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. 1991 Aug;66(8):938–940. doi: 10.1136/adc.66.8.938

Multiple admissions under 2 years of age.

N J Spencer 1, M A Lewis 1
PMCID: PMC1793446  PMID: 1929489

Abstract

Hospital admission rates before 2 years of age are reported for two complete birth cohorts born within a geographically defined area five years apart in 1980 and 1985. Admission rates for individual children in the cohort before 2 years of age showed an increase between 1980 and 1985 from 209 to 247 children/1000. The most significant increase took place in those children admitted three or more times (multiple admissions). Children admitted once only increased significantly but there was no significant change in the number of children admitted twice. A total of 2.3% of the total cohort in 1980 and 3.6% in 1985 were admitted three or more times and accounted for over 30% of all admissions. Age specific rates are reported for the 1985 cohort; 36% of those admitted had their first admission before 3 months of age and 76% before their first birthday. The disproportionate contribution of children with multiple admissions to the admissions total renders admission data from Hospital Activities Analysis invalid unless linked to individual children. Cohort data based on a geographically defined population provide the most reliable admission rates and permit an accurate analysis of trends. The significance of and reasons for the upward trend in early childhood admissions are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson H. R. Increase in hospital admissions for childhood asthma: trends in referral, severity, and readmissions from 1970 to 1985 in a health region of the United Kingdom. Thorax. 1989 Aug;44(8):614–619. doi: 10.1136/thx.44.8.614. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Carpenter R. G., Gardner A., Jepson M., Taylor E. M., Salvin A., Sunderland R., Emery J. L., Pursall E., Roe J. Prevention of unexpected infant death. Evaluation of the first seven years of the Sheffield Intervention Programme. Lancet. 1983 Apr 2;1(8327):723–727. doi: 10.1016/s0140-6736(83)92023-8. [DOI] [PubMed] [Google Scholar]
  3. Durojaiye L. I., Hutchison T., Madeley R. J. Improved primary care does not prevent the admission of children to hospital. Public Health. 1989 May;103(3):181–188. doi: 10.1016/s0033-3506(89)80073-3. [DOI] [PubMed] [Google Scholar]
  4. Evans C. M., Kirk J. M., Savage M. O., Walker-Smith J. A. Growth after gut resection for Crohn's disease. Arch Dis Child. 1991 Mar;66(3):370–370. doi: 10.1136/adc.66.3.370. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Forfar J. O. Trends in paediatric medical admissions. BMJ. 1989 Jun 24;298(6689):1711–1711. doi: 10.1136/bmj.298.6689.1711-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gilchrist I., Rosenberg K. Hospital admission in the first year of life. Health Bull (Edinb) 1986 Jan;44(1):29–36. [PubMed] [Google Scholar]
  7. Hill A. M. Trends in paediatric medical admissions. BMJ. 1989 Jun 3;298(6686):1479–1483. doi: 10.1136/bmj.298.6686.1479. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Khot A., Burn R., Evans N., Lenney C., Lenney W. Seasonal variation and time trends in childhood asthma in England and Wales 1975-81. Br Med J (Clin Res Ed) 1984 Jul 28;289(6439):235–237. doi: 10.1136/bmj.289.6439.235. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lloyd B., Pursall E., Emery J. L. Hospital morbidity pattern in children under 1 year of age born in Sheffield 1975-6. Arch Dis Child. 1981 Jan;56(1):36–39. doi: 10.1136/adc.56.1.36. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Reif S., Sloven D. G., Lebenthal E. Gallstones in children. Characterization by age, etiology, and outcome. Am J Dis Child. 1991 Jan;145(1):105–108. doi: 10.1001/archpedi.1991.02160010111028. [DOI] [PubMed] [Google Scholar]
  11. Wadsworth M. E. Follow-up of the first national birth cohort: findings from the Medical Research Council National Survey of Health and Development. Paediatr Perinat Epidemiol. 1987 Apr;1(1):95–117. doi: 10.1111/j.1365-3016.1987.tb00093.x. [DOI] [PubMed] [Google Scholar]
  12. While A. E. Early childhood morbidity in three contrasting urban districts. Public Health. 1988 Mar;102(2):135–139. doi: 10.1016/s0033-3506(88)80040-4. [DOI] [PubMed] [Google Scholar]
  13. Wynne J., Hull D. Why are children admitted to hospital? Br Med J. 1977 Oct 29;2(6095):1140–1142. doi: 10.1136/bmj.2.6095.1140. [DOI] [PMC free article] [PubMed] [Google Scholar]

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