Department of General & Adolescent Paediatrics, UCL Institute of Child Health, London, UK Division of General Pediatrics, Boston Children's Hospital/Harvard Medical School, Boston, Massachusetts, USA.
Department of General & Adolescent Paediatrics, UCL Institute of Child Health, London, UK.
Arch Dis Child. 2014 Sep;99(9):830-3. doi: 10.1136/archdischild-2013-305559. Epub 2014 May 1.
To investigate patterns and trends of adolescent (10-19 years) inpatient activity in England by sex, disease category, and admitting speciality.
9 632 844 Finished Consultant Episodes (FCEs) from English patients aged 1-19 between 1999/2000 and 2010/2011 (Hospital Episode Statistics data).
Age trends by sex and major International Classification of Disease 10 (ICD10) chapter; differences in activity rates by age and sex; inpatient activity trends over the past decade, disaggregated by sex, admitting speciality and ICD10 chapter.
Adolescent female patients account for more activity than girls aged 1-9 (139.4 vs 107.2 FCEs/1000). Female inpatient activity increases significantly between age 10 (70.9 FCEs/1000) and 19 (281.7 FCES/1000, of which non-obstetric care accounts for 155.9 FCEs/1000). Male activity increases much less during adolescence, with lower overall rates among adolescents than younger children (93.7 vs 142.9 FCEs/1000). Between 1999 and 2010, total adolescent inpatient activity increased faster among adolescents (10-19 years) (+14.2%) than younger children (1-9 years) (+11.0%). Adolescent FCEs/1000 increased by 12.8%, including higher rates admitted under Paediatrics (+47.5%) and Paediatric Surgery (+23.2%). Adolescents were admitted across a range of specialities.
These data challenge the belief that adolescents are a healthy group who rarely use inpatient services. In England, use of inpatient services is higher among female patients aged 10-19 years than those aged 1-9 years, while adolescent activity has increased faster than for younger children over the past 11 years. Improving service quality for adolescents will require engagement of the many different teams that care for them.
通过性别、疾病类别和收治专科，调查英国青少年（10-19 岁）住院活动的模式和趋势。
1999/2000 年至 2010/2011 年期间，英格兰 1-19 岁患者的 9632844 例已完成顾问诊疗（FCE）（医院诊疗统计数据）。
按性别和主要国际疾病分类第十版（ICD10）章节的年龄趋势；按年龄和性别划分的活动率差异；过去十年中，按性别、收治专科和 ICD10 章节细分的住院活动趋势。
女性青少年患者的活动量多于 1-9 岁女孩（139.4 比 107.2 例 FCE/1000）。10 岁（70.9 FCE/1000）和 19 岁（281.7 FCE/1000）之间，女性住院活动量显著增加，其中非产科护理占 155.9 FCE/1000。青春期男性的活动量增加要少得多，青少年的总体发病率低于幼儿（93.7 比 142.9 FCE/1000）。1999 年至 2010 年期间，青少年（10-19 岁）的青少年住院总活动量增长速度快于幼儿（1-9 岁）（14.2%对 11.0%）。FCE/1000 增加了 12.8%，包括儿科（+47.5%）和儿科外科（+23.2%）的收治率更高。青少年被收治于一系列专科。
这些数据挑战了青少年是一个很少使用住院服务的健康群体的观念。在英格兰，10-19 岁女性患者的住院服务使用率高于 1-9 岁患者，而在过去 11 年中，青少年的活动量增长速度快于幼儿。改善青少年服务质量需要让照顾他们的许多不同团队参与进来。
