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Adults with Down syndrome: a comprehensive approach to manage complexity
A Carfì1, D L Vetrano1, D Mascia1
1Centro Medicina dell'Invecchiamento, Department of Geriatrics, Università Cattolica del Sacro Cuore, Rome, Italy.
Adults with Down syndrome (DS) show high complexity and frequent geriatric conditions. Comprehensive assessment and management are needed for adequate care in this population.
Area of Science:
- Geriatric Medicine
- Intellectual Disability Research
- Down Syndrome Studies
Background:
- Down syndrome (DS) is associated with premature aging and comorbidities similar to the elderly.
- Limited data exists on the specific characteristics of adults with DS.
- This study addresses the knowledge gap regarding adult DS characteristics.
Purpose of the Study:
- To describe the characteristics of adults with Down syndrome.
- To utilize a standardized, comprehensive assessment instrument for data collection.
- To provide insights into the health and social profiles of adults with DS.
Main Methods:
- Cross-sectional study involving 430 adults with DS (aged 18-75).
- Participants recruited from Italy, USA, and Canada.
- Data collected using the interRAI intellectual disability standardized assessment instrument.
Main Results:
- Mean age varied across samples, with Canadian adults being older on average.
- Residential settings differed, with more Canadian participants institutionalized.
- High prevalence of geriatric conditions (cognitive deficits, ADL disability, behavioral issues, falls, hearing loss) and other issues (GI, skin, dental, obesity) observed.
Conclusions:
- Adults with Down syndrome exhibit significant complexity and require comprehensive care.
- A holistic assessment and management approach is suggested for effective care.
- Further research is necessary to evaluate the efficacy of such approaches in the DS population.
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