Emergency admissions for children with chronic conditions

Providing timely and clinically appropriate primary and specialist care for selected chronic and acute conditions (also known as ambulatory care sensitive conditions) may help reduce unnecessary emergency hospital admissions. This applies to adults as well as children and young people. Here we look at the most common childhood chronic conditions: asthma, diabetes and epilepsy. Unplanned hospitalisation for asthma, diabetes and epilepsy in children and young people under 19 years is also a national quality indicator in the NHS Outcomes Framework.

What is the trend for asthma, diabetes and epilepsy unplanned emergency admissions for the under 19s?

The rate of emergency admissions for asthma, diabetes and epilepsy in children and young people has declined from 345.9 per 100,000 in 2003/04 to 313.4 per 100,000 in 2013/14; a decrease of 9.4%.

Source: 
NHS Outcomes Framework, Health and Social Care Information Centre

How has the rate of hospital admissions for under 19 year olds changed?

It is useful to further disaggregate and look at condition specific trends so that more concrete problems and actions can potentially be identified. For asthma, as the most common childhood chronic condition, between 2011/12 and 2012/13 there has been an increase in emergency hospital admissions from 194 to 221 per 100,000.

Hopefully, we can include trends in diabetes and epilepsy admissions in future indicator updates.

Source: 
Local Authority Child Health Profiles, ChiMat Health Intelligence Network
About this data

Unplanned hospitalisation for asthma, diabetes and epilepsy in under-19s: The rate per 100,000 people aged under 19 (0 to 18 years), with asthma, diabetes or epilepsy, admitted to hospital as an emergency admission in the respective quarter of the financial year.

  • Numerator: The number of finished and unfinished continuous inpatient spells (CIPS), excluding transfers, for patients aged under 19 with an emergency method of admission and where asthma, diabetes or epilepsy was the primary diagnosis.
  • Denominator: Resident under 19's population estimate from ONS mid-year population estimate.

Hospital admissions for asthma: Emergency hospital admissions for asthma, crude rate per 100,000.

  • Nominator: Emergency admissions with a primary diagnosis of asthma (ICD-10 codes J45 – Asthma, and J46 – Status asthmaticus) in children aged 0 to 18 years.
  • Denominator: Mid-year population estimates: single year of age and sex for local authorities in England and Wales (ages 0-18 years).

For more information about the indicators see the NHS Outcomes Framework (HSCIC) and Children and Young People's Health Benchmarking Tool.

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