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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.
Abstract:
(1) Background: Providing the patient with the health care they need in a personalized and appropriate manner and without adverse effects (AEs) is a part of quality of care and patient safety. The aim of this applied research project was the assessment of AEs as a clinical risk in patients with high social vulnerability such as persons with intellectual and developmental disabilities (PwIDD). (2) Methods: A retrospective epidemiological cohort study was performed on exposed and unexposed groups (the control group) in order to estimate the incidence of AEs in PwIDDs and assess their importance for this category of patients. (3) Results: AEs were observed with a frequency of 30.4% (95% CI) in the PwIDD exposed group, with significant differences to the unexposed group (p = 0.009). No differences were observed with regards to gender. Age was as a marker of care risk, with the highest incidence of AEs in the group of 60-69 years. (4) Conclusions: PwIDDs have a high risk of suffering AEs while receiving health care assistance due to their high social and clinical vulnerability. Health care practitioners must therefore be aware of these results and keep these observations in mind in order to carry out personalized, preventive, competent, effective, and safe medical care.
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