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Older age and living in a more deprived neighbourhood were consistently associated with increased risk of MLTC, whereby people living in the most deprived neighbourhoods had a prevalence of MLTC equivalent to people from the least deprived neighbourhoods a decade older. Associations between neighbourhood deprivation and increased MLTC risk were stronger in younger adults; relative risk of MLTC was 1.74 (95% confidence interval: 1.49\u20132.02) when comparing people aged 30\u201339 living in the most and least deprived neighbourhoods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among adults accessing inpatient hospital care in North East England, the prevalence of MLTC is high in all age groups, has increased since the COVID-19 pandemic and has a greater impact on younger adults from more deprived neighbourhoods. This highlights the sheer scale of the challenge that MLTC present in hospitals and the value of harnessing information at a local level as we look to redesign hospital care fit for the future.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20542704261465142","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T16:59:14Z","timestamp":1785862754000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A National Health Service in \u2018Serious Trouble\u2019: What do multiple long-term conditions tell us about deterioration in health among people accessing hospital care in the North East of England? \u2013 An analysis of electronic health records"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3370-5720","authenticated-orcid":false,"given":"Rachel","family":"Cooper","sequence":"first","affiliation":[{"name":"Newcastle University"},{"name":"NIHR Newcastle Biomedical Research Centre"},{"name":"Multiple Long-Term Conditions Cross-NIHR Collaboration, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marzieh","family":"Shahmandi","sequence":"additional","affiliation":[{"name":"Newcastle University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan G","family":"Bunn","sequence":"additional","affiliation":[{"name":"Newcastle University"},{"name":"NIHR Newcastle Biomedical Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peta","family":"Leroux","sequence":"additional","affiliation":[{"name":"Newcastle upon Tyne Hospitals NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Plummer","sequence":"additional","affiliation":[{"name":"NIHR Newcastle Biomedical Research Centre"},{"name":"Newcastle upon Tyne Hospitals NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom P","family":"Marshall","sequence":"additional","affiliation":[{"name":"University of Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James MS","family":"Wason","sequence":"additional","affiliation":[{"name":"Newcastle University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miles D","family":"Witham","sequence":"additional","affiliation":[{"name":"Newcastle University"},{"name":"NIHR Newcastle Biomedical Research Centre"},{"name":"Multiple Long-Term Conditions Cross-NIHR Collaboration, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avan A","family":"Sayer","sequence":"additional","affiliation":[{"name":"Newcastle University"},{"name":"NIHR Newcastle Biomedical Research Centre"},{"name":"Multiple Long-Term Conditions Cross-NIHR Collaboration, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the ADMISSION Research Collaborative","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Darzi A. 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