Article
Health Care Sciences & Services
Steve Turner, Edwin-Amalraj Raja
Summary: The opening of short stay paediatric assessment units (SSPAU) in Scottish hospitals has varying impacts on the proportion of zero day admissions. While overall there was an increase in the proportion of zero day admissions after SSPAUs opened, some health boards experienced a reduction in zero day admissions. Understanding differences in clinical referral pathways between health boards is crucial for reducing zero day admissions.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Environmental Sciences
Kohei Hasegawa, Teruomi Tsukahara, Tetsuo Nomiyama
Summary: The study found a significant association between four common ambient air pollutants and hospital admissions for ischemic stroke based on nationwide claims data from 97 cities in Japan. Medication use and season may modify this association.
ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH
(2022)
Article
Geriatrics & Gerontology
Ching Shan Wan, Jade Mitchell, Andrea B. Maier
Summary: The Hospital Admission Risk Program (HARP) reduced unplanned hospitalization and bed days, but did not return individuals' hospital use to baseline before the intervention. Variations in mortality between HARP chronic disease management programs imply a preference for condition-specific goals in programs.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Ophthalmology
Haifa A. Madi, Johannes Keller
Summary: Since 2000, there has been a significant increase in the frequency of admissions for surgically treated retinal detachment in England, particularly with regards to rhegmatogenous retinal detachment. This may be attributed to factors such as increased incidence of disease, repeat surgeries in cases of recurrent retinal detachment, improvements in patient access, increased public awareness, and improved local coding and reporting practices.
Article
Pediatrics
Ben Arthur Marson, Joseph C. Manning, Marilyn James, Adeel Ikram, David J. Bryson, Benjamin J. Ollivere
Summary: This study explores the trends of frequency, types, and age distribution of children sustaining fractures admitted for intervention to NHS hospitals from 2012 to 2019. The results show that upper limb fractures are the most common, with the highest incidence in children aged 5-9, while lower limb fractures have the highest incidence in children aged 10-15. There is an increasing trend of skull and facial fractures in preschool children.
BMJ PAEDIATRICS OPEN
(2021)
Article
Medicine, General & Internal
Sophie Meakin, Sam Abbott, Nikos Bosse, James Munday, Hugo Gruson, Joel Hellewell, Katherine Sherratt, Sebastian Funk
Summary: Forecasting healthcare demand is crucial during epidemics, and in this study, three disease-agnostic forecasting models were used to predict COVID-19 hospital admissions in England. The mean-ensemble model was the most accurate and consistently accurate among all the models. Using future observed cases improved the accuracy of admissions forecasts. Ensemble forecasts can provide consistently accurate predictions across time and locations.
Article
Environmental Sciences
Jessica Gong, Cherie Part, Shakoor Hajat
Summary: The study found increased risk associated with high temperatures in all regions. Under current climate conditions, there is a 4.5% (95% confidence interval 2.9%-6.1%) increase in risk of dementia admission for every 1 degree Celsius increase in temperature above 17 degrees Celsius. Under a high emissions scenario, heat-related admissions are projected to increase by almost 300% by 2040 compared to baseline levels.
ENVIRONMENT INTERNATIONAL
(2022)
Article
Health Care Sciences & Services
Ruben Gonzalez-Colom, Carmen Herranz, Emili Vela, David Monterde, Joan Carles Contel, Antoni Siso-Almirall, Jordi Piera-Jimenez, Josep Roca, Isaac Cano
Summary: This study aimed to improve the management of multimorbidity by developing predictive models and patient profiling. The predictive models showed good performance in predicting mortality and readmission risks at 90 days after discharge. Four distinct patient profiles were identified, providing personalized recommendations for service selection.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Public, Environmental & Occupational Health
Jakob Petersen, Jens Kandt, Paul A. Longley
Summary: This study investigated ethnic inequalities in inpatient hospital admission for major disease categories in England. The findings revealed disparities in cardiovascular diseases, respiratory diseases, and diabetes, while also uncovering previously unreported disparities in nutritional deficiencies, endocrine disorders, and sense organ diseases. Further research is needed to map out relevant care pathways for ethnic minorities and strengthen preventive measures.
Article
Surgery
Tim Cundy, Greg D. Gamble, Elaine Yi, Nicholas Evennett, Grant Beban
Summary: The study found that the rate of hospitalization for infectious diseases was significantly lower in individuals undergoing bariatric surgery compared to those who did not complete the surgery. The most notable reduction was observed in skin and soft tissue infections, and this effect was sustained for at least 8 years.
