Alcohol attributable admissions by Trust - East Of England Strategic Health Authority

Recent analysis by Alcohol Concern (Making alcohol a health priority - Opportunities to reduce alcohol harm and rising costs, 2011) reported that the 'number of hospital admissions due to alcohol misuse was 1.1 million in 2009/10, a 100% increase since 2002/03. If the rise continues unchecked, by the end of the current Parliament a staggering 1.5 million people will be admitted to hospital every year' This indicator provides a summary view of the number of admissions attributable to alcohol for each PCT by sex.

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Female alcohol admissions

Trust name Standardised rate of admissions
Peterborough
1,465
Luton
1,346
South East Essex
1,258
Cambridgeshire
1,239
Great Yarmouth and Waveney
1,178
Suffolk
1,117
Norfolk
1,094
West Essex
1,054
Bedfordshire
971
Mid Essex
946
South West Essex
910
Hertfordshire
872
North East Essex
834
National average: 1,297

Male alcohol admissions

Trust name Standardised rate of admissions
Peterborough
2,884
Luton
2,668
Great Yarmouth and Waveney
2,405
South East Essex
2,318
Cambridgeshire
2,275
West Essex
2,020
Suffolk
2,004
Bedfordshire
1,921
Norfolk
1,849
South West Essex
1,788
Hertfordshire
1,611
Mid Essex
1,604
North East Essex
1,561
National average: 2,440

All data

PCT name Female Alcohol Attributable Admissions Female PCT population Female Standardised rate Female LCL Female UCL
North East Essex 1911 165800 834 793 876
Mid Essex 2295 186956 946 905 987
Hertfordshire 6142 558300 872 849 896
South West Essex 2360 207800 910 871 948
Norfolk 5978 385400 1094 1063 1124
Bedfordshire 2524 207500 971 931 1010
Suffolk 4547 301200 1117 1081 1152
West Essex 2001 144344 1054 1005 1104
Cambridgeshire 4655 304200 1239 1201 1276
South East Essex 3044 172200 1258 1209 1308
Great Yarmouth and Waveney 1839 109900 1178 1117 1239
Luton 1337 95400 1346 1272 1420
Peterborough 1433 86200 1465 1387 1544
PCT name Male Alcohol Attributable Admissions Male PCT population Male Standardised rate Male LCL Male UCL
North East Essex 3192 158800 1561 1504 1618
Mid Essex 3564 183706 1604 1550 1658
Hertfordshire 9913 537500 1611 1579 1644
South West Essex 3941 197500 1788 1731 1845
Norfolk 9510 372400 1849 1810 1889
Bedfordshire 4530 203500 1921 1864 1977
Suffolk 7626 295100 2004 1957 2050
West Essex 3344 138594 2020 1950 2090
Cambridgeshire 7998 302400 2275 2224 2325
South East Essex 4932 164700 2318 2251 2385
Great Yarmouth and Waveney 3493 104200 2405 2320 2491
Luton 2526 99200 2668 2562 2774
Peterborough 2558 84700 2884 2771 2997

Measure: Alcohol attributable admission rates

Description:
Directly age-standardised rate of alcohol attributable admissions per 100,000 population.
Definition:
  • Alcohol attributable admissions: sum of alcohol attributable fractions
  • PCT/LA Population: total population within each PCT/LA
  • Standardised Rate: Directly age-standardised rate per 100,000 population
  • LCL: Lower 95% confidence limit
  • UCL: Upper 95% confidence limit
Technical definition

Alcohol attributable admissions:

Each admission (based on the dominant diagnosis episode) is assigned an attributable fraction based on the ICD10 diagnosis codes, age and sex of the patient (see table 1 below). Where an admission has more than one of the below diagnosis codes, the highest attributable fraction is used. These fractions are then summed to obtain admission totals by sex and five-year age band.

Directly age-standardised rates:

The directly age-standardised rate is the rate of events that would occur in a standard population if the population had the same age-specific rates of the subject population. See Explanation of statistical methods used in the Compendium (http://www.nchod.nhs.uk).

Basis
Primary Care Trust (Resident) and Local Authority
Data source & Time frame
SUS - APC, April 2009 to March 2010

Table: Alcohol attributable fractions

Based on Jones et al (2008), Alcohol-attributable fractions for England, Centre for Public Health - Liverpool John Moores University.

