Multiple and Emergency Admissions Aged 65+: Standardisation by Sex, Age Group and Deprivation  

One of the main determinants in multiple admissions, other than quality of care, is patient case mix.  Factors such as deprivation, age group and gender are likely to influence numbers of multiple admissions.  Thus, differences in multiple admission rates between areas may be due to differences in the case mix of patients admitted.

One way of adjusting for these differences in rates is to use standardisation.  Due to small numbers the method chosen for this analysis is indirect standardisation.  This method has been applied to all patients aged 65 and over. 

Indirect standardisation compares actual numbers of emergency admissions to expected numbers, adjusting for age, sex and deprivation.  This produces a ratio which is called a standardised incidence ratio.

Multiple Emergency Admissions	Emergency Admissions
NHS Board of Residence  [3.7Mb]	NHS Board of Residence  [3.7Mb]
Community Health Partnership  [2.8Mb]	Community Health Partnership  [3.9Mb]
Notes on Interpretation

Each NHS Board's indirectly standardised incidence ratio and its corresponding confidence intervals are illustrated in the graph below.  If the Scottish average emergency ratio lies between an NHS Board's upper and lower confidence interval levels, then the NHS Board ratio is said to be not significantly different from Scotland.  Please interpret with caution; the data for NHS Dumfries and Galloway have only 82% SMR01 completeness at this time.