Trends in Hospital Admissions for Mental, Behavioural and Neurodevelopmental Disorders in England and Wales between 1999 and 2019: An Ecological Study
Objectives: To investigate the trends in hospital admissions for mental, behavioural and neurodevelopmental disorders (MBNDs) in England and Wales. Methods: This is an ecological study using the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Hospital admi...
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Veröffentlicht in: | Healthcare (Basel) 2022-10, Vol.10 (11), p.2191 |
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description | Objectives: To investigate the trends in hospital admissions for mental, behavioural and neurodevelopmental disorders (MBNDs) in England and Wales. Methods: This is an ecological study using the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Hospital admission data was collected for the period between April 1999 and March 2019. Results: The most common type of hospital admission was for mental and behavioural disorders due to psychoactive substance use, which accounted for 26.6%. The admission rate among males increased by 8.1% [from 479.59 (95% CI 476.90−482.27) in 1999 to 518.30 (95% CI 515.71−520.90) in 2019 per 1000 persons; p < 0.001]. The admission rate among females increased by 0.3% [from 451.45 (95% CI 448.91−453.99) in 1999 to 452.77 (95% CI 450.37−455.17) in 2019 per 1000 persons; p = 0.547]. The 15−59 years’ age group accounted for 65.1% of the entire number of such hospital admissions, followed by the 75 years and above age group, with 19.0%. Conclusion: We observed an obvious variation in MBNDs influenced by age and gender. Observational studies are needed to identify other factors associated with increased hospital admission rates related to MBNDs, specifically among the young population (aged 15−59 years) and males. |
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Methods: This is an ecological study using the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Hospital admission data was collected for the period between April 1999 and March 2019. Results: The most common type of hospital admission was for mental and behavioural disorders due to psychoactive substance use, which accounted for 26.6%. The admission rate among males increased by 8.1% [from 479.59 (95% CI 476.90−482.27) in 1999 to 518.30 (95% CI 515.71−520.90) in 2019 per 1000 persons; p < 0.001]. The admission rate among females increased by 0.3% [from 451.45 (95% CI 448.91−453.99) in 1999 to 452.77 (95% CI 450.37−455.17) in 2019 per 1000 persons; p = 0.547]. The 15−59 years’ age group accounted for 65.1% of the entire number of such hospital admissions, followed by the 75 years and above age group, with 19.0%. Conclusion: We observed an obvious variation in MBNDs influenced by age and gender. Observational studies are needed to identify other factors associated with increased hospital admission rates related to MBNDs, specifically among the young population (aged 15−59 years) and males.</description><identifier>ISSN: 2227-9032</identifier><identifier>EISSN: 2227-9032</identifier><identifier>DOI: 10.3390/healthcare10112191</identifier><identifier>PMID: 36360532</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Admission and discharge ; Adults ; Age groups ; Anxiety ; Care and treatment ; Child development ; Diagnosis ; Drug use ; Ecological studies ; Emotional disorders ; Hospitalization ; Hospitals ; Intellectual disabilities ; Mental disorders ; Mental health ; Mental illness ; Nervous system diseases ; Neurodevelopmental disorders ; Patient admissions ; Physiology ; Psychosis ; Psychotropic drugs ; Schizophrenia ; Substance abuse ; Trends</subject><ispartof>Healthcare (Basel), 2022-10, Vol.10 (11), p.2191</ispartof><rights>COPYRIGHT 2022 MDPI AG</rights><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-d69ef2fd998631851b16678d032935958fac95d807992cc55b79e897f67727a23</citedby><cites>FETCH-LOGICAL-c464t-d69ef2fd998631851b16678d032935958fac95d807992cc55b79e897f67727a23</cites><orcidid>0000-0001-8440-7446 ; 0000-0002-9815-3720</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690103/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690103/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36360532$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Naser, Abdallah