Ibitoye Temi, Jackson Thomas A, Davis Daniel, MacLullich Alasdair M J
Edinburgh Delirium Research Group, Ageing and Health, Usher Institute, The University of Edinburgh.
Institute of Inflammation and Ageing, University of Birmingham.
Delirium Commun. 2023 Jul 29;2023:84051. doi: 10.56392/001c.84051.
Little information is available on change in delirium coding rates over time in major healthcare systems. We examined trends in delirium discharge coding rates in older patients in hospital admissions to the National Health Service (NHS) in England and Scotland between 2012 and 2020.
Hospital administrative coding data were sourced from NHS Digital England and Public Health Scotland. We examined rates of delirium (F05 from ICD-10) in patients aged ≥70 years in 5 year and ≥90 age bands.
There were approximately 7,000,000 discharges/year in England and 700,000/year in Scotland. Substantially increased delirium coding was observed for all age bands between 2012/2013 and 2019/2020 (p<0.001, Mann Kendall's tau). In the ≥90 age band, there was a 4-fold increase between 2012 and 2020.
Delirium coding rates have shown large increases in the NHS in England and Scotland, likely reflecting several factors including policy initiatives, detection tool implementation and education.
关于主要医疗系统中谵妄编码率随时间的变化，可用信息较少。我们研究了2012年至2020年期间，英格兰和苏格兰国民健康服务体系（NHS）住院老年患者谵妄出院编码率的趋势。
医院管理编码数据来自英格兰NHS Digital和苏格兰公共卫生部门。我们研究了年龄≥70岁的患者在5岁及≥90岁年龄组中的谵妄发生率（ICD-10中的F05）。
英格兰每年约有700万例出院，苏格兰每年约有70万例。在2012/2013年至2019/2020年期间，所有年龄组的谵妄编码均显著增加（p<0.001，Mann Kendall's tau）。在≥90岁年龄组中，2012年至2020年期间增加了4倍。
英格兰和苏格兰的NHS中，谵妄编码率大幅上升，这可能反映了包括政策举措、检测工具实施和教育在内的多种因素。
