Rates of admission to hospital for asthma
Abstract Objective: To describe trends in hospital admission rates for asthma in England and Wales (1976-85), the East Anglian region (from 1976 to 1991- 2), and Wales (1980-90). Design: Descriptive study. Setting: Hospitals in England and Wales; hospitals in the East Anglian Regional Health Authori...
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| Veröffentlicht in: | BMJ 1994-06, Vol.308 (6944), p.1596-1600 |
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| description | Abstract Objective: To describe trends in hospital admission rates for asthma in England and Wales (1976-85), the East Anglian region (from 1976 to 1991- 2), and Wales (1980-90). Design: Descriptive study. Setting: Hospitals in England and Wales; hospitals in the East Anglian Regional Health Authority; hospitals in Wales. Main outcome measures: Hospital admissions for asthma as principal diagnosis in England and Wales (Hospital In-patient Enquiry, 1976-85), for the East Anglian region (Hospital In-patient Enquiry, 1976-7; Hospital Activity Analysis, 1978-86; Regional Information System, 1987-8 to 1991-2), and for Wales (Hospital Activity Analysis, 1980-90). Results - Rates for England and Wales as a whole showed a steady upward trend throughout the period examined. Rates in East Anglia, though they were similar to the national trends in the early years, showed a peak in 1985 (for males and females) with some indication of a decline in rates thereafter. Rates for Wales showed an upward trend until 1988 (for both males and females) after which they showed a decline. Conclusions: Interpretation of the East Anglian trends is made more difficult by the change in England in 1987 of the system for the collection of hospital admission data. The fact that the rates for the East Anglian region seem to decline before this change and other considerations suggest that the observed trends, although partly reflecting the disruption of the coding during the changeover in systems, may not be entirely artefactual. The possible roles of diagnostic transfer and changes in the delivery of care, asthma treatment, admission and readmission policies, and the severity and prevalence of asthma in changing admission rates are considered. The changing trends in admission rates for East Anglia and Wales reflect recently published trends for mortality from asthma in England. |
| doi_str_mv | 10.1136/bmj.308.6944.1596 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2540409</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>29723880</jstor_id><sourcerecordid>29723880</sourcerecordid><originalsourceid>FETCH-LOGICAL-b519t-9866f8e1b09ec0778036524ef8e62b67b4962b6775e5e2520a9b4cb43a436b623</originalsourceid><addsrcrecordid>eNqFUdtqGzEUFKElNW4-oA-BhUKh0HV1v7wUgts4hdBCL3k9SBttve7uypHk0vx9tLVxLy99OqCZM5o5g9AzgheEMPnaDZsFw3ohDecLIow8QTPCpa6FZuwRmmEjTK0J00_QWUobjDFlShspTtGpxlRwKmbo5SebfapCW9nboUupC2OVQ7UOadtl21dtiJVNeT3Yp-hxa_vkzw5zjr5evvuyvKqvP67eLy-uayeIybXRUrbaE4eNb7BSGjMpKPflTVInlePm11TCC08FxdY43jjOLGfSScrm6M1ed7tzg79t_Jij7WEbu8HGewi2g7-RsVvDt_ADSiLMsSkCLw4CMdztfMpQgjW-7-3owy6BkkJzg6efnv9D3IRdHEs4IKoYJAJTVVhkz2piSCn69miFYJiKgFIElCJgKgKmIsrO-Z8ZjhuHs__GNymHeISpUZTpcrE5qvd4l7L_ecRt_A5SMSXgw80S-OrzkvLVDbwt_Fd7_mTl__YeAMPoqHA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1777515027</pqid></control><display><type>article</type><title>Rates of admission to hospital for asthma</title><source>MEDLINE</source><source>JSTOR Archive Collection A-Z Listing</source><source>Alma/SFX Local Collection</source><creator>Hyndman, S J ; Williams, D R R ; Merrill, S L ; Lipscombe, J M ; Palmer, C R</creator><creatorcontrib>Hyndman, S J ; Williams, D R R ; Merrill, S L ; Lipscombe, J M ; Palmer, C R</creatorcontrib><description>Abstract Objective: To describe trends in hospital admission rates for asthma in England and Wales (1976-85), the East Anglian region (from 1976 to 1991- 2), and Wales (1980-90). Design: Descriptive study. Setting: Hospitals in England