Time trends in emergency department use among adults with intellectual and developmental disabilities

2021 ◽  
pp. 101225
Author(s):  
Willi Horner-Johnson ◽  
Stephan Lindner ◽  
Anna Levy ◽  
Jean Hall ◽  
Noelle Kurth ◽  
...  
Keyword(s):  
Emergency Department ◽  
Developmental Disabilities ◽  
Time Trends ◽  
Intellectual And Developmental Disabilities ◽  
Emergency Department Use

Choosing Home: The Impact of Choosing Where to Live on People With Intellectual and Developmental Disabilities' Emergency Department Utilization

Inclusion ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 92-103
Author(s):  
Carli Friedman
Keyword(s):  
Emergency Department ◽  
Developmental Disabilities ◽  
Social Determinants ◽  
Social Determinant ◽  
Emergency Department Visits ◽  
Emergency Department Utilization ◽  
Intellectual And Developmental Disabilities ◽  
Emergency Department Use ◽  
The Impact ◽  
The Relationship

Abstract Social determinants of health are conditions, factors, and environments that impact people's health. One such metric of people's health is emergency department utilization, but there is less research exploring how social determinants impact the emergency department use of people with intellectual and developmental disabilities (IDD). This exploratory study examined the relationship between people with IDD choosing where and with whom to live—a social determinant of health—and emergency department utilization. We analyzed secondary Personal Outcome Measures data, and emergency department data from 251 people with IDD. Our findings revealed people with IDD who chose where and with whom to live had a 74% decrease in emergency department visits, regardless of their impairment severity. Choice in housing may improve people with IDD's health outcomes.

Postpartum emergency department use among women with intellectual and developmental disabilities: a retrospective cohort study

2019 ◽  
Vol 73 (6) ◽  
pp. 557-563 ◽  
Author(s):  
Monika Mitra ◽  
Ilhom Akobirshoev ◽  
Susan L Parish ◽  
Anne Valentine ◽  
Karen M Clements ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Emergency Department ◽  
Developmental Disabilities ◽  
Postpartum Period ◽  
Post Partum ◽  
Population Based ◽  
Intellectual And Developmental Disabilities ◽  
Healthcare Needs ◽  
Ed Visits

BackgroundAn emerging body of evidence underscores the often-intensive perinatal healthcare needs of women with intellectual and developmental disabilities (IDD). However, population-based research examining postpartum experiences of US women with IDD is sparse. We examined emergency department (ED) use in the postpartum period among Massachusetts mothers with IDD.MethodsWe analysed 2002–2010 Massachusetts Pregnancy to Early Life Longitudinal data to compare any and ≥2 ED visits between mothers with and without IDD: within 1–42 days post partum, 1–90 days post partum and 1–365 days post partum. We also determined whether or not such ED use was non-urgent or primary-care sensitive.ResultsWe identified 776 births in women with IDD and 595 688 births in women without IDD. Across all three postpartum periods, women with IDD were vastly more likely to have any postpartum ED use, to have ≥2 ED visits and to have ED visits for mental health reasons. These findings persisted after controlling for numerous sociodemographic and clinical characteristics. Women with IDD were less likely to have non-urgent ED visits during the three postpartum periods and they were less likely to have primary-care sensitive ED visits during the postpartum period.ConclusionThese findings contribute to the emerging research on perinatal health and healthcare use among women with IDD. Further research examining potential mechanisms behind the observed ED visit use is warranted. High ED use for mental health reasons among women with IDD suggests that their mental health needs are not being adequately met.

scholarly journals U.S. Emergency Department Admissions for Nontraumatic Dental Conditions for Individuals With Intellectual and Developmental Disabilities

2014 ◽  
Vol 52 (3) ◽  
pp. 193-204 ◽  
Author(s):  
Donald L. Chi ◽  
Erin E. Masterson ◽  
Jacqueline J. Wong
Keyword(s):  
Emergency Department ◽  
Developmental Disabilities ◽  
Odds Ratio ◽  
Regression Models ◽  
Intellectual And Developmental Disabilities ◽  
Logistic Regression Models ◽  
Significant Odds Ratio ◽  
Sample Data ◽  
National Emergency ◽  
Dental Conditions

Abstract The authors hypothesized that individuals with intellectual and developmental disabilities (IDDs) are more likely to have an emergency department (ED) admission for nontraumatic dental conditions (NTDCs). The authors analyzed 2009 U.S. National Emergency Department Sample data and ran logistic regression models for children ages 3–17 years and adults age 18 years or older. The prevalence of NTDC-related ED admissions was 0.8% for children and 2.0% for adults. Children with IDDs were at increased odds of NTDC-related ED admission, but this difference was not statistically significant (odds ratio [OR]  =  1.06; 95% confidence interval [CI]  =  0.91, 1.23). Adults with IDDs had significantly lower odds of an ED admission for NTDCs (OR  =  0.49; 95% CI  =  0.44, 0.54). Children with IDDs are not at increased odds of NTDC-related ED admissions, whereas adults with IDDs are at significantly reduced odds.

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