Emergency hospital admissions associated with non-communicable diseases 1998–2018 in England, Wales and Scotland: an ecological study

PurposeIn 2011, community nursing services were reorganised in England in response to a national policy initiative, but little is known about the impact of these changes. A total of three dominant approaches emerged: (1) integration of community nursing services with an acute hospital provider, (2) integration with a mental health provider and (3) the establishment of a stand-alone organisation, i.e. without structural integration. The authors explored how these approaches influenced the trends in emergency hospital admissions and bed day use for older people.Design/methodology/approachThe methodology was a longitudinal ecological study using panel data over a ten-year period from April 2006 to March 2016. This study’s outcome measures were (1) emergency hospital admissions and (2) emergency hospital bed use, for people aged 65+ years in 140 primary care trusts (PCTs) in England.FindingsThe authors found no statistically significant difference in the post-intervention trend in emergency hospital admissions between those PCTS that integrated community nursing services with an acute care provider and those integrated with a mental health provider (IRR 0.999, 95% CI 0.986–1.013) or those that did not structurally integrate services (IRR 0.996, 95% CI 0.982–1.010). The authors similarly found no difference in the trends for emergency hospital bed use.Research limitations/implicationsPCTs were abolished in 2011 and replaced by clinical commissioning groups in 2013, but the functions remain.Practical implicationsThe authors found no evidence that any one structural approach to the integration of community nursing services was superior in terms of reducing emergency hospital use in older people.Originality/valueAs far as the authors are aware, previous studies have not examined the impact of alternative approaches to integrating community nursing services on healthcare use.

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1312-P: Admission Plasma Glucose and HbA1c in Emergency Hospital Admissions by Ethnicity

Diabetes ◽

10.2337/db19-1312-p ◽

2019 ◽

Vol 68 (Supplement 1) ◽

pp. 1312-P

Author(s):

SUSAN E. MANLEY ◽

RADHIKA SUSARLA ◽

RACHEL A. ROUND ◽

PETER NIGHTINGALE ◽

JOHN A. WILLIAMS ◽

...

Keyword(s):

Plasma Glucose ◽

Hospital Admissions ◽

Emergency Hospital ◽

Emergency Hospital Admissions

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Linked data analysis of learning disability health checks and emergency hospital admissions in the Kent Integrated Dataset

Journal of Applied Research in Intellectual Disabilities ◽

10.1111/jar.12799 ◽

2020 ◽

Vol 34 (1) ◽

pp. 211-217

Author(s):

Zara Cuccu ◽

Tom Bourne ◽

Gerrard Abi‐Aad ◽

Samantha Bennett

Keyword(s):

Data Analysis ◽

Learning Disability ◽

Linked Data ◽

Hospital Admissions ◽

Emergency Hospital ◽

Health Checks ◽

Emergency Hospital Admissions

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Emergency hospital admissions for psychiatric disorders in a German-wide hospital network during the COVID-19 outbreak

Social Psychiatry and Psychiatric Epidemiology ◽

10.1007/s00127-021-02091-z ◽

2021 ◽

Author(s):

Jonathan Mathias Fasshauer ◽

Andreas Bollmann ◽

Sven Hohenstein ◽

Gerhard Hindricks ◽

Andreas Meier-Hellmann ◽

...

Keyword(s):

Psychiatric Disorders ◽

Hospital Admissions ◽

Emergency Hospital ◽

Emergency Hospital Admissions

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Effects of the COVID-19 Epidemic on Hospital Admissions for Non-Communicable Diseases in a Large Italian University-Hospital: A Descriptive Case-Series Study

Journal of Clinical Medicine ◽

10.3390/jcm10040880 ◽

2021 ◽

Vol 10 (4) ◽

pp. 880

Author(s):

Caterina Caminiti ◽

Giuseppe Maglietta ◽

Tiziana Meschi ◽

Andrea Ticinesi ◽

Mario Silva ◽

...

Keyword(s):

Hospital Admissions ◽

Case Series ◽

Communicable Diseases ◽

University Hospital ◽

Negative Consequences ◽

Non Communicable Diseases ◽

Case Series Study ◽

And Gender ◽

Long Term Impact ◽

Series Study

Background: Concern is growing about the negative consequences that response measures to the COVID-19 epidemic may have on the management of other medical conditions. Methods: A retrospective descriptive case-series study conducted at a large University-hospital in northern Italy, an area severely hit by the epidemic. Results: Between 23 February and 14 May 2020, 4160 (52%) COVID-19 and 3778 (48%) non-COVID-19 patients were hospitalized. COVID-19 admissions peaked in the second half of March, a period characterized by an extremely high mortality rate (27.4%). The number of admissions in 2020 was similar to 2019, but COVID-19 patients gradually occupied all available beds. Comparison between COVID-19 and non-COVID-19 admissions in 2020 revealed significant differences concerning all age classes and gender. Specifically, COVID-19 patients were older, predominantly male, and exhibited more comorbidities. Overall, admissions for non-communicable diseases (NCDs) in 2020 vs. 2019 dropped by approximately one third. Statistically significant reductions were observed for acute myocardial infarction (−78, −33.9%), cerebrovascular disease (−235, −41.5%), and cancer (−368, −31.9%). While the first two appeared equally distributed between COVID-19 and non-COVID-19 patients, chronic NCDs were statistically significantly more frequent in the former, except cancer, which was less frequent in COVID-19 patients. Conclusions: Prevention of collateral damage to patients with other diseases should be an integral part of epidemic response plans. Prospective cohort studies are needed to understand the long-term impact.

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