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Dr Foster's Case Notes

Trends in admissions and deaths in English NHS hospitals

BMJ 2004; 328 doi: (Published 08 April 2004) Cite this as: BMJ 2004;328:855
  1. Brian Jarman,
  2. Paul Aylin,
  3. Alex Bottle
  1. Dr Foster Unit, Imperial College

    The in-hospital death rate for particular diagnoses can shift substantially over time for a range of reasons. We examined some trends in inpatient admissions and deaths using hospital episode statistics and ICD-10 disease groups in England between 1996-7 and 2001-2.

    The bottom line

    • The in-hospital death rate for ischaemic heartdisease fell from 8.7% to 6.8% over the six year periodto March 2002. Within this category, in-hospital deathrates for myocardial infarction fell from 18.9% to 16.5%

    • Cerebrovascular disease accounted for over 10% ofall deaths occurring in hospital in 2001-2, butmortality has fallen by 10%

    • Admissions for septicaemia (excludingmeningococcal) have increased by 53% between 1996-7 and2001-2 and carry a significant risk of mortality (40% in 2001-2)

    The decrease in admissions for ischaemic heart disease and myocardial …

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