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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.
Background:
People with intellectual disabilities may have inequalities in hospital admissions compared with the general population. The present authors aimed to investigate admissions for physical health conditions in this population.
Methods:
The present authors conducted a systematic review, searching six databases using terms on intellectual disabilities and hospital admission. Papers were selected based on pre-defined inclusion/exclusion criteria, data extracted, tabulated and synthesized and quality assessed. PROSPERO registration number: CRD42015020575.
Results:
Seven of 29,613 papers were included. There were more admissions, and a different pattern of admissions (more medical and dental), for people with intellectual disabilities, but most studies did not take account of higher disease prevalence. Three papers considered admissions for ambulatory care-sensitive conditions, two of which accounted for disease prevalence (asthma, diabetes) and found higher admission rates for people with intellectual disabilities.
Conclusion:
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.
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