scholarly journals Hospitalization Trends for Acute Appendicitis in Spain, 1998 to 2017

2021 ◽  
Vol 18 (23) ◽  
pp. 12718
Author(s):  
Concepción Carratalá-Munuera ◽  
Jessica del Rocio Pilco ◽  
Domingo Orozco-Beltrán ◽  
Antonio Compañ ◽  
Jose A. Quesada ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Regression Models ◽  
Hospital Admissions ◽  
Length Of Hospital Stay ◽  
Epidemiological Data ◽  
Age Group ◽  
Joinpoint Regression ◽  
Annual Percent Change ◽  
Admission Rates ◽  
Gender And Age

The incidence of acute appendicitis decreased in Western countries from 1930 to at least the early 1990s, when epidemiological data started becoming scarcer. This study aimed to assess the trend in annual hospitalizations for acute appendicitis in all people Spain for a 20-year period between 1998 and 2017. This observational study analyzing direct age-standardized hospital admission rates by gender and age group (0–14 years, 15–34 years, 35–44 years, 45–64 years, and ≥65 years). Joinpoint regression models were fitted to evaluate changes in trends. There were 789,533 emergency hospital admissions for acute appendicitis between 1998 and 2017: 58.9% in boys and men and 41.1% in girls and women. Overall, there was a significant increase in admissions for this cause from 1998 to 2009, with an annual percent change (APC) of 0.6%. Following the peak in 2009, admission rates decreased by around 1.0% annually until 2017. The length of hospital stay gradually decreased from 4.5 days in 1998 to 3.4 days in 2017. The trends in hospital admissions for acute appendicitis in Spain changed over the study period, decreasing from 2009, especially in people younger than 35 years.

scholarly journals Trends in Hospital Admissions for Chronic Obstructive Pulmonary Disease in Men and Women in SPAIN, 1998 to 2018

2021 ◽  
Vol 10 (7) ◽  
pp. 1529
Author(s):  
Domingo Orozco-Beltrán ◽  
Juan Manuel Arriero-Marin ◽  
Concepción Carratalá-Munuera ◽  
Juan J. Soler-Cataluña ◽  
Adriana Lopez-Pineda ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Hospital Admissions ◽  
Chronic Obstructive ◽  
Annual Percent Change ◽  
Data Set ◽  
Obstructive Pulmonary Disease ◽  
Men And Women ◽  
Admission Rates ◽  
Percent Change

The prevalence of chronic obstructive pulmonary disease (COPD) is rising faster in women in some countries. An observational time trends study was performed to assess the evolution of hospital admissions for COPD in men and women in Spain from 1998 to 2018. ICD-9 diagnostic codes (490–492, 496) from the minimum basic data set of hospital discharges were used. Age-standardised admission rates were calculated using the European Standard Population. Joinpoint regression models were fitted to estimate the annual percent change (APC). In 2018, the age-standardised admission rate per 100,000 population/year for COPD was five times higher in men (384.8, 95% CI: 381.7, 387.9) than in women (78.6, 95% CI: 77.4, 79.9). The average annual percent change (AAPC) was negative over the whole study period in men (−1.7%/year, 95% CI: −3.1, −0.2) but positive from 2010 to 2018 (1.1%/year, 95% CI: −0.8, 2.9). In women, the APC was −6.0% (95%CI: −7.1, −4.9) from 1998 to 2010, but the trend reversed direction in the 2010–2018 period (7.8%/year, 95% CI: 5.5, 10.2). Thus, admission rates for COPD decreased from 1998 to 2010 in both men and women but started rising again until 2018, modestly in men and sharply in women.

scholarly journals A study on length of stay and its predictors among dengue patients in a tertiary care institute in Lucknow

2019 ◽  
Vol 6 (11) ◽  
pp. 4870
Author(s):  
Sandhya Mishra ◽  
Deepak Chopra ◽  
Nidhi Jauhari ◽  
Ausaf Ahmad
Keyword(s):  
Occupational Exposure ◽  
Length Of Stay ◽  
Hospital Admissions ◽  
Tertiary Care ◽  
Case Fatality ◽  
Length Of Hospital Stay ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Early Arrival

