Heart of Birmingham hospital admissions within 30d of NHS NTC in F/Y 2011/12

A file provided by Heart of Birmingham PCT (as was) under freedom of information legislation. It was prepared for the author of this research and the information does not seem to have been collated or reviewed otherwise (although Birmingham Children's Hospital had raised the alarm some 2 y previously regarding significant complications seen in A&E, mainly infants). This file shows the early (up to 30 day) readmissions from religious infant circumcisions in financial year 2011-12 (N=1,359). It was generated by asking them to perform a query using the unique patient ID as a pivot. The data includes days between op and admission, primary and secondary diagnosis, primary and secondary procedure codes (where relevant), length of stay and the cost of the spell. It's difficult to analyse in pdf but HOB PCT refused the excel version so I have partially retyped into excel to make analysis possible. See in the West Midlands folder. We can say that 8 cases are almost definately circ complications (the're coded as urinary issue or 'complications of a procedure') but there are many more that may have been. It's useful to remember in analysing this data that Birmingham Children's Hospital verified data shows infant circumcision complications may present initially as something else - some verified cases presented with, for example, respiratory or gastric issues. The same things has been observed in data from Leeds. Researchers need therefore to be wary of assuming that analysis of presenting issue gives a full picture of NTC adverse effects. It doesn't.

本数据集文件由原伯明翰心脏初级医疗信托基金会（Heart of Birmingham PCT）依据信息自由法提供，系为本次研究的作者筹备，相关信息似乎未经过额外整理或审核——尽管伯明翰儿童医院早在两年前就曾就急诊室中观察到的严重并发症（主要累及婴幼儿）发出过预警。本文件展示了2011-2012财年，因宗教信仰接受婴幼儿包皮环切术的患者在术后30天内的早期再入院情况，样本量为1359例（N=1,359）。该数据集通过以唯一患者标识符（unique patient ID）作为枢纽进行查询生成，包含手术至再入院的间隔天数、主要与次要诊断、主要与次要操作代码（适用场景下）、住院时长以及本次就诊周期的费用。该文件为PDF格式，难以直接开展数据分析，且伯明翰心脏初级医疗信托基金会拒绝提供Excel版本，因此我已将部分内容手动转录至Excel以支持后续分析。相关文件可在西米德兰兹郡文件夹中查看。我们可明确认定其中8例几乎可确诊为包皮环切术并发症（编码为泌尿系统问题或「操作相关并发症」），但尚有更多疑似病例。在分析本数据集时需谨记：伯明翰儿童医院的验证数据显示，婴幼儿包皮环切术的并发症最初可能表现为其他症状——例如部分已验证的并发症病例最初呈现为呼吸系统或消化系统问题。利兹市的相关数据中也观察到了相同现象。因此，研究人员需谨慎对待「通过患者首诊症状即可全面了解NTC相关不良事件（NTC Adverse Effects）」的假设，事实并非如此。