Factors associated with death in people with intellectual disability.
Adolescent
Adult
Aged
Cause of Death
Cerebral Palsy
/ epidemiology
Child
Child, Preschool
Comorbidity
Datasets as Topic
Down Syndrome
/ epidemiology
Female
Heart Diseases
/ epidemiology
Humans
Infant
Intellectual Disability
/ epidemiology
Male
Middle Aged
Neoplasms
/ epidemiology
Patient Acceptance of Health Care
/ statistics & numerical data
Persons with Mental Disabilities
/ statistics & numerical data
Proportional Hazards Models
Registries
Risk
Young Adult
cohort studies
comorbidities
data linkage
intellectual disability
mortality
risk of death
Journal
Journal of applied research in intellectual disabilities : JARID
ISSN: 1468-3148
Titre abrégé: J Appl Res Intellect Disabil
Pays: England
ID NLM: 9613616
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
04
01
2019
revised:
09
10
2019
accepted:
24
10
2019
pubmed:
2
12
2019
medline:
20
11
2020
entrez:
2
12
2019
Statut:
ppublish
Résumé
People with intellectual disability (ID) experience higher mortality than the general population. This study examines factors contributing to deaths in people with intellectual disability. Linked administrative data spanning ten years for 49,947 people with intellectual disability receiving disability services were analysed to assess the impact of demographic variables, comorbidities and health service utilization on the risk of death using Cox proportional hazard models. People admitted for cancer were 8 times more likely to die within the study period compared to people not admitted for cancer. Down syndrome, cerebral palsy and heart disease also increased the risk of death. Emergency department presentations and/or mental health admissions increased the risk of death 4 times. Our findings provide a basis for policy changes and public health interventions. Cancer screening, mental health interventions, inclusion of people with intellectual disability in health policy and improved health care are needed to meet the needs of this population.
Sections du résumé
BACKGROUND
BACKGROUND
People with intellectual disability (ID) experience higher mortality than the general population. This study examines factors contributing to deaths in people with intellectual disability.
METHOD
METHODS
Linked administrative data spanning ten years for 49,947 people with intellectual disability receiving disability services were analysed to assess the impact of demographic variables, comorbidities and health service utilization on the risk of death using Cox proportional hazard models.
RESULTS
RESULTS
People admitted for cancer were 8 times more likely to die within the study period compared to people not admitted for cancer. Down syndrome, cerebral palsy and heart disease also increased the risk of death. Emergency department presentations and/or mental health admissions increased the risk of death 4 times.
CONCLUSIONS
CONCLUSIONS
Our findings provide a basis for policy changes and public health interventions. Cancer screening, mental health interventions, inclusion of people with intellectual disability in health policy and improved health care are needed to meet the needs of this population.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
420-429Subventions
Organisme : National Health and Medical Research Council
ID : APP1056128
Informations de copyright
© 2019 John Wiley & Sons Ltd.
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