scholarly journals ONS Data on COVID-19 deaths in children is reliable, and increasingly of concern (Re: "Deaths in children and young people in England after SARS-CoV-2 infection during the first pandemic year")

2021 ◽  
Author(s):  
Tom Lawton ◽  
Deepti Gurdasani ◽  
Stephen Griffin ◽  
James Neill
Keyword(s):  
Young People ◽  
Child Mortality ◽  
Hospital Data ◽  
Children And Young People ◽  
Audit Data

The recently published “Deaths in children and young people in England after SARS-CoV-2 infection during the first pandemic year” attempts to unpick the issue of paediatric deaths “with” versus “from” COVID-19, additionally reporting on pre-existing comorbidities of the children and young people (CYP) who died after a COVID-19 diagnosis. Linking data from the National Child Mortality Database (NCMD), hospital data from the Secondary Uses Service (SUS), and PICU audit data, the authors have re-examined deaths in CYP after a COVID-19 diagnosis using these datasets. However, whilst data on any pre-existing conditions may be useful to identify the children at highest risk from COVID-19, we have some concerns around the methodology and presentation of the first part of this study.

scholarly journals Who comes back with what: a retrospective database study on reasons for emergency readmission to hospital in children and young people in England

2016 ◽  
Vol 101 (8) ◽  
pp. 714-718 ◽  
Author(s):  
Linda P M M Wijlaars ◽  
Pia Hardelid ◽  
Jenny Woodman ◽  
Janice Allister ◽  
Ronny Cheung ◽  
...  
Keyword(s):  
Young People ◽  
Chronic Conditions ◽  
Emergency Admission ◽  
Primary Diagnosis ◽  
Hospital Data ◽  
Children And Young People ◽  
Effective Care ◽  
Emergency Readmission ◽  
Reason For Admission ◽  
Retrospective Database

ObjectiveTo determine the proportion of children and young people (CYP) in England who are readmitted for the same condition.DesignRetrospective cohort study.SettingNational administrative hospital data (Hospital Episode Statistics).ParticipantsCYP (0-year-olds to 24-year-olds) discharged after an emergency admission to the National Health Service in England in 2009/2010.Main outcome measuresCoded primary diagnosis classified in six broad groups indicating reason for admission (infection, chronic condition, injury, perinatal related or pregnancy related, sign or symptom or other). We grouped readmissions as ≤30 days or between 31 days and 2 years after the index discharge. We used multivariable logistic regression to determine factors at the index admission that were predictive of readmission within 30 days.Results9% of CYP were readmitted within 30 days. Half of the 30-day readmissions and 40% of the recurrent admissions between 30 days and 2 years had the same primary diagnosis group as the original admission. These proportions were consistent across age, sex and diagnostic groups, except for infants and young women with pregnancy-related problems (15–24 years) who were more likely to be readmitted for the same primary diagnostic group. CYP with underlying chronic conditions were readmitted within 30 days twice as often (OR: 1.93, 95% CI 1.89 to 1.99) compared with CYP without chronic conditions.ConclusionsFinancial penalties for readmission are expected to incentivise more effective care of the original problem, thereby avoiding readmission. Our findings, that half of children come back with different problems, do not support this presumption.

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