Hanan M. Hathout^{1, 2,}, Abdulmajid M. Almutairi¹, Ghada M. bin Saleh¹, Abdulaziz A. Aldawsari³, Khalid H. Alanazi¹

Objective: Study the COVID-19 related mortality in comprehensive rehabilitation centers of Saudi Arabia. Methodology: Retrospective study involved review of COVID-19 infections and mortality data of all deceased patients and health care workers during the period from April to October 2020 and included data from 19 comprehensive rehabilitation centers (CRC) belongs to Ministry of Human Resources and Social Development (MHRSD) in Saudi Arabia. Collected data include: age, sex, date and direct causes of death, confirmation of COVID-19, and associated co-morbidities. For patients and health care staff, case fatality rates (CFR) were estimated and descriptive analysis of mortality was done. Results: During the study period, the COVID-19 CFR in the CRC was 2.25 percent and for staff was 0.37 percent, which was marginally higher than the recorded overall fatality rate for COVID-19 in Saudi Arabia during the same period. Riyadh region recorded the highest COVID-19 related deaths among patients and health care workers and most of deaths was recorded in the month of June. All deceased patients had more than one associated comorbidity and the direct cause of death was cardiac and respiratory failure. The most common associated co-morbidity was intellectual disorders. Conclusion: Strict COVID-19 infection control measures instituted by Ministry of Health- Saudi Arabia are successfully contributed to reduced case fatality rate in the comprehensive rehabilitation centers relative to the global rates.

Case Fatality rate (CFR), Comprehensive Rehabilitation Centers (CRC), COVID-19, Health Care Workers (HCWs), Saudi Arabia