Hospital admission trends due to respiratory diseases in England and Wales between 1999 and 2019: an ecologic study

Identifying trends of hospital admissions for respiratory diseases is crucial for public health and research to guide future clinical improvements for better outcomes. This study aims to define the trends of respiratory disease-related hospital admissions (RRHA) in England and Wales between 1999 and...

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Published in:	BMC pulmonary medicine Vol. 21; no. 1; p. 356
Main Authors:	Naser, Abdallah Y, Mansour, Munthir M, Alanazi, Abeer F R, Sabha, Omar, Alwafi, Hassan, Jalal, Zahraa, Paudyal, Vibhu, Dairi, Mohammad S, Salawati, Emad M, Alqahtan, Jaber S, Alaamri, Shalan, Mustafa Ali, Moaath K
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 08-11-2021 BioMed Central BMC
Subjects:	Admissions Adolescent Adult Age groups Aged Aged, 80 and over Air pollution Care and treatment Causes of Child Chronic obstructive pulmonary disease Databases, Factual England England - epidemiology Hospital Hospital care Hospitalization - statistics & numerical data Hospitalization - trends Hospitals Humans Indoor air quality Infections Influenza Lung cancer Lung diseases Male Males Middle Aged Outdoor air quality Patient admissions Pneumonia Population Public health Pulmonology Respiration Respiratory Respiratory diseases Respiratory system Respiratory tract diseases Respiratory Tract Diseases - epidemiology Risk factors Sex Distribution Statistics Trends United Kingdom Wales Wales - epidemiology Young Adult England Wales United Kingdom > UK Admissions England United Kingdom Respiratory Hospital Wales
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Summary:	Identifying trends of hospital admissions for respiratory diseases is crucial for public health and research to guide future clinical improvements for better outcomes. This study aims to define the trends of respiratory disease-related hospital admissions (RRHA) in England and Wales between 1999 and 2019. An ecological study was conducted using hospital admission data taken from the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Hospital admissions data for respiratory diseases were extracted for the period between April 1999 and March 2019. The trend in hospital admissions was assessed using a Poisson model. Hospital admission rate increased by 104.7% [from 1535.05 (95% CI 1531.71-1538.38) in 1999 to 3142.83 (95% CI 3138.39-3147.26) in 2019 per 100,000 persons, trend test, p < 0.01]. The most common causes were influenza and pneumonia, chronic lower respiratory diseases, other acute lower respiratory infections, which accounted for 26.6%, 26.4%, and 14.9%, respectively. The age group 75 years and above accounted for 34.1% of the total number of hospital admissions. Males contributed to 50.5% of the total number of hospital admissions. Hospital admission rate in females increased by 119.8% [from 1442.18 (95% CI 1437.66-1446.70) in 1999 to 3169.38 (95% CI 3163.11-3175.64) in 2019 per 100,000 persons, trend test, p < 0.001]. Hospital admission rate increased by 92.9% in males [from 1633.25 (95% CI 1628.32-1638.17) in 1999 to 3149.78 (95% CI 3143.46-3156.09) in 2019 per 100,000 persons, trend test, p < 0.001]. During the study period, hospital admissions rate due to respiratory diseases increased sharply. The rates of hospital admissions were higher among males for the vast majority of respiratory diseases. Further observational studies are warranted to identify risk factors for these hospital admissions and to offer relevant interventions to mitigate the risk.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23
ISSN:	1471-2466 1471-2466
DOI:	10.1186/s12890-021-01736-8