Differences in Disease Severity and In-Hospital Mortality in Patients Hospitalised for Pneumonia with and without Intellectual Disabilities: A Matched-Pair Retrospective Cohort Study Using Nationwide In-Patient Database

Autor/inn/en	Hirose, Naoki; Morita, Kojiro; Jo, Taisuke; Hagiwara, Yasuhiro; Matsui, Hiroki; Fushimi, Kiyohide; Yasunaga, Hideo
Titel	Differences in Disease Severity and In-Hospital Mortality in Patients Hospitalised for Pneumonia with and without Intellectual Disabilities: A Matched-Pair Retrospective Cohort Study Using Nationwide In-Patient Database
Quelle	In: Journal of Intellectual & Developmental Disability, 47 (2022) 1, S.65-73 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Hirose, Naoki)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1366-8250
DOI	10.3109/13668250.2021.1877644
Schlagwörter	Intellectual Disability; Diseases; Hospitals; Patients; Individual Characteristics; Barriers; Access to Health Care; Mortality Rate; Death; Foreign Countries; Daily Living Skills; Japan + Suchen Sie Ihr Suchwort? Intellect; Disability; Disabilities; Verstand; Behinderung; Disease; Krankheit; Krankengymnast; Krankenhaus; Patient; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Mortalitätsrate; Sterbefall; Tod; Todesfall; Ausland; Alltagsfertigkeit
Abstract	Background: We examined the association between intellectual disabilities (ID) and pneumonia severity at admission. Methods: We extracted patients admitted to hospital for pneumonia from July 2010 to March 2018 using the Diagnosis Procedure Combination database. We measured pneumonia severity using the A-DROP system. After 1:4 cohort matching between patients with and without ID, we conducted conditional logistic regression and mediation analyses. Results: Of 1,141,158 patients, 531 had ID, and they had more severe pneumonia at admission (24.5% vs. 9.5%; P < 0.001). ID was significantly associated with severe pneumonia at admission (OR = 3.50; 95% CI: 2.68-4.58) and activities of daily living (ADL) mediated 73.8% (95% CI: 50.9%-105.0%) of the total association. Conclusions: Social barriers caused by reduced ADL may prevent patients with ID from accessing health care before their pneumonia becomes severe. Removing these barriers may decrease mortality from pneumonia among patients with ID by improving health care access. (As Provided).
Anmerkungen	Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01