We conducted cross-sectional study in Nairobi Metropolis between September to December 2021. We abstracted case patient information from the registers of selected hospitals with COVID-19 isolation centres. The information included demographic and clinical information and case management. Any patient who had severe COVID-19 infection and died was defined as COVID-19 mortality while those discharged upon cure were Covid-19 survivors.  Means and medians were calculated for continuous variables and frequencies and proportions for categorical variables. We used logistic regression to compare exposure factors with death outcome. 