Burden, duration, and costs of hospital bed closures due to acute gastroenteritis in England per winter, 2010/11-2015/16.


Sandmann, FG; Jit, M; Robotham, JV; Deeny, SR; (2017) Burden, duration, and costs of hospital bed closures due to acute gastroenteritis in England per winter, 2010/11-2015/16. The Journal of hospital infection. ISSN 0195-6701 DOI: 10.1016/j.jhin.2017.05.015

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Abstract

Bed closures due to acute gastroenteritis put hospitals under pressure each winter. In England, the National Health Service (NHS) has monitored the winter situation for all acute Trusts since 2010/11. To estimate the burden, duration, and costs of hospital bed closures due to acute gastroenteritis in winter. We retrospectively analysed the routinely collected time-series of beds closed due to diarrhoea and vomiting by NHS England for the winters 2010/11 to 2015/16. We addressed two key issues by imputing non-randomly missing values at provider-level, and filtering observations to a range of dates recorded in all six winters. We took the lowest and highest value imputed as best and worst case scenarios. We costed bed-days using NHS reference costs, and considered potential staff absence costs based on previous studies. In the best-to-worst case, a median 88,000-113,000 beds were closed due to gastroenteritis each winter. Of these, 19.6-20.4% were unoccupied, respectively. On average, 80% of providers were affected, and had closed beds for a median of 15-21 days each winter. Hospital costs of beds lost unoccupied were £5.7-£7.5 million, which increased to £6.9-£10.0 million when including staff absence costs due to illness. The median number of hospital beds closed due to acute gastroenteritis per winter was equivalent to all general and acute hospital beds in England being unavailable for a median of 0.88 to 1.12 days. Costs for hospitals are high but vary with closures each winter.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
PubMed ID: 28552406
URI: http://researchonline.lshtm.ac.uk/id/eprint/4052262

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