Objective Iron deficiency anaemia (IDA) occurs in 2%–5% of men and postmenopausal women in the developed world and, if left untreated, can significantly impair quality of life or decompensate chronic illnesses. Approximately 10% of men and postmenopausal women with IDA have underlying gastrointestinal malignancy. This study identifies trends in the management of IDA in secondary care in England. Design/method The Hospital Episode Statistics database was used to analyse IDA-related hospital and outpatient admissions (elective and non-elective) in National Health Service England between April 2012 and March 2018. Outcome measures included rates of readmission, length of stay (LOS) and cost per admission. Results Between 2012/2013 and 2017/2018, there was a 72% increase in hospital admissions for patients with a primary diagnosis of IDA and a 68% increase in hospital spells, with the number of cases being managed non-electively increasing by 58%. Non-electively managed patients had a longer LOS (3.10 vs 0.04 days, respectively) and increased rate of readmissions within 30 days (24.1% vs 6.6%) versus patients managed electively. Average day-case cost was £449 versus £1676 for non-elective admission. Across the 195 clinical commissioning groups (CCGs) in England, non-elective spells per 100 000 population demonstrated extensive and widening variability, ranging from 18 to 118 in 2017/2018 compared with 11–55 in 2012/2013. Conclusion The current analysis highlights several opportunities to improve patient outcomes and reduce costs. There is an opportunity to improve day-case services by looking at the difference between CCGs and the variability in care and to reduce the number of non-elective admissions. Data are available on reasonable request. Data are accessed from HES data and are provided by the National Health Service Information Centre for Health and Social Care under a commercial reuse licence via Harvey Walsh Ltd.

中文翻译：

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2012 年至 2018 年间英格兰二级保健中缺铁性贫血的管理：医院事件统计的真实世界分析

目的 发达国家 2%–5% 的男性和绝经后女性发生缺铁性贫血 (IDA)，如果不及时治疗，会显着损害生活质量或使慢性疾病失代偿。大约 10% 的 IDA 男性和绝经后女性患有潜在的胃肠道恶性肿瘤。本研究确定了英格兰二级保健中 IDA 管理的趋势。设) 和每次入场的费用。结果 2012/2013 至 2017/2018 年间，初步诊断为 IDA 的患者入院率增加了 72%，住院时间增加了 68%，非选择性治疗的病例数增加了 58%。与择期管理的患者相比，非择期管理的患者的 LOS 更长（分别为 3.10 和 0.04 天），并且在 30 天内再入院率增加（24.1% 对 6.6%）。日间案例的平均费用为 449 英镑，而非选修课为 1676 英镑。在英格兰的 195 个临床委托组 (CCG) 中，每 100 000 人中的非选修课表现出广泛且不断扩大的变异性，2017/2018 年为 18 至 118 人，而 2012/2013 年为 11 至 55 人。结论 目前的分析强调了改善患者预后和降低成本的几个机会。通过查看 CCG 之间的差异和护理的可变性并减少非选择性入院的数量，有机会改善日间病例服务。可根据合理要求提供数据。数据从 HES 数据中获取，由国家卫生服务信息中心提供，通过 Harvey Walsh Ltd. 获得商业再利用许可。