Alcohol attributable admissions by Trust - North East 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
Middlesbrough
2,013
North Tyneside
2,001
Hartlepool
1,826
Redcar and Cleveland
1,820
Newcastle
1,794
Sunderland
1,761
County Durham
1,734
Gateshead
1,719
Stockton-On-Tees
1,659
South Tyneside
1,649
Darlington
1,527
Northumberland Care Trust
1,415
National average: 1,297

Male alcohol admissions

Trust name Standardised rate of admissions
Middlesbrough
4,032
Newcastle
3,543
Sunderland
3,502
South Tyneside
3,436
Gateshead
3,388
Hartlepool
3,386
North Tyneside
3,339
Redcar and Cleveland
3,168
Stockton-On-Tees
2,957
County Durham
2,889
Darlington
2,741
Northumberland Care Trust
2,635
National average: 2,440

All data

PCT name Female Alcohol Attributable Admissions Female PCT population Female Standardised rate Female LCL Female UCL
Northumberland Care Trust 3023 159300 1415 1360 1471
Darlington 958 51700 1527 1424 1630
County Durham 5490 258500 1734 1686 1782
Stockton-On-Tees 1912 97500 1659 1582 1736
Redcar and Cleveland 1605 70700 1820 1724 1915
North Tyneside 2550 101600 2001 1919 2083
Hartlepool 1010 46800 1826 1708 1944
Gateshead 2084 97400 1719 1640 1797
South Tyneside 1666 78100 1649 1564 1734
Sunderland 3075 143900 1761 1696 1826
Newcastle 2861 142900 1794 1724 1864
Middlesbrough 1623 71300 2013 1911 2116
PCT name Male Alcohol Attributable Admissions Male PCT population Male Standardised rate Male LCL Male UCL
Northumberland Care Trust 5203 152100 2635 2559 2710
Darlington 1555 48900 2741 2601 2881
County Durham 8560 248000 2889 2827 2952
Stockton-On-Tees 3111 93600 2957 2852 3062
Redcar and Cleveland 2577 66900 3168 3040 3295
North Tyneside 3785 95400 3339 3230 3448
Hartlepool 1686 44000 3386 3221 3550
Gateshead 3681 93200 3388 3276 3500
South Tyneside 2982 74400 3436 3310 3562
Sunderland 5408 137800 3502 3407 3597
Newcastle 4983 141400 3543 3442 3643
Middlesbrough 2909 69000 4032 3883 4181

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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