Health characteristics and consultation patterns of people with intellectual disability: a cross-sectional database study in English general practice

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
Iain M CareyDerek G Cook

Abstract

People with intellectual disability (ID) are a group with high levels of healthcare needs; however, comprehensive information on these needs and service use is very limited. To describe chronic disease, comorbidity, disability, and general practice use among people with ID compared with the general population. This study is a cross-sectional analysis of a primary care database including 408 English general practices in 2012. A total of 14 751 adults with ID, aged 18-84 years, were compared with 86 221 age-, sex- and practice-matched controls. Depending on the outcome, prevalence (PR), risk (RR), or odds (OR) ratios comparing patients with ID with matched controls are shown. Patients with ID had a markedly higher prevalence of recorded epilepsy (18.5%, PR 25.33, 95% confidence interval [CI] = 23.29 to 27.57), severe mental illness (8.6%, PR 9.10, 95% CI = 8.34 to 9.92), and dementia (1.1%, PR 7.52, 95% CI = 5.95 to 9.49), as well as moderately increased rates of hypothyroidism and heart failure (PR>2.0). However, recorded prevalence of ischaemic heart disease and cancer was approximately 30% lower than the general population. The average annual number of primary care consultations was 6.29 for patients with ID, compared with 3.8...Continue Reading

References

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Citations

Jun 17, 2016·American Journal of Public Health·Fay J HoskingDerek G Cook
Jul 14, 2016·Family Practice·Mathilde MastebroekHenny M J van Schrojenstein Lantman-de Valk
Jul 2, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Iain M CareyDerek G Cook
Dec 21, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Esther J Bakker-van GijsselHenny Mj van Schrojenstein Lantman-de Valk
Oct 26, 2018·Journal of Applied Research in Intellectual Disabilities : JARID·Marloes HeutmekersGeraline L Leusink
Jul 25, 2019·Journal of Applied Research in Intellectual Disabilities : JARID·Megan V A SmithSilvana E Mengoni
Aug 31, 2020·Journal of Applied Research in Intellectual Disabilities : JARID·Sunali B LewisJulian N Trollor
Jul 8, 2019·Journal of Pediatric Endocrinology & Metabolism : JPEM·Sylvia A HuismanA S Paul van Trotsenburg
May 6, 2020·International Journal of Environmental Research and Public Health·Laura García-DomínguezVíctor B Arias
Aug 11, 2020·Seizure : the Journal of the British Epilepsy Association·M O KinneyR Shankar
Nov 10, 2021·Journal of Applied Research in Intellectual Disabilities : JARID·Milou van den BemdGeraline L Leusink

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