Article
Computer Science, Information Systems
Jakob Petersen, Jens Kandt, Paul A. Longley
Summary: The use of a names-based ethnicity classification tool has significantly improved the completeness of ethnicity records in hospital inpatient care data, especially in England. This tool can help address the historical lack of ethnicity information in healthcare records and inform decisions on analyzing ethnic groups in healthcare data.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2021)
Article
Cardiac & Cardiovascular Systems
Doaa M. Aly, Lori A. Erickson, Hayley Hancock, Jonathan W. Apperson, Monica Gaddis, Girish Shirali, Suma Goudar
Summary: This study developed a feasible and reproducible HVT score for predicting clinical deterioration and unplanned hospital admissions in infants with single ventricle. The scoring model, consisting of respiratory rate, respiratory effort, color, and behavior parameters, showed excellent discriminatory capability with a high area under the receiver operating characteristic curve. Future directions involve prospective, multicenter validation of this predictive tool.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Multidisciplinary Sciences
Cari Malcolm, Emma King, Emma France, Richard G. Kyle, Simita Kumar, Smita Dick, Philip Wilson, Lorna Aucott, Stephen W. Turner, Pat Hoddinott
Summary: This study explores the experiences of urgent short stay admissions (SSAs) from the perspectives of parents and health professionals. The shared outcomes between parents and health professionals highlight the importance of child safety and the desire to reduce hospital admissions. The study emphasizes the potential benefits of a partnership approach in improving urgent care pathways between home and hospital.
Article
Environmental Sciences
Berhanu Y. Wondmagegn, Jianjun Xiang, Keith Dear, Susan Williams, Alana Hansen, Dino Pisaniello, Monika Nitschke, John Nairn, Ben Scalley, Alex Xiao, Le Jian, Michael Tong, Hilary Bambrick, Jonathan Karnon, Peng Bi
Summary: This study examines the relationship between daily mean temperature and hospital admissions, length of hospital stay, and costs, estimating baseline temperature-attributable hospital admissions and costs, as well as projecting increases under warmer climate scenarios. The findings suggest a substantial impact of temperature on hospital admissions, lengths of stay, and costs, with potential for further increases with climate change.
SCIENCE OF THE TOTAL ENVIRONMENT
(2021)
Article
Surgery
Lydia Hanna, Kim Borsky, Ammar A. Abdullah, Viknesh Sounderajah, Dominic C. Marshall, Justin D. Salciccioli, Joseph Shalhoub, Richard G. J. Gibbs
Summary: This study analyzed trends in hospital admissions, interventions, and mortality related to abdominal aortic aneurysm (AAA) in England from 1998 to 2020. The results showed a significant decrease in hospital admissions, an increase in endovascular procedures, and a decline in open surgical repair. Decreases in aneurysm-related mortality were observed overall, regardless of age, sex, and rupture status.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Gastroenterology & Hepatology
Jonathan Blackwell, Sonia Saxena, Nishani Jayasooriya, Irene Petersen, Matthew Hotopf, Hanna Creese, Alex Bottle, Richard C. G. Pollok
Summary: The study found that permanent stomas and temporary stomas with late reversal surgery are associated with increased use of antidepressant medication after intestinal surgery, likely linked to increased anxiety and depression.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Health Care Sciences & Services
Max Warner, Samantha Burn, George Stoye, Paul P. Aylin, Alex Bottle, Carol Propper
Summary: Hospital admissions in England saw significant reductions for non-COVID-19 patients between March and December 2020, with larger decreases in areas with higher ethnic minority populations and smaller decreases in more deprived areas. These disparities in care patterns during the COVID-19 pandemic may exacerbate existing health inequalities.
BMJ QUALITY & SAFETY
(2022)
Article
Gastroenterology & Hepatology
Nishani Jayasooriya, Jonathan Blackwell, Sonia Saxena, Alex Bottle, Irene Petersen, Hanna Creese, Matthew Hotopf, Richard C. G. Pollok
Summary: This study found that the use of antidepressants among individuals diagnosed with inflammatory bowel disease (IBD) has been increasing over the years. However, a majority of patients did not adhere to the recommended treatment duration according to international guidelines. Younger patients were more likely to discontinue antidepressant treatment earlier.
