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. 2003 Nov 29;327(7426):1257. doi: 10.1136/bmj.327.7426.1257

Table 1.

Selected healthcare resource groups—11 leading causes of use of NHS bed days (England, 2000-1)2

Group No (%) total bed days Bed days per 1000 population
A22 Non-transient stroke or cerebrovascular accident >69 or with complications 1 040 324 (2.0) 20.8
H33 Neck of femur fracture >69 or with complications 740 000 (1.5) 14.8
D20 Chronic obstructive pulmonary disease or bronchitis 713 416 (1.4) 14.3
D21 Asthma >49 or with complications 599 583 (1.2) 12.0
E18 Heart failure or shock >69 or with complications 590 356 (1.2) 11.8
L09 Kidney or urinary tract infections >69 or with complications 470 240 (0.9) 9.4
H02 Primary hip replacement 422 099 (0.8) 8.4
E12 Acute myocardial infarction without complications 416 254 (0.8) 8.3
H04 Primary knee replacement 354 866 (0.7) 7.1
E33 Angina >69 or with complications 345 977 (0.7) 6.9
E04 Coronary bypass 196 141 (0.4) 3.9
Total 5 889 256 (11.5)

Healthcare resource groups were ranked according to bed days used in the NHS and the leading causes of admissions and day case rates were also examined. “Invalid primary diagnosis” and “ill defined signs and symptoms” were excluded from the list of leading causes of bed day use, resulting in the selection of the 11 causes in this table for analysis.