and Wales; hospitals in the East Anglian Regional Health Authority; hospitals in Wales. Main outcome measures: Hospital admissions for asthma as principal diagnosis in England and Wales (Hospital In-patient Enquiry, 1976-85), for the East Anglian region (Hospital In-patient Enquiry, 1976-7; Hospital Activity Analysis, 1978-86; Regional Information System, 1987-8 to 1991-2), and for Wales (Hospital Activity Analysis, 1980-90). Results - Rates for England and Wales as a whole showed a steady upward trend throughout the period examined. Rates in East Anglia, though they were similar to the national trends in the early years, showed a peak in 1985 (for males and females) with some indication of a decline in rates thereafter. Rates for Wales showed an upward trend until 1988 (for both males and females) after which they showed a decline. Conclusions: Interpretation of the East Anglian trends is made more difficult by the change in England in 1987 of the system for the collection of hospital admission data. The fact that the rates for the East Anglian region seem to decline before this change and other considerations suggest that the observed trends, although partly reflecting the disruption of the coding during the changeover in systems, may not be entirely artefactual. The possible roles of diagnostic transfer and changes in the delivery of care, asthma treatment, admission and readmission policies, and the severity and prevalence of asthma in changing admission rates are considered. The changing trends in admission rates for East Anglia and Wales reflect recently published trends for mortality from asthma in England.</description><identifier>ISSN: 0959-8138</identifier><identifier>EISSN: 1468-5833</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.308.6944.1596</identifier><identifier>PMID: 8025425</identifier><language>eng</language><publisher>England: British Medical Journal Publishing Group</publisher><subject>Adolescent ; Adult ; Age Factors ; Age groups ; Aged ; Asthma ; Asthma - diagnosis ; Asthma - drug therapy ; Asthma - epidemiology ; Business activity analysis ; Census regions ; Child ; Child, Preschool ; Childhood ; Data coding ; Data Collection - methods ; Delivery of Health Care - trends ; England - epidemiology ; Female ; Hospital admissions ; Hospitalization - trends ; Humans ; Infant ; Information storage and retrieval systems ; Male ; Medical research ; Middle Aged ; Mortality ; Patient Admission - trends ; Prevalence ; Sex Factors ; Wales - epidemiology</subject><ispartof>BMJ, 1994-06, Vol.308 (6944), p.1596-1600</ispartof><rights>1994 BMJ Publishing Group Ltd.</rights><rights>Copyright 1994 British Medical Journal</rights><rights>Copyright: 1994 (c) 1994 BMJ Publishing Group Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b519t-9866f8e1b09ec0778036524ef8e62b67b4962b6775e5e2520a9b4cb43a436b623</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/29723880$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/29723880$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,780,784,803,885,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8025425$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hyndman, S J</creatorcontrib><creatorcontrib>Williams, D R R</creatorcontrib><creatorcontrib>Merrill, S L</creatorcontrib><creatorcontrib>Lipscombe, J M</creatorcontrib><creatorcontrib>Palmer, C R</creatorcontrib><title>Rates of admission to hospital for asthma</title><title>BMJ</title><addtitle>BMJ</addtitle><description>Abstract Objective: To describe trends in hospital admission rates for asthma in England and Wales (1976-85), the East Anglian region (from 1976 to 1991- 2), and Wales (1980-90). Design: Descriptive study. Setting: Hospitals in England and Wales; hospitals in the East Anglian Regional Health Authority; hospitals in Wales. Main outcome measures: Hospital admissions for asthma as principal diagnosis in England and Wales (Hospital In-patient Enquiry, 1976-85), for the East Anglian region (Hospital In-patient