Abstract
Purpose
The aim of this study was to examine hospitalisation profiles related to postprocedural disorders of eye and adnexa in England and Wales.
Patients and Methods
This was an ecological study using publicly available data extracted from the “Hospital Episode Statistics (HES) database” in England and the “Patient Episode Database for Wales (PEDW)” for the period between April 1999 and April 2020. Diagnostic code for postprocedural disorders of eye and adnexa (H59) was used to identify hospital admission. We used the chi-squared test to assess the difference between the hospital admission rates between 1999 and 2020.
Results
Hospital admission rate decreased by 6.3% [from 4.98 (95% CI 4.79–5.17) in 1999 to 4.67 (95% CI 4.50–4.84) in 2020 per 100,000 persons, trend test, p<0.05]. The most common hospital admissions causes were other postprocedural disorders of eye and adnexa “Chorioretinal scars after surgery for detachment.” The age group 75 years and above accounted for 44.3% of the total number of admissions. Hospital admission rate among females decreased by 30.2% [from 5.90 (95% CI 5.61–6.19) in 1999 to 4.12 (95% CI 3.89–4.35) in 2020 per 100,000 persons]. Hospital admission rate among males increased by 30.2% [from 4.02 (95% CI 3.77–4.26) in 1999 to 5.23 (95% CI 4.97–5.49) in 2020 per 100,000 persons].
Conclusion
This study revealed that hospital admission rates for postprocedural disorders of the eye and adnexa decreased over the course of the study period. Eye and adnexa disorders accounted for the preponderance of hospital admissions among the elderly. Further research is required to identify risk factors that can be avoided.
Data and Materials Availability
All data associated with this study are presented in this paper. The data accessed complied with relevant data protection and privacy regulations.
Ethical Approval
The study was approved by the Institutional Review Board at Isra University, Amman, Jordan (SREC/22/08/49).
Author Contributions
M.R.N. and A.Y.N. participated in protocol design, data collection, investigation, supervised this study, and drafted the first manuscript. All authors reviewed and approved the final manuscript. All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising, or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.
Disclosure
No conflicts of interests to be declared.