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Insights from and limitations of data linkage studies: analysis of short-stay urgent admission referral source from

Smita Dick1, Richard Kyle2, Philip Wilson3

  • 1Child Health, University of Aberdeen, Aberdeen, UK.

Archives of Disease in Childhood
|January 31, 2023
PubMed

Insights

Referral source for urgent short-stay admissions (SSAs) in Scotland varied. Emergency department referrals were more common for older children, white ethnicity, and specific conditions like asthma.

Area of Science:

  • Healthcare analytics
  • Pediatric emergency medicine
  • Public health data linkage

Background:

  • Urgent short-stay admissions (SSAs) represent a significant healthcare burden.
  • Understanding referral pathways is crucial for optimizing patient care and resource allocation.

Purpose of the Study:

  • To identify the primary referral sources for urgent short-stay admissions (SSAs) in Scotland.
  • To compare the characteristics of children admitted via different referral pathways.

Main Methods:

  • Utilized routinely acquired hospital admission data from 2015-2017.
  • Linked admission data with information from three key referral sources: emergency department (ED), out-of-hours (OOH) services, and general practice (GP).

Main Results:

  • Over 92,000 SSAs were analyzed, with varying proportions referred by ED, GP, or OOH services.
  • Children referred by the ED were more likely to be older, of white ethnicity, from deprived areas, and diagnosed with conditions like asthma or croup.
  • Significant differences in odds ratios for specific conditions were observed across referral sources.

Conclusions:

  • Data linkage provides valuable insights into referral patterns for SSAs.
  • Improving data coverage, especially from primary care, is essential for comprehensive analysis.
  • Findings can inform interventions for integrated care pathways.
Abstract

Keywords:
Child Health ServicesEmergency CareHealth services researchPaediatric Emergency MedicinePrimary Health Care

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