Table 2.
Annual illness consultation in primary care and unplanned and ambulatory care sensitive (ACS) hospital admission ratesa
| Number of children in cohort | Infant (age < 1 year) | Preschool (age 1–4 years) | Primary school (age 5–9 years) | Asthma diagnosis (age 5–9 years) |
Diabetes diagnosis (age 5–9 years) |
Epilepsy diagnosis (age 5–9 years) |
|---|---|---|---|---|---|---|
| N = 319,780 | N = 289,989 | N = 141,572 | N = 12,654 | N = 268 | N = 670 | |
| Rate per child/year (95% confidence interval) | ||||||
| Illness consultationb | 4.01 (4.00–4.03) | 2.91 (2.90–2.92) | 1.33 (1.32–1.34) | 2.18 (2.15–2.22) | 2.02 (1.81–2.23) | 2.22 (2.06–2.39) |
| Rate per 1000 child-years (95% confidence interval) | ||||||
| Unplanned admissions | 259 (256–261) | 105 (104–107) | 42 (40–44) | 84 (77–91) | 342 (279–405) | 461 (365–558) |
| Infectious ACS admissions | ||||||
| URTI | 26.6 (25.9–27.2) | 19.7 (19.3–20.1) | 6.5 (6.2–6.8) | |||
| LRTI | 36.1 (35.3–36.9) | 4.6 (4.4–4.8) | 1.0 (0.9–1.1) | |||
| Gastroenteritis | 23.3 (22.7–23.9) | 10.5 (10.2–10.7) | 2.2 (2.0–2.4) | Not measured | Not measured | Not measured |
| Urinary tract infection | 6.5 (6.1–6.8) | 1.9 (1.7–2.0) | 0.9 (0.8–1.0) | |||
| Vaccine-preventable infections | 0.7 (0.6–0.8) | 0.07 (0.06–0.10) | (number too small to compute rate) | |||
| Chronic ACS admissionsc | N/A | N/A | N/A | 26.0 (23.5–28.8) | 193 (168–223) | 178 (147–216) |
aCohort of 319,780 children born between 01/01/2000 and 31/03/2013 registered with 363 Clinical Practice Research Datalink practices linked to Hospital Episode Statistics in England, and followed up until 31/12/2013
bIllness consultation: face-to-face consultation with a GP excluding preventive care
cACS chronic admission rates (primary diagnosis at admission) in children aged 5–9 years diagnosed with ACS condition. We chose to analyse the age group alone because asthma cannot reliably be diagnosed in children aged less than 5 years
ACS ambulatory care sensitive, LRTI lower respiratory tract infection, URTI upper respiratory tract infection