Trends in hospital admissions and prescribing due to chronic obstructive pulmonary disease and asthma in England and Wales between 1999 and 2020: an ecological study

Alwafi, Hassan; Naser, Abdallah Y; Ashoor, Deema S; Aldhahir, Abdulelah M.; Alqahtani, Jaber S; Minshawi, Faisal; Salawati, Emad; Samannodi, Mohammed; Dairi, Mohammad S; Alansari, Aisha Khaled; Ekram, Rakan

doi:10.1186/s12890-023-02342-6

Cited by 9 publications

(5 citation statements)

References 26 publications

(32 reference statements)

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“…More than half of the respondents were unaware that COPD is a common disease and nearly 60% of the participants did not know that COPD increases mortality, despite COPD being ranked as the third leading cause for mortality globally [ 11 ]. Although lower COPD acceptance rates were also reported in Australia [ 43 ] and India [ 44 ], this poor level of beliefs and perception is particularly higher in Saudi Arabia possibly due to social pressure since most Saudi youths socialize mostly in indoors and areas with high exposure to passive smoking [ 8 ]. Therefore, there is a paramount necessity to provide valid information to the Saudi public regarding the nature, prevalence, risk factors, and the long-term consequences of COPD including the alarming reduction in disability-adjusted life years (DALYs) [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…Tobacco use and exposure to indoor air pollution (e.g., biomass burning), outdoor air pollution, and occupational pollutants have all been identified as major risk factors [ 4 , 5 ]. Higher rates of hospital admissions, mortality, and morbidity attributable to COPD results in increased burden globally [ 6 – 8 ]. Inadequate medical expertise and low public awareness of the condition, limited availability of spirometry, and a lack of consensus on both clinical and epidemiological case definitions all contribute to missed diagnosis, misdiagnosis and misclassification of the disease [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

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A nationwide survey of public COPD knowledge and awareness in Saudi Arabia: A population-based survey of 15,000 adults

Alqahtani,

Aldhahir,

Siraj

et al. 2023

PLoS ONE

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Background There is a concerning lack of representative data on chronic obstructive pulmonary disease (COPD) awareness in Saudi Arabia, and a significant proportion of the population is vulnerable to developing a smoking habit, which is a major risk factor for the disease. Methods Population-Based Survey of 15,000 people was conducted to assess the public knowledge and awareness of COPD across Saudi Arabia from October 2022 to March 2023. Results A total of 15002 responders completed the survey, with a completion rate of 82%. The majority 10314 (69%) were 18–30 year and 6112 (41%) had high school education. The most common comorbidities among the responders were depression (7.67%); hypertension (6%); diabetes (5.77%) and Chronic Lung Disease (4.12%). The most common symptoms were dyspnea (17.80%); chest tightness (14.09%) and sputum (11.19%). Among those who complains of any symptoms, only 16.44% had consulted their doctor. Around 14.16% were diagnosed with a respiratory disease and only 15.56% had performed pulmonary function test (PFT). The prevalence of smoking history was 15.16%, in which current smokers were 9.09%. About 48% of smokers used cigarette, 25% used waterpipe and around 27% were E-cigarette users. About 77% of the total sample have never heard about COPD. Majority of current smokers (73.5%; 1002), ex-smokers (68%; 619), and non-smokers (77.9%; 9911) are unaware of COPD, p value <0.001. Seventy five percent (1028) of the current smokers and 70% (633) of the ex-smokers have never performed PFT, p value <0.001. Male, younger age (18–30 years), higher education, family history of respiratory diseases, previous diagnosis of respiratory disease, previous PFT, and being an ex-smokers increases the odds of COPD awareness, p-value <0.05. Conclusion There is a significantly low awareness about COPD in Saudi Arabia, especially among smokers. A nationwide approach must include targeted public awareness campaigns, continued healthcare professional education, community-based activities encouraging diagnosis and early detection, advice on smoking cessation and lifestyle changes, as well as coordinated national COPD screening programs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A nationwide survey of public COPD knowledge and awareness in Saudi Arabia: A population-based survey of 15,000 adults

