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Hospitals: Children

Volume 476: debated on Thursday 22 May 2008

To ask the Secretary of State for Health what the 10 most common causes of childhood emergency (a) admissions to and (b) attendances at hospital were in each of the last five years. (206000)

The information requested is shown in the following table. Information is not currently available centrally on reason for attendances at accident and emergency departments.

Number of emergency admissions for the 10 most common primary diagnoses of children aged under 18 in each of the last five years, 2006-07 to 2002-03—National health service hospitals England and activity performed in the independent sector in England commissioned by English NHS

Primary diagnosis

Total episodes

2006-07

J06

Acute upper respiratory infections of multiple and unspecified sites

40,928

B34

Viral infection of unspecified site

34,550

R10

Abdominal and pelvic pain

34,120

J45

Asthma

26,781

R06

Abnormalities of breathing

23,574

A08

Viral and other specified intestinal infections

22,349

S52

Fracture of forearm

21,241

J21

Acute bronchiolitis

20,747

R56

Convulsions not elsewhere classified

18,816

K52

Other noninfective gastroenteritis and colitis

18,162

2005-06

J06

Acute upper respiratory infections of multiple and unspecified sites

42,003

R10

Abdominal and pelvic pain

34,941

B34

Viral infection of unspecified site

31,770

J21

Acute bronchiolitis

23,388

J45

Asthma

22,839

A08

Viral and other specified intestinal infections

22,512

S52

Fracture of forearm

21,125

R06

Abnormalities of breathing

20,421

R56

Convulsions not elsewhere classified

19,446

K52

Other noninfective gastroenteritis and colitis

18,128

2004-05

J06

Acute upper respiratory infections of multiple and unspecified sites

38,989

R10

Abdominal and pelvic pain

33,232

B34

Viral infection of unspecified site

29,288

J45

Asthma

25,817

A08

Viral and other specified intestinal infections

23,155

S52

Fracture of forearm

21,440

R06

Abnormalities of breathing

20,602

J21

Acute bronchiolitis

19,992

K52

Other noninfective gastroenteritis and colitis

19,237

R56

Convulsions not elsewhere classified

18,609

2003-04

J06

Acute upper respiratory infections of multiple and unspecified sites

41,283

B34

Viral infection of unspecified site

32,353

R10

Abdominal and pelvic pain

30,968

S52

Fracture of forearm

22,936

J45

Asthma

22,690

J21

Acute bronchiolitis

20,362

A08

Viral and other specified intestinal infections

19,443

R56

Convulsions not elsewhere classified

19,199

R06

Abnormalities of breathing

17,668

K52

Other noninfective gastroenteritis and colitis

16,799

2002-03

J06

Acute upper respiratory infections of multiple and unspecified sites

36,209

B34

Viral infection of unspecified site

31,260

R10

Abdominal and pelvic pain

28,565

S52

Fracture of forearm

22,861

A08

Viral and other specified intestinal infections

21,809

J45

Asthma

21,795

K52

Other noninfective gastroenteritis and colitis

19,280

J21

Acute bronchiolitis

19,073

R56

Convulsions not elsewhere classified

17,601

R06

Abnormalities of breathing

16,347

Notes:

1. Finished admission episodes (FAEs): An FAE is the first period of in-patient care under one consultant within one health care provider. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year.

2. Data quality: Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS trusts and primary care trusts (PCTs) in England. The Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.

3. Assessing growth through time: HES figures are available from 1989-90 onwards. During the years that these records have been collected by the NHS, there have been ongoing improvements in quality and coverage. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Changes in NHS practice also need to be borne in mind when analysing time series. For example a number of procedures may now be undertaken in outpatient settings and may no longer be accounted in the HES data. This may account for any reductions in activity over time.

4. Diagnosis (Primary Diagnosis): The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the HES dataset and provides the main reason why the patient was in hospital.

5. Ungrossed Data: Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).

Source:

HES, The Information Centre for Health and Social Care