The impact of neurological disorders on hospital admissions for children and young people: a routine health data study
Introduction Neurological conditions are a major and increasing cause of hospitalisation among children and young people, but little is known about the impact of neurological conditions on hospital services in England, nor the factors that influence length of stay and bed days per year. Objectiv...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Swansea University
2018-05-01
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| Series: | International Journal of Population Data Science |
| Subjects: | |
| Online Access: | https://ijpds.org/article/view/421 |
| _version_ | 1827614295891902464 |
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| author | Stuart William Jarvis John Livingston Anne-Marie Childs Lorna Fraser |
| author_facet | Stuart William Jarvis John Livingston Anne-Marie Childs Lorna Fraser |
| author_sort | Stuart William Jarvis |
| collection | DOAJ |
| description | Introduction
Neurological conditions are a major and increasing cause of hospitalisation among children and
young people, but little is known about the impact of neurological conditions on hospital services in
England, nor the factors that influence length of stay and bed days per year.
Objectives
To quantify the hospital usage in children and young people related to neurological conditions, trends
over time and variation by ethnicity and deprivation status.
Methods
An ICD10 coding framework identified a cohort of individuals aged 0-19 years with neurological
conditions from linked routinely collected healthcare data from England (The Hospital Episode
Statistics Admitted Patient Care dataset), from 1 April 2003 to 31 March 2015. Linked outpatient
and accident and emergency data were used to supplement missing demographic data. Length of stay
and bed days per year per person were calculated. These were separately modelled using random
intercept multivariable negative binomial regressions with gender, age, ethnic group, diagnostic
group, region of residence and deprivation category as predictors.
Results
524,442 individuals were identified over the study period, increasing from 49,928 in 2003/04 to
102,840 in 2014/15. Neurological conditions account for 8.8% of inpatient bed days in the 0-14
year old age group. Length of stay and bed days per year vary primarily by age group – e.g. Under
1 year olds had 1.85 times (95%CI 1.83-1.86%) longer stays and over double (2.36 times, 95%CI
2.34-2.37 times) the number of bed days per person per year compared to 5 to 9 year olds – and
main diagnostic group, with smaller variations by ethnic group, deprivation and region.
Conclusions
Neurological conditions in children and young people have a significant and increasing impact on the
NHS in England. Falls in length of stay and bed days per person are more than offset by increasing
numbers of children and young people with neurological diagnoses. Variations in length of stay and
bed days per year by diagnostic group, ethnic group, age group, deprivation category and region
should be taken into account in resource planning. |
| first_indexed | 2024-03-09T08:52:52Z |
| format | Article |
| id | doaj.art-2d40a97117464860b41c79e76dc12616 |
| institution | Directory Open Access Journal |
| issn | 2399-4908 |
| language | English |
| last_indexed | 2024-03-09T08:52:52Z |
| publishDate | 2018-05-01 |
| publisher | Swansea University |
| record_format | Article |
| series | International Journal of Population Data Science |
| spelling | doaj.art-2d40a97117464860b41c79e76dc126162023-12-02T13:54:14ZengSwansea UniversityInternational Journal of Population Data Science2399-49082018-05-013110.23889/ijpds.v3i1.421421The impact of neurological disorders on hospital admissions for children and young people: a routine health data studyStuart William Jarvis0John Livingston1Anne-Marie Childs2Lorna Fraser3University of YorkLeeds Children's HospitalLeeds Children's HospitalUniversity of YorkIntroduction Neurological conditions are a major and increasing cause of hospitalisation among children and young people, but little is known about the impact of neurological conditions on hospital services in England, nor the factors that influence length of stay and bed days per year. Objectives To quantify the hospital usage in children and young people related to neurological conditions, trends over time and variation by ethnicity and deprivation status. Methods An ICD10 coding framework identified a cohort of individuals aged 0-19 years with neurological conditions from linked routinely collected healthcare data from England (The Hospital Episode Statistics Admitted Patient Care dataset), from 1 April 2003 to 31 March 2015. Linked outpatient and accident and emergency data were used to supplement missing demographic data. Length of stay and bed days per year per person were calculated. These were separately modelled using random intercept multivariable negative binomial regressions with gender, age, ethnic group, diagnostic group, region of residence and deprivation category as predictors. Results 524,442 individuals were identified over the study period, increasing from 49,928 in 2003/04 to 102,840 in 2014/15. Neurological conditions account for 8.8% of inpatient bed days in the 0-14 year old age group. Length of stay and bed days per year vary primarily by age group – e.g. Under 1 year olds had 1.85 times (95%CI 1.83-1.86%) longer stays and over double (2.36 times, 95%CI 2.34-2.37 times) the number of bed days per person per year compared to 5 to 9 year olds – and main diagnostic group, with smaller variations by ethnic group, deprivation and region. Conclusions Neurological conditions in children and young people have a significant and increasing impact on the NHS in England. Falls in length of stay and bed days per person are more than offset by increasing numbers of children and young people with neurological diagnoses. Variations in length of stay and bed days per year by diagnostic group, ethnic group, age group, deprivation category and region should be taken into account in resource planning.https://ijpds.org/article/view/421neurologynhspaediatricneuroepidemiology |
| spellingShingle | Stuart William Jarvis John Livingston Anne-Marie Childs Lorna Fraser The impact of neurological disorders on hospital admissions for children and young people: a routine health data study International Journal of Population Data Science neurology nhs paediatric neuroepidemiology |
| title | The impact of neurological disorders on hospital admissions for children and young people: a routine health data study |
| title_full | The impact of neurological disorders on hospital admissions for children and young people: a routine health data study |
| title_fullStr | The impact of neurological disorders on hospital admissions for children and young people: a routine health data study |
| title_full_unstemmed | The impact of neurological disorders on hospital admissions for children and young people: a routine health data study |
| title_short | The impact of neurological disorders on hospital admissions for children and young people: a routine health data study |
| title_sort | impact of neurological disorders on hospital admissions for children and young people a routine health data study |
| topic | neurology nhs paediatric neuroepidemiology |
| url | https://ijpds.org/article/view/421 |
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