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. 2021 Nov 11;18(22):11808.
doi: 10.3390/ijerph182211808.

Trends of Hospital Admissions Due to Congenital Anomalies in England and Wales between 1999 and 2019: An Ecological Study

Abeer F R Alanazi  1 , Abdallah Y Naser  2 , Prisca Pakan  3 , Atheer F Alanazi  4 , Alyamama Abdulaziz A Alanazi  5 , Zahra Khalil Alsairafi  6 , Fatemah M Alsaleh  6
Affiliations

Trends of Hospital Admissions Due to Congenital Anomalies in England and Wales between 1999 and 2019: An Ecological Study

Abeer F R Alanazi et al. Int J Environ Res Public Health. .

Abstract

Objectives: To investigate the trends in congenital anomalies-related hospital admissions in England and Wales. Methods: This was an ecological study that was conducted using hospital admission data taken from the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Congenital malformations, deformations and chromosomal abnormalities hospital admissions data were extracted for the period between April 1999 and March 2019. Results: Hospital admission rate increased by 4.9% [from 198.74 (95% CI 197.53-199.94) in 1999 to 208.55 (95% CI 207.39-209.71) in 2019 per 100,000 persons, trend test, p < 0.01]. The most common hospital admissions causes were congenital malformations of the circulatory system, the musculoskeletal system, genital organs, and the digestive system. The most notable increase in hospital admissions rate was observed in congenital malformations of the respiratory system (1.01-fold). The age group below 15 years accounted for 75.1% of the total number of hospital admissions. Males contributed to 57.5% of the whole number of hospital admission. Hospital admission rate between females was increased by 6.4% [from 162.63 (95% CI 161.10-164.16) in 1999 to 173.05 (95% CI 171.57-174.54) in 2019 per 100,000 persons]. Hospital admission rate between males was increased by 3.4% [from 236.61 (95% CI 234.72-238.50) in 1999 to 244.70 (95% CI 242.92-246.49) in 2019 per 100,000 persons]. Conclusions: Males had a higher percentage of hospitalisation compared to females. Further studies to investigate the factors associated with higher hospitalisation rate among males are needed.

Keywords: England; United Kingdom; Wales; congenital; hospitalisation.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Rates of hospital admission for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by type between 1999 and 2019.
Figure 2
Figure 2
Rates of hospital admission for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by age group.
Figure 3
Figure 3
Rates of hospital admission for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by sex.
Figure 4
Figure 4
Hospital admission rates for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by sex.
Figure 4
Figure 4
Hospital admission rates for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by sex.
Figure 4
Figure 4
Hospital admission rates for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by sex.
Figure 4
Figure 4
Hospital admission rates for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by sex.
Figure 4
Figure 4
Hospital admission rates for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by sex.
Figure 5
Figure 5
Hospital admission rates for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by age group.
Figure 5
Figure 5
Hospital admission rates for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by age group.
Figure 5
Figure 5
Hospital admission rates for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by age group.
Figure 5
Figure 5
Hospital admission rates for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by age group.
Figure 5
Figure 5
Hospital admission rates for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by age group.
Figure 6
Figure 6
Percentage of congenital malformations, deformations and chromosomal abnormalities hospital admission from total number of admissions.
Figure 7
Figure 7
Rates of hospital admission for congenital malformations, deformations and chromosomal abnormalities in England and Wales stratified by type between 1999 and 2019 excluding gender-specific anomalies.
See this image and copyright information in PMC

References

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