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<p>Data for finished discharge episodes (FDEs) with a primary or secondary diagnosis
of sepsis for patients in each government office region of residence in England, in
each year from 2010-11 to 2014-15 are provided below.</p><p> </p><p>These figures
relate only to hospital admissions and do not include those patients who were diagnosed
in a primary care setting, or those who attended hospital as an Outpatient.</p><p>
</p><p>This is not a count of patients as the same patient may have had more than
one episode of care within the same year.</p><p> </p><p>Count of FDEs<sup>1</sup>
with a primary or secondary diagnosis<sup>2</sup> of sepsis<sup>3</sup> for patients
in each government office region of residence for 2010-11 to 2014-15<sup>4. </sup>Activity
in English National Health Service Hospitals and English NHS commissioned activity
in the independent sector</p><p> </p><table><tbody><tr><td><p>Government office region</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p></td></tr><tr><td><p>North
East</p></td><td><p>4,798</p></td><td><p>5,074</p></td><td><p>5,655</p></td><td><p>6,275</p></td><td><p>7,388</p></td></tr><tr><td><p>North
West</p></td><td><p>13,258</p></td><td><p>13,109</p></td><td><p>14,708</p></td><td><p>17,221</p></td><td><p>20,922</p></td></tr><tr><td><p>Yorkshire
and The Humber</p></td><td><p>9,182</p></td><td><p>9,189</p></td><td><p>10,146</p></td><td><p>11,338</p></td><td><p>12,857</p></td></tr><tr><td><p>East
Midlands</p></td><td><p>7,316</p></td><td><p>8,115</p></td><td><p>9,831</p></td><td><p>10,863</p></td><td><p>12,998</p></td></tr><tr><td><p>West
Midlands</p></td><td><p>7,772</p></td><td><p>7,915</p></td><td><p>10,518</p></td><td><p>12,297</p></td><td><p>13,812</p></td></tr><tr><td><p>East
of England</p></td><td><p>10,380</p></td><td><p>10,432</p></td><td><p>11,647</p></td><td><p>13,108</p></td><td><p>16,029</p></td></tr><tr><td><p>London</p></td><td><p>14,894</p></td><td><p>15,223</p></td><td><p>15,580</p></td><td><p>17,860</p></td><td><p>19,723</p></td></tr><tr><td><p>South
East</p></td><td><p>13,945</p></td><td><p>15,344</p></td><td><p>16,604</p></td><td><p>19,239</p></td><td><p>21,378</p></td></tr><tr><td><p>South
West</p></td><td><p>8,013</p></td><td><p>8,292</p></td><td><p>9,805</p></td><td><p>10,967</p></td><td><p>12,722</p></td></tr><tr><td><p>England
- Not Otherwise Specified</p></td><td><p>48</p></td><td><p>83</p></td><td><p>75</p></td><td><p>84</p></td><td><p>102</p></td></tr><tr><td><p>Unknown/Non-England</p></td><td><p>2,275</p></td><td><p>8,239</p></td><td><p>9,716</p></td><td><p>3,570</p></td><td><p>3,841</p></td></tr><tr><td><p>Total</p></td><td><p>91,881</p></td><td><p>101,015</p></td><td><p>114,285</p></td><td><p>122,822</p></td><td><p>141,772</p></td></tr></tbody></table><p>
</p><p>Source: Hospital Episode Statistics (HES), Health and Social Care Information
Centre</p><p> </p><p>The increasing incidence of sepsis is likely to be due to people
living longer and more medical and surgical interventions being performed. People
with series co-morbidities are more likely to survive their illness, and for a longer
period of time than in previous decades, which leads to much of the hospital-acquired
sepsis that now occurs.</p><p> </p><p><em>Notes:</em></p><p> </p><p><sup>1</sup>Finished
Discharge Episode (FDE)<strong> - </strong>A discharge episode is the last episode
during a hospital stay (a spell), where the patient is discharged from the hospital
or transferred to another hospital. Discharges do not represent the number of patients,
as a person may have more than one discharge from hospital within the period.</p><p><sup>2</sup>Number
of episodes in which the patient had a primary or secondary diagnosis - The number
of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to
2006-07 and 7 prior to 2002-03) primary and secondary diagnosis fields in a Hospital
Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis
is recorded in more than one diagnosis field of the record.</p><p><sup>3</sup>ICD-10
codes for Sepsis - A02.1 Salmonella sepsis, A20.7 Septicaemic plague, A21.7 Generalized
tularaemia, A22.7 Anthrax sepsis, A26.7 Erysipelothrix sepsis, A28.0 Pasteurellosis,
A28.2 Extraintestinal yersiniosis, A32.7 Listerial sepsis, A39.2 Acute meningococcaemia,
A39.3 Chronic meningococcaemia, A39.4 Meningococcaemia, unspecified, A40.- Streptococcal
sepsis, A41.- Other sepsis, A42.7 Actinomycotic sepsis, B37.7 Candidal sepsis, O85.X
Puerperal sepsis, P36.- Bacterial sepsis of newborn<br> The following pair of codes
is a dagger/asterisk code pair (D and A) which must be present together:<br> A39.1
Waterhouse-Friderichsen syndrome; E35.1 Disorders of adrenal glands in diseases classified
elsewhere</p><p><sup>4</sup>Assessing growth through time (Admitted patient care)
- 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.</p><p>Note
that HES include activity ending in the year in question and run from April to March,
e.g. 2012-13 includes activity ending between 1st April 2012 and 31st March 2013.</p><p><strong>
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