Enquiry, 1976-7; Hospital Activity Analysis, 1978-86; Regional Information System, 1987-8 to 1991-2), and for Wales (Hospital Activity Analysis, 1980-90). Results - Rates for England and Wales as a whole showed a steady upward trend throughout the period examined. Rates in East Anglia, though they were similar to the national trends in the early years, showed a peak in 1985 (for males and females) with some indication of a decline in rates thereafter. Rates for Wales showed an upward trend until 1988 (for both males and females) after which they showed a decline. Conclusions: Interpretation of the East Anglian trends is made more difficult by the change in England in 1987 of the system for the collection of hospital admission data. The fact that the rates for the East Anglian region seem to decline before this change and other considerations suggest that the observed trends, although partly reflecting the disruption of the coding during the changeover in systems, may not be entirely artefactual. The possible roles of diagnostic transfer and changes in the delivery of care, asthma treatment, admission and readmission policies, and the severity and prevalence of asthma in changing admission rates are considered. The changing trends in admission rates for East Anglia and Wales reflect recently published trends for mortality from asthma in England.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Age groups</subject><subject>Aged</subject><subject>Asthma</subject><subject>Asthma - diagnosis</subject><subject>Asthma - drug therapy</subject><subject>Asthma - epidemiology</subject><subject>Business activity analysis</subject><subject>Census regions</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Childhood</subject><subject>Data coding</subject><subject>Data Collection - methods</subject><subject>Delivery of Health Care - trends</subject><subject>England - epidemiology</subject><subject>Female</subject><subject>Hospital admissions</subject><subject>Hospitalization - trends</subject><subject>Humans</subject><subject>Infant</subject><subject>Information storage and retrieval systems</subject><subject>Male</subject><subject>Medical research</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Patient Admission - trends</subject><subject>Prevalence</subject><subject>Sex Factors</subject><subject>Wales - epidemiology</subject><issn>0959-8138</issn><issn>1468-5833</issn><issn>1756-1833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFUdtqGzEUFKElNW4-oA-BhUKh0HV1v7wUgts4hdBCL3k9SBttve7uypHk0vx9tLVxLy99OqCZM5o5g9AzgheEMPnaDZsFw3ohDecLIow8QTPCpa6FZuwRmmEjTK0J00_QWUobjDFlShspTtGpxlRwKmbo5SebfapCW9nboUupC2OVQ7UOadtl21dtiJVNeT3Yp-hxa_vkzw5zjr5evvuyvKqvP67eLy-uayeIybXRUrbaE4eNb7BSGjMpKPflTVInlePm11TCC08FxdY43jjOLGfSScrm6M1ed7tzg79t_Jij7WEbu8HGewi2g7-RsVvDt_ADSiLMsSkCLw4CMdztfMpQgjW-7-3owy6BkkJzg6efnv9D3IRdHEs4IKoYJAJTVVhkz2piSCn69miFYJiKgFIElCJgKgKmIsrO-Z8ZjhuHs__GNymHeISpUZTpcrE5qvd4l7L_ecRt_A5SMSXgw80S-OrzkvLVDbwt_Fd7_mTl__YeAMPoqHA</recordid><startdate>19940618</startdate><enddate>19940618</enddate><creator>Hyndman, S J</creator><creator>Williams, D R R</creator><creator>Merrill, S L</creator><creator>Lipscombe, J M</creator><creator>Palmer, C R</creator><general>British Medical Journal Publishing Group</general><general>British Medical Association</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>LK8</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19940618</creationdate><title>Rates of admission to hospital for asthma</title><author>Hyndman, S J ; Williams, D R R ; Merrill, S L ; Lipscombe, J M ; Palmer, C R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b519t-9866f8e1b09ec0778036524ef8e62b67b4962b6775e5e2520a9b4cb43a436b623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Age groups</topic><topic>Aged</topic><topic>Asthma</topic><topic>Asthma - diagnosis</topic><topic>Asthma - drug therapy</topic><topic>Asthma - epidemiology</topic><topic>Business activity analysis</topic><topic>Census