Risk of winter hospitalisation and death from acute respiratory infections in Scotland : national retrospective cohort study
OBJECTIVES: We undertook a national analysis to characterise and identify risk factors for acute respiratory infections (ARIs) resulting in hospitalisation during the winter period in Scotland.
DESIGN: A population-based retrospective cohort analysis.
SETTING: Scotland.
PARTICIPANTS: The study involved 5.4 million residents in Scotland.
MAIN OUTCOME MEASURES: Cox proportional hazard models were used to estimate adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for the association between risk factors and ARI hospitalisation.
RESULTS: Between 1 September 2022 and 31 January 2023, there were 22,284 (10.9% of 203,549 with any emergency hospitalisation) ARI hospitalisations (1759 in children and 20,525 in adults) in Scotland. Compared with the reference group of children aged 6-17 years, the risk of ARI hospitalisation was higher in children aged 3-5 years (aHR = 4.55; 95% CI: 4.11-5.04). Compared with those aged 25-29 years, the risk of ARI hospitalisation was highest among the oldest adults aged ≥80 years (aHR = 7.86; 95% CI: 7.06-8.76). Adults from more deprived areas (most deprived vs. least deprived, aHR = 1.64; 95% CI: 1.57-1.72), with existing health conditions (≥5 vs. 0 health conditions, aHR = 4.84; 95% CI: 4.53-5.18) or with history of all-cause emergency admissions (≥6 vs. 0 previous emergency admissions, aHR = 7.53; 95% CI: 5.48-10.35) were at a higher risk of ARI hospitalisations. The risk increased by the number of existing health conditions and previous emergency admission. Similar associations were seen in children.
CONCLUSIONS: Younger children, older adults, those from more deprived backgrounds and individuals with greater numbers of pre-existing conditions and previous emergency admission were at increased risk for winter hospitalisations for ARI.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Journal of the Royal Society of Medicine - (2024) vom: 12. Feb., Seite 1410768231223584 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Shi, Ting [VerfasserIn] |
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| Links: |
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| Themen: |
Epidemiology |
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| Anmerkungen: |
Date Revised 20.03.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1177/01410768231223584 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 245 | 1 | 0 | |a Risk of winter hospitalisation and death from acute respiratory infections in Scotland |b national retrospective cohort study |
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| 500 | |a Date Revised 20.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a OBJECTIVES: We undertook a national analysis to characterise and identify risk factors for acute respiratory infections (ARIs) resulting in hospitalisation during the winter period in Scotland | ||
| 520 | |a DESIGN: A population-based retrospective cohort analysis | ||
| 520 | |a SETTING: Scotland | ||
| 520 | |a PARTICIPANTS: The study involved 5.4 million residents in Scotland | ||
| 520 | |a MAIN OUTCOME MEASURES: Cox proportional hazard models were used to estimate adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for the association between risk factors and ARI hospitalisation | ||
| 520 | |a RESULTS: Between 1 September 2022 and 31 January 2023, there were 22,284 (10.9% of 203,549 with any emergency hospitalisation) ARI hospitalisations (1759 in children and 20,525 in adults) in Scotland. Compared with the reference group of children aged 6-17 years, the risk of ARI hospitalisation was higher in children aged 3-5 years (aHR = 4.55; 95% CI: 4.11-5.04). Compared with those aged 25-29 years, the risk of ARI hospitalisation was highest among the oldest adults aged ≥80 years (aHR = 7.86; 95% CI: 7.06-8.76). Adults from more deprived areas (most deprived vs. least deprived, aHR = 1.64; 95% CI: 1.57-1.72), with existing health conditions (≥5 vs. 0 health conditions, aHR = 4.84; 95% CI: 4.53-5.18) or with history of all-cause emergency admissions (≥6 vs. 0 previous emergency admissions, aHR = 7.53; 95% CI: 5.48-10.35) were at a higher risk of ARI hospitalisations. The risk increased by the number of existing health conditions and previous emergency admission. Similar associations were seen in children | ||
| 520 | |a CONCLUSIONS: Younger children, older adults, those from more deprived backgrounds and individuals with greater numbers of pre-existing conditions and previous emergency admission were at increased risk for winter hospitalisations for ARI | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Epidemiology | |
| 650 | 4 | |a health informatics | |
| 650 | 4 | |a respiratory medicine | |
| 700 | 1 | |a Millington, Tristan |e verfasserin |4 aut | |
| 700 | 1 | |a Robertson, Chris |e verfasserin |4 aut | |
| 700 | 1 | |a Jeffrey, Karen |e verfasserin |4 aut | |
| 700 | 1 | |a Katikireddi, Srinivasa Vittal |e verfasserin |4 aut | |
| 700 | 1 | |a McCowan, Colin |e verfasserin |4 aut | |
| 700 | 1 | |a Simpson, Colin R |e verfasserin |4 aut | |
| 700 | 1 | |a Woolford, Lana |e verfasserin |4 aut | |
| 700 | 1 | |a Daines, Luke |e verfasserin |4 aut | |
| 700 | 1 | |a Kerr, Steven |e verfasserin |4 aut | |
| 700 | 1 | |a Swallow, Ben |e verfasserin |4 aut | |
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