Background: Dengue virus infection is a growing health problem and is prevalent throughout India. Research focusing on length of hospital stay and its predictors is scarce from India. This is important considering the burden of the disease during epidemics and impact on hospital admissions. Hence the study was conducted with the objectives to find out the factors influencing the length of stay in hospital of dengue patients.Methods: A cross sectional retrospective observational study conducted at a tertiary care hospital from August 2016 to October 2016. Data was retrieved from case sheets at Medical Record Department of 350 lab confirmed adult dengue patients admitted in the hospital.Results: The majority of patients admitted were of economically productive age group of 18-45 years and males indicating the occupational exposure to the vector of dengue. The study found that majority had length of stay of less than a week and as age increases the length of stay also increases (statistically significant). The nil case fatality and lesser number of mean days of symptoms before admission possibly indicate that early arrival of patients to hospital can lead to very low fatality rates. Further research required to find out the other predictors of length of stay.Conclusions: The study concludes that the dengue affects the economically productive age group and more males thereby indicating occupational exposure to the vector. The age of the patient can be used as an indicator to the length of stay in the hospital.

Description of Total Population Hospital Admissions for Treacher Collins Syndrome in Australia

2021 ◽  
pp. 105566562110366
Author(s):  
Mohammed Junaid ◽  
Linda Slack-Smith ◽  
Kingsley Wong ◽  
Gareth Baynam ◽  
Hanny Calache ◽  
...  
Keyword(s):  
Total Population ◽  
Negative Binomial ◽  
Hospital Admissions ◽  
Average Length ◽  
Phenotypic Variability ◽  
Length Of Hospital Stay ◽  
Negative Binomial Regression ◽  
Treacher Collins Syndrome ◽  
Annual Percent Change ◽  
Age And Sex

Objective To describe patterns and demographic characteristics of total-population hospital admissions with a diagnosis of Treacher Collins syndrome (TCS) in Australia. Data Source Population summary data for inpatient hospitals admissions (public and private) with a principal diagnosis of TCS (ICD10-AM-Q87.04) were obtained from the Australian Institute of Health and Welfare National Hospital Morbidity Database for a 11-year period (2002-2013). Main Outcome Measures The primary outcome was hospital separation rate (HSR), calculated by dividing the number of hospital separations by estimated resident population per year. Trends in HSR s adjusted for age and sex were investigated by negative binomial regression presented as annual percent change and the association of rates with age and sex was expressed as incidence rate ratio. Results In 244 admissions identified, we observed an increase of 4.55% (95% confidence interval [CI] −1.78, 11.29) in HSR's over the 11-year period. Rates were higher during infancy (1.87 [95% CI 1.42, 2.42]), declining markedly with increasing age. The average length of hospital stay was 6.09 days (95% CI 5.78, 6.40) per episode, but longer for females and infants. Conclusions Findings indicate an increase in hospitalization rates, especially among infants and females which potentially relates to early airway intervention procedures possibly influenced by sex specific-disease severity and phenotypic variability of TCS. Awareness of the TCS phenotype and improved access to genetic testing may support more personalized and efficient care. Total-population administrative data offers a potential to better understand the health burden of rare craniofacial diseases.

scholarly journals Trends in the Incidence and Mortality of Colorectal Cancer in a Brazilian City

2020 ◽  
Author(s):  
Alex Rodrigues Moura ◽  
Adriane Dorea Marques ◽  
Mylena Santos Dantas ◽  
Érika Abreu Costa Brito ◽  
Mariana Rosário Souza ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Age Group ◽  
Joinpoint Regression ◽  
Growth Trend ◽  
Annual Percent Change ◽  
Percent Change ◽  
Incidence And Mortality ◽  
Incident Cases ◽  
The City ◽  
Death Cases

Abstract Objectives: This study was conducted to analyse the trends in the incidence and mortality of colorectal cancer (CRC) in the city of Aracaju, Sergipe State, Brazil, between 1996 and 2015 through statistical analysis using the Joinpoint Regression Program 4.7.0.0. and to identify its geographical distribution in the municipality. Results: A total of 1,322 cases and 467 deaths of CRC over the study period were included. Men´s incident cases comprised 40% of the sample, and women´s 60%. The death cases were 43% for men and 57% for women. Among the 20 – 44 year age group, for males, there was a highest significant growth trend. For women, the growth trend, with the Annual Percent Change (APC) observed, was the 45 and 64 years age group. Regarding mortality both genders, trends were stable. Regarding geographic distribution, there was a constancy of hotpoints in the northeast region of the municipality. This study showed the increasing in incidence mainly the young men between 20 to 44 years, with significantly statistical, but with mortality stability in Aracaju.

scholarly journals Crisis resolution and home treatment teams for older people with mental illness

