Postprocedural Complications Hospitalization Pattern Among Paediatric Patients at National Health Service Trusts: An Ecological Study in England and Wales

Figures & data

Table 1 Percentage of Hospital Admission from the Total Number of Admission

Diagnostic Code	Postprocedural Complications Stratified by System	Percentage from Total Number
E89-E89	Endocrine and metabolic complications and disorders (Postprocedural hypothyroidism, postprocedural hypoinsulinemia, postprocedural hypoparathyroidism, postprocedural hypopituitarism, postprocedural ovarian failure, postprocedural testicular hypofunction, and postprocedural adrenocortical (-medullary) hypofunction)	2.9%
H59-H59	Disorders of eye and adnexa (Disorders of the eye following cataract surgery, intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedure, accidental puncture and laceration of eye and adnexa during a procedure, postprocedural hemorrhage, hematoma, and seroma of eye and adnexa following a procedure, and inflammation (infection) of postprocedural bleb)	3.6%
H95-H95	Disorders of ear and mastoid process (Recurrent cholesteatoma of postmastoidectomy cavity, other disorders of ear and mastoid process following mastoidectomy, intraoperative hemorrhage and hematoma of ear and mastoid process complicating a procedure, accidental puncture and laceration of ear and mastoid process during a procedure, postprocedural hemorrhage of ear and mastoid process following a procedure, and postprocedural hematoma and seroma of ear and mastoid process following a procedure)	23.0%
J95-J95	Disorders of respiratory system (Tracheostomy complications, acute pulmonary insufficiency following thoracic surgery, acute pulmonary insufficiency following nonthoracic surgery, chronic pulmonary insufficiency following surgery, chemical pneumonitis due to anesthesia, postprocedural subglottic stenosis, intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure, and accidental puncture and laceration of a respiratory system organ or structure during a procedure)	43.0%
M96-M96	Disorders of musculoskeletal system (Pseudarthrosis after fusion or arthrodesis, postlaminectomy syndrome, not elsewhere classified, postradiation kyphosis, postlaminectomy kyphosis, postsurgical lordosis, postradiation scoliosis, and fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate)	3.7%
N99-N99	Disorders of genitourinary system (Postprocedural (acute) (chronic) kidney failure, postprocedural urethral stricture, postprocedural adhesions of vagina, prolapse of vaginal vault after hysterectomy, postprocedural pelvic peritoneal adhesions, complications of stoma of urinary tract, intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a procedure, and accidental puncture and laceration of a genitourinary system organ or structure during a procedure)	23.8%

Figure 1 Trends of hospital admission stratified by type.

Table 2 Percentage Change in the Hospital Admission Rates

Diagnosis Stratified by System	Admission Rate in 1999 per 100,000 Persons (95% CI)	Admission Rate in 2020 per 100,000 Persons (95% CI)	Percentage Change from 1999–2020
“Endocrine and metabolic disorders”	0.32 (0.21–0.43)	0.20 (0.12–0.29)	−36.6%
“Disorders of eye and adnexa”	0.53 (0.39–0.68)	0.20 (0.11–0.28)	−63.5%
“Disorders of ear and mastoid process”	2.84 (2.50–3.17)	1.42 (1.20–1.65)	−49.8%
“Disorders of respiratory system”	2.19 (1.90–2.48)	3.33 (2.99–3.68)	52.2%
“Disorders of musculoskeletal system”	0.62 (0.46–0.77)	0.73 (0.56–0.89)	17.9%
“Disorders of genitourinary system”	1.82 (1.55–2.08)	2.26 (1.98–2.55)	24.5%