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Trends in delirium coding rates in older hospital inpatients in England and Scotland: full population data comprising 7.7M patients per year show substantial increases between 2012 and 2020
BACKGROUND: Little information is available on change in delirium coding rates over time in major healthcare systems. We examined trends in delirium discharge coding rates in older patients in hospital admissions to the National Health Service (NHS) in England and Scotland between 2012 and 2020. MET...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7614999/ https://www.ncbi.nlm.nih.gov/pubmed/37654785 http://dx.doi.org/10.56392/001c.84051 |
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author | Ibitoye, Temi Jackson, Thomas A. Davis, Daniel MacLullich, Alasdair M.J. |
author_facet | Ibitoye, Temi Jackson, Thomas A. Davis, Daniel MacLullich, Alasdair M.J. |
author_sort | Ibitoye, Temi |
collection | PubMed |
description | BACKGROUND: Little information is available on change in delirium coding rates over time in major healthcare systems. We examined trends in delirium discharge coding rates in older patients in hospital admissions to the National Health Service (NHS) in England and Scotland between 2012 and 2020. METHODS: Hospital administrative coding data were sourced from NHS Digital England and Public Health Scotland. We examined rates of delirium (F05 from ICD-10) in patients aged ≥70 years in 5 year and ≥90 age bands. RESULTS: There were approximately 7,000,000 discharges/year in England and 700,000/year in Scotland. Substantially increased delirium coding was observed for all age bands between 2012/2013 and 2019/2020 (p<0.001, Mann Kendall’s tau). In the ≥90 age band, there was a 4-fold increase between 2012 and 2020. CONCLUSION: Delirium coding rates have shown large increases in the NHS in England and Scotland, likely reflecting several factors including policy initiatives, detection tool implementation and education. |
format | Online Article Text |
id | pubmed-7614999 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
record_format | MEDLINE/PubMed |
spelling | pubmed-76149992023-08-31 Trends in delirium coding rates in older hospital inpatients in England and Scotland: full population data comprising 7.7M patients per year show substantial increases between 2012 and 2020 Ibitoye, Temi Jackson, Thomas A. Davis, Daniel MacLullich, Alasdair M.J. Delirium Commun Article BACKGROUND: Little information is available on change in delirium coding rates over time in major healthcare systems. We examined trends in delirium discharge coding rates in older patients in hospital admissions to the National Health Service (NHS) in England and Scotland between 2012 and 2020. METHODS: Hospital administrative coding data were sourced from NHS Digital England and Public Health Scotland. We examined rates of delirium (F05 from ICD-10) in patients aged ≥70 years in 5 year and ≥90 age bands. RESULTS: There were approximately 7,000,000 discharges/year in England and 700,000/year in Scotland. Substantially increased delirium coding was observed for all age bands between 2012/2013 and 2019/2020 (p<0.001, Mann Kendall’s tau). In the ≥90 age band, there was a 4-fold increase between 2012 and 2020. CONCLUSION: Delirium coding rates have shown large increases in the NHS in England and Scotland, likely reflecting several factors including policy initiatives, detection tool implementation and education. 2023-07-29 /pmc/articles/PMC7614999/ /pubmed/37654785 http://dx.doi.org/10.56392/001c.84051 Text en https://creativecommons.org/licenses/by/4.0/This work is licensed under a BY 4.0 (https://creativecommons.org/licenses/by/4.0/) International license. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CCBY-4.0). View this license’s legal deed at http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) and legal code at http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) legalcode for more information. |
spellingShingle | Article Ibitoye, Temi Jackson, Thomas A. Davis, Daniel MacLullich, Alasdair M.J. Trends in delirium coding rates in older hospital inpatients in England and Scotland: full population data comprising 7.7M patients per year show substantial increases between 2012 and 2020 |
title | Trends in delirium coding rates in older hospital inpatients in England and Scotland: full population data comprising 7.7M patients per year show substantial increases between 2012 and 2020 |
title_full | Trends in delirium coding rates in older hospital inpatients in England and Scotland: full population data comprising 7.7M patients per year show substantial increases between 2012 and 2020 |
title_fullStr | Trends in delirium coding rates in older hospital inpatients in England and Scotland: full population data comprising 7.7M patients per year show substantial increases between 2012 and 2020 |
title_full_unstemmed | Trends in delirium coding rates in older hospital inpatients in England and Scotland: full population data comprising 7.7M patients per year show substantial increases between 2012 and 2020 |
title_short | Trends in delirium coding rates in older hospital inpatients in England and Scotland: full population data comprising 7.7M patients per year show substantial increases between 2012 and 2020 |
title_sort | trends in delirium coding rates in older hospital inpatients in england and scotland: full population data comprising 7.7m patients per year show substantial increases between 2012 and 2020 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7614999/ https://www.ncbi.nlm.nih.gov/pubmed/37654785 http://dx.doi.org/10.56392/001c.84051 |
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