在智力障碍的成年人中,潜在可避免的死亡率.
Lau Caspar Thygesen1, Marie Borring Klitgaard1, Anne Sabers2
1National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
European journal of public health
|August 7, 2024
概括
智力障碍者面临着因可预防,可治疗和不可避免的原因而导致过早死亡的风险显著增加. 这凸显了改善医疗保健和促进这一群体健康的迫切需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 关于残疾人的研究.
背景情况:
- 智力障碍者 (ID) 经历了显著的健康差异.
- 在这个人口群体中,过早死亡率是一个关键问题.
研究的目的:
- 将ID患者的过早死亡原因和可避免的死亡与丹麦普通人口进行比较.
- 分析不同类别的可预防性和可治疗性的死亡率模式.
主要方法:
- 采用了丹麦全国ID成年人队列 (n=57,663) 和匹配的参考队列 (n=607,097).
- 从2000年到2020年使用死亡原因登记册跟踪队列.
- 使用经合组织/欧盟统计局分类和计算的标准化死亡率 (SMR) 将死亡归类为可预防,可治疗或不可避免的.
主要成果:
- 在所有类别中,ID患者的死亡风险大幅增加:可预防 (SMR=2.62),可治疗 (SMR=6.00) 和不可避免 (SMR=6.03).
- 在ID患者中,超过一半 (58%) 的死亡被归类为可以避免的.
- 根据ID的严重程度,死亡率模式有所不同,在轻度ID中可预防的死亡人数较高,在严重ID中可治疗/不可避免的死亡人数较高.
结论:
- 这项研究证实,在所有原因类别中,ID患者的死亡风险增加.
- 在医疗保健和社会护理人员中,急需提高能力.
- 促进健康的计划和服务需要合理的调整,以有效地支持ID的人.
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