2008 ◽  
Vol 32 (7) ◽  
pp. 268-270 ◽  
Author(s):  
Claire Dibben ◽  
Humera Saeed ◽  
Konstantinos Stagias ◽  
Golam Mohammed Khandaker ◽  
Judy Sasha Rubinsztein
Keyword(s):  
Mental Illness ◽  
Older People ◽  
Hospital Admissions ◽  
Length Of Hospital Stay ◽  
Home Treatment ◽  
Crisis Resolution ◽  
Admission Rates ◽  
People With Mental Illness ◽  
Significant Difference ◽  
The Impact

Aims and MethodWe examined the impact of a crisis resolution and home treatment teams (CRHTT) on hospital admission rates, bed days and treatment satisfaction among older people with mental illness and their carers. We compared these factors in the 6 months before the service started and 6 months after its introduction.ResultsThe CRHTT significantly reduced admissions (P<0.001), but there was no significant difference in the length of hospital stay as compared before and after the introduction of this service. There was a trend towards carers, but not patients, being more satisfied with treatment after the introduction of the CRHTT.Clinical ImplicationsThe CRHTT reduced hospital admissions for older people by 31% and carers preferred the service. Further research on crisis teams in older people with mental illness is needed using randomised controlled methodology.

Hospitalisation in Children with Adrenal Insufficiency and Hypopituitarism: Is There a Differential Burden between Boys and Girls and between Age Groups?

2017 ◽  
Vol 88 (5) ◽  
pp. 339-346 ◽  
Author(s):  
R. Louise Rushworth ◽  
Georgina L. Chrisp ◽  
Benjamin Dean ◽  
Henrik Falhammar ◽  
David J. Torpy
Keyword(s):  
Adrenal Insufficiency ◽  
Hospital Admissions ◽  
Age Groups ◽  
Admission Rate ◽  
Adrenal Crisis ◽  
Age Group ◽  
Adrenal Hyperplasia ◽  
Prevention Strategies ◽  
Principal Diagnosis ◽  
Admission Rates

Background/Aims: To determine the burden of hospitalisation in children with adrenal insufficiency (AI)/hypopituitarism in Australia. Methods: A retrospective study of Australian hospitalisation data. All admissions between 2001 and 2014 for patients aged 0–19 years with a principal diagnosis of AI/hypopituitarism were included. Denominator populations were extracted from national statistics datasets. Results: There were 3,779 admissions for treatment of AI/hypopituitarism in patients aged 0–19 years, corresponding to an average admission rate of 48.7 admissions/million/year. There were 470 (12.4%) admissions for an adrenal crisis (AC). Overall, admission for AI/hypopituitarism was comparable between the sexes. Admission rates for all AI, hypopituitarism, congenital adrenal hyperplasia (CAH), and “other and unspecified causes” of AI were highest among infants and decreased with age. Admissions for primary AI increased with age in both sexes. Males had significantly higher rates of admission for hypopituitarism. AC rates differed by both sex and age group. Conclusion: This nationwide study of the epidemiology of hospital admissions for a principal diagnosis of AI/hypopituitarism shows that admissions generally decreased with age; males had higher rates of admission for hypopituitarism; females had higher rates of admission for CAH and “other and unspecified causes” of AI; and AC incidence varied by age and sex. Increased awareness of AI and AC prevention strategies may reduce some of these admissions.

scholarly journals Psychiatric hospitalizations in Brazil: exploratory and trend analysis from 2009 to 2019

2021 ◽  
Vol 70 (1) ◽  
pp. 39-44
Author(s):  
Marina Goulart da Silva ◽  
Guilherme Cabreira Daros ◽  
Rafael Mariano de Bitencourt ◽  
Betine Pinto Moehlecke Iser
Keyword(s):  
Mental Disorders ◽  
Length Of Stay ◽  
Hospital Admissions ◽  
Psychiatric Hospitalization ◽  
Average Length ◽  
Linear Regression Analysis ◽  
Age Group ◽  
Admission Rates ◽  
Unified Health System ◽  
Rate Ratios

