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#Post#: 311--------------------------------------------------
Which conditions caused the most ACS admissions?
By: admini5 Date: October 7, 2015, 2:39 am
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Which conditions caused the most ACS admissions?
#Post#: 312--------------------------------------------------
Re: Which conditions caused the most ACS admissions?
By: Harald Braun Date: October 7, 2015, 2:44 am
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There were marked differences in the rates at which emergency
ACS admissions occurred, both between the broad categories and
between individual conditions. These differences are
demonstrated in Figure 3.2 (see page 12), where each condition
is represented by a box proportional in width to its admission
rate. Boxes are arranged vertically by descending contribution
to the total admission rate for each ACS type. For example, COPD
has a relatively wide box because it had a high admission rate,
and is placed near the top because it contributed 24 per cent of
all chronic ACS admissions. Dehydration has a narrow box due to
its much lower admission rate, and is placed near the bottom
with a cluster of conditions that, when combined, contributed
fewer than 10 per cent of all acute ACS admissions. The top row
shows the admission rates for each of the three ACS categories.
In 2012/13, the vast majority (86 per cent) of ACS admissions
were caused by acute and chronic conditions rather than the
third category of ACS: other and vaccine-preventable conditions.
Five individual ACS conditions accounted for more than half of
all ACS admissions. These were urinary tract infection (UTI) and
pyelonephritis (16 per cent of ACS admissions, 229 admissions
per 100,000), COPD (12 per cent, 163 per 100,000), pneumonia (10
per cent, 141 per 100,000), ear, nose and throat (ENT)
infections (9 per cent, 207 per 100,000) and convulsions and
epilepsy (7 per cent, 142 per 100,000).
While 27 ACS conditions are specified under the most common
definition, it is clear from Figure 3.2 that the majority of
these conditions (15) contributed a combined total of fewer than
10 per cent of all ACS admissions. While many of the less common
conditions might not seem sufficiently prevalent to be of
interest, in some areas they will be of greater concern than
others (for example, tuberculosis in London). It is notable that
three out of the five most common conditions disproportionately
affect older people. In total, 40 per cent of all emergency
admissions were for patients aged 65 and over, and this
proportion rose to 50 per cent when considering only the ACS
admissions. However, COPD, pneumonia and
UTI/pyelonephritis had 75 per cent, 70 per cent and 63 per cent
of their admissions for older people, respectively.
The other two of the most common conditions disproportionately
affect children and young adults (ENT infections, and epilepsy
and convulsions). However, when considering all ACS admissions,
half were for patients aged 65 and over, whereas ust 19 per cent
were for the under-20s. This confirms that potentially avoidable
emergency admission is an issue that predominantly – but not
exclusively – affects older people.
For more information visit:
HTML http://www.nuffieldtrust.org.uk/sites/files/nuffield/publication/131010_qualitywatch_focus_preventable_admissions_0.pdf
HTML http://www.nuffieldtrust.org.uk/sites/files/nuffield/publication/131010_qualitywatch_focus_preventable_admissions_0.pdf
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