Background
Methods
Data source and preparation
Association with practice and hospital characteristics
Results
Descriptive statistics
Characteristics | Count (%) |
---|---|
Number of Admissions | 1,767,550 |
Bed Days | 10,903,662 |
Day Cases | 443,760 (25.1) |
Mean Age | 55.6 |
0–19 | 264,541 (15.0) |
20–39 | 207,032 (11.7) |
40–59 | 338,316 (19.1) |
60–79 | 512,017 (29.0) |
80+ | 445,644 (25.2) |
Male | 844,537 (47.8) |
Ethnicity | |
White | 1,495,974 (84.6) |
Asian | 100,486 (5.7) |
Black | 41,879 (2.4) |
Mixed | 14,623 (0.8) |
Missing | 114,588 (6.5) |
Deprivation | |
0 (Most Deprived) | 477,437 (27.0) |
1 | 387,099 (21.9) |
2 | 339,554 (19.2) |
3 | 302,310 (17.1) |
4 (Least Deprived) | 261,150 (14.8) |
Comorbidities | |
Any | 1,032,628 (58.4) |
Chronic obstructive pulmonary disease | 465,731 (26.4) |
Diabetes | 288,168 (16.3) |
Congestive heart failure | 194,692 (11.0) |
Cerebrovascular disease | 185,824 (10.5) |
Renal disease | 133,975 (7.6) |
Admission Source | |
The usual place of residence | 1,671,614 (94.6) |
Other | 94,806 (5.4) |
Admission Method | |
Emergency: via accident and emergency | 1,326,882 (75.1) |
Emergency: via general practitioner | 290,218 (16.4) |
Other | 150,450 (8.5) |
Discharge Destination | |
The usual place of residence | 1,597,060 (90.4) |
Patient died | 80,371 (4.6) |
Nursing home | 35,425 (2.0) |
Other | 54,694 (3.1) |
Condition | Mean Age | % Male | % Most Deprived Quintile | % Admitted From GP | % Day Case |
---|---|---|---|---|---|
Alcohol-related diseases | 43.8 | 68.0 | 40.1 | 4.3 | 35.4 |
Angina | 60.5 | 54.6 | 27.0 | 9.1 | 37.8 |
Asthma | 31.2 | 42.9 | 32.9 | 16.1 | 27.1 |
Atrial fibrillation / flutter | 56.3 | 40.7 | 21.4 | 12.6 | 41.0 |
Cellulitis | 51.6 | 52.1 | 27.4 | 26.6 | 22.5 |
Congestive heart failure | 78.5 | 51.6 | 22.9 | 19.8 | 6.9 |
Constipation | 51.4 | 42.6 | 27.6 | 27.0 | 32.4 |
Convulsions and epilepsy | 37.6 | 53.5 | 29.8 | 4.2 | 32.6 |
COPD | 71.2 | 48.3 | 33.5 | 15.6 | 12.1 |
Dehydration and gastro | 40.8 | 44.8 | 27.5 | 26.0 | 28.2 |
Dental condition | 35.1 | 51.8 | 31.8 | 11.8 | 27.2 |
Diabetes complications | 44.9 | 54.6 | 30.6 | 15.6 | 9.6 |
Dyspepsia / otr stomach function | 40.5 | 50.2 | 27.6 | 21.7 | 50.2 |
ENT infection | 10.2 | 52.9 | 30.8 | 34.2 | 53.0 |
Fractured proximal femur | 80.8 | 26.9 | 18.1 | 1.0 | 0.5 |
Hypertension | 60.9 | 41.3 | 25.7 | 26.3 | 35.5 |
Influenza and pneumonia | 67.5 | 51.2 | 24.7 | 17.0 | 7.5 |
Iron-deficiency anaemia | 65.0 | 38.8 | 25.8 | 37.0 | 20.0 |
Migraine / acute headache | 42.2 | 35.6 | 26.6 | 23.3 | 37.5 |
Neuroses | 47.6 | 44.0 | 31.2 | 7.4 | 30.6 |
Pelvic inflammatory disease | 32.6 | 0.0 | 30.7 | 24.5 | 15.1 |
Perforated / bleeding ulcer | 56.5 | 54.1 | 26.7 | 19.3 | 24.3 |
Peripheral vascular disease | 69.1 | 53.3 | 26.0 | 31.7 | 22.5 |
Pyelonephritis | 63.2 | 34.7 | 24.4 | 19.9 | 15.5 |
Ruptured appendix | 36.2 | 58.1 | 18.9 | 28.0 | 0.3 |
Schizophrenia | 42.5 | 63.0 | 45.3 | 2.6 | 4.8 |
Senility / dementia | 83.6 | 38.5 | 22.0 | 11.4 | 14.7 |
Stroke | 74.7 | 49.3 | 20.0 | 6.7 | 3.7 |
Association between unplanned ACSC admission rates and practice characteristics
All ACSCs Combined | Alcohol- Related Diseases | COPD | Dehydration and Gastro | ENT Infections | Hypertension | Hip Fracture | Stroke | |
---|---|---|---|---|---|---|---|---|
Practice characteristics | ||||||||
Deprivation | 16 (14,18) | 44 (35,54) | 36 (30,42) | 8 (5,11) | 7 (3,12) | 7 (−5,20) | 7 (3,11) | 12 (8,16) |
A&E Distance | ||||||||
Furthest Away | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref |
2nd Quartile | 5 (4, 6) | 9 (3,15) | 6 (2,10) | 8 (5,10) | 4 (0, 7) | 3 (−6,12) | −1 (−3, 2) | 3 (0, 5) |
3rd Quartile | 7 (5, 8) | 15 (8,23) | 10 (6,14) | 9 (6,12) | 4 (0, 8) | 8 (−2,19) | −1 (−4, 1) | 1 (−2, 4) |
Closest | 8 (7,10) | 21 (13,29) | 10 (5,14) | 14 (11,17) | 11 (7,16) | 12 (2,24) | −3 (−6,−0) | 2 (−1, 5) |
Continuity | −9 (−11,−8) | −7 (−11,−2) | −13 (−16,−10) | −7 (−9,−5) | −10 (−13,−7) | −20 (−26,−13) | −0 (−3, 3) | −2 (−5, 0) |
Access | −1 (−2, 0) | 1 (−3, 6) | −1 (−4, 2) | −2 (−4, 0) | −0 (−3, 2) | −2 (−9, 5) | 1 (−1, 4) | 2 (−1, 4) |
Quality | −2 (−3,−1) | −4 (−7,−1) | −1 (−3, 1) | −1 (−3, 0) | −3 (−5,−1) | −4 (−10, 2) | 1 (−1, 3) | −1 (−3, 1) |
Size | −2 (−3,−1) | 2 (−3, 6) | 0 (−3, 3) | −1 (−3, 1) | 1 (−2, 4) | −1 (−8, 6) | 2 (0, 4) | 0 (−2, 2) |
PCT characteristics | ||||||||
Bed Availability | 12 (8,17) | 39 (21,60) | 16 (9,23) | 24 (16,32) | 25 (12,41) | 24 (9,40) | −1 (−4, 2) | 5 (1, 9) |
% Day Cases | 17 (12,21) | 12 (−3,29) | 9 (4,14) | 28 (20,37) | 183 (149,222) | 1 (−11,14) | 0 (−3, 3) | 2 (−1, 6) |