TY - JOUR
T1 - In-patient workload in medical specialties
T2 - 2. Profiles of individual diagnoses from linked statistics
AU - Ashton, C. M.
AU - Ferguson, J. A.
AU - Goldacre, M. J.
N1 - Funding Information:
The Unit of Health-Care Epidemiology is funded by the Department of Health and the Anglia and Oxford Regional Health Authority. Dr Ashton was a visiting research fellow in the Unit at the time this paper was written. Support for her fellowship was provided by the US Department of Veterans Affairs. We are grateful to Liza Brandon for her excellent preparation of the tables.
Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 1995/9
Y1 - 1995/9
N2 - We analysed hospital use for 58 common clinical conditions in the medical specialties, using data from the two districts covered by the Oxford record linkage study 1968-1986. Episode rates, person rates, and ratios of multiple admissions per person were computed. In young adults, poisoning was the most common reason for admission. In older adults, the most common clinical conditions included atherosclerotic diseases and smoking-related lung diseases. Comparing the first and last time periods studied, admission rates increased by 10% or more in 37 of the 58 conditions, including 7 of the 10 conditions with the highest overall hospitalization rates. Conditions in which admissions increased by 10% or more included myocardial infarction, other ischaemic heart disease, chronic obstructive lung disease, asthma, pneumonia, diabetes, poisoning, dementia, prostate cancer and breast cancer among others. Workload declined by 10% or more in 13 conditions, including stroke, subarachnoid haemorrhage, hypertension, thyrotoxicosis, acquired hypothyroidism, and tuberculosis. Secular trends in hospital use are generally attributable either to changes in disease frequency in the population or to changes in clinic- or hospital-based technology and practice.
AB - We analysed hospital use for 58 common clinical conditions in the medical specialties, using data from the two districts covered by the Oxford record linkage study 1968-1986. Episode rates, person rates, and ratios of multiple admissions per person were computed. In young adults, poisoning was the most common reason for admission. In older adults, the most common clinical conditions included atherosclerotic diseases and smoking-related lung diseases. Comparing the first and last time periods studied, admission rates increased by 10% or more in 37 of the 58 conditions, including 7 of the 10 conditions with the highest overall hospitalization rates. Conditions in which admissions increased by 10% or more included myocardial infarction, other ischaemic heart disease, chronic obstructive lung disease, asthma, pneumonia, diabetes, poisoning, dementia, prostate cancer and breast cancer among others. Workload declined by 10% or more in 13 conditions, including stroke, subarachnoid haemorrhage, hypertension, thyrotoxicosis, acquired hypothyroidism, and tuberculosis. Secular trends in hospital use are generally attributable either to changes in disease frequency in the population or to changes in clinic- or hospital-based technology and practice.
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U2 - 10.1093/oxfordjournals.qjmed.a069115
DO - 10.1093/oxfordjournals.qjmed.a069115
M3 - Article
C2 - 7583080
AN - SCOPUS:0029121199
SN - 1460-2725
VL - 88
SP - 661
EP - 672
JO - QJM
JF - QJM
IS - 9
ER -