Multimorbidity transitions across A&E and hospital admission interface over 3 years
| Study groups* | A&E episodes | Hospital admissions | ||||||
|---|---|---|---|---|---|---|---|---|
| 0 | 1 | 2 | 3 | 0 | 1 | 2 | 3 | |
| N (%) | N (%) | N (%) | N (%) | N (%) | N (%) | N (%) | N (%) | |
| HT+ DM− | 26 019(68.6) | 8903 (23.5) | 2466 (6.5) | 548 (1.4) | 21 957 (54.0) | 10 443 (27.5) | 4223 (11.1) | 1313 (3.5) |
| DM+ HT− | 2733 (63.2) | 1154 (26.4) | 372 (8.4) | 96 (2.1) | 2343 (54.0) | 1192 (27.5) | 601 (13.8) | 204 (4.7) |
| HT and DM | 6168 (63.4) | 2581 (26.5) | 776 (8.0) | 210 (2.2) | 4800 (49.3) | 2888 (29.7) | 1456 (15.0) | 591 (6.1) |
| DM+ CHD− | 7048 (67.1) | 2580 (24.6) | 703 (6.7) | 170 (1.6) | 5766 (54.9) | 2993 (28.2) | 1403 (12.7) | 490 (4.2) |
| CHD+ DM− | 6223 (57.6) | 3175 (29.4) | 1133 (10.5) | 276 (2.6) | 4842 (44.8) | 3482 (32.2) | 1813 (16.8) | 670 (6.2) |
| DM and CHD | 1863 (52.1) | 1145 (32.0) | 436 (12.2) | 130 (3.6) | 1377 (38.5) | 1123 (31.4) | 721 (20.2) | 353 (9.9) |
| DM+ CKD− | 7440 (66.5) | 2761 (24.7) | 775 (6.9) | 205 (1.8) | 6083 (54.4) | 3142 (28.1) | 1438 (12.9) | 518 (4.6) |
| CKD+ DM− | 5137 (57.3) | 2733 (30.5) | 893 (10.0) | 195 (2.2) | 3923 (43.8) | 3056 (34.1) | 1502 (16.8) | 477 (5.3) |
| DM and CKD | 1471 (50.8) | 964 (33.3) | 364 (12.6) | 95 (3.3) | 1060 (36.6) | 938 (32.4) | 619 (21.4) | 277 (9.6) |
| COPD+ CHD− | 3013 (56.8) | 1568 (29.6) | 546 (10.3) | 177 (3.3) | 2443 (46.1) | 1665 (31.4) | 843 (15.9) | 353 (6.7) |
| CHD+ COPD− | 7267 (58.0) | 3689 (29.5) | 1261 (10.1) | 309 (2.5) | 5641 (45.0) | 3973 (31.7) | 2108 (16.8) | 804 (6.4) |
| COPD and CHD | 819 (44.2) | 631 (34.0) | 308 (16.6) | 97 (5.2) | 578 (31.2) | 632 (34.1) | 426 (23.0) | 219 (11.8) |
| COPD+ CHF− | 3519 (54.9) | 1940 (30.3) | 723 (11.3) | 223 (3.5) | 2810 (43.9) | 2018 (31.5) | 1102 (17.2) | 475 (7.4) |
| CHF+ COPD− | 1346 (46.7) | 990 (34.3) | 440 (15.3) | 108 (3.7) | 978 (33.9) | 996 (34.5) | 645 (22.4) | 265 (9.2) |
| CHF and COPD | 313 (41.5) | 259 (34.4) | 131 (17.4) | 51 (6.8) | 211 (28.0) | 279 (37.0) | 167 (22.1) | 97 (12.9) |
| CHF+ CKD− | 1173 (53.0) | 665 (30.0) | 295 (13.3) | 80 (3.6) | 884 (39.9) | 737 (33.3) | 414 (18.7) | 178 (8.0) |
| CKD+ CHF− | 6122 (58.7) | 3113 (29.9) | 981 (9.4) | 211 (2.0) | 4678 (44.9) | 3456 (33.1) | 1723 (16.5) | 570 (5.5) |
| CKD and CHF | 481 (33.4) | 595 (41.3) | 284 (19.7) | 80 (5.6) | 305 (21.4) | 538 (37.8) | 398 (27.9) | 184 (12.9) |
*Minus sign indicates absence of disease and positive sign indicates presence.
A&E, accident and emergency; CHD, coronary heart disease; CHF, chronic heart failure; CKD, chronic kidney disease; COPD, chronic obstructive pulmonary disease; DM, diabetes mellitus; HT, hypertension.