Profile of Hospital Admissions Due to Preterm Labor and Delivery in England

Abstract

Objectives: Preterm labor and delivery are associated with various short- and long-term complications in neonates and infants. This research aimed to look at the trends in preterm labor and birth-related hospitalizations in England. Material and Methods: The Hospital Episode Statistics database was used to extract hospital admission data for the ecological study of preterm labor and delivery between April 2012 and April 2020 in England. Results: The overall admission rates decreased by 26.2%, from 14,210 in 2012 (CI: 99.18–102.49) to 10,490 in 2020 (CI: 73.02–75.87) per 100,000 individuals. Hospitalizations were frequently caused by spontaneous labor with preterm delivery, spontaneous labor without delivery, and preterm delivery without spontaneous labor (68.9%, 20.6%, and 9.6%, respectively). The rate of hospital admission due to preterm delivery without spontaneous labor, preterm labor without delivery, preterm spontaneous labor with preterm delivery, and preterm spontaneous labor with term delivery decreased by 32.0%, 26.9%, 24.4%, and 14.7%, respectively. Women aged 25–29 years accounted for most hospital admissions. Conclusion: Preterm labor and delivery-related hospital admissions rates have significantly decreased over the past decade. Women in the reproductive age range of 25–34 years were more prone to hospital admission followed by preterm labor due to various reasons.

Trends in hospital admissions and prescribing due to diseases of the digestive system in England and Wales between 1999 and 2019: An ecological study

“…These 2 databases are commonly used to explore trends in hospital admissions related to different health conditions and adverse events, and they been validated and used in clinical research. [13][14][15][16][17][18][19][20][21][22][23] The 2 databases are regularly checked to ensure their validity and accuracy. [24] HES database undergoes an automated data cleaning system, and it has been tested for its internal validity.…”

Hospitalisation profile in England and Wales, 1999 to 2019: an ecological study

“…9 Additionally, various stakeholders may use the quality of care data for diverse planning objectives. 9 Previous studies in the UK examined the hospital admission profile for specific acute and chronic diseases or a specific age group, [10][11][12][13][14][15][16][17] with no previous study that examined the admission profile for all conditions among all age groups. This study aimed to determine the hospital admissions profile in England and Wales during the period between 1999 and 2019.…”

Postprocedural Complications Hospitalization Pattern Among Paediatric Patients at National Health Service Trusts: An Ecological Study in England and Wales

“…16 These two medical databases were used previously to examine hospitalisation pattern of different clinical outcomes and diseases. [17][18][19][20][21][22][23] Postprocedural complications related hospital admissions were identified using the 10 th version of the International Statistical Classification of Diseases (ICD) system (D78, E89, H59, H95, J95, L76, M96, and N99. 24 The HES and PEDW databases record all hospital admissions, outpatient encounters and Accident and Emergency activities performed at all NHS trusts and any independent sector funded by NHS trusts.…”