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Adolescent inpatient activity 1999–2010: analysis of English Hospital Episode Statistics data

Objective To investigate patterns and trends of adolescent (10–19 years) inpatient activity in England by sex, disease category, and admitting speciality. Data 9 632 844 Finished Consultant Episodes (FCEs) from English patients aged 1–19 between 1999/2000 and 2010/2011 (Hospital Episode Statistics d... Full description

Journal Title: Archives of disease in childhood 2014, Vol.99 (9), p.830-833
Main Author: Hargreaves, Dougal S
Other Authors: Viner, Russell M
Format: Electronic Article Electronic Article
Language: English
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Quelle: Alma/SFX Local Collection
Publisher: London: BMJ Publishing Group
ID: ISSN: 0003-9888
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4145459
title: Adolescent inpatient activity 1999–2010: analysis of English Hospital Episode Statistics data
format: Article
creator:
  • Hargreaves, Dougal S
  • Viner, Russell M
subjects:
  • 1103 Clinical Sciences
  • 1114 Paediatrics
  • 1117 Public Health
  • 1506
  • Abridged Index Medicus
  • Adolescent
  • Adolescent Health
  • Adolescent Health Services
  • Adolescent Health Services - statistics & numerical data
  • Age Distribution
  • Biological and medical sciences
  • Care and treatment
  • Child
  • Child, Preschool
  • Engl
  • England
  • Female
  • General aspects
  • Health aspects
  • Health Services
  • Health services research
  • Hospital patients
  • Hospitalization
  • Hospitalization - statistics & numerical data
  • Humans
  • Infant
  • Inpatients
  • Inpatients - statistics & numerical data
  • International Classification of Diseases
  • Male
  • Medical sciences
  • Miscellaneous
  • Mortality
  • Original
  • Original Article
  • Pediatrics
  • Preschool
  • Prevention and actions
  • Public health. Hygiene
  • Public health. Hygiene-occupational medicine
  • Reproductive Medicine
  • Sex Distribution
  • Statistics
  • Statistics (Data)
  • Studies
  • Teenagers
  • Usage
  • Young Adult
  • Young adults
  • Youth
ispartof: Archives of disease in childhood, 2014, Vol.99 (9), p.830-833
description: Objective To investigate patterns and trends of adolescent (10–19 years) inpatient activity in England by sex, disease category, and admitting speciality. Data 9 632 844 Finished Consultant Episodes (FCEs) from English patients aged 1–19 between 1999/2000 and 2010/2011 (Hospital Episode Statistics data). Analyses Age trends by sex and major International Classification of Disease 10 (ICD10) chapter; differences in activity rates by age and sex; inpatient activity trends over the past decade, disaggregated by sex, admitting speciality and ICD10 chapter. Results Adolescent female patients account for more activity than girls aged 1–9 (139.4 vs 107.2 FCEs/1000). Female inpatient activity increases significantly between age 10 (70.9 FCEs/1000) and 19 (281.7 FCES/1000, of which non-obstetric care accounts for 155.9 FCEs/1000). Male activity increases much less during adolescence, with lower overall rates among adolescents than younger children (93.7 vs 142.9 FCEs/1000). Between 1999 and 2010, total adolescent inpatient activity increased faster among adolescents (10–19 years) (+14.2%) than younger children (1–9 years) (+11.0%). Adolescent FCEs/1000 increased by 12.8%, including higher rates admitted under Paediatrics (+47.5%) and Paediatric Surgery (+23.2%). Adolescents were admitted across a range of specialities. Conclusions These data challenge the belief that adolescents are a healthy group who rarely use inpatient services. In England, use of inpatient services is higher among female patients aged 10–19 years than those aged 1–9 years, while adolescent activity has increased faster than for younger children over the past 11 years. Improving service quality for adolescents will require engagement of the many different teams that care for them.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0003-9888
fulltext: fulltext
issn:
  • 0003-9888
  • 1468-2044
url: Link


