Naser Abdallah Y, Dahmash Eman Zmaily, Alqahtani Jaber S, Alsairafi Zahra K, Alsaleh Fatemah M, Alwafi Hassan
Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman 11622, Jordan.
School of Life Science, Pharmacy and Chemistry, Faculty of Health, Science, Social Care & Education, Kingston University, Surrey KT1 2EE, UK.
Healthcare (Basel). 2022 Oct 31;10(11):2191. doi: 10.3390/healthcare10112191.
Objectives: To investigate the trends in hospital admissions for mental, behavioural and neurodevelopmental disorders (MBNDs) in England and Wales. Methods: This is an ecological study using the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Hospital admission data was collected for the period between April 1999 and March 2019. Results: The most common type of hospital admission was for mental and behavioural disorders due to psychoactive substance use, which accounted for 26.6%. The admission rate among males increased by 8.1% [from 479.59 (95% CI 476.90−482.27) in 1999 to 518.30 (95% CI 515.71−520.90) in 2019 per 1000 persons; p < 0.001]. The admission rate among females increased by 0.3% [from 451.45 (95% CI 448.91−453.99) in 1999 to 452.77 (95% CI 450.37−455.17) in 2019 per 1000 persons; p = 0.547]. The 15−59 years’ age group accounted for 65.1% of the entire number of such hospital admissions, followed by the 75 years and above age group, with 19.0%. Conclusion: We observed an obvious variation in MBNDs influenced by age and gender. Observational studies are needed to identify other factors associated with increased hospital admission rates related to MBNDs, specifically among the young population (aged 15−59 years) and males.
调查英格兰和威尔士精神、行为及神经发育障碍（MBNDs）的住院趋势。方法：这是一项生态学研究，使用了英格兰的医院事件统计数据库和威尔士的患者事件数据库。收集了1999年4月至2019年3月期间的住院数据。结果：最常见的住院类型是精神活性物质使用所致的精神和行为障碍，占26.6%。男性的住院率上升了8.1%[从1999年每1000人中有479.59（95%可信区间476.90 - 482.27）升至2019年的518.30（95%可信区间515.71 - 520.90）；p < 0.001]。女性的住院率上升了0.3%[从1999年每1000人中有451.45（95%可信区间448.91 - 453.99）升至2019年的452.77（95%可信区间450.37 - 455.17）；p = 0.547]。15 - 59岁年龄组占此类住院总数的65.1%，其次是75岁及以上年龄组，占19.0%。结论：我们观察到MBNDs受年龄和性别的明显影响。需要进行观察性研究以确定与MBNDs相关的住院率增加有关的其他因素，特别是在年轻人群（15 - 59岁）和男性中。
