Imperial College London
Portrait Picture

Dr Thomas Woodcock

Faculty of Medicine, School of Public Health

Senior Research Fellow
 
 
 
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Contact

 

+44 (0)20 7594 1838thomas.woodcock99

 
 
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Location

 

328Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Soong:2015:10.1136/bmjopen-2015-008456,
author = {Soong, JTY and Poots, AJ and Scott, S and Donald, K and Woodcock, T and Lovett, D and Bell, D},
doi = {10.1136/bmjopen-2015-008456},
journal = {BMJ Open},
title = {Quantifying the prevalence of frailty in English hospitals},
url = {http://dx.doi.org/10.1136/bmjopen-2015-008456},
volume = {5},
year = {2015}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives Population ageing has been associated with an increase in comorbid chronic disease, functional dependence, disability and associated higher health care costs. Frailty Syndromes have been proposed as a way to define this group within older persons. We explore whether frailty syndromes are a reliable methodology to quantify clinically significant frailty within hospital settings, and measure trends and geospatial variation using English secondary care data set Hospital Episode Statistics (HES).Setting National English Secondary Care Administrative Data HES.Participants All 50540141 patient spells for patients over 65years admitted to acute provider hospitals in England (January 2005—March 2013) within HES.Primary and secondary outcome measures We explore the prevalence of Frailty Syndromes as coded by International Statistical Classification of Diseases, Injuries and Causes of Death (ICD-10) over time, and their geographic distribution across England. We examine national trends for admission spells, inpatient mortality and 30-day readmission.Results A rising trend of admission spells was noted from January 2005 to March 2013(daily average admissions for month rising from over 2000 to over 4000). The overall prevalence of coded frailty is increasing (64559 spells in January 2005 to 150085 spells by Jan 2013). The majority of patients had a single frailty syndrome coded (10.2% vs total burden of 13.9%). Cognitive impairment and falls (including significant fracture) are the most common frailty syndromes coded within HES. Geographic variation in frailty burden was in keeping with known distribution of prevalence of the English elderly population and location of National Health Service (NHS) acute provider sites. Overtime, in-hospital mortality has decreased (>65years) whereas readmission rates have increased (esp.>85years).Conclusions This study provides a novel methodology to reliably quantify clinically significant frailty. Applications in
AU  - Soong,JTY
AU  - Poots,AJ
AU  - Scott,S
AU  - Donald,K
AU  - Woodcock,T
AU  - Lovett,D
AU  - Bell,D
DO  - 10.1136/bmjopen-2015-008456
PY  - 2015///
SN  - 2044-6055
TI  - Quantifying the prevalence of frailty in English hospitals
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2015-008456
UR  - http://hdl.handle.net/10044/1/26979
VL  - 5
ER  -
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