Trends in hospital admissions and prescribing due to chronic obstructive pulmonary disease and asthma in England and Wales between 1999 and 2020: an ecological study

BMC Pulmonary Medicine

Research

Abdallah Y. Naser¹  Emad Salawati²  Faisal Minshawi³  Jaber S. Alqahtani⁴  Mohammed Samannodi⁵  Mohammad Saleh Dairi⁵  Deema Sami Ashoor⁵  Hassan Alwafi⁶  Aisha Khaled Alansari⁷  Abdulelah M. Aldhahir⁸  Rakan Ekram⁹ 

[1] Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan;Department of Family Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia;Department of Laboratory Medicine, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca, Saudi Arabia;Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, Saudi Arabia;Faculty of Medicine, Umm Al-Qura University, Mecca, Saudi Arabia;Faculty of Medicine, Umm Al-Qura University, Mecca, Saudi Arabia;Al-Noor Specialist Hospital, Mecca, Saudi Arabia;Maternity and Children Hospital, Ministry of Health, Mecca, Saudi Arabia;Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia;School of Public Health and Health Informatics, Umm Al Qura University, Mecca, Saudi Arabia;

关键词: COPD;    Asthma;    Admissions;    England;    Wales;    Hospitalization;   

DOI  :  10.1186/s12890-023-02342-6

 received in 2022-08-18, accepted in 2023-01-27,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectiveTo investigate the trends in hospital admissions and medication prescriptions related to asthma and chronic obstructive pulmonary disease (COPD) in England and Wales.MethodsAn ecological study was conducted between April 1999 and April 2020 using data extracted from the hospital episode statistics database in England and the patient episode database for Wales. The Office of National Statistics mid-year population estimates for 1999 through 2020 were collected, and medication prescription data for 2004–2020 were extracted from the prescription cost analysis database.ResultsThe total annual number of COPD and asthma hospital admissions for various causes increased by 82.2%, from 210,525 in 1999 to 383,652 in 2020, representing a 59.1% increase in hospital admission rate (from 403.77 in 1999 to 642.42 per 100,000 persons in 2020, p < 0.05). Chronic obstructive pulmonary disease with acute lower respiratory infection accounted for 38.7% of hospital admissions. Around 34.7% of all hospital admissions involved patients aged 75 and older. Around 53.8% of all COPD and asthma hospital admissions were attributable to females. The annual number of prescriptions dispensed for COPD and asthma medications increased by 42.2%.ConclusionsThroughout the study period, hospital admissions due to chronic obstructive pulmonary disease and asthma, as well as medication prescriptions, increased dramatically among all age groups. Hospitalization rates were higher for women. Further observational and epidemiological research is required to identify the factors contributing to increased hospitalization rates.

【 授权许可】

CC BY   
© The Author(s) 2023

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