Diagnosis Group ICD10 Codes 0-15 16-24 25-34 35-44 45-54 55-64 65-74 75+
M F M F M F M F M F M F M F M F
Accidental excessive cold X31 0 0 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25
Acute and chronic pancreatitis K85, K861 0 0 0.27 0.19 0.27 0.16 0.26 0.16 0.3 0.16 0.27 0.14 0.22 0.1 0.16 0.07
Air and space transport accidents V95-V97 0 0 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16
Assault X85-Y09 0 0 0.27 0.27 0.27 0.27 0.27 0.27 0.27 0.27 0.27 0.27 0.27 0.27 0.27 0.27
Cardiac arrhythmias I47-I48 0 0 0.35 0.36 0.36 0.35 0.37 0.35 0.38 0.35 0.37 0.33 0.34 0.27 0.3 0.22
Drowning W65-W74 0 0 0.34 0.34 0.34 0.34 0.34 0.34 0.34 0.34 0.34 0.34 0.34 0.34 0.34 0.34
Epilepsy and status epilepticus G40-G41 0 0 0.56 0.64 0.58 0.59 0.58 0.61 0.61 0.61 0.61 0.57 0.51 0.45 0.42 0.35
Falls W00-W19 0 0 0.22 0.14 0.22 0.14 0.22 0.14 0.22 0.14 0.22 0.14 0.12 0.04 0.12 0.04
Fire injuries X00-X09 0 0 0.38 0.38 0.38 0.38 0.38 0.38 0.38 0.38 0.38 0.38 0.38 0.38 0.38 0.38
Firearm injuries W32-W34 0 0 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25
Gastro-oesophageal laceration-haemorrhage syndrome K226 0 0 0.47 0.47 0.47 0.47 0.47 0.47 0.47 0.47 0.47 0.47 0.47 0.47 0.47 0.47
Haemorrhagic stroke I60-I62, I690-I692 0 0 0.31 0.2 0.3 0.15 0.27 0.15 0.34 0.15 0.3 0.13 0.24 0.1 0.16 0.06
Heart failure I50-I51 0 0 0.004 0.002 0.004 0.002 0.004 0.002 0.004 0.002 0.004 0.002 0.004 0.002 0.004 0.002
Hypertensive diseases I10-I15 0 0 0.34 0.24 0.33 0.19 0.32 0.2 0.37 0.2 0.34 0.18 0.27 0.13 0.2 0.09
Inhalation of gastric contents W78-W79 0 0 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25
Intentional self-harm/Event of undetermined intent X60-X84, Y10-Y34 0 0 0.34 0.35 0.34 0.33 0.35 0.34 0.37 0.34 0.36 0.32 0.31 0.25 0.27 0.2
Ischaemic stroke I63-I66, I693-I694 0 0 0.16 0.03 0.13 0 0.08 0 0.18 0 0.12 0 0.06 0 0 0
Malignant neoplasm of breast C50 0 0 0 0.09 0 0.08 0 0.09 0 0.09 0 0.08 0 0.06 0 0.04
Malignant neoplasm of colon C18 0 0 0.05 0.03 0.05 0.03 0.04 0.03 0.05 0.03 0.05 0.03 0.04 0.02 0.03 0.01
Malignant neoplasm of larynx C32 0 0 0.34 0.25 0.33 0.21 0.32 0.22 0.36 0.21 0.34 0.2 0.28 0.15 0.22 0.11
Malignant neoplasm of lip, oral cavity and pharynx C00-C14 0 0 0.5 0.4 0.5 0.35 0.49 0.36 0.53 0.35 0.5 0.33 0.44 0.26 0.36 0.2
Malignant neoplasm of liver and intrahepatic bile ducts C22 0 0 0.16 0.11 0.15 0.1 0.15 0.1 0.17 0.1 0.16 0.09 0.13 0.07 0.1 0.05
Malignant neoplasm of oesophagus C15 0 0 0.32 0.23 0.31 0.2 0.3 0.2 0.34 0.2 0.32 0.18 0.26 0.14 0.2 0.1
Malignant neoplasm of rectum C20 0 0 0.08 0.06 0.08 0.05 0.08 0.05 0.09 0.05 0.08 0.05 0.07 0.03 0.05 0.03
Oesophageal varices I85 0 0 0.77 0.67 0.76 0.59 0.74 0.6 0.79 0.59 0.77 0.57 0.71 0.48 0.61 0.38
Pedestrian traffic accidents V02-V04(1, 9), V061, V092, V093 0 0 0.35 0.16 0.45 0.19 0.46 0.21 0.46 0.21 0.23 0.03 0.23 0.03 0.23 0.03
Psoriasis L40 excluding L405 0 0 0.34 0.33 0.34 0.33 0.35 0.33 0.36 0.32 0.35 0.31 0.33 0.26 0.3 0.22
Road traffic accidents V12-V14(3-9), V194-V196, V199, V20-V283-9), V29-V79(4-9), V803-V805, V811, V821, V829, V83-V86(0-3), V870-V879, V892, V893, V899 0 0 0.21 0.09 0.33 0.15 0.24 0.12 0.24 0.12 0.09 0.03 0.09 0.03 0.09 0.03
Spontaneous abortion O03 0 0 0 0.23 0 0.21 0 0.22 0 0.21 0 0.2 0 0.15 0 0.12
Unspecified liver cirrhosis K73, K74 0 0 0.77 0.67 0.76 0.59 0.74 0.6 0.79 0.59 0.77 0.57 0.71 0.48 0.61 0.38
Water transport accidents V90-V94 0 0 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2
Wholly-attributable E244, F10, G312, G621, G721, I426, K292, K70, K860, T510, T511, T519, X45 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Work/machine injuries W24-W31 0 0 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07

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