Adolescent inpatient activity 1999-2010: analysis of English Hospital Episode Statistics data
Adolescent inpatient activity 1999-2010: analysis of English Hospital Episode Statistics data
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DOI：
10.1136/archdischild-2013-305559
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发表时间：
2014-09-01
影响因子：
5.2
通讯作者：
Viner, Russell M.
中科院分区：
文献类型：
--
作者：
Hargreaves, Dougal S.;Viner, Russell M.
目的 按性别、疾病类别和入院专业调查英国青少年（10-19 岁）住院活动的模式和趋势。数据 9 632 844 1999/2000 至 2010/2011 期间英国 1-19 岁患者完成的咨询发作 (FCE)（医院发作统计数据）。分析按性别和主要国际疾病分类划分的年龄趋势 10 (ICD10) 章；不同年龄和性别的活动率存在差异；过去十年住院患者活动趋势，按性别、录取专业和 ICD10 章节分类。结果 青春期女性患者比 1-9 岁女孩的活动量更多（139.4 vs 107.2 FCE/1000）。女性住院患者活动在 10 岁 (70.9 FCEs/1000) 至 19 岁 (281.7 FCES/1000，其中非产科护理占 155.9 FCEs/1000) 之间显着增加。青春期期间男性活动的增加要少得多，青少年的总体比率低于年龄较小的儿童（93.7 vs 142.9 FCE/1000）。 1999 年至 2010 年间，青少年（10-19 岁）（+14.2%）的青少年住院总活动增长速度快于年幼儿童（1-9 岁）（+11.0%）。青少年 FCE/1000 增加了 12.8%，其中儿科 (+47.5%) 和小儿外科 (+23.2%) 的入院率较高。青少年接受了一系列专业的治疗。 结论 这些数据挑战了青少年是一个很少使用住院服务的健康群体的信念。在英格兰，10-19 岁女性患者使用住院服务的比例高于 1-9 岁女性患者，而在过去 11 年中，青少年活动的增长速度快于年龄较小的儿童。提高青少年的服务质量需要照顾他们的许多不同团队的参与。
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.