Prevalence of physical conditions and multimorbidity in a cohort of adults with intellectual disabilities with and without Down syndrome: cross-sectional study
| Autor: | Angela Henderson, Jillian Morrison, Elita Smiley, Sally-Ann Cooper, Deborah Kinnear, Linda Allan |
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| Rok vydání: | 2018 |
| Předmět: |
Gerontology
Male 030506 rehabilitation Cross-sectional study Health Status Severity of Illness Index 0302 clinical medicine Health care Prevalence 030212 general & internal medicine Aged 80 and over education.field_of_study Age Factors General Medicine Middle Aged Cohort Female medicine.symptom intellectual disabilities 0305 other medical science General practice / Family practice Adult Down syndrome down syndrome Adolescent multimorbidity Population Visual impairment comorbidities 03 medical and health sciences Young Adult Intellectual Disability medicine Humans education Aged business.industry Research health inequalities medicine.disease Obesity Cross-Sectional Studies Health assessment Scotland Chronic Disease Quality of Life business physical health |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesTo investigate the prevalence of multimorbidity in adults with intellectual disabilities with and without Down syndrome.DesignLarge, population-based cross-sectional study.SettingThe geographical area of one Health Board, Scotland.ParticipantsAll adults (aged 16+ years) known to general practitioners to have intellectual disabilities and adults receiving services provided or paid by intellectual disabilities health or social work services. 1023/1562 potential participants took part (65.5%); 562 (54.9%) men and 461 (45.1%) women, aged 43.9 years (16–83 years). 186 had Down syndrome and 837 did not.Main outcome measuresThe prevalence of International Statistical Classification of Diseases, 10th revision, physical health conditions and multimorbidity detected at a comprehensive health assessment.ResultsThe mean number of physical health conditions/participant was 11.04, and 98.7% had multimorbidity. The most prevalent conditions are painful and/or disabling and, in some cases, life threatening. The five most prevalent were visual impairment, obesity, epilepsy, constipation and ataxic/gait disorders. The pattern of multimorbidity differs from that seen in the general population and is spread across the entire adult life course. The extent of multimorbidity in the adults with Down syndrome was similar to that of the adults without Down syndrome, while the prevalence of individual conditions differed.ConclusionsThis robustly designed study with a large population found an extremely high prevalence of multimorbidity in adults with intellectual disabilities across the entire adult life course. This increases complexity of medical management that secondary healthcare services and medical education are not yet geared towards, as these tend to focus on single conditions. This is in addition to complexity due to limitations in communication and understanding. As the physical conditions within their multimorbidity also differ from that seen in the older general population, urgent attention is needed to develop the care pathways and guidelines that are required to inform and so improve their healthcare. |
| Databáze: | OpenAIRE |
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