Increasing diagnoses per patient admission at a specialist children’s hospital: A retrospective study

Over recent decades, the recorded complexity of patients attending a specialist children's hospital appear to have increased significantly, with an almost 3-fold increase in the number of coexisting diagnoses present per admission. The cause of this finding cannot be determined from the data; however, it appears to be gradual and consistent, and across all speciality areas suggesting biological or referral factors rather than artefactual coding issues. Recognition of such a trend is important when interpreting retrospective data for AI, research, and planning purposes.

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Publication Details

Journal
PLoS ONE
Published
2025-05-06
DOI
https://doi.org/10.1371/journal.pone.0322997
Primary Topic
Medical Coding and Health Information
Type
article
Field-Weighted Citation Impact
0.00

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article

Increasing diagnoses per patient admission at a specialist children’s hospital: A retrospective study

Stuart A Bowyer, Daniel Key, Eleni Pissaridou, Neil J. Sebire et al.
PLoS ONE
Medical Coding and Health Information
article

Increasing diagnoses per patient admission at a specialist children’s hospital: A retrospective study

Stuart A Bowyer, Daniel Key, Eleni Pissaridou, Neil J. Sebire, John Booth, William Bryant, Harry Hemingway
article en

Abstract

Over recent decades, the recorded complexity of patients attending a specialist children's hospital appear to have increased significantly, with an almost 3-fold increase in the number of coexisting diagnoses present per admission. The cause of this finding cannot be determined from the data; however, it appears to be gradual and consistent, and across all speciality areas suggesting biological or referral factors rather than artefactual coding issues. Recognition of such a trend is important when interpreting retrospective data for AI, research, and planning purposes.

PLoS ONEVol. 20(5)
Great Ormond Street Hospital (GB), UCL Biomedical Research Centre (GB), Health Data Research UK (GB), University College London (GB), Imperial College London (GB)
Great Ormond Street Hospital Charity, NIHR Great Ormond Street Hospital Biomedical Research Centre
Openalex Percentile: Top 89%
Medical Coding and Health Information
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