期刊名称：International Journal of Population Data Science
电子版ISSN：2399-4908
出版年度：2018
卷号：3
期号：1
页码：1-11
DOI：10.23889/ijpds.v3i1.421
出版社：Swansea University
摘要：Introduction Neurological conditions are a major and increasing cause of hospitalisation among children andyoung people, but little is known about the impact of neurological conditions on hospital services inEngland, nor the factors that influence length of stay and bed days per year. Objectives To quantify the hospital usage in children and young people related to neurological conditions, trendsover time and variation by ethnicity and deprivation status. Methods An ICD10 coding framework identified a cohort of individuals aged 0-19 years with neurologicalconditions from linked routinely collected healthcare data from England (The Hospital EpisodeStatistics Admitted Patient Care dataset), from 1 April 2003 to 31 March 2015. Linked outpatientand accident and emergency data were used to supplement missing demographic data. Length of stayand bed days per year per person were calculated. These were separately modelled using randomintercept multivariable negative binomial regressions with gender, age, ethnic group, diagnosticgroup, region of residence and deprivation category as predictors. Results 524,442 individuals were identified over the study period, increasing from 49,928 in 2003/04 to102,840 in 2014/15. Neurological conditions account for 8.8% of inpatient bed days in the 0-14year old age group. Length of stay and bed days per year vary primarily by age group – e.g. Under1 year olds had 1.85 times (95%CI 1.83-1.86%) longer stays and over double (2.36 times, 95%CI2.34-2.37 times) the number of bed days per person per year compared to 5 to 9 year olds – andmain diagnostic group, with smaller variations by ethnic group, deprivation and region. Conclusions Neurological conditions in children and young people have a significant and increasing impact on theNHS in England. Falls in length of stay and bed days per person are more than offset by increasingnumbers of children and young people with neurological diagnoses. Variations in length of stay andbed days per year by diagnostic group, ethnic group, age group, deprivation category and regionshould be taken into account in resource planning.