Alqahtani,

Aldhahir,

Siraj

et al. 2023

PLoS ONE

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“…These 2 databases are commonly used to explore trends in hospital admissions related to different health conditions and adverse events, and they been validated and used in clinical research. [13][14][15][16][17][18][19][20][21][22][23] The 2 databases are regularly checked to ensure their validity and accuracy. [24] HES database undergoes an automated data cleaning system, and it has been tested for its internal validity.…”

Section: Data Sources and Study Populationmentioning

confidence: 99%

Trends in hospital admissions and prescribing due to diseases of the digestive system in England and Wales between 1999 and 2019: An ecological study

Alwafi,

Alsharif

2024

Medicine

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This study aimed to investigate the trends in diseases of the digestive system hospital admissions (DDSHA) in England and Wales between (1999–2019). Secondary objectives were to investigate the type of admission and medication prescribing related to the digestive system in England. This is an ecological study using data from the Hospital Episode Statistics (HES) database and the Patient Episode Database between April 1999 and March 2019. The rate of hospital admissions with 95% confidence intervals (CIs) was calculated by dividing the number of DDSHA by the mid-year population. The trend in hospital admissions was assessed using a Poisson model. Overall, the rate of DDSHA rose by 84.2% (from 2231.27 [95% CI 2227.26–2235.28] in 1999 to 4109.33 [95% CI 4104.29–4114.38] in 2019 per 100,000 persons, trend test, P < .001). The most remarkable rise in hospital admission was seen in liver diseases, followed by other diseases of intestines with 1.85-fold, and 1.59-fold, respectively. Between 2004 and 2019, the overall prescribing rate for medications related to the gastrointestinal system increased by 74.6%, and stoma care related medications prescribing rate increased by 2.25-fold, followed by drugs affecting intestinal secretions and antisecretory drugs and mucosal protectants. There was an increase in hospital admission rate due to GI diseases in the United Kingdom (UK) by 84.2% from 1999 to 2019. The most remarkable rise in the rate of hospital admissions was seen in diseases of the liver and intestine.

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“…Population data were extracted from the Office for National Statistics database [17]. Details regarding the quality of these medical databases were described in previous literature [18][19][20][21]. These two medical databases were previously used to examine the trend of admissions for various chronic and acute health outcomes.…”

Section: Data Sourcementioning

confidence: 99%

Hospital Admission Profile Due to Osteoarthritis: An Ecological Study

Ekram¹,

Nazer²

2023

Cureus

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Background Osteoarthritis (OA) is also known as degenerative joint disease and is considered the major cause of joint pain and disability. Furthermore, OA is the most common, costly, and disabling form of joint diseases. The objective of this study is to explore the hospital admission profile due to OA between the period 1999 and 2019 in England and Wales. Method This is an ecological study that used health care data in the United Kingdom. Patients who were hospitalized for OA in England and Wales between 1999 and 2019 formed the study population. The Hospital Episode Statistics in England and the Patient Episode Database for Wales databases were used in this study. The difference in the admission rate during the study period was estimated using the chi-squared test. Results The admission rate during the study period increased by 112.1% for all hospital admission related to OA. The most common type of admission was related to gonarthrosis, which accounted for 46.7% of the total number of admissions for OA. The increase in admission rate across different types of admissions related to OA was not consistent. The highest increase in the admission rate was observed for polyarthrosis (604.6%). Admission rates related to OA were observed to be directly related to age. The highest increase in the admission rate during the study period was for the age group of 15-59 years (102.1%). Admission rate due to OA was higher among females compared to males. Conclusion The increase in admission rates for the various OA-related admissions was not consistent. This study found that the age range of 15 to 59 years experienced the greatest increase in admission rates. Female gender is a high risk factor for OA, especially in women around menopause.

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Trends in hospital admissions and prescribing due to chronic obstructive pulmonary disease and asthma in England and Wales between 1999 and 2020: an ecological study

Cited by 9 publications

References 26 publications

A nationwide survey of public COPD knowledge and awareness in Saudi Arabia: A population-based survey of 15,000 adults

A nationwide survey of public COPD knowledge and awareness in Saudi Arabia: A population-based survey of 15,000 adults

Trends in hospital admissions and prescribing due to diseases of the digestive system in England and Wales between 1999 and 2019: An ecological study

Hospital Admission Profile Due to Osteoarthritis: An Ecological Study

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