ABSTRACT Objective: To examine the rates of psychiatric hospitalization and the average length of stay, in Brazil, from 2009 to 2019, according to sociodemographic variables and character of the hospitalization (elective or urgency). Methods: This is an ecological study, with data collected from the Hospital Information System of the Unified Health System (SIH/SUS). Hospital admission rates were described according to diagnosis, sex, and age group. Percentage variation and rate ratios were calculated. To evaluate the time series, the data were submitted to linear regression analysis. Results: The rate of hospitalization for mental disorders decreased from 14.2/10,000 in 2009 to 11.2 in 2019, with the most significant variation occurring between mental and behavioral disorders due to alcohol use. The men had about twice as many episodes as the women in all the years evaluated. Higher rates were found in the age group of 30 and 59 years. The length of stay also decreased in the period. Besides, the urgency character presented almost 82% of the total hospitalizations. Conclusions: There was a reduction in hospital admissions for mental disorders in the analyzed period, demonstrating the relevance of mental health care changes resulting from the Psychiatric Reform.

scholarly journals Hospitalizações por lesões em UTI no Estado do Paraná

2020 ◽  
Vol 10 (29) ◽  
pp. 90-99
Author(s):  
Fabiana Koupak ◽  
Duane Casagrande ◽  
Leticia Gramazio Soares ◽  
Débora Regina de Oliveira Moura ◽  
Tatiane Baratieri ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Age Groups ◽  
Secondary Data ◽  
Relative Increase ◽  
The State ◽  
Age Group ◽  
Injury Rates ◽  
Gender And Age ◽  
Terapia Intensiva ◽  
Series Study

Analisar as internações hospitalares por lesões em UTI de residentes no estado do Paraná, de 1998/2015, segundo diagnóstico, sexo e faixa etária. Trata-se de um estudo ecológico, de série temporal por meio da análise de dados secundários. As internações em UTI no Paraná apresentaram um aumento relativo de 75,9% entre 1998/2015. As taxas de internação por lesões em UTI variaram de 35/100.000 em 1998/2000 para 70,6/100.000 em 2013/2015.  O sexo masculino e a faixa etária de 15 a 29 anos foram mais acometidos. O trauma de cabeça foi a principal lesão que motivou as internações nas faixas etárias de 0 a 69 anos. O trauma de quadril/coxa foi a principal causa de internação acima de 70 anos. Os resultados demonstram a importância do trauma e sua relevância para a sociedade atual fazendo-se necessário a implantação de estratégias governamentais afim de reduzir a ocorrência de lesões.Descritores: Lesões, Unidade de Terapia Intensiva, Cuidados Críticos. Hospitalizations for injuries in ICU in the State of ParanáAbstract: To analyze hospital admissions for injuries in ICUs of residents in the state of Paraná, from 1998 to 2015, according to diagnosis, gender and age group. This is an ecological, time-series study through the analysis of secondary data. ICU admissions in Paraná showed a relative increase of 75.9% between 1998 and 2015. Inpatient ICU injury rates ranged from 35.0 / 100,000 in 1998/2000 to 70.6 / 100,000 in 2013/2015. The male gender in the age group of 15 to 29 years was more affected. Head trauma was the main lesion that motivated such hospitalizations in the 0 to 69-year-old age groups, and hip and thigh trauma were the main cause of hospitalization older than 70 years. The results showed the importance of the theme and its relevance to the current society. Making it necessary to implement government strategies to reduce the occurrence of injuries.Descriptors: Injuries, Intensive Care Units, Critical Care. Hospitalización de lesiones en la UCI en el Estado de ParanáResumen: Analizar los ingresos hospitalarios por lesiones en la UTI de residentes del estado de Paraná de 1998 a 2015, según diagnóstico, sexo y grupo de edad. Este es un estudio ecológico, de serie temporal a través del análisis de datos secundarios. Las internaciones en la UTI en Paraná mostraron un aumento relativo del 75,9% entre 1998 y 2015. As tasas de internación en la UTI por lesiones variaron de 35 / 100,000 en 1998/2000 a 70,6 / 100,000 en 2013/2015. Los hombres de 15 a 29 años fueron los más afectados. El traumatismo craneoencefálico fue la principal lesión que motivó las hospitalizaciones en el grupo de edad de 0 a 69 años. El trauma de cadera y muslo fue la principal causa de hospitalización mayores de 70 años. Los resultados permitieron visualizar la importancia del trauma y su relevancia para la sociedad actual, por lo que fue necesario implementar estrategias gubernamentales para reducir la ocurrencia de lesiones.Descriptores: Lesiones, Unidade de Cuidados Intensivos, Cuidados Críticos.

scholarly journals Hospital Admission Trends for Bronchiolitis in Scotland, 2001–2016: A National Retrospective Observational Study

