Trends in Hospital Admissions for Mental, Behavioural and Neurodevelopmental Disorders in England and Wales between 1999 and 2019: An Ecological Study

Abstract

Objectives: To investigate the trends in hospital admissions for mental, behavioural and neurodevelopmental disorders (MBNDs) in England and Wales. Methods: This is an ecological study using the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Hospital admission data was collected for the period between April 1999 and March 2019. Results: The most common type of hospital admission was for mental and behavioural disorders due to psychoactive substance use, which accounted for 26.6%. The admission rate among males increased by 8.1% [from 479.59 (95% CI 476.90–482.27) in 1999 to 518.30 (95% CI 515.71–520.90) in 2019 per 1000 persons; p < 0.001]. The admission rate among females increased by 0.3% [from 451.45 (95% CI 448.91–453.99) in 1999 to 452.77 (95% CI 450.37–455.17) in 2019 per 1000 persons; p = 0.547]. The 15–59 years’ age group accounted for 65.1% of the entire number of such hospital admissions, followed by the 75 years and above age group, with 19.0%. Conclusion: We observed an obvious variation in MBNDs influenced by age and gender. Observational studies are needed to identify other factors associated with increased hospital admission rates related to MBNDs, specifically among the young population (aged 15–59 years) and males.

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

“…Four, due to the aggregated nature of the data on the population level, we were unable to estimate the age-adjusted rate of admissions. However, the data we have used, have been validated for epidemiological research purposes, and has been used for the description of various diseases outcomes across the UK [45][46][47]. In addition, there is a possibility of systematic differences across regions in tracking the disease frequency and measuring exposures.…”

Musculoskeletal System and Connective Tissue Related Hospital Admission in England and Wales Between 1999 and 2019: An Ecologic Study

“…As previously described in recent epidmeiological studies that were conducted in the UK using publicly available hospital admissions data [7][8][9][10][11][12][13][14][15][16][17][18][19][20], we conducted this ecologic study using publicly available data extracted from the Hospital Episode Statistics (HES) database in England [21] and the Patient Episode Database in Wales (PEDW) for the period between April 1999 and April 2019 [22]. Other disorders of the musculoskeletal system and connective tissue; M96-M96: Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified; M97-M97: Periprosthetic fracture around internal prosthetic joint; M99-M99: Biomechanical lesions, not elsewhere classified).…”

Hospital Admission Profile Related to Inner Ear Diseases in England and Wales

“…There have been no previous studies that explored hospital admission patterns related to inner ear diseases. Previous studies examined other common diseases in the UK [9][10][11][12]. We aimed to study hospital admission profiles related to inner ear diseases in England and Wales.…”