Socio-demographic patterns in hospital admissions and accident and emergency attendances among young people using linkage to NHS Hospital Episode Statistics: results from the Avon Longitudinal Study of Parents and Children.

BMC Health Services Research
Leigh JohnsonJohn Macleod

Abstract

In England emergency hospital admissions among children are increasing and the under 25s are the most frequent attenders of A&E departments. Children of lower socio-economic status (SES) have poorer health outcomes and higher hospital admission rates. NHS Hospital Episode Statistics (HES) are increasingly being used for research but lack detailed data on individual characteristics such as SES. We report the results of an Avon Longitudinal Study of Parents and Children (ALSPAC) study that linked the data of 3,189 consenting participants to HES. We describe rates of hospital admission, emergency readmissions, and A&E attendances and examine socio-demographic correlates of these. Subjects were singletons and twins enrolled in ALSPAC who had provided consent for linkage to their health records by the study cut-off date (31.02.12). Linkage was carried out by the Health and Social Care Information Centre (now NHS Digital). We examined rates of admissions between birth and age 20 and A&E attendances between 14 and 20 years. Socio-demographic information collected in ALSPAC questionnaires during pregnancy were used to examine factors associated with admissions, emergency readmissions (an emergency admission within 30 days of discharge)...Continue Reading

References

Sep 12, 2000·European Journal of Human Genetics : EJHG·R W JonesUNKNOWN ALSPAC Study Team
Oct 11, 2005·Social Science & Medicine·Edith ChenKaren A Matthews
Jun 6, 2006·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·L GroomJ Hippisley-Cox
Apr 3, 2008·Archives of Disease in Childhood·P EdwardsI Roberts
Apr 18, 2012·International Journal of Epidemiology·Andy BoydGeorge Davey Smith
May 3, 2014·Archives of Disease in Childhood·Dougal S Hargreaves, Russell M Viner
Nov 29, 2014·BMJ : British Medical Journal·John Appleby
Oct 11, 2017·Wellcome Open Research·Demetris AvraamPaul Burton
Nov 19, 2017·BMJ Open·Sarah StevensUNKNOWN NIHR School for Primary Care Research, Nuffield Department of Primary Care Health Sciences, University of Oxford
Aug 29, 2018·Nursing Children and Young People·Thomas Laws

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Citations

Mar 9, 2019·BMJ : British Medical Journal
Jan 24, 2019·Applied Health Economics and Health Policy·James Michael EvansGrace Carolan-Rees
Jul 3, 2019·International Journal of Clinical Practice·Kevin G Buell
Sep 18, 2020·Journal of Cancer Survivorship : Research and Practice·Christopher ClementsAdam W Glaser
May 6, 2021·Wellcome Open Research·Kurt TaylorDeborah A Lawlor

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