El-Qasem Asaleh, Taybeh Esra' O, Alwafi Hassan, Taybeh Adnan, Alsharif Alaa A, Al Rajeh Ahmed M, Alqahtani Jaber S, Aldhahir Abdulelah M, Alqarni Abdullah A, Jarab Anan S, Alhartani Yosra J, Naser Abdallah Y
Faculty of Pharmacy, University of Jordan, Amman, Jordan.
Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan.
Medicine (Baltimore). 2025 Jul 4;104(27):e43113. doi: 10.1097/MD.0000000000043113.
Children constitute a large proportion of any population. For the appropriate allocation of resources to promote pediatric health, it is necessary to comprehend the patterns of healthcare usage among pediatric patients. This research aimed to determine the hospitalization among England's pediatric population. This ecological study examined the hospitalization profile of the under-15-year-old pediatric population in England. For this investigation, data were extracted from the Hospital Episode Statistics database in England. Using the Pearson chi-square test for independence, the variance in hospitalization rates between 2012 and 2020 was determined. In England, hospital admission episodes among pediatrics totaled 19,905,606 during the duration of the study, with a mean of 2488,201 each year. The overall annual number of hospital admission among pediatrics for different causes decreased by 0.3% from 2468,570 in 2012 to 2460,755 in 2020, representing a decrease in hospital admission rate among pediatrics of 4.0% (from 19,235.82 [95% confidence interval: 19,214.25-19,257.38] in 2012 to 18,459.79 [95% confidence interval: 18,438.96-18,480.61] in 2020 per 100,000 persons, P ≥ .05). Amongst pediatric patients, 3 of the most common causes of admission were factors influencing health status and contact with health services, certain conditions originating in the perinatal period, and diseases of the respiratory system, accounting for 11.8% and 11.2%, respectively. Most pediatric admissions were more common in the 0 to 4 years age range (59.4%). This study shows that pediatric hospital admissions in England decreased, while nervous system, blood, and immunological problems increased, notably in the 0 to 4 age group. Healthcare providers should prioritize preventative care and early intervention for vulnerable children and increasing conditions. To improve pediatric health outcomes and healthcare methods, future studies should examine these increases' origins, socio-economic determinants, and preventive interventions.
儿童在任何人口中都占很大比例。为了合理分配资源以促进儿童健康，有必要了解儿科患者的医疗使用模式。本研究旨在确定英格兰儿科人群的住院情况。这项生态学研究调查了英格兰15岁以下儿科人群的住院情况。对于此次调查，数据从英格兰的医院事件统计数据库中提取。使用Pearson卡方独立性检验，确定了2012年至2020年住院率的差异。在英格兰，研究期间儿科的住院人次总计19905606次，平均每年2488201次。不同原因导致的儿科每年住院总人次从2012年的2468570次下降了0.3%，至2020年的2460755次，这代表儿科住院率下降了4.0%（从2012年每10万人中19235.82次[95%置信区间：19214.25 - 19257.38]降至2020年的18459.79次[95%置信区间：18438.96 - 18480.61]，P≥0.05）。在儿科患者中，最常见的3个入院原因是影响健康状况和与医疗服务接触的因素、围产期起源的某些病症以及呼吸系统疾病，分别占11.8%和11.2%。大多数儿科住院在0至4岁年龄组更为常见（59.4%）。本研究表明，英格兰儿科住院人数减少，而神经系统、血液和免疫问题增加，尤其是在0至4岁年龄组。医疗服务提供者应优先为弱势儿童和不断增加的病症提供预防性护理和早期干预。为改善儿科健康结果和医疗方法，未来研究应探究这些增加情况的根源、社会经济决定因素和预防性干预措施。