Y</creatorcontrib><creatorcontrib>Dahmash, Eman Zmaily</creatorcontrib><creatorcontrib>Alqahtani, Jaber S</creatorcontrib><creatorcontrib>Alsairafi, Zahra K</creatorcontrib><creatorcontrib>Alsaleh, Fatemah M</creatorcontrib><creatorcontrib>Alwafi, Hassan</creatorcontrib><title>Trends in Hospital Admissions for Mental, Behavioural and Neurodevelopmental Disorders in England and Wales between 1999 and 2019: An Ecological Study</title><title>Healthcare (Basel)</title><addtitle>Healthcare (Basel)</addtitle><description>Objectives: To investigate the trends in hospital admissions for mental, behavioural and neurodevelopmental disorders (MBNDs) in England and Wales. Methods: This is an ecological study using the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Hospital admission data was collected for the period between April 1999 and March 2019. Results: The most common type of hospital admission was for mental and behavioural disorders due to psychoactive substance use, which accounted for 26.6%. The admission rate among males increased by 8.1% [from 479.59 (95% CI 476.90−482.27) in 1999 to 518.30 (95% CI 515.71−520.90) in 2019 per 1000 persons; p < 0.001]. The admission rate among females increased by 0.3% [from 451.45 (95% CI 448.91−453.99) in 1999 to 452.77 (95% CI 450.37−455.17) in 2019 per 1000 persons; p = 0.547]. The 15−59 years’ age group accounted for 65.1% of the entire number of such hospital admissions, followed by the 75 years and above age group, with 19.0%. Conclusion: We observed an obvious variation in MBNDs influenced by age and gender. Observational studies are needed to identify other factors associated with increased hospital admission rates related to MBNDs, specifically among the young population (aged 15−59 years) and males.</description><subject>Admission and discharge</subject><subject>Adults</subject><subject>Age groups</subject><subject>Anxiety</subject><subject>Care and treatment</subject><subject>Child development</subject><subject>Diagnosis</subject><subject>Drug use</subject><subject>Ecological studies</subject><subject>Emotional disorders</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Intellectual disabilities</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental illness</subject><subject>Nervous system diseases</subject><subject>Neurodevelopmental disorders</subject><subject>Patient admissions</subject><subject>Physiology</subject><subject>Psychosis</subject><subject>Psychotropic drugs</subject><subject>Schizophrenia</subject><subject>Substance abuse</subject><subject>Trends</subject><issn>2227-9032</issn><issn>2227-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptks9u1DAQxiMEolXpC3BAlriyxX8SO8MBaSktRSpwoIij5bUnu64Se2sni_oiPG-921JagS3L1vj3fZoZTVW9ZPRICKBvV2j6cWVNQkYZ4wzYk2qfc65mQAV_-uC9Vx3mfEnLAiZa0Tyv9oQUkjaC71e_LxIGl4kP5CzmtR9NT-Zu8Dn7GDLpYiJfMJToG_IBV2bj45QKYoIjX3FK0eEG-7gedgz56HNMDtPO7yQs-y23PT9Nj5kscPyFGAgDgF2YUwbvyLywNvZx6W3x-D5O7vpF9awzfcbDu_ug-nF6cnF8Njv_9unz8fx8ZmtZjzMnATveOYBWCtY2bMGkVK0rVYNooGk7Y6FxLVUA3NqmWSjAFlQnleLKcHFQvb_1XU-LAZ0tZZTy9Dr5waRrHY3Xj3-CX-ll3GiQQBkVxeD1nUGKVxPmUV-WDoWSs-aqbnlLC_eXWpY-aB-6WMxs6bLVc1XXUgBjqlBH_6HKdjh4GwN2vsQfCfitwKaYc8LuPnFG9XZK9L9TUkSvHpZ8L_kzE-IGCdu5UA</recordid><startdate>20221031</startdate><enddate>20221031</enddate><creator>Naser, Abdallah Y</creator><creator>Dahmash, Eman Zmaily</creator><creator>Alqahtani, Jaber S</creator><creator>Alsairafi, Zahra K</creator><creator>Alsaleh, Fatemah M</creator><creator>Alwafi, Hassan</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8440-7446</orcidid><orcidid>https://orcid.org/0000-0002-9815-3720</orcidid></search><sort><creationdate>20221031</creationdate><title>Trends in Hospital Admissions for Mental, Behavioural and Neurodevelopmental Disorders in England and Wales between 1999 and 2019: An Ecological Study</title><author>Naser, Abdallah Y ; Dahmash, Eman Zmaily ; Alqahtani, Jaber S ; Alsairafi, Zahra K ; Alsaleh, Fatemah M ; Alwafi, Hassan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-d69ef2fd998631851b16678d032935958fac95d807992cc55b79e897f67727a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Admission