regions</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Childhood</topic><topic>Data coding</topic><topic>Data Collection - methods</topic><topic>Delivery of Health Care - trends</topic><topic>England - epidemiology</topic><topic>Female</topic><topic>Hospital admissions</topic><topic>Hospitalization - trends</topic><topic>Humans</topic><topic>Infant</topic><topic>Information storage and retrieval systems</topic><topic>Male</topic><topic>Medical research</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Patient Admission - trends</topic><topic>Prevalence</topic><topic>Sex Factors</topic><topic>Wales - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hyndman, S J</creatorcontrib><creatorcontrib>Williams, D R R</creatorcontrib><creatorcontrib>Merrill, S L</creatorcontrib><creatorcontrib>Lipscombe, J M</creatorcontrib><creatorcontrib>Palmer, C R</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hyndman, S J</au><au>Williams, D R R</au><au>Merrill, S L</au><au>Lipscombe, J M</au><au>Palmer, C R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rates of admission to hospital for asthma</atitle><jtitle>BMJ</jtitle><addtitle>BMJ</addtitle><date>1994-06-18</date><risdate>1994</risdate><volume>308</volume><issue>6944</issue><spage>1596</spage><epage>1600</epage><pages>1596-1600</pages><issn>0959-8138</issn><eissn>1468-5833</eissn><eissn>1756-1833</eissn><abstract>Abstract Objective: To describe trends in hospital admission rates for asthma in England and Wales (1976-85), the East Anglian region (from 1976 to 1991- 2), and Wales (1980-90). Design: Descriptive study. Setting: Hospitals in England and Wales; hospitals in the East Anglian Regional Health Authority; hospitals in Wales. Main outcome measures: Hospital admissions for asthma as principal diagnosis in England and Wales (Hospital In-patient Enquiry, 1976-85), for the East Anglian region (Hospital In-patient Enquiry, 1976-7; Hospital Activity Analysis, 1978-86; Regional Information System, 1987-8 to 1991-2), and for Wales (Hospital Activity Analysis, 1980-90). Results - Rates for England and Wales as a whole showed a steady upward trend throughout the period examined. Rates in East Anglia, though they were similar to the national trends in the early years, showed a peak in 1985 (for males and females) with some indication of a decline in rates thereafter. Rates for Wales showed an upward trend until 1988 (for both males and females) after which they showed a decline. Conclusions: Interpretation of the East Anglian trends is made more difficult by the change in England in 1987 of the system for the collection of hospital admission data. The fact that the rates for the East Anglian region seem to decline before this change and other considerations suggest that the observed trends, although partly reflecting the disruption of the coding during the changeover in systems, may not be entirely artefactual. The possible roles of diagnostic transfer and changes in the delivery of care, asthma treatment, admission and readmission policies, and the severity and prevalence of asthma in changing admission rates are considered. The changing trends in admission rates for East Anglia and Wales reflect recently published trends for mortality from asthma in England.</abstract><cop>England</cop><pub>British Medical Journal Publishing Group</pub><pmid>8025425</pmid><doi>10.1136/bmj.308.6944.1596</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Age Factors Age groups Aged Asthma Asthma - diagnosis Asthma - drug therapy Asthma - epidemiology Business activity analysis Census regions Child Child, Preschool Childhood Data coding Data Collection - methods Delivery of Health Care - trends England - epidemiology Female Hospital admissions Hospitalization - trends Humans Infant Information storage and retrieval systems Male Medical research Middle Aged Mortality Patient Admission - trends Prevalence Sex Factors Wales - epidemiology |
| title | Rates of admission to hospital for asthma |
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