Alcohol attributable admissions by Trust - South Central 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
Portsmouth City
1,412
Milton Keynes
1,394
Southampton City
1,040
Hampshire
915
Berkshire East
900
Oxfordshire
788
Buckinghamshire
730
Berkshire West
657
Isle Of Wight NHS
616
National average: 1,297

Male alcohol admissions

Trust name Standardised rate of admissions
Portsmouth City
2,610
Milton Keynes
2,279
Southampton City
1,956
Berkshire East
1,838
Hampshire
1,569
Oxfordshire
1,378
Buckinghamshire
1,346
Berkshire West
1,303
Isle Of Wight NHS
1,142
National average: 2,440

All data

PCT name Female Alcohol Attributable Admissions Female PCT population Female Standardised rate Female LCL Female UCL
Isle Of Wight NHS 592 72100 616 559 673
Berkshire West 1859 232900 657 626 688
Buckinghamshire 2433 259439 730 699 761
Oxfordshire 3056 311260 788 758 818
Hampshire 7916 656700 915 894 937
Berkshire East 2075 200217 900 860 940
Southampton City 1324 117900 1040 980 1100
Milton Keynes 1833 121077 1394 1328 1459
Portsmouth City 1614 102700 1412 1339 1485
PCT name Male Alcohol Attributable Admissions Male PCT population Male Standardised rate Male LCL Male UCL
Isle Of Wight NHS 1025 68100 1142 1067 1218
Berkshire West 3268 234200 1303 1258 1349
Buckinghamshire 4006 249620 1346 1303 1388
Oxfordshire 4739 304220 1378 1338 1418
Hampshire 12322 632500 1569 1541 1598
Berkshire East 3762 199336 1838 1779 1897
Southampton City 2247 119100 1956 1873 2038
Milton Keynes 2745 121682 2279 2193 2364
Portsmouth City 2596 100800 2610 2508 2713

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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