Frailty as a Predictor of Institutionalization Among Adults With Intellectual and Developmental Disabilities-Reference-Cited by-同舟云学术

Frailty as a Predictor of Institutionalization Among Adults With Intellectual and Developmental Disabilities

Published:2016-04-01 Issue:2 Volume:54 Page:123-135
ISSN:1934-9556
Container-title:Intellectual and Developmental Disabilities
language:en
Short-container-title:

Author:

McKenzie Katherine¹,Ouellette-Kuntz Hélène²,Martin Lynn³

Affiliation:

1. Katherine McKenzie, Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada;

2. Hélène Ouellette-Kuntz, Department of Public Health Sciences, Queen's University & Ongwanada, Kingston, Ontario, Canada; and

3. Lynn Martin, Department of Health Sciences, Lakehead University, Thunder Bay, Ontario, Canada.

Abstract

Abstract Adults with intellectual and developmental disabilities (IDD) frequently become frail earlier than the general population, resulting in higher care needs. This population is at risk for institutionalization, or re-institutionalization, into long-term care (LTC). Using a retrospective cohort design to follow 3,034 individuals (18-99 years) living in Ontario, Canada, and assessed with the Resident Assessment Instrument–Home Care, individuals were characterized with a frailty index (FI) for persons with IDD. Survival analyses determined differences in rates of admission to LTC and survival in the community. Frail individuals had greater rates of admission than non-frail individuals, adjusted HR = 2.19, 95% CI [1.81, 2.64]. The FI predicts institutionalization.

Publisher

American Association on Intellectual and Developmental Disabilities (AAIDD)

Subject

Psychiatry and Mental health,Community and Home Care,Developmental and Educational Psychology,Education,Pediatrics, Perinatology, and Child Health

Link

http://meridian.allenpress.com/idd/article-pdf/54/2/123/2043249/1934-9556-54_2_123.pdf

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