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

Kirsty Dunn1, Laura Hughes-McCormack1, Sally-Ann Cooper1

  • 1Institute of Health and Wellbeing, Gartnavel Royal Hospital, University of Glasgow, Glasgow, UK.

Insights

Hospital admissions are more common for individuals with intellectual disabilities, particularly for conditions like asthma and diabetes. This suggests potential gaps in primary healthcare access and management for this population.

Area of Science:

  • Healthcare disparities
  • Public health
  • Intellectual disability research

Background:

  • Individuals with intellectual disabilities (ID) may face health inequalities.
  • Hospital admission patterns for physical health conditions in people with ID require investigation.

Purpose of the Study:

  • To systematically review hospital admissions for physical health conditions in people with intellectual disabilities.
  • To identify patterns and potential disparities in healthcare access.

Main Methods:

  • Systematic review of six databases using keywords related to intellectual disabilities and hospital admission.
  • Data extraction, synthesis, and quality assessment of selected papers.
  • PROSPERO registration: CRD42015020575.

Main Results:

  • Seven studies were included from 29,613 papers.
  • People with ID had higher and different patterns of hospital admissions (medical, dental).
  • Higher admission rates for ambulatory care-sensitive conditions (asthma, diabetes) were observed when accounting for disease prevalence.

Conclusions:

  • Hospital admissions are frequent among individuals with intellectual disabilities.
  • Evidence suggests potentially suboptimal primary healthcare for asthma and diabetes in this population.
  • Further research is needed due to limited evidence.
Abstract

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