Research by Dr Lucy Strens, Dr Andrea Lindahl & Dr Lara Teare

All of our attendees carry out a piece of research in an area of MS clinical practice or treatment that interests them.

This snapshot gives you a quick idea of what they found and why. If you want to learn more, just click through to the full research report, or follow the links within the snapshot.

If you would like to contact the alumni who did the research, drop us a line and we’ll put you in touch where possible.

 

Aim

To analyse hospital admissions of people with multiple sclerosis (MS), compared to people with Parkinson’s, and to understand where unnecessary admissions could have been avoided.

Headlines

  • Hospital episode statistics (HES) data was examined for a full year, from April 2015-16, to understand:
    • Distribution of day case, elective and emergency admissions
    • Total bed days and costs
    • Short and long stay patients
    • Repeat admissions
    • Causes of admission
  • It is important to note that HES data only paints a picture of what has been coded, so accurate interpretation relies on accurate coding within the hospital.

Key findings

  • One third of the local MS population accounted for £500,000 of spend on the hospital day case unit.
  • 20% of MS emergency admissions were released on the same day they were admitted (zero bed days).
  • Urinary tract infections (UTIs) and respiratory infections were the most common causes for admission and readmission both in MS and Parkinson’s (costing £270,000)

Core recommendations

  • UTIs were the most common reason for readmission amongst MS patients, and the researchers suggest:
    • closer working with the continence service,
    • improved prevention of UTIs through education to both patients and clinicians, and
    • improved management of bladder and bowel including possibly bladder training and fluid management for patients.

 

Take action

  • Read the full presentation
  • Contact the researcher to discuss their work (please put the name of the Snapshot as your title in our contact form)
  • Learn more about the issues raised in this report. Click the scattered links to access further information.