HES CC

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Description

Hospital Episode Statistics (HES) contains records of all admissions, appointments and attendances at NHS hospitals in England. HES Critical Care (HES CC) is a subset of HES Admitted Patient Care (HES APC) data. An Intensive Care Unit or High Dependency Unit ward in a hospital, known as a critical care unit, provides support, monitoring and treatment for critically ill patients requiring constant support and monitoring to maintain function in at least one organ, and often in multiple organs. Medical equipment is used to take the place of patients’ organs during their recovery.

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Health Data Research Innovation Gateway

Table Names

  Live table

dars_nic_391419_j3w9t.hes_cc_all_years

Archived table

dars_nic_391419_j3w9t_collab.hes_cc_all_years_archive

Data Summary Notebook:

Workspaces\Shared\Summary Notebooks\HES\HES - CC All Years Summary Notebook

Data Insight Notebook:

Workspace\Shared\DATA_INSIGHT\HES CC to HES APC linkage

Need to Know

  • Data completeness and row counts depend on CCPERTYPE:
    • CCPERTYPE = “01” (adult facilities, patients >= 19 years old on admission predominate)
      • One row per critical care period (i.e. distinct ID and datetime) per HES-APC linkage (via SUSRECID)
      • Exclusive columns: support days (SUPDAYS), critical care level days (CCLEVDAYS), organ support maximum (ORGSUPMAX)
  • CCPERTYPE = “02” (paediatric; children and young people facilities, patients ≥ 29 days to <19 years predominate) & CCPERTYPE = “03” (neonatal facilities, patients <29 days on admission predominate)
    • One row per critical care period (i.e. distinct ID and datetime) per critical care activity day (CCACTIVDATE) per HES-APC linkage (via SUSRECID)
    • Exclusive columns: Critical Care Activity Code (CCACTCODE), High Cost Drugs Code (HCDCODE)
  • BESTMATCH can be used to limit the data to one row per critical care period
    • although ~0.2% of distinct critical care periods will be missed with a further ~0.2% having duplicate rows. Consider directly filtering for distinct ID and datetime.
    • not appropriate for analysing daily paediatric and neonatal critical care activity as the best match flag will only flag a single (typically the first) critical care activity date
  • Support day columns (SUPDAYS), critical care level days (CCLEVDAYS) contain the following integer flags which require cleaning:
    • 998: 998 or more days of neurological support
    • 999: Support occurred but number of days not known