Determinants of Emergency Hospital Admissions among Patients in Blackpool, England: Population-Based Cross-Sectional Study

AimsTo quantify the frequency, characteristics, geographical variation and costs of emergency hospital care for suspected seizures.DesignCross-sectional study using routinely collected data (Hospital Episode Statistics).SettingThe National Health Service in England 2007–2013.ParticipantsAdults who attended an emergency department (ED) or were admitted to hospital.ResultsIn England (population 2011: 53.11 million, 41.77 million adults), suspected seizures gave rise to 50 111 unscheduled admissions per year among adults (≥18 years). This is 47.1% of unscheduled admissions for neurological conditions and 0.71% of all unscheduled admissions. Only a small proportion of admissions for suspected seizures were coded as status epilepticus (3.5%) and there were a very small number of dissociative (non-epileptic) seizures. The median length of stay for each admission was 1 day, the median cost for each admission was £1651 ($2175) and the total cost of all admissions for suspected seizures in England was £88.2 million ($116.2 million) per year. 16.8% of patients had more than one admission per year. There was significant geographical variability in the rate of admissions corrected for population age and gender differences and some areas had rates of admission which were consistently higher than the average.ConclusionsOur data show that suspected seizures are the most common neurological cause of admissions to hospital in England, that readmissions are common and that there is significant geographical variability in admission rates. This variability has not previously been reported in the published literature. The cause of the geographical variation is unknown; important factors are likely to include prevalence, deprivation and clinical practice and these require further investigation. Dissociative seizures are not adequately diagnosed during ED attendances and hospital admissions.

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Faculty Opinions recommendation of Body composition and basal metabolic rate in Hidradenitis Suppurativa: a Danish population-based and hospital-based cross-sectional study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.726010578.793534526 ◽

2017 ◽

Author(s):

Iltefat Hamzavi

Keyword(s):

Body Composition ◽

Metabolic Rate ◽

Basal Metabolic Rate ◽

Hidradenitis Suppurativa ◽

Population Based ◽

Cross Sectional Study ◽

Sectional Study ◽

Danish Population ◽

Cross Sectional

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Prevalence of disabilities and non-communicable diseases in an elderly population in the Telangana state, India: a population-based cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-041755 ◽

2021 ◽

Vol 11 (2) ◽

pp. e041755

Author(s):

Srinivas Marmamula ◽

Satya Brahmanandam Modepalli ◽

Thirupathi Reddy Kumbham ◽

Rajesh Challa ◽

Jill E Keeffe

Keyword(s):

Elderly Population ◽

Self Care ◽

The Elderly ◽

Population Based ◽

Cross Sectional Study ◽

Communicable Diseases ◽

Self Report ◽

Sectional Study ◽

Cross Sectional ◽

Non Communicable Diseases

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.

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Association between pyrethroid exposure and cardiovascular disease: A national population-based cross-sectional study in the US

Environment International ◽

10.1016/j.envint.2021.106545 ◽

2021 ◽

Vol 153 ◽

pp. 106545

Author(s):

Qingping Xue ◽

An Pan ◽

Ying Wen ◽

Yichao Huang ◽

Da Chen ◽

...

Keyword(s):

Cardiovascular Disease ◽

Population Based ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

National Population ◽

The Us

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Prevalence and risk factors of Helicobacter pylori infection in Wuwei, a high‐risk area for gastric cancer in northwest China: An all‐ages population‐based cross‐sectional study

Helicobacter ◽

10.1111/hel.12810 ◽

2021 ◽

Author(s):

Xiaofeng Wang ◽

Xiaochuang Shu ◽

Qiang Li ◽

Youpeng Li ◽

Zhaofeng Chen ◽

...

Keyword(s):

Risk Factors ◽

Gastric Cancer ◽

Helicobacter Pylori ◽

Northwest China ◽

Population Based ◽

Cross Sectional Study ◽

Sectional Study ◽

Risk Area ◽

Cross Sectional ◽

High Risk Area

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Myopia, corneal endothelial cell density and morphology in a Japanese population-based cross-sectional study: the JPHC-NEXT Eye Study

Scientific Reports ◽

10.1038/s41598-021-85617-4 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Naohiko Aketa ◽

Miki Uchino ◽

Motoko Kawashima ◽

Yuichi Uchino ◽

Kenya Yuki ◽

...

Keyword(s):

Endothelial Cell ◽

Cell Density ◽

Contact Lenses ◽

Population Based ◽

Cross Sectional Study ◽

Corneal Endothelial Cell ◽

Endothelial Cell Density ◽

Sectional Study ◽

Cross Sectional ◽

Corneal Endothelial Cell Density

AbstractThis population-based cross-sectional study was performed to determine the mean corneal endothelial cell density (ECD), coefficient of variation (CV), and hexagonality (HEX), and their associations with myopia in Japanese adults living in Chikusei city. Of 7109 participants with available data, 5713 (2331 male and 3382 female) participants were eligible for analysis. After assessing the relationship between participant characteristics and spherical equivalent refraction (SER), the association of SER with the abnormal value of ECD (< 2000 cells/mm), CV (≥ 0.40), and HEX (≤ 50%) were determined using the logistic regression models adjusting for potential confounders (age, intraocular pressure, keratometric power, height, and antihypertensive drug use). In male participants, there was no statistically significant relationships between SER and endothelial parameters. In female participants, compared to emmetropia, SER ≤ − 6 D had significantly higher odds ratio (OR) of having the abnormal value of CV (OR = 2.07, 95% confidence interval [CI] 1.39–3.10) and HEX (OR = 2.04, 95% CI 1.29–3.23), adjusted for potential confounders, indicating that the high myopia was associated with the abnormal values of CV and HEX. Further adjustment for contact lenses wear partly attenuated these associations. Association between the SER and ECD was not detected.

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