| Title: |
Burden, duration and costs of hospital bed closures due to acute gastroenteritis in England per winter, 2010/11-2015/16. |
| Authors: |
Sandmann, FG; Jit, M; Robotham, JV; Deeny, SR |
| Publisher Information: |
Elsevier |
| Publication Year: |
2017 |
| Collection: |
London School of Hygiene & Tropical Medicine: LSHTM Research Online |
| Description: |
BACKGROUND: 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. AIM: To estimate the burden, duration and costs of hospital bed closures due to acute gastroenteritis in winter. METHODS: A retrospective analysis of routinely collected time-series data of bed closures due to diarrhoea and vomiting was conducted for the winters 2010/11 to 2015/16. Two key issues were addressed by imputing non-randomly missing values at provider level, and filtering observations to a range of dates recorded in all six winters. The lowest and highest values imputed were taken to represent the best- and worst-case scenarios. Bed-days were costed using NHS reference costs, and potential staff absence costs were based on previous studies. FINDINGS: In the best-to-worst case, a median of 88,000-113,000 beds were closed due to gastroenteritis each winter. Of these, 19.6-20.4% were unoccupied. On average, 80% of providers were affected, and had closed beds for a median of 15-21 days each winter. Hospital costs of closed beds were £5.7-£7.5 million, which increased to £6.9-£10.0 million when including staff absence costs due to illness. CONCLUSIONS: 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 0.88-1.12 days. Costs for hospitals are high but vary with closures each winter. |
| Document Type: |
article in journal/newspaper |
| File Description: |
text |
| Language: |
English |
| ISSN: |
0195-6701 |
| Relation: |
https://researchonline.lshtm.ac.uk/id/eprint/4052262/1/Burden,%20duration%20and%20costs_GOLD%20VoR.pdf; Sandmann, FG ; Jit, M ORCID logo; Robotham, JV; and 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, 97 (1). pp. 79-85. ISSN 0195-6701 DOI:10.1016/j.jhin.2017.05.015 |
| DOI: |
10.1016/j.jhin.2017.05.015 |
| Availability: |
https://researchonline.lshtm.ac.uk/id/eprint/4052262/; https://researchonline.lshtm.ac.uk/id/eprint/4052262/1/Burden,%20duration%20and%20costs_GOLD%20VoR.pdf; https://doi.org/10.1016/j.jhin.2017.05.015 |
| Rights: |
cc_by |
| Accession Number: |
edsbas.F48DD986 |
| Database: |
BASE |