2020 ◽  
Vol 222 (Supplement_7) ◽  
pp. S592-S598 ◽  
Author(s):  
Alexandria Chung ◽  
Rachel M Reeves ◽  
Harish Nair ◽  
Harry Campbell ◽  
Rachel M Reeves ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Temporal Trends ◽  
Epidemiological Data ◽  
Patient Characteristics ◽  
Policy Makers ◽  
Admission Rates ◽  
International Classification Of Disease ◽  
Syncytial Virus ◽  
National Trends ◽  
Preventative Interventions

Abstract Background Bronchiolitis is the commonest cause of respiratory related hospital admissions in young children. This study aimed to describe temporal trends in bronchiolitis admissions for children under 2 years of age in Scotland by patient characteristics, socioeconomic deprivation, and duration of admission. Methods The national hospital admissions database for Scotland was used to extract data on all bronchiolitis admissions (International Classification of Disease, Tenth Revision, code J21) in children &lt;2 years of age from 2001 to 2016. Deprivation quintiles were classified using the 2011 Scottish Index of Multiple Deprivation. Results Over the 15-year study period, admission rates for children under 2 years old increased 2.20-fold (95% confidence interval [CI], 1.4–3.6-fold) from 17.2 (15.9–18.5) to 37.7 (37.4–38.1) admissions per 1000 children per year. Admissions peaked in infants aged 1 month, and in those born in the 3 months preceding the peak bronchiolitis month—September, October, and November. Admissions from the most-deprived quintile had the highest overall rate of admission, at 40.5 per 1000 children per year (95% CI, 39.5–41.5) compared with the least-deprived quintile, at 23.0 admissions per 1000 children per year (22.1–23.9). The most-deprived quintile had the greatest increase in admissions over time, whereas the least-deprived quintile had the lowest increase. Zero-day admissions, defined as admission and discharge within the same calendar date, increased 5.3-fold (5.1–5.5) over the study period, with the highest increase in patients in the most-deprived quintile. Conclusions This study provides baseline epidemiological data to aid policy makers in the strategic planning of preventative interventions. With the majority of bronchiolitis caused by respiratory syncytial virus (RSV), and several RSV vaccines and monoclonal antibodies currently in clinical trials, understanding national trends in bronchiolitis admissions is an important proxy for determining potential RSV vaccination strategies.

Encephalitis in Australian children: contemporary trends in hospitalisation

2015 ◽  
Vol 101 (1) ◽  
pp. 51-56 ◽  
Author(s):  
Philip N Britton ◽  
Lynette Khoury ◽  
Robert Booy ◽  
Nicholas Wood ◽  
Cheryl A Jones
Keyword(s):  
Hospital Admissions ◽  
Clinical Epidemiology ◽  
Vaccine Coverage ◽  
Varicella Vaccine ◽  
Acute Disseminated Encephalomyelitis ◽  
Age Group ◽  
Indigenous Status ◽  
Admission Rates ◽  
Related Hospitalisation ◽  
Simplex Virus

ObjectiveThe clinical epidemiology of childhood encephalitis in Australia is inadequately understood. We aimed to describe recent trends in childhood encephalitis-related hospitalisation.Study designWe identified encephalitis-related hospital admissions (2000–2012) in national datasets among children ≤14 years using ICD encephalitis codes. We calculated hospitalisation rates and analysed trends by year, age, gender, location, indigenous status and aetiology.ResultsRates of childhood encephalitis hospitalisations significantly declined over an 11-year period (2000–2012; average hospitalisation rate 3.2/100 000). Varicella encephalitis hospitalisations decreased significantly, associated with high levels of varicella vaccine coverage since 2006. Acute disseminated encephalomyelitis (ADEM) was the most common ‘specified’ cause of encephalitis hospitalisation (15%–17%), and its rate has significantly increased. The highest hospitalisation rates occurred in the <1 year age group (5.8/100 000) and varied by location (highest in Northern Territory). The majority (58.9%) of hospitalised encephalitis had no cause identified; this proportion was highest in the <1 year age group (77%). The most common specified infectious causes included: herpes simplex virus, enterovirus, bacterial meningoencephalitis and varicella. When aggregated, the proportion of childhood encephalitis coded as viral was 21.2%.ConclusionHospitalisation of childhood encephalitis has slightly decreased in Australia. High rates of childhood immunisation have been associated with a reduction of varicella-associated encephalitis in Australian children. ADEM, an immune-mediated encephalitis, is the most common recognised cause of encephalitis in children. Young children (<1 year) have the highest admission rates. The high proportion of ‘unspecified’ encephalitis deaths and hospitalisations is an ongoing challenge.

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