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COVID-19 deaths in people with intellectual disability in the UK and Ireland: descriptive study
Bhathika Perera1, Richard Laugharne2, William Henley3
1Barnet Enfield and Haringey Mental Health Trust, UK.
Insights
People with intellectual disability (ID) who died from COVID-19 were younger and had higher rates of comorbidities like epilepsy and Down syndrome. Understanding these specific risk factors is crucial for targeted prevention strategies in this vulnerable population.
Area of Science:
- Public Health
- Epidemiology
- Intellectual Disability Research
Background:
- Coronavirus disease 2019 (COVID-19) has disproportionately impacted individuals with intellectual disability.
- Limited data exists on specific risk factors contributing to COVID-19 mortality in this population.
- Identifying high-risk individuals is essential for developing targeted prevention strategies.
Purpose of the Study:
- To identify comorbidities, demographic, and clinical factors associated with COVID-19 deaths in individuals with intellectual disability.
- To compare risk factors between mild and moderate-to-profound intellectual disability subcohorts.
Main Methods:
- An observational descriptive case series was conducted.
- Data from 66 COVID-19 deaths in individuals with intellectual disability were analyzed.
- Specific risk factors and comorbidities were examined, alongside comparisons between intellectual disability severity groups.
Main Results:
- The study analyzed data from 66 deaths in individuals with intellectual disability.
- This group was younger (mean age 64) than the general population COVID-19 death cohort.
- High rates of moderate-to-profound intellectual disability, epilepsy, mental illness, dysphagia, Down syndrome, and dementia were observed.
Conclusions:
- This is the first study to explore associations between risk factors and comorbidities in COVID-19 deaths among people with intellectual disability.
- Findings offer insights into potential factors influencing mortality in this group.
- Variations between intellectual disability severity groups highlight the need for further research into cumulative impacts and potential COVID-19 resurgence prevention.
Background:
Rapid spread of coronavirus disease 2019 (COVID-19) has affected people with intellectual disability disproportionately. Existing data does not provide enough information to understand factors associated with increased deaths in those with intellectual disability. Establishing who is at high risk is important in developing prevention strategies, given risk factors or comorbidities in people with intellectual disability may be different to those in the general population.
Aims:
To identify comorbidities, demographic and clinical factors of those individuals with intellectual disability who have died from COVID-19.
Method:
An observational descriptive case series looking at deaths because of COVID-19 in people with intellectual disability was conducted. Along with established risk factors observed in the general population, possible specific risk factors and comorbidities in people with intellectual disability for deaths related to COVID-19 were examined. Comparisons between mild and moderate-to-profound intellectual disability subcohorts were undertaken.
Results:
Data on 66 deaths in individuals with intellectual disability were analysed. This group was younger (mean age 64 years) compared with the age of death in the general population because of COVID-19. High rates of moderate-to-profound intellectual disability (n = 43), epilepsy (n = 29), mental illness (n = 29), dysphagia (n = 23), Down syndrome (n = 20) and dementia (n = 15) were observed.
Conclusions:
This is the first study exploring associations between possible risk factors and comorbidities found in COVID-19 deaths in people with intellectual disability. Our data provides insight into possible factors for deaths in people with intellectual disability. Some of the factors varied between the mild and moderate-to-profound intellectual disability groups. This highlights an urgent need for further systemic inquiry and study of the possible cumulative impact of these factors and comorbidities given the possibility of COVID-19 resurgence.
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