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2022)
Review
Gastroenterology & Hepatology
Nishani Jayasooriya, Samantha Baillie, Jonathan Blackwell, Alex Bottle, Irene Petersen, Hanna Creese, Sonia Saxena, Richard C. C. Pollok, POP IBD study grp
Summary: This systematic review found that diagnostic delay is associated with negative clinical outcomes in inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC). The median time to diagnosis was 8.0 months for CD and 3.7 months for UC, with longer diagnostic intervals observed in low-middle-income countries. Furthermore, delayed diagnosis was associated with increased risks of stricturing, penetrating disease, and intestinal surgery in CD, and increased risk of colectomy in UC.
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2023)
Article
Public, Environmental & Occupational Health
Laura Gimeno, Katherine Brown, Katie Harron, Maria Peppa, Ruth Gilbert, Ruth Blackburn
Summary: Children with congenital heart defects (CHD) in England have a higher risk of being born preterm, but recent trends in long-term survival based on gestational age (GA) are not well understood. This study aimed to quantify changes in survival to age 5 of children with severe CHD by GA. The findings showed that overall survival to age five increased from 87.5% in 2004-2008 to 89.6% in 2012-2016. However, the improvement in survival was driven by increased survival in term children. The study highlights the need for additional support for school-aged children with severe CHD. Rating: 8/10
PAEDIATRIC AND PERINATAL EPIDEMIOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Maria Peppa, Bianca L. De Stavola, Stavros Loukogeorgakis, Ania Zylbersztejn, Ruth Gilbert, Paolo De Coppi
Summary: This study utilized national birth cohort data in England to compare the birth prevalence, relationship with maternal age, and 1-year mortality rates of different subtypes of congenital diaphragmatic hernia (CDH). The results showed that the risk of complex CDH was associated with maternal age, and the 1-year mortality rate for complex CDH was slightly higher than for isolated CDH.
PAEDIATRIC AND PERINATAL EPIDEMIOLOGY
(2023)
Editorial Material
Health Care Sciences & Services
Alex Bottle, Alex Liddle
BMJ QUALITY & SAFETY
(2023)
Article
Cardiac & Cardiovascular Systems
Alex Bottle, Roger Newson, Puji Faitna, Benedict Hayhoe, Martin R. Cowie
Summary: This study aimed to explore risk prediction models for heart failure based on general practitioners' electronic health records and compare the data from two different cohorts. The results showed that the survival rates were similar in different years, but the later population was older, frailer, and had more comorbidities. The study also found consistent predictors including age, sex, blood pressure, body mass index, GP visits before diagnosis, and some comorbidities.
Letter
Gastroenterology & Hepatology
Nishani Jayasooriya, Sonia Saxena, Richard C. Pollok
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2023)
Letter
Gastroenterology & Hepatology
Richard Pollok, Nishani Jayasooriya, Samantha Baillie, Jonathan Blackwell, Irene Petersen, Alex Bottle, Sonia Saxena, POP IBD Study Grp
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2023)
Letter
Gastroenterology & Hepatology
Richard Pollok, Samantha Baillie, Nishani Jayasooriya, Jonathan Blackwell, Irene Petersen, Alex Bottle, Sonia Saxena
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2023)
Article
Primary Health Care
Nishani Jayasooriya, Richard C. Pollok, Jonathan Blackwell, Alex Bottle, Irene Petersen, Hanna Creese, Sonia Saxena
Summary: Rates of discontinuation and adherence to oral 5-ASA in adolescents and young adults with ulcerative colitis were determined in a cohort study. The study found that a significant proportion discontinued within the first year and adherence was lower among young adults compared to adolescents. Risk factors for discontinuation included older age and living in deprived areas, while early corticosteroid use lowered the likelihood of discontinuation.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Primary Health Care
Richard Ma, Kimberley Foley, Sonia Saxena
Summary: This study examined women's perceptions and experiences of contraceptive care in the UK during the first lockdown. The findings showed that many women were uncertain about how to access contraception during the lockdown, and there was reduced availability of contraceptive care. Some women believed that sexual health clinics and general practices were closed. Remote consultations and electronic prescriptions facilitated contraceptive access for some women. Restrictions led to unavailability of long-acting reversible contraception (LARC), and alternative methods were not acceptable for some women.