ArticleBMJ quality & safety2014
A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study.
Article in BMJ quality & safety, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk Factors Associated with Preventable Hospitalisation among Rural Community-Dwelling Patients: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Associations between housing tenure and unscheduled hospital use in people of working age with multiple physical and mental long-term conditions: a retrospective cohort study using linked data from London.BMC health services research · 2026Article
- Article
- Quality and outcomes framework achievement and unplanned admissions for cardiovascular disease.BMC health services research · 2025Article
- Article
- Patient, caregiver and professional views on preventable emergency admissions of older patients, a multi-method study in three Dutch hospitals.BMC geriatrics · 2024Article
- Impact of transfer from non-acute care centers on clinical outcomes in patients with congestive heart failure.American heart journal plus : cardiology research and practice · 2023Article
- Evidence synthesis, digital scribes, and translational challenges for artificial intelligence in healthcare.Cell reports. Medicine · 2022Review
- Prediction of admission to a low-resource sub-Saharan hospital by mental status, mobility and oxygen saturation recorded on arrival: a prospective observational study.Clinical medicine (London, England) · 2021Observational
- Quantifying the impact of addressing data challenges in prediction of length of stay.BMC medical informatics and decision making · 2021Article
- Predicting Future Geographic Hotspots of Potentially Preventable Hospitalisations Using All Subset Model Selection and Repeated K-Fold Cross-Validation.International journal of environmental research and public health · 2021Article
- Early emergency readmission frequency as an indicator of short-, medium- and long-term mortality post-discharge from hospital.Internal and emergency medicine · 2021Article
- Non-specific pain and 30-day readmission in acute coronary syndromes: findings from the TRACE-CORE prospective cohort.BMC cardiovascular disorders · 2021Article
- Geographical variation of emergency hospital admissions for ambulatory care sensitive conditions in older adults in Ireland 2012-2016.BMJ open · 2021Article
- Factors explaining variation in recommended care pathways following hospital-presenting self-harm: a multilevel national registry study.BJPsych open · 2020Article
- Observational
- Patterns of emergency admissions for ambulatory care sensitive conditions: a spatial cross-sectional analysis of observational data.BMJ open · 2020Observational
- Neighbourhood unemployment and other socio-demographic predictors of emergency hospitalisation for infectious intestinal disease in England: A longitudinal ecological study.The Journal of infection · 2020Article
- The drivers and impact of emergency care reconfiguration in Ireland: Results from a large mixed-methods research programme.Future healthcare journal · 2020Article
- A multistage mixed methods study protocol to evaluate the implementation and impact of a reconfiguration of acute medicine in Ireland's hospitals.BMC health services research · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundSome emergency admissions can be avoided if acute exacerbations of health problems are managed by the range of health services providing emergency and urgent care.
aimTo identify system-wide factors explaining variation in age sex adjusted admission rates for conditions rich in avoidable admissions.
designNational ecological study.
setting152 emergency and urgent care systems in England.
methodsHospital Episode Statistics data on emergency admissions were used to calculate an age sex adjusted admission rate for conditions rich in avoidable admissions for each emergency and urgent care system in England for 2008-2011.
resultsThere were 3 273 395 relevant admissions in 2008-2011, accounting for 22% of all emergency admissions. The mean age sex adjusted admission rate was 2258 per year per 100 000 population, with a 3.4-fold variation between systems (1268 and 4359). Factors beyond the control of health services explained the majority of variation: unemployment rates explained 72%, with urban/rural status explaining further variation (R(2)=75%). Factors related to emergency departments, hospitals, emergency ambulance services and general practice explained further variation (R(2)=85%): the attendance rate at emergency departments, percentage of emergency department attendances converted to admissions, percentage of emergency admissions staying less than a day, percentage of emergency ambulance calls not transported to hospital and perceived access to general practice within 48 h.
conclusionsInterventions to reduce avoidable admissions should be targeted at deprived communities. Better use of emergency departments, ambulance services and primary care could further reduce avoidable emergency admissions.
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