Variable | Method of derivation | Bivariate correlation (Kendall’s Tau) with any alcohol re-admission | Investigated or proposed in previous literature |
---|---|---|---|
Diagnosis variables | |||
Patient also had self-harm diagnosis at time of index episode (0 = no, 1 = yes) | Did the patient have an additional ICD-10 code of X60 to X84, but excluding X65 | .110*** | |
Patient also had assault diagnosis at time of index episode (0 = no, 1 = yes) | Did the patient have an additional ICD-10 code of X85 to X99, Y00 to Y09, or T741? | .017 | [21] |
Patient also had “undetermined intent” diagnosis at time of index episode (0 = no, 1 = yes) | Did the patient have an additional ICD-10 code of X60 to X84, or Y10 to Y34? If the patient had an ambiguous coding – i.e., an “undetermined intent” code mixed with a self-harm or an assault diagnosis, then it was coded as being undetermined intent only. Also if the patient had a mixed assault and self-harm diagnosis, they were also coded as undetermined intent only. | -.002 | |
Patient also had injury diagnosis at time of index episode (0 = no, 1 = yes) | Did the patient have an additional ICD-10 code of S*, T00-T32, T66, T67, T70, T71, T75, V*, W*, X00-X39, X50-X52? Excluded from this variable were cases where the patient also had another diagnosis which suggested that the injury was not a straightforward accident – i.e., a parallel coding of self-harm; assault; or event of undetermined intent. | -.042*** | [21] |
Patient also had other mental health diagnosis at time of index episode (0 = no, 1 = yes) | Did the patient have an additional ICD-10 code of F0 to F9, but excluding F7? | .061*** | |
Patient also had other substance use diagnosis at time of index episode (0 = no, 1 = yes) | Did the patient have an additional ICD-10 code of F11 to F19, T40, or X42? | .053*** | |
Patient’s primary diagnosis at index admission was alcohol related (0 = no, 1 = yes) | Was the first (primary) diagnosis recorded in HES for this admission an alcohol related code, or was this recorded as a secondary code? | -.087*** | [20] |
Demographic variables | |||
Average level of wealth of the patient’s area of residence at time of index admission (interval variable, ranging from 1 to 10) | Calculated from Index of Multiple Deprivation (IMD) coding of the patient’s address, and taken from the demographic fields of the HES index admission record | -.062*** | [22] |
Age at start of index admission (interval variable, ranging from 12-18 years) | Recorded on the index admission record as a demographic field | .032** | |
Patient was treated during index admission in an urban Primary Care Trust (PCT) (0 = no, 1 = yes) | Based on a pre-existing methodology and codings [31] and the classifications of the Office of National Statistics, did the patient have their index admission in a hospital that was in an “urban” PCT area, as opposed to a PCT in a “rural” area? | .009 | |
Patient gender (0 = female, 1 = male) | Recorded on the index admission record as a demographic field | -.047*** | |
Address missing at time of index admission (0 = no, 1 = yes) | Was there a missing address at the time of the patient’s current admission – as indicated by a missing Local Authority code listed against their record? | -.003 | |
Admission characteristic variables | |||
Length of stay in hospital during the index admission (continuous variable, expressed in days) | Admission date subtracted from discharge data, expressed in days | .030** | |
Patient had index admission on a “traditional” drinking day (0 = no, 1 = yes) | Did the patient have their index admission on a day that was: (a) a Friday, Saturday, or Sunday, (b) a public holiday, or (c) a day on the eve of a public holiday? | -.043*** | |
Outside ambient air temperature on date of index admission (continuous variable, expressed in degrees Celsius) | The mean daytime temperature on the date of admission according to the Hadley Centre Central England Temperature (HadCET) dataset [32] | .008 |