and discharge</topic><topic>Adults</topic><topic>Age groups</topic><topic>Anxiety</topic><topic>Care and treatment</topic><topic>Child development</topic><topic>Diagnosis</topic><topic>Drug use</topic><topic>Ecological studies</topic><topic>Emotional disorders</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Intellectual disabilities</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental illness</topic><topic>Nervous system diseases</topic><topic>Neurodevelopmental disorders</topic><topic>Patient admissions</topic><topic>Physiology</topic><topic>Psychosis</topic><topic>Psychotropic drugs</topic><topic>Schizophrenia</topic><topic>Substance abuse</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Naser, Abdallah Y</creatorcontrib><creatorcontrib>Dahmash, Eman Zmaily</creatorcontrib><creatorcontrib>Alqahtani, Jaber S</creatorcontrib><creatorcontrib>Alsairafi, Zahra K</creatorcontrib><creatorcontrib>Alsaleh, Fatemah M</creatorcontrib><creatorcontrib>Alwafi, Hassan</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Public Health Database</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>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</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>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</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>PubMed Central (Full Participant titles)</collection><jtitle>Healthcare (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Naser, Abdallah Y</au><au>Dahmash, Eman Zmaily</au><au>Alqahtani, Jaber S</au><au>Alsairafi, Zahra K</au><au>Alsaleh, Fatemah M</au><au>Alwafi, Hassan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in Hospital Admissions for Mental, Behavioural and Neurodevelopmental Disorders in England and Wales between 1999 and 2019: An Ecological Study</atitle><jtitle>Healthcare (Basel)</jtitle><addtitle>Healthcare (Basel)</addtitle><date>2022-10-31</date><risdate>2022</risdate><volume>10</volume><issue>11</issue><spage>2191</spage><pages>2191-</pages><issn>2227-9032</issn><eissn>2227-9032</eissn><abstract>Objectives: To investigate the trends in hospital admissions for mental, behavioural and neurodevelopmental disorders (MBNDs) in England and Wales. Methods: This is an ecological study using the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Hospital admission data was collected for the period between April 1999 and March 2019. Results: The most common type of hospital admission was for mental and behavioural disorders due to psychoactive substance use, which accounted for 26.6%. The admission rate among males increased by 8.1% [from 479.59 (95% CI 476.90−482.27) in 1999 to 518.30 (95% CI 515.71−520.90) in 2019 per 1000 persons; p < 0.001]. The admission rate among females increased by 0.3% [from 451.45 (95% CI 448.91−453.99) in 1999 to 452.77 (95% CI 450.37−455.17) in 2019 per 1000 persons; p = 0.547]. The 15−59 years’ age group accounted for 65.1% of the entire number of such hospital admissions, followed by the 75 years and above age group, with 19.0%. Conclusion: We observed an obvious variation in MBNDs influenced by age and gender. Observational studies are needed to identify other factors associated with increased hospital admission rates related to MBNDs, specifically among the young population (aged 15−59 years) and males.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36360532</pmid><doi>10.3390/healthcare10112191</doi><orcidid>https://orcid.org/0000-0001-8440-7446</orcidid><orcidid>https://orcid.org/0000-0002-9815-3720</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Admission and discharge Adults Age groups Anxiety Care and treatment Child development Diagnosis Drug use Ecological studies Emotional disorders Hospitalization Hospitals Intellectual disabilities Mental disorders Mental health Mental illness Nervous system diseases Neurodevelopmental disorders Patient admissions Physiology Psychosis Psychotropic drugs Schizophrenia Substance abuse Trends |
title | Trends in Hospital Admissions for Mental, Behavioural and Neurodevelopmental Disorders in England and Wales between 1999 and 2019: An Ecological Study |
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