All-Cause Hospital Admission Rates in Working-Age Adults in the UK
The available evidence does not provide a comprehensive all-cause hospital admission rate specifically for working-age adults (15-64 years) in the UK, but data from specific disease categories and age groups can provide partial insights into this population's hospital utilization patterns.
Available Data on Hospital Admissions for Working-Age Adults
Infectious and Parasitic Diseases
- Working-age adults (15-59 years) accounted for 27.9% of all infectious and parasitic disease hospital admissions between 1999-2019 1
- The overall hospital admission rate for infectious diseases increased dramatically from 290.25 per 100,000 persons in 1999 to 1,305.88 per 100,000 persons in 2019, representing a 349.9% increase 1
- The most common causes were intestinal infectious diseases (33.6%), other bacterial diseases (27.5%), and other viral diseases (23.8%) 1
COPD-Specific Data for Working-Age Population
- For COPD alone, there were 20,160 consultant episodes among patients aged 15-59 years in England and Wales during 2002/2003 2
- COPD accounts for up to 1 in 8 emergency hospital admissions overall 2
- Among COPD patients, 44% were below retirement age, with 24% completely prevented from working and an additional 9% limited in their ability to work 2
Mental and Behavioral Disorders
- The 15-59 years age group accounted for 65.1% of all mental, behavioral and neurodevelopmental disorder hospital admissions between 1999-2019 3
- Mental and behavioral disorders due to psychoactive substance use were the most common type, accounting for 26.6% of admissions 3
General Hospital Admission Patterns
Community-Dwelling Adults (59-73 years)
- In a cohort of community-dwelling adults aged 59-73 years, hospital admission rates were 391 per 1,000 person-years among men and 327 per 1,000 person-years among women 4
- 75% of men and 69% of women in this age group were admitted to hospital at least once during the study period 4
- 48% of those ever admitted had experienced an emergency admission 4
Important Caveats
The evidence base has significant limitations for answering this specific question:
- Most available data focuses on specific disease categories (COPD, infectious diseases, mental health) rather than all-cause admissions 2, 1, 3
- Age categorizations in the available studies do not align perfectly with the working-age definition of 15-64 years 1, 3, 4
- The most comprehensive data available is disease-specific rather than population-based for all causes 2
Based on the partial data available, working-age adults represent a substantial proportion of hospital admissions in the UK, with infectious diseases, mental health conditions, and chronic respiratory diseases being major contributors to admission rates in this population.