assess them the following day. When the matron arrived, they found the patient dead.
Warnings about the effect of lockdowns on the nation’s health have previously been raised by MPs and experts, but this research is believed to be the first of its kind to report a clear link between delayed access to medical care, due to the lockdown, and deaths.
The study, published in the Journal of Clinical Pathology, included deaths that occurred between March 23 and May 8 2020, compared to the same period in 2018.
Some 44 cases of the 602 examined from the first lockdown in England were linked to delays in accessing medical care which potentially contributed to their deaths, the authors said. This was up from 10 cases of the 498 deaths examined in 2018.
MPs said the country “will be living with the health side effects of lockdown for many years” and urged that proper risk-benefit analysis be carried out before any future lockdown is imposed.
Steve Baker, the Conservative MP and deputy chairman of the Covid Recovery Group, said: “The Government should be running through a checklist of every implication of lockdowns and restrictions, and ensure they’re worth the inevitable costs.”
Andrew Bridgen, the Conservative MP for North West Leicestershire, said a “wider assessment on whether these draconian measures are ever used again” must be carried out.
Previous research showed a huge spike in the number of people who were left to die at home and not found “for weeks” during the first lockdown.
Outcomes of coronial autopsies during Covid pandemic
The new study asked site investigators to categorise the deaths as having either no evidence of delayed access to medical care contributing to them, or whether it was a probable or possible factor.
Pathologists are given access to coroners’ reports when carrying out post-mortems, which include testimonies from families, doctors and medical notes, aiding the categorisation.
For delayed access to care to be classed as a probable factor in the death there needed to be “clear evidence that lockdown prevented the patient obtaining medical care, or the patient contacted medical services and was advised to self-isolate, subsequently dying from a potentially treatable condition”, the study said.
Ian Roberts, professor of cellular pathology at the Oxford University Hospitals NHS Foundation Trust and a study author, said the research had been triggered by his own experience of carrying out post-mortems during the first lockdown.
“I found myself doing a number of autopsies where the deceased had contacted medical services with symptoms related to their death, but instead of being admitted to hospital, which they normally would have been, they were told to self-isolate at home and didn’t have any access to care,” he said.
In one case, a young diabetic was ill, vomiting and had fever but was told to self-isolate, he said. They subsequently died from diabetic ketoacidosis, a treatable but serious condition, when the body starts breaking down fat too fast, which can cause the blood to become acidic.
“I think it’s clear from our study that the excess deaths during the Covid lockdown is at least in part due to reduced access to medical care,” Prof Roberts said.
‘Exactly what we’ve been seeing all along’
Dr Charles Levinson, the chief executive of the private GP company DoctorCall, said the findings were “exactly what we’ve been seeing all along”, adding: “It’s nothing new, but it is a scandal that the effects of lockdown haven’t been properly taken into account,” he said.
He said “you can’t have a black and white rule” when it comes to future lockdowns, but said: “I think that what’s important is that it’s not thought that lockdown is a free alternative, an easy option without consequences, because it isn’t.”
Around 13 to 14 per cent of all deaths undergo a coroner’s autopsy in England each year. Dr Lucy Pocock, an academic GP at the University of Bristol, said care should be taken not to generalise the study findings to other deaths as post-mortems only occur in a small proportion.
“In order for us to know if this phenomenon was widespread and affected more of the people who died during the lockdown, we would need to interrogate the medical records of a sample of people who died who didn’t have a post-mortem,” she said.