International Journal of General Medicine (Feb 2022)

Hospital Admission Profile of Neonates for Conditions Originating in the Perinatal Period in England and Wales Between 1999‒2020: An Ecological Study

  • Al-shehri H,
  • Dahmash DT,
  • Rochow N,
  • Alturki B,
  • Alrajhi D,
  • Alayed F,
  • Alhazani F,
  • Alsuhibany H,
  • Naser AY

Journal volume & issue
Vol. Volume 15
pp. 1973 – 1984

Abstract

Read online

Hassan Al-shehri,1 Dania T Dahmash,2 Niels Rochow,3,4 Basma Alturki,5 Danah Alrajhi,5 Faisal Alayed,5 Faisal Alhazani,5 Hanan Alsuhibany,5 Abdallah Y Naser6 1Department of Pediatrics, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia; 2ISARIC Global Support Centre, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK; 3Department of Pediatrics, Rostock University Medical Center, Rostock, 18057, Germany; 4Department of Pediatrics, Paracelsus Medical University, Nuremberg, 90471, Germany; 5College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia; 6Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, 11622, JordanCorrespondence: Abdallah Y Naser, Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan, Tel +962 795285555, Email [email protected]: To analyze trends of conditions originating in the perinatal period (COPP) in England and Wales between 1999 and 2020.Patients and methods: An ecological study of COPP was conducted using hospital admission data from April 1999 to March 2020 from the Hospital Episode Statistics database in England and the Patient Episode Database for Wales.Results: The overall hospital admission rates increased by 41.6%, from 1913 per 100,000 persons (95% CI: 1905– 1922) in 1999 to 2709 (95% CI: 2700– 2719) in 2020 (trend test p< 0.001). The most common causes for neonatal admissions were disorders related to the length of gestation and fetal growth, respiratory and cardiovascular disorders specific to the perinatal period, and hemorrhagic and hematological disorders of newborns (28.8%, 27.3%, and 15.2%, respectively). Although the admission rates increased for both males and females (by 33.1% and 35.1%, respectively), hospital admission rates for all causes were higher among males compared to females (p< 0.05).Conclusion: COPP-related hospital admissions rate in England and Wales increased significantly over the past 21 years. Notably, the proportion of COPP-related hospital admissions of males was higher than females. Further studies are warranted to explore the role of gender in hospital admissions and health care for COPP.Keywords: admissions, England, hospital, perinatal, United Kingdom, Wales

Keywords