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#Post#: 224--------------------------------------------------
Why look at emergency hospital admissions for ACSCs?
By: admini5 Date: May 13, 2015, 7:45 am
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High levels of admissions for ACSCs often indicate poor
co-ordination between the different elements of the health care
system, in particular between primary and secondary care. An
emergency admission for an ACSC is a sign of the poor overall
quality of care, even if the ACSC episode itself is managed
well. The wide variation of emergency hospital admissions for
ACSCs implies that they, and the associated costs for
commissioners, can be reduced.
Patterns of emergency admissions for ACSCs
There were 5,135,794 emergency hospital admissions in England in
2009/10 (ie, April 2009 to March 2010), of which 816,433 (15.9
per cent) were for ACSCs. This is equivalent to 15.6 hospital
admissions for ACSCs per 1,000 populations.
Age and sex
•
among very young children (14 per cent of all admissions were
patients under 5 years old) and older people (30 per cent of all
admissions were patients who were 75 years old and above).
•
slightly higher in males (15.9 per 1,000 populations) than in
females (15.3 per 1,000 populations). The gap between males and
females widened from 50–54 years old onwards. The gap was
greatest in the 85-and-over age group (male/female gap at 20 per
1,000 populations). However, as the female population was larger
in the very elderly age group (aged 80 and over), the actual
number of admissions (bars in Figure 1) was larger in older
females than in older males.
Condition
The leading causes of emergency admissions for ACSCs (see Figure
2 overleaf) were:
•
pulmonary disease (COPD) (13.2 per cent); ear, nose and throat
infections (10.4 per cent); dehydration and gastroenteritis
(10.4 per cent); and convulsions and epilepsy (9.5 per cent).
These five conditions account for more than half (56.8 per cent)
of all admissions for ACSCs.
•
Admissions for acute conditions (eg, ear, nose and throat
infections) were predominantly in young children; admissions for
chronic conditions (eg, COPD, angina and congestive heart
failure) were higher in older patients; admissions for
vaccine-preventable conditions were higher in both the very
young and the old.
Socio-economic
•
admitted for ACSCs.
•
most deprived quintile (24.5 admissions per 1,000 population)
was more than twice the rate in the population from the least
deprived quintile (10.1 admissions per 1,000 population).
This strong positive association between ACSCs admissions and
deprivation may be related to a range of factors in more
deprived areas:
•
the most deprived communities in England (Simpson and
Hippisley-Cox 2010)
•
eg, socio-economic inequalities in the provision of health care
to people with diabetes (Ricci-Cabello et al 2010)
•
eg, smoking is more prevalent in deprived populations (Lakshman
et al 2011) as well as being associated with hospital admissions
for respiratory conditions (Purdy et al 2011).
For further information, please follow:
HTML http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/data-briefing-emergency-hospital-admissions-for-ambulatory-care-sensitive-conditions-apr-2012.pdf
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