Lee L, Rianto J, Raykar V, Creasey H, Waite L, Berry A, Xu J, Chenoweth B, Kavanagh S, Naganathan V
Centre for Education and Research on Ageing, Concord Hospital and Sydney University, Concord, NSW 2139, Australia.
Int J Family Med. 2011;2011:312492. doi: 10.1155/2011/312492. Epub 2011 Oct 27.
Aims and Method. The Developmental Disability Database in the Department of Rehabilitation Medicine at a metropolitan hospital was audited for observations on adults with Intellectual Disability living in the local region (total population 180,000) who were seen in an identified multidisciplinary specialist clinic, during 2006-2010. Results. There were 162 people (representing half the known number of adults with Intellectual Disability living in the region): 77 females, 85 males, age range 16-86 years. The most common complex disabilities referred to the specialists in this clinic were epilepsy (52%), challenging or changing behavior (42%) and movement disorders (34%). Early onset dementia was a feature of the group (7%). The prevalence of prescription of medications for gastro-oesophageal reflux was high (36%) and similar to the numbers of people taking psychotropic medications. The rates of chronic cardiovascular disease (2%), chronic respiratory disease (10%) and generalised arthritis (11%) were low overall, but did rise with increasing age. Conclusions. Complex neurological disabilities are common, and chronic medical illnesses are uncommon in adults with Intellectual Disability referred to specialist clinicians in this region. A combined, coordinated, multidisciplinary clinic model addresses some of the barriers experienced by adults with Intellectual Disability in the secondary health system.
目的与方法。对一家大都市医院康复医学科的发育障碍数据库进行审计，以获取2006年至2010年期间在该地区一家多学科专科诊所就诊的智力残疾成年人（当地总人口18万）的观察数据。结果。共有162人（占该地区已知智力残疾成年人数的一半）：女性77人，男性85人，年龄范围为16至86岁。该诊所转介给专科医生的最常见复杂残疾为癫痫（52%）、具有挑战性或变化的行为（42%）和运动障碍（34%）。早发性痴呆是该群体的一个特征（7%）。胃食管反流药物处方的患病率很高（36%），与服用精神药物的人数相似。慢性心血管疾病（2%）、慢性呼吸系统疾病（10%）和全身性关节炎（11%）的总体发病率较低，但确实随着年龄增长而上升。结论。复杂的神经残疾很常见，而在该地区转介给专科临床医生的智力残疾成年人中，慢性疾病并不常见。一种联合、协调的多学科诊所模式解决了智力残疾成年人在二级卫生系统中遇到的一些障碍。
