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dc.contributor.authorDick, S
dc.contributor.authorKyle, RG
dc.contributor.authorWilson, P
dc.contributor.authorAucott, L
dc.contributor.authorFrance, E
dc.contributor.authorKing, E
dc.contributor.authorMalcolm, C
dc.contributor.authorHoddinott, P
dc.contributor.authorTurner, SW
dc.date.accessioned2022-10-07T13:05:51Z
dc.date.issued2022-09-09
dc.date.updated2022-10-07T11:44:05Z
dc.description.abstractAbstract: Introduction This study identified the referral source for urgent short-stay admissions (SSAs) and compared characteristics of children with SSA stratified by different referral sources. Methods: Routinely acquired data from urgent admissions to Scottish hospitals during 2015–2017 were linked to data held by the three referral sources: emergency department (ED), out-of-hours (OOH) service and general practice (GP). Results: There were 171 039 admissions including 92 229 (54%) SSAs. Only 171 (19%) of all of Scotland’s GP practices contributed data. Among the subgroup of 10 588 SSAs where GP data were available (11% all SSA), there was contact with the following referral source on the day of admission: only ED, 1853 (18%); only GP, 3384 (32%); and only OOH, 823 (8%). Additionally, 2165 (20%) had contact with more than one referral source, and 1037 (10%) had contact with referral source(s) on the day before the admission. When all 92 229 SSAs were considered, those with an ED referrer were more likely to be for older children, of white ethnicity, living in more deprived communities and diagnosed with asthma, convulsions or croup. The odds ratio for an SSA for a given condition differed by referral source and ranged from 0.07 to 1.9 (with reference to ED referrals). Conclusion: This study yielded insights and potential limitations regarding data linkage in a healthcare setting. Data coverage, particularly from primary care, needs to improve further. Evidence from data linkage studies can inform future intervention designed to provide safe integrated care pathways.en_GB
dc.description.sponsorshipChief Scientist Officeren_GB
dc.format.extentarchdischild-2022-324171-
dc.identifier.citationPublished online 9 September 2022en_GB
dc.identifier.doihttps://doi.org/10.1136/archdischild-2022-324171
dc.identifier.grantnumberHIPS/18/09en_GB
dc.identifier.urihttp://hdl.handle.net/10871/131146
dc.identifierORCID: 0000-0002-6394-109X (Kyle, Richard)
dc.identifierScopusID: 35767986400 (Kyle, Richard)
dc.identifierResearcherID: A-3601-2012 | W-4154-2019 (Kyle, Richard)
dc.language.isoenen_GB
dc.publisherBMJ Publishing Groupen_GB
dc.rights© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.en_GB
dc.titleInsights from and limitations of data linkage studies: analysis of short-stay urgent admission referral source from routinely collected Scottish dataen_GB
dc.typeArticleen_GB
dc.date.available2022-10-07T13:05:51Z
dc.identifier.issn0003-9888
dc.descriptionThis is the author accepted manuscript. The final version is available from BMJ Publishing via the DOI in this record en_GB
dc.descriptionData availability statement: Data may be obtained from a third party and are not publicly available.en_GB
dc.identifier.eissn1468-2044
dc.identifier.journalArchives of Disease in Childhooden_GB
dc.relation.ispartofArchives of Disease in Childhood
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/ en_GB
dcterms.dateAccepted2022-08-14
rioxxterms.versionAMen_GB
rioxxterms.licenseref.startdate2022-09-09
rioxxterms.typeJournal Article/Reviewen_GB
refterms.dateFCD2022-10-07T13:02:50Z
refterms.versionFCDAM
refterms.dateFOA2022-10-07T13:05:57Z
refterms.panelAen_GB
refterms.dateFirstOnline2022-09-09


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© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.
Except where otherwise noted, this item's licence is described as © Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.