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descriptionObjective To investigate patterns and trends of adolescent (10–19 years) inpatient activity in England by sex, disease category, and admitting speciality. Data 9 632 844 Finished Consultant Episodes (FCEs) from English patients aged 1–19 between 1999/2000 and 2010/2011 (Hospital Episode Statistics data). Analyses Age trends by sex and major International Classification of Disease 10 (ICD10) chapter; differences in activity rates by age and sex; inpatient activity trends over the past decade, disaggregated by sex, admitting speciality and ICD10 chapter. Results Adolescent female patients account for more activity than girls aged 1–9 (139.4 vs 107.2 FCEs/1000). Female inpatient activity increases significantly between age 10 (70.9 FCEs/1000) and 19 (281.7 FCES/1000, of which non-obstetric care accounts for 155.9 FCEs/1000). Male activity increases much less during adolescence, with lower overall rates among adolescents than younger children (93.7 vs 142.9 FCEs/1000). Between 1999 and 2010, total adolescent inpatient activity increased faster among adolescents (10–19 years) (+14.2%) than younger children (1–9 years) (+11.0%). Adolescent FCEs/1000 increased by 12.8%, including higher rates admitted under Paediatrics (+47.5%) and Paediatric Surgery (+23.2%). Adolescents were admitted across a range of specialities. Conclusions These data challenge the belief that adolescents are a healthy group who rarely use inpatient services. In England, use of inpatient services is higher among female patients aged 10–19 years than those aged 1–9 years, while adolescent activity has increased faster than for younger children over the past 11 years. Improving service quality for adolescents will require engagement of the many different teams that care for them.
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subject1103 Clinical Sciences ; 1114 Paediatrics ; 1117 Public Health ; 1506 ; Abridged Index Medicus ; Adolescent ; Adolescent Health ; Adolescent Health Services ; Adolescent Health Services - statistics & numerical data ; Age Distribution ; Biological and medical sciences ; Care and treatment ; Child ; Child, Preschool ; Engl ; England ; Female ; General aspects ; Health aspects ; Health Services ; Health services research ; Hospital patients ; Hospitalization ; Hospitalization - statistics & numerical data ; Humans ; Infant ; Inpatients ; Inpatients - statistics & numerical data ; International Classification of Diseases ; Male ; Medical sciences ; Miscellaneous ; Mortality ; Original ; Original Article ; Pediatrics ; Preschool ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Reproductive Medicine ; Sex Distribution ; Statistics ; Statistics (Data) ; Studies ; Teenagers ; Usage ; Young Adult ; Young adults ; Youth
ispartofArchives of disease in childhood, 2014, Vol.99 (9), p.830-833
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4Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions 2014
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descriptionObjective To investigate patterns and trends of adolescent (10–19 years) inpatient activity in England by sex, disease category, and admitting speciality. Data 9 632 844 Finished Consultant Episodes (FCEs) from English patients aged 1–19 between 1999/2000 and 2010/2011 (Hospital Episode Statistics data). Analyses Age trends by sex and major International Classification of Disease 10 (ICD10) chapter; differences in activity rates by age and sex; inpatient activity trends over the past decade, disaggregated by sex, admitting speciality and ICD10 chapter. Results Adolescent female patients account for more activity than girls aged 1–9 (139.4 vs 107.2 FCEs/1000). Female inpatient activity increases significantly between age 10 (70.9 FCEs/1000) and 19 (281.7 FCES/1000, of which non-obstetric care accounts for 155.9 FCEs/1000). Male activity increases much less during adolescence, with lower overall rates among adolescents than younger children (93.7 vs 142.9 FCEs/1000). Between 1999 and 2010, total adolescent inpatient activity increased faster among adolescents (10–19 years) (+14.2%) than younger children (1–9 years) (+11.0%). Adolescent FCEs/1000 increased by 12.8%, including higher rates admitted under Paediatrics (+47.5%) and Paediatric Surgery (+23.2%). Adolescents were admitted across a range of specialities. Conclusions These data challenge the belief that adolescents are a healthy group who rarely use inpatient services. In England, use of inpatient services is higher among female patients aged 10–19 years than those aged 1–9 years, while adolescent activity has increased faster than for younger children over the past 11 years. Improving service quality for adolescents will require engagement of the many different teams that care for them.
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abstractObjective To investigate patterns and trends of adolescent (10–19 years) inpatient activity in England by sex, disease category, and admitting speciality. Data 9 632 844 Finished Consultant Episodes (FCEs) from English patients aged 1–19 between 1999/2000 and 2010/2011 (Hospital Episode Statistics data). Analyses Age trends by sex and major International Classification of Disease 10 (ICD10) chapter; differences in activity rates by age and sex; inpatient activity trends over the past decade, disaggregated by sex, admitting speciality and ICD10 chapter. Results Adolescent female patients account for more activity than girls aged 1–9 (139.4 vs 107.2 FCEs/1000). Female inpatient activity increases significantly between age 10 (70.9 FCEs/1000) and 19 (281.7 FCES/1000, of which non-obstetric care accounts for 155.9 FCEs/1000). Male activity increases much less during adolescence, with lower overall rates among adolescents than younger children (93.7 vs 142.9 FCEs/1000). Between 1999 and 2010, total adolescent inpatient activity increased faster among adolescents (10–19 years) (+14.2%) than younger children (1–9 years) (+11.0%). Adolescent FCEs/1000 increased by 12.8%, including higher rates admitted under Paediatrics (+47.5%) and Paediatric Surgery (+23.2%). Adolescents were admitted across a range of specialities. Conclusions These data challenge the belief that adolescents are a healthy group who rarely use inpatient services. In England, use of inpatient services is higher among female patients aged 10–19 years than those aged 1–9 years, while adolescent activity has increased faster than for younger children over the past 11 years. Improving service quality for adolescents will require engagement of the many different teams that care for them.
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