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Table 1 Cohort sociodemographic and rates (95%CI) of A&E attendance and emergency admissions

From: Determinants of accident and emergency attendances and emergency admissions in infants: birth cohort study

 

All infants

A&E attendances of infants

Emergency admissions of infants

 

n

%

Count (%)

Rate per 1000 infant-years(95%CI)

Count (%)

Rate per 1000 infant-years(95%CI)

Total

3,665,414

100

2,241,892 (100)

720.1 (719.2 to 721.1)

1,051,619 (100)

337.8 (337.1 to 338.4)

Year

Year of birth

Year of A&E attendance a

Year of emergency admission b

  2012/13

561,558

15

    

  2013/14

532,303

15

343,220 (15.3)

634.1 (632 to 636.2)

168,690 (16.0)

311.7 (310.2 to 313.2)

  2014/15

523,287

14

333,812 (14.9)

639.4 (637.2 to 641.6)

166,616 (15.8)

319.1 (317.6 to 320.7)

  2015/16

526,828

14

367,478 (16.4)

706.6 (704.3 to 708.9)

174,781 (16.6)

336.1 (334.5 to 337.6)

  2016/17

517,687

14

394,000 (17.6)

762.0 (759.6 to 764.4)

182,495 (17.4)

352.9 (351.3 to 354.6)

  2017/18

522,047

14

395,102 (17.6)

768.0 (765.6 to 770.4)

176,731 (16.8)

343.5 (341.9 to 345.1)

  2018/19

481,704

13

408,280 (18.2)

819.3 (816.8 to 821.8)

182,306 (17.3)

365.8 (364.2 to 367.5)

Month of birth

 

  January

301,035

8

183,634 (8.2)

713.5 (710.3 to 716.8)

84,619 (8.0)

328.8 (326.6 to 331)

  February

270,279

7

164,126 (7.3)

707.3 (703.9 to 710.7)

75,879 (7.2)

327.0 (324.7 to 329.3)

  March

286,214

8

174,659 (7.8)

704.4 (701.1 to 707.7)

81,002 (7.7)

326.7 (324.4 to 328.9)

  April

299,542

8

180,024 (8.0)

715.5 (712.2 to 718.8)

83,205 (7.9)

330.7 (328.4 to 332.9)

  May

316,786

9

191,011 (8.5)

718.6 (715.4 to 721.9)

88,419 (8.4)

332.7 (330.5 to 334.9)

  June

308,684

8

188,949 (8.4)

725.7 (722.4 to 729)

87,813 (8.4)

337.3 (335 to 339.5)

  July

323,267

9

198,965 (8.9)

726.8 (723.6 to 730)

93,189 (8.9)

340.4 (338.2 to 342.6)

  August

318,448

9

195,863 (8.7)

727.5 (724.3 to 730.7)

91,883 (8.7)

341.3 (339.1 to 343.5)

  September

321,338

9

197,154 (8.8)

723.6 (720.4 to 726.8)

95,187 (9.1)

349.4 (347.1 to 351.6)

  October

319,677

9

197,791 (8.8)

728.5 (725.3 to 731.7)

97,303 (9.3)

358.4 (356.1 to 360.6)

  November

301,002

8

186,145 (8.3)

727.1 (723.8 to 730.4)

88,768 (8.4)

346.7 (344.5 to 349)

  December

299,142

8

183,571 (8.2)

719.5 (716.2 to 722.8)

84,352 (8.0)

330.6 (328.4 to 332.9)

Sex

 

  Male

1,881,844

51

1,250,909 (55.8)

783.2 (781.8 to 784.6)

601,658 (57.2)

376.7 (375.8 to 377.7)

  Female

1,783,570

49

990,983 (44.2)

653.6 (652.4 to 654.9)

449,961 (42.8)

296.8 (295.9 to 297.7)

Gestation at birth

      

  37 + Term

3,457,537

94

2,039,640 (91.0)

693.2 (692.3 to 694.2)

929,728 (88.4)

316.0 (315.4 to 316.6)

  34–36:Near Term

26,286

1

36,590 (1.6)

1926.3 (1906.6 to 1946.1)

25,803 (2.5)

1358.4 (1341.9 to 1375.1)

  32–33:Moderate prematurity

23,959

1

23,818 (1.1)

1228.2 (1212.7 to 1243.9)

14,902 (1.4)

768.4 (756.2 to 780.9)

   < 31:Severe &extreme prematurity

157,632

4

141,844 (6.3)

1068.6 (1063.1 to 1074.2)

