Adverse Effects in Patients with Intellectual and Developmental Disabilities Hospitalized at the University Clinical

Montserrat Alonso-Sardón1, María Sáez-Lorenzo2, Antonio Javier Chamorro3

  • 1Department of Biomedical and Diagnostic Sciences, School of Medicine, University of Salamanca, 37008 Salamanca, Spain.

Insights

Persons with intellectual and developmental disabilities (PwIDD) face a high risk of adverse events (AEs) during healthcare. This study highlights the need for personalized and vigilant care to ensure patient safety for this vulnerable population.

Area of Science:

  • Healthcare Quality and Safety
  • Clinical Risk Management
  • Vulnerable Populations

Background:

  • Adverse events (AEs) are critical indicators of healthcare quality and patient safety.
  • Assessing AEs as a clinical risk is essential, particularly for vulnerable patient groups.
  • Persons with intellectual and developmental disabilities (PwIDD) represent a population with high social and clinical vulnerability.

Purpose of the Study:

  • To assess the incidence and significance of adverse events (AEs) in patients with intellectual and developmental disabilities (PwIDD).
  • To evaluate AEs as a specific clinical risk within the PwIDD population.
  • To inform healthcare practices for improved patient safety in PwIDD.

Main Methods:

  • Retrospective epidemiological cohort study design.
  • Comparison of exposed (PwIDD) and unexposed (control) groups.
  • Estimation of AE incidence and statistical analysis of differences.

Main Results:

  • Adverse events (AEs) occurred in 30.4% of the exposed PwIDD group, significantly higher than the unexposed group (p=0.009).
  • No significant gender-based differences in AE incidence were observed.
  • Individuals aged 60-69 years exhibited the highest incidence of AEs, indicating age as a care risk marker.

Conclusions:

  • PwIDD are at a significantly elevated risk of experiencing adverse events (AEs) in healthcare settings.
  • Healthcare providers must recognize the heightened vulnerability of PwIDD to AEs.
  • Personalized, preventive, and competent medical care is crucial for ensuring safe healthcare for PwIDD.

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