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<p>NHS Digital has provided a count of finished admission episodes<sup>1</sup> with a primary or secondary diagnosis<sup>2</sup> of malnutrition<sup>3</sup> for the years 2010-11 to 2016-17<sup>4</sup>. This information is provided in the following table.</p><p> </p><table><tbody><tr><td colspan="2"><p>Activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector</p></td></tr><tr><td><p>Year</p></td><td><p>Malnutrition</p></td></tr><tr><td><p>2010-11</p></td><td><p>4,657</p></td></tr><tr><td><p>2011-12</p></td><td><p>5,377</p></td></tr><tr><td><p>2012-13</p></td><td><p>5,499</p></td></tr><tr><td><p>2013-14</p></td><td><p>6,653</p></td></tr><tr><td><p>2014-15</p></td><td><p>7,348</p></td></tr><tr><td><p>2015-16</p></td><td><p>7,855</p></td></tr><tr><td><p>2016-17</p></td><td><p>8,417</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><ol><li>A finished admission episode (FAE) is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</li></ol><p> </p><ol start="2"><li>The number of episodes where this diagnosis was recorded in any of the 20 primary and secondary diagnosis fields in a HES record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.</li></ol><p> </p><ol start="3"><li>ICD-10 coding</li></ol><p>Malnutrition:</p><p>E40 Kwashiorkor</p><p>E41 Nutritional marasmus</p><p>E42 Marasmic kwashiorkor</p><p>E43 Unspecified severe protein-energy malnutrition</p><p>E44 Protein-energy malnutrition of moderate and mild degree</p><p>E45 Retarded development following protein-energy malnutrition</p><p>E46 Unspecified protein-energy malnutrition</p><p>O25 Malnutrition in pregnancy</p><p>The presence of an ICD-10 code of malnutrition on the admission episode indicates that the patient was diagnosed with, and would therefore being treated for malnutrition during the episode of care. The cause of malnutrition is not presented here but may be due to dietary issues, an inability to absorb nutrients normally or another disease affecting the patient’s ability to feed normally.</p><p> </p><ol start="4"><li>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.</li></ol><p> </p><p>It should be noted that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p> |