Just under half (45%) of all emergency hospital admissions in 0-4 year olds at HUHFT are for children under one year of age. Boys account for more than half of 0-4 year old admissions (55%) (Figure 4).

Figure 4: Hospital admissions by age and gender over two years (pooled data 2013/14-2014/15)

Figure 4: Hospital admissions by age and gender over two years (pooled data 2013/14-2014/15)

Source: Homerton University Hospital NHS Foundation Trust

This general decrease in hospital admissions with increasing age (up to age four) is held across the three most common admission reasons of gastroenteritis, lower respiratory tract conditions and accidents or injuries (Table 2).

Table 2: Rates of emergency hospital admissions in 0-4 year old residents of Hackney and the City at HUHFT over two years, by reason and age (2013-14-2014/15)

Cause of admission Overall rate in 0-4 year olds (per two years) Highest rate (per two years) Lowest rate (per two years)
Gastroenteritis 7.6 per 1,000 15 per 1,000
infants under one year
2.5 per 1,000

3 year olds

Lower respiratory tract conditions 23.1 per 1,000 48.6 per 1,000

infants under one year

10.8 per 1,000

3 year olds

Accidents or injuries 10.6 per 1,000 18.9 per 1,000

infants under one year

4.9 per 1,000

4 year olds

Source: Homerton University Hospital NHS Foundation Trust

The higher admission rates for boys appear to be spread across a range of conditions (Figure 5).

Figure 5: Reasons for admission to HUHFT in 0-4 year olds, Hackney and City (2013/14-2014/15)

Figure 5: Reasons for admission to HUHFT in 0-4 year olds, Hackney and City (2013/14-2014/15)

Source: Homerton University Hospital NHS Foundation Trust

Note: Analysis of the three major causes for admission by age, gender and ethnicity in all other parts of this sub-chapter relate to gastroenteritis, lower respiratory tract conditions and accidents/injuries. However, this figure has grouped upper and lower respiratory tract conditions together under ‘respiratory conditions’ and therefore these data are not comparable.

This pattern of a higher rate of admissions in boys holds true for children and young people aged up to and including 18 for lower respiratory tract conditions – with a rate in Hackney and the City of 122 per 100,000 in boys and 95 per 100,000 in girls (2014/15). 2

References

  1. Public Health Profiles (‘Fingertips’),” Public Health England, 2015
  2. Public Health Profiles (‘Fingertips’),” Public Health England, 2015