Below are a selection of publications that have used anonymised data from Hampshire Health Record to improve the understanding of disease processes and care of patients
Using patient-level primary care data for an health equity audit
Authors: Fraser SDS, Watkinson GE, Rennie CA, King D, Sanderson H, Edwards L, Roderick P
Evaluating equity in screening programs is important to help reduce inequalities. We found evidence of inequity in access and uptake of retinopathy screening. Primary care data contained more information than screening program data. Using a combined health record between the two was more efficient than obtaining data directly from general practices. However, data was incomplete for deprivation measures at the time of this audit. Our audit informed subsequent efforts to improve equity in local diabetic retinopathy screening services.
Co-morbidity and pneumonia risk in Chronic Obstructive Pulmonary Disease (COPD) patients
Author: Dr Nicholas Williams, University of Southampton
A cohort of 6,707 patients with a primary care diagnosis of COPD were identified. Analysis of the database findings showed that 2.8% of patients had a pneumonia episode in 2010. A history of cerebrovascular disease and dementia were statistically significant predictors of pneumonia risk, with a trend towards significance for bronchiectasis.
Abstract submitted for the British Thoracic Winter Meeting 2015 conference presentation
10,813 patients with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD), identified from the Hampshire Health Record analytical database, were followed for three years. The main outcomes measured were death and the respiratory-caused hospitalisation rate. A multivariate cox regression model was used to calculate survival risk. It produced relative risks (RR) and confidence intervals (CI) adjusted for age, gender, smoking status and %FEV1.
The results showed significant variation in patient outcome. It demonstrated that underweight COPD patients have the worst outcomes, whilst being overweight or obese appears to have protective effects. This reinforces the importance of nutritional supplementation in underweight COPD patients, whilst further research into the obesity paradox seen in COPD is required.