ArticleAge and ageing2014
Understanding NHS hospital admissions in England: linkage of Hospital Episode Statistics to the Hertfordshire Cohort Study.
Article in Age and ageing, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Why do orthopaedic surgeons get sued? An analysis of £2.2 billion in claims against NHS England: trends in litigation and strategies to enhance care.Archives of orthopaedic and trauma surgery · 2025Article
- Multimorbidity and risk of adverse outcomes in the Hertfordshire Cohort Study: does sex matter?Aging clinical and experimental research · 2024Article
- Could self-reported physical performance help predict individuals at the highest risk of mortality and hospital admission events in clinical practice? Findings from the Hertfordshire Cohort Study.Primary health care research & development · 2024Article
- Fracture Risk and Health Profiles Differ According to Relationship Status: Findings from the Hertfordshire Cohort Study.Calcified tissue international · 2024Article
- Hospital admissions and mortality over 20 years in community-dwelling older people: findings from the Hertfordshire Cohort Study.Aging clinical and experimental research · 2023Article
- Military veterans and civilians' mental health diagnoses: an analysis of secondary mental health services.Social psychiatry and psychiatric epidemiology · 2023Article
- Identifying Military Service Status in Electronic Healthcare Records from Psychiatric Secondary Healthcare Services: A Validation Exercise Using the Military Service Identification Tool.Healthcare (Basel, Switzerland) · 2023Article
- Gender differences in time to first hospital admission at age 60 in Denmark, 1995-2014.European journal of ageing · 2021Article
- Hospital admissions for non-communicable disease in the UK military and associations with alcohol use and mental health: a data linkage study.BMC public health · 2020Article
- The Development of the Military Service Identification Tool: Identifying Military Veterans in a Clinical Research Database Using Natural Language Processing and Machine Learning.JMIR medical informatics · 2020Article
- Socio-demographic patterns in hospital admissions and accident and emergency attendances among young people using linkage to NHS Hospital Episode Statistics: results from the Avon Longitudinal Study of Parents and Children.BMC health services research · 2019Article
- The Hertfordshire Cohort Study: an overview.F1000Research · 2019Review
- Article
- Integrating electronic healthcare records of armed forces personnel: Developing a framework for evaluating health outcomes in England, Scotland and Wales.International journal of medical informatics · 2018Article
- Data Resource Profile: Hospital Episode Statistics Admitted Patient Care (HES APC).International journal of epidemiology · 2017Article
- Identification of risk factors for hospital admission using multiple-failure survival models: a toolkit for researchers.BMC medical research methodology · 2016Article
- Understanding poor health behaviours as predictors of different types of hospital admission in older people: findings from the Hertfordshire Cohort Study.Journal of epidemiology and community health · 2016Article
- Grip strength among community-dwelling older people predicts hospital admission during the following decade.Age and ageing · 2015Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundconcern over the sustainability of the National Health Service (NHS) is often focussed on rising numbers of hospital admissions, particularly among older people. Hospital admissions are enumerated routinely by the Hospital Episode Statistics (HES) Service, but published data do not allow individual-level service use to be explored. This study linked information on Hertfordshire Cohort Study (HCS) participants with HES inpatient data, with the objective of describing patterns and predictors of admissions among individuals.
methods2,997 community-dwelling men and women aged 59-73 years completed a baseline HCS assessment between 1998 and 2004; HES and mortality data to 31 March 2010 were linked with the HCS database. This paper describes patterns of hospital use among the cohort at both the admission and individual person level.
resultsthe cohort experienced 8,741 admissions; rates were 391 per 1,000 person-years among men (95% CI: 380, 402) and 327 among women (95% CI: 316, 338), P < 0.0001 for gender difference. A total of 1,187 men (75%) and 981 women (69%) were admitted to hospital at least once; among these, median numbers of admissions were 3 in men (inter-quartile range, (IQR): 1, 6) and 2 in women (IQR: 1, 5). Forty-eight percent of those ever admitted had experienced an emergency admission and 70% had been admitted overnight. DISCUSSION: It is possible to link routinely collected HES data with detailed information from a cohort study. Hospital admission is common among community-dwelling 'young-old' men and women. These linked datasets will facilitate research into lifecourse determinants of hospital admission and inform strategies to manage demand on the NHS.
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