Hospital admissions for physical health conditions for people with intellectual disabilities: Systematic review

Dunn, Kirsty; Hughes-McCormack, Laura Anne; Cooper, Sally‐Ann

doi:10.1111/jar.12360

Cited by 89 publications

(50 citation statements)

References 41 publications

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“…[1][2][3] This heterogeneous group of disorders is associated with physical comorbidities and psychological impairments that increase the likelihood of hospital admission across childhood and adulthood. [4][5][6][7] For example, in our population study children with intellectual disability were 3 to 10 times more likely to be admitted to hospital compared to the rest of the population, while the rates for children with ASD were still elevated but less so than for intellectual disability. 4 Increased hospital admissions and emergency department use, particularly during the transition to adulthood, have also been reported elsewhere for adolescents with ASD.…”

mentioning

confidence: 57%

“…While mothers from low‐income countries are likely to have been disadvantaged early in their lives, they may continue to face social disadvantages in accessing primary health care with fewer supports, as well as language and knowledge barriers . Moreover, children with intellectual disabilities with parents from low‐income backgrounds may face additional risks; adults with intellectual disability are reported to have numerous organizational, social, and physical barriers in accessing adequate primary care …”

Section: Discussionmentioning

confidence: 99%

“…21 Moreover, children with intellectual disabilities with parents from low-income backgrounds may face additional risks; adults with intellectual disability are reported to have numerous organizational, social, and physical barriers in accessing adequate primary care. 6 Importantly, some changes to clinical practice could be implemented to help reduce and prevent these inequities and the longitudinal impact of disability. For families of minority backgrounds whose children have developmental disorders, there is a need to overcome additional barriers of language and socio-economic disadvantage.…”

Section: Discussionmentioning

confidence: 99%

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Hospital admissions in children with developmental disabilities from ethnic minority backgrounds

Abdullahi

Wong

Klerk

et al. 2019

Develop Med Child Neuro

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Aim To compare hospital admission patterns after the first year of life in Australian children with developmental disabilities and children with no known disability, according to maternal country of birth and Indigenous status. Method This was a retrospective cohort study using linked data across health, disability, and hospital admission databases. The study investigated 656 174 children born in Western Australia between 1983 and 2008 with a total of 1 091 834 records of hospital admissions. Results Children with no known disability born to Indigenous mothers had the highest rate of hospital admissions compared to children of non‐Indigenous mothers. Children of foreign‐born mothers from low‐income countries had the highest rate of hospital admissions if disability was present. Children with cerebral palsy (CP) with or without associated intellectual disability had the highest rate of hospital admissions among children with developmental disability, especially if mothers were foreign‐born. Interpretation Children with CP and intellectual disability, particularly from minority backgrounds (Indigenous Australian and foreign‐born mothers), were at higher risk of being admitted to hospital after the first year of life. What this paper adds Hospital admissions in Australian children with and without disabilities differ according to maternal country of birth. Hospital admission rates in children without a developmental disability were greatest for Australian‐born Indigenous children. Disabled Australian‐born children of foreign‐born mothers from low‐income countries had the highest hospital admission rates. Hospital admission risk was greatest for Australian‐born children with cerebral palsy, especially if mothers were foreign‐born.

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confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Hospital admissions in children with developmental disabilities from ethnic minority backgrounds

Abdullahi

Wong

Klerk

et al. 2019

Develop Med Child Neuro

View full text Add to dashboard Cite

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“…; Dunn et al . ), and, for some individuals, they remain in hospital much longer than required (Lin et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…) and hospitalisations (Dunn et al . ) as well as repeat hospitalisations (Balogh et al . ; Li et al .…”

Section: Introductionmentioning

confidence: 99%

High health care costs among adults with intellectual and developmental disabilities: a population‐based study

Lunsky

Oliveira

Wilton³

et al. 2018

J intellect Disabil Res

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Objective While it is generally accepted that adults with intellectual and developmental disabilities (IDDs) use health services to a greater extent than the general population, there is remarkably little research that focuses on the costs associated with their health care. Using population‐based data from adults with IDD in Ontario, this study aimed to estimate overall health care costs, classify individuals into high and non‐high cost categories and describe differences in the demographics, clinical profiles and health care use patterns between these groups. Design A retrospective cohort study based in Ontario, Canada, was conducted with the use of linked administrative health data. Methods A costing algorithm developed for the general population in Ontario was applied to estimate health care costs of adults with IDD under age 65 for 2009 and 2010. Individuals were categorised into two groups according to whether their total annual health care costs were among the highest decile in the general population. These groups were compared on demographic and clinical variables, and relative mean costs for six types of health care services in the two groups were computed. In addition, we computed the proportion of individuals who remained in the high cost group over 2 years. Results Among adults with IDD, 36% had annual health care expenditures greater than $2610 CAD (top decile of all Ontario adults under 65). These individuals were more likely to be female, to be in the oldest age groups, to live in group homes and to be receiving disability income support than individuals whose expenditures were below the high cost threshold. In addition, they had higher rates of all the physical and mental health conditions studied. Greatest health care expenses were due to hospitalisations, especially psychiatric hospitalisations, continuing care/rehabilitation costs and medication costs. The majority of individuals whose health care costs placed them in the high cost category in 2009 remained in that category a year later. Discussion Adults with IDD are nearly 4 times as likely to incur high annual health care costs than those without IDD. Individuals with IDD and high health care costs have unique health and demographic profiles compared with adults with IDD whose annual health care costs are below the high cost threshold. Attending to their health care needs earlier in their health care trajectory may be an opportunity to improve health and reduce overall health care costs. It is important that we explore how to best meet their needs. Models proposed to meet the needs of adults with high health care costs in the general population may not apply to this unique group.

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Coronavirus disease 2019 (COVID‐19) and individuals with intellectual and developmental disabilities in Nigeria

Ijezie

Okagbue

Oloyede

et al. 2021

Journal of Public Affairs

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This article chronicles the present situation of coronavirus disease 2019 (COVID‐19) on individuals with intellectual and developmental disabilities (IDD) in Nigeria. A systematic search was conducted on three bibliographic databases: MEDLINE Complete, Web of Science and Scopus, and supplemented with grey literature searches to assess studies on the effect of COVID‐19 on these individuals in Nigeria with data on this group from December 2019 to July 2020. There were no studies found concerning individuals with IDD in Nigeria. This article argues for an urgent call to action by Nigerian policymakers to make data available to help understand the impact of COVID‐19 and to develop and implement appropriate interventions. This article provides steps to support and care for these individuals in Nigeria. Forecasting models are recommended which offer better approaches in yielding accurate predictions and provide valuable decisions in the event of future threats and infectious disease outbreak in Nigeria.

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Hospital admissions for physical health conditions for people with intellectual disabilities: Systematic review

Abstract: Admissions are common. Asthma and diabetes admission data suggest suboptimal primary health care for people with intellectual disabilities compared with the general population, but evidence is limited.

Cited by 89 publications

References 41 publications

Hospital admissions in children with developmental disabilities from ethnic minority backgrounds

Hospital admissions in children with developmental disabilities from ethnic minority backgrounds

High health care costs among adults with intellectual and developmental disabilities: a population‐based study

Coronavirus disease 2019 (COVID‐19) and individuals with intellectual and developmental disabilities in Nigeria

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