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Haemolytic Uremic Syndrome

Health written question – answered on 2nd November 2011.

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Photo of Duncan Hames Duncan Hames Liberal Democrat, Chippenham

To ask the Secretary of State for Health how many (a) children and (b) adults with atypical haemolytic uremic syndrome were treated with (a) plasma therapy and (b) dialysis in each of the last three years.

Photo of Simon Burns Simon Burns The Minister of State, Department of Health

Information on the number of these treatments and procedures carried out outside a hospital is not collected centrally. The following table covers in-patient activity for haemolytic-uremic syndrome (i.e. not just atypical).

Total number of finished admission episodes (1) with a primary diagnosis (2) of Haemolytic-uremic syndrome (ICD-10 code D59.3) and where a treatment or procedure (3) of plasma exchange (4) or plasma transfusion (5) or dialysis (6) has been recorded by age group for 2007-08, 2008-09 and 2009-10
Treatment Age group 2007-08 2008-09 2009-10
Plasma Exchange 0-17 18 8 23
  18+ 11 31 27
Total 29 39 50
Plasma Transfusion 0-17 77 112 72
  18+ 0 0 0
Total 11 112 72
Dialysis 0-17 22 21 45
  18+ 50 8 10
Total 72 29 55
(1) Finished admission episodes A finished admission episode (FAE) is the first period of in-patient care under one consultant within one health care provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year. (2) Primary diagnosis The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital. (3) Number of episodes with a (named) main or secondary procedure The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and four prior to 2002-03) procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. Note that more procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a 'cataract operation' would tend to have at least two procedures—removal of the faulty lens and the fitting of a new one—counted in a single episode. (4) Plasma Exchange (OPCS 4.5 codes) X32.2—Exchange of plasma (single) X32.3—Exchange of plasma (2-9) X32.4—Exchange of plasma (10-19) X32.5—Exchange of plasma (>19) (5) Plasma Transfusion (OPCS 4.5 codes) X34.2—Transfusion of plasma (6) Dialysis (OPCS 4.5 codes) X40.1—Renal dialysis X40.2—Peritoneal dialysis NEC X40.3—Haemodialysis NEC X40.4—Haemofiltration X40.5—Automated peritoneal dialysis X40.6—Continuous ambulatory peritoneal dialysis X40.7—Haemoperfusion X40.8—Other specified compensation for renal failure X40.9—Unspecified compensation for renal failure Sources: 1. Hospital Episode Statistics (HES), The NHS Information Centre for health and social care 2. Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

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