ArticleBMJ open2018
How do time trends in inhospital mortality compare? A retrospective study of England and Scotland over 17 years using administrative data.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Population-Based Trends in Complexity of Hospital Inpatients.JAMA internal medicine · 2024Article
- Hospital mortality and length of stay differences in emergency medical admissions related to 'on-call' specialty.Irish journal of medical science · 2023Article
- Risk Factors, Characteristics, and Outcome in Non-Ventilated Patients with Spontaneous Pneumothorax or Pneumomediastinum Associated with SARS-CoV-2 Infection.International journal of general medicine · 2022Article
- Nationwide improvement in outcomes of emergency admission for ulcerative colitis in England, 2005-2013.Alimentary pharmacology & therapeutics · 2019Article
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Authors and funding
2 authors.
Funding
Abstract
objectivesTo examine the trends in inhospital mortality for England and Scotland over a 17-year period to determine whether and if so to what extent the time trends differ after controlling for differences in the patients treated.
designAnalysis of retrospective administrative hospital data using descriptive aggregate statistics of trends in inhospital mortality and estimates of a logistic regression model of individual patient-level inhospital mortality accounting for patient characteristics, case-mix, and country-specific and year-specific intercepts.
settingSecondary care across all hospitals in England and Scotland from 1997 to 2013. POPULATION: Over 190 million inpatient admissions, either electively or emergency, in England or Scotland from 1997 to 2013. DATA: Hospital Episode Statistics for England and the Scottish Morbidity Record 01 for Scotland.
main outcome measuresSeparately for two admission pathways (elective and emergency), we examine aggregate time trends of the proportion of patients who die in hospital and a binary variable indicating whether an individual patient died in hospital or survived, and how that indicator is influenced by the patient's characteristics, the year and the country (England or Scotland) in which they were admitted.
resultsInhospital mortality has declined in both countries over the period studied, for both elective and emergency admissions, but has declined more in England than Scotland. The difference in trend reduction is greater for elective admissions. These differences persist after controlling for patient characteristics and case-mix.
conclusionsComparing data at country level suggests questions about the roles performed by or functioning of their healthcare systems. We found substantial differences between Scotland and England in regard to the trend reductions in inhospital mortality. Hospital resources are therefore being deployed increasingly differently over time in these two countries for reasons that have yet to be explained.
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