Alcohol attributable admissions by Trust - South West 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
Bristol
1,642
Torbay Care Trust
1,546
Plymouth
1,462
South Gloucestershire
1,229
North Somerset
1,217
Swindon
1,199
Cornwall and Isles Of Scilly
1,196
Bournemouth and Poole
1,176
Gloucestershire
1,171
Devon
1,043
Wiltshire
1,005
Bath and North East Somerset
990
Somerset
989
Dorset
948
National average: 1,297

Male alcohol admissions

Trust name Standardised rate of admissions
Bristol
3,114
Plymouth
2,913
Torbay Care Trust
2,458
Bournemouth and Poole
2,359
North Somerset
2,239
Cornwall and Isles Of Scilly
2,144
South Gloucestershire
2,114
Gloucestershire
2,073
Swindon
1,922
Devon
1,850
Somerset
1,811
Bath and North East Somerset
1,809
Wiltshire
1,796
Dorset
1,775
National average: 2,440

All data

PCT name Female Alcohol Attributable Admissions Female PCT population Female Standardised rate Female LCL Female UCL
Dorset 3030 208000 948 906 989
Wiltshire 3060 231200 1005 965 1044
Bath and North East Somerset 1178 89700 990 928 1052
Somerset 3751 269100 989 953 1025
Devon 5612 383300 1043 1012 1074
Swindon 1408 101924 1199 1134 1264
Gloucestershire 4677 299800 1171 1134 1207
South Gloucestershire 2026 131400 1229 1173 1286
Cornwall and Isles Of Scilly 4450 273100 1196 1157 1236
North Somerset 1745 106700 1217 1153 1280
Bournemouth and Poole 2495 157300 1176 1125 1228
Torbay Care Trust 1381 69100 1546 1454 1639
Plymouth 2312 130500 1462 1398 1525
Bristol 3844 216900 1642 1587 1697
PCT name Male Alcohol Attributable Admissions Male PCT population Male Standardised rate Male LCL Male UCL
Dorset 5177 196300 1775 1720 1830
Wiltshire 4944 224300 1796 1744 1848
Bath and North East Somerset 1875 87800 1809 1724 1893
Somerset 6178 254400 1811 1763 1859
Devon 9189 364200 1850 1809 1890
Swindon 2094 102277 1922 1839 2005
Gloucestershire 7538 289200 2073 2025 2121
South Gloucestershire 3247 131000 2114 2040 2188
Cornwall and Isles Of Scilly 7397 258600 2144 2092 2196
North Somerset 2949 102600 2239 2154 2324
Bournemouth and Poole 4311 149000 2359 2285 2433
Torbay Care Trust 2067 64700 2458 2344 2573
Plymouth 3947 126300 2913 2820 3006
Bristol 6464 216200 3114 3036 3192

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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