Hospitalisations related to nervous-system diseases in Australia, 1998–2019: a secular trend analysis

Objective The burden of neurological disease-related disabilities and deaths is one of the most serious issues globally. We aimed to examine the hospitalisation profile related to nervous system diseases in Australia for the duration between 1998 and 2019.Design A secular trend analysis using a popu...

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Main Authors: Abdallah Y Naser, Sawsan MA Abuhamdah
Format: Article
Language:English
Published: BMJ Publishing Group 2023-09-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/9/e074553.full
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author Abdallah Y Naser
Sawsan MA Abuhamdah
author_facet Abdallah Y Naser
Sawsan MA Abuhamdah
author_sort Abdallah Y Naser
collection DOAJ
description Objective The burden of neurological disease-related disabilities and deaths is one of the most serious issues globally. We aimed to examine the hospitalisation profile related to nervous system diseases in Australia for the duration between 1998 and 2019.Design A secular trend analysis using a population-based dataset.Setting This analysis used a population-based study of hospitalised patients in Australia. Hospitalisation data were extracted from the National Hospital Morbidity Database, which collects sets of episode-level information for Australian patients admitted to all private and public hospitals.Participants All patients who were hospitalised in all private and public hospitalisations.Primary outcome measure Hospitalisation rates related to nervous system diseases.Results Hospitalisation rates increased by 1.04 times (from 650.36 (95% CI 646.73 to 654.00) in 1998 to 1328.90 (95% CI 1324.44 to 1333.35) in 2019 per 100 000 persons, p<0.01). Overnight-stay episodes accounted for 57.0% of the total number of hospitalisations. Rates of the same-day hospitalisation for diseases of the nervous system increased by 2.10-fold (from 219.74 (95% CI 217.63 to 221.86) in 1998 to 680.23 (95% CI 677.03 to 683.43) in 2019 per 100 000 persons). Rates of overnight-stay hospital admission increased by 42.7% (from 430.62 (95% CI 427.66 to 433.58) in 1998 to 614.70 (95% CI 611.66 to 617.75) in 2019 per 100 000 persons). ‘Episodic and paroxysmal disorders’ were the most prevalent reason for hospitalisation, which accounted for 49.0% of the total number of episodes. Female hospitalisation rates increased by 1.13-fold (from 618.23 (95% CI 613.24 to 623.22) in 1998 to 1316.33 (95% CI 1310.07 to 1322.58) in 2019 per 100 000 persons). Male hospitalisation rates increased by 86.4% (from 682.95 (95% CI 677.67 to 688.23) in 1998 to 1273.18 (95% CI 1266.98 to 1279.37) in 2019 per 100 000 persons).Conclusion Hospitalisation rates for neurological disorders in Australia are high, potentially owing to the ageing of the population. Males had greater rates of hospitalisation than females.
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spelling doaj.art-9fee16ec83cb419ca51348328454f4c82023-10-02T04:10:07ZengBMJ Publishing GroupBMJ Open2044-60552023-09-0113910.1136/bmjopen-2023-074553Hospitalisations related to nervous-system diseases in Australia, 1998–2019: a secular trend analysisAbdallah Y Naser0Sawsan MA Abuhamdah17 Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Isra University Faculty of Pharmacy, Amman, JordanDepartment of Biopharmaceutics and Clinical Pharmacy, Faculty of Pharmacy, The University of Jordan, Amman, JordanObjective The burden of neurological disease-related disabilities and deaths is one of the most serious issues globally. We aimed to examine the hospitalisation profile related to nervous system diseases in Australia for the duration between 1998 and 2019.Design A secular trend analysis using a population-based dataset.Setting This analysis used a population-based study of hospitalised patients in Australia. Hospitalisation data were extracted from the National Hospital Morbidity Database, which collects sets of episode-level information for Australian patients admitted to all private and public hospitals.Participants All patients who were hospitalised in all private and public hospitalisations.Primary outcome measure Hospitalisation rates related to nervous system diseases.Results Hospitalisation rates increased by 1.04 times (from 650.36 (95% CI 646.73 to 654.00) in 1998 to 1328.90 (95% CI 1324.44 to 1333.35) in 2019 per 100 000 persons, p<0.01). Overnight-stay episodes accounted for 57.0% of the total number of hospitalisations. Rates of the same-day hospitalisation for diseases of the nervous system increased by 2.10-fold (from 219.74 (95% CI 217.63 to 221.86) in 1998 to 680.23 (95% CI 677.03 to 683.43) in 2019 per 100 000 persons). Rates of overnight-stay hospital admission increased by 42.7% (from 430.62 (95% CI 427.66 to 433.58) in 1998 to 614.70 (95% CI 611.66 to 617.75) in 2019 per 100 000 persons). ‘Episodic and paroxysmal disorders’ were the most prevalent reason for hospitalisation, which accounted for 49.0% of the total number of episodes. Female hospitalisation rates increased by 1.13-fold (from 618.23 (95% CI 613.24 to 623.22) in 1998 to 1316.33 (95% CI 1310.07 to 1322.58) in 2019 per 100 000 persons). Male hospitalisation rates increased by 86.4% (from 682.95 (95% CI 677.67 to 688.23) in 1998 to 1273.18 (95% CI 1266.98 to 1279.37) in 2019 per 100 000 persons).Conclusion Hospitalisation rates for neurological disorders in Australia are high, potentially owing to the ageing of the population. Males had greater rates of hospitalisation than females.https://bmjopen.bmj.com/content/13/9/e074553.full
spellingShingle Abdallah Y Naser
Sawsan MA Abuhamdah
Hospitalisations related to nervous-system diseases in Australia, 1998–2019: a secular trend analysis
BMJ Open
title Hospitalisations related to nervous-system diseases in Australia, 1998–2019: a secular trend analysis
title_full Hospitalisations related to nervous-system diseases in Australia, 1998–2019: a secular trend analysis
title_fullStr Hospitalisations related to nervous-system diseases in Australia, 1998–2019: a secular trend analysis
title_full_unstemmed Hospitalisations related to nervous-system diseases in Australia, 1998–2019: a secular trend analysis
title_short Hospitalisations related to nervous-system diseases in Australia, 1998–2019: a secular trend analysis
title_sort hospitalisations related to nervous system diseases in australia 1998 2019 a secular trend analysis
url https://bmjopen.bmj.com/content/13/9/e074553.full
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