81,186 (7.7)

611.6 (607.4 to 615.9)

Congenital anomaly

 

  No

3,550,426

97

2,076,303 (92.6)

687.6 (686.7 to 688.6)

933,323 (88.8)

309.1 (308.5 to 309.7)

  Yes

114,988

3

165,589 (7.4)

1766.5 (1758 to 1775)

118,296 (11.2)

1262.0 (1254.8 to 1269.2)

IMD Quintile c

      

  Q1: Most deprived

1,017,935

28

758,620 (33.8)

878.8 (876.8 to 880.8)

320,180 (30.4)

370.9 (369.6 to 372.2)

  Q2

817,545

22

521,845 (23.3)

752.0 (750 to 754)

234,770 (22.3)

338.3 (337 to 339.7)

  Q3

682,265

19

382,020 (17.0)

658.6 (656.5 to 660.7)

189,805 (18.0)

327.2 (325.8 to 328.7)

  Q4

592,180

16

309,765 (13.8)

615.3 (613.1 to 617.4)

162,995 (15.5)

323.7 (322.2 to 325.3)

  Q5.Least deprived

555,490

15

269,640 (12.0)

570.6 (568.4 to 572.7)

143,870 (13.7)

304.4 (302.9 to 306)

Region c

 

  North East

169,965

5

132,465 (5.9)

916.0 (911.1 to 920.9)

63,135 (6.0)

436.6 (433.2 to 440)

  North West

496,105

14

356,515 (15.9)

847.7 (844.9 to 850.5)

197,670 (18.8)

470.0 (467.9 to 472.1)

  Yorkshire and Humber

363,085

10

223,945 (10.0)

732.3 (729.2 to 735.3)

104,740 (10.0)

342.5 (340.4 to 344.6)

  East Midlands

298,845

8

156,680 (7.0)

624.3 (621.2 to 627.4)

77,740 (7.4)

309.8 (307.6 to 312)

  West Midlands

406,340

11

239,290 (10.7)

691.5 (688.7 to 694.3)

130,660 (12.4)

377.6 (375.5 to 379.6)

  East of England

376,090

10

197,060 (8.8)

619.5 (616.8 to 622.3)

101,150 (9.6)

318.0 (316.1 to 320)

  London

655,480

18

485,830 (21.7)

876.2 (873.8 to 878.7)

128,735 (12.2)

232.2 (230.9 to 233.5)

  South East

554,670

15

301,160 (13.4)

630.4 (628.2 to 632.7)

146,355 (13.9)

306.4 (304.8 to 308)

  South West

344,830

9

148,940 (6.6)

504.9 (502.3 to 507.4)

101,430 (9.6)

343.8 (341.7 to 345.9)

Maternal Age

 

  Under 20

133,057

4

126,233 (5.6)

1133.1 (1126.8 to 1139.3)

53,553 (5.1)

480.7 (476.6 to 484.8)

  20—29

1,627,985

44

1,113,349 (49.7)

805.4 (803.9 to 806.9)

520,738 (49.5)

376.7 (375.7 to 377.7)

  30—39

1,759,622

48

927,821 (41.4)

619.9 (618.6 to 621.2)

442,373 (42.1)

295.6 (294.7 to 296.4)

  40 + 

144,750

4

74,489 (3.3)

606.5 (602.2 to 610.9)

34,955 (3.3)

284.6 (281.7 to 287.6)

  1. a Public Health England fingertips reported rates for annual A&E attendances in infants < 1 years old were 688.3 (2013/14), 719.6 (2014/15), 798.6 (2015/16), 859.9 (2016/17), 885.1 (2017/18) and 957.4 (2018/19) per 1000 population [15]. Although our rates were lower potentially due to additional data cleaning, linkage to birth cohort of singleton infants born in the UK and exclusion of those with missing data, the pattern of rates by year were comparable
  2. b Public Health England fingertips reported rates for annual emergency admissions in infants < 1 years old were 326.3 (2013/14), 338.1 (2014/15), 357.7 (2015/16), 369.0 (2016/17), 365.3 (2017/18) and 388.6 (2018/19) per 1000 population [16]. Although our rates were lower potentially due to additional data cleaning, linkage to birth cohort of singleton infants born in the UK and exclusion of those with missing data, the pattern of rates by year were comparable
  3. c NHS Digital Hospital Episode Statistics (HES) disclosure states all HES sub-national data is subject to suppression and rounded to the nearest 5. Therefore, counts for IMD Quintile and Region were rounded accordingly [30]