Institute of Health and Wellbeing, Gartnavel Royal Hospital, University of Glasgow, Glasgow, UK.
J Appl Res Intellect Disabil. 2018 Jan;31 Suppl 1:1-10. doi: 10.1111/jar.12360. Epub 2017 May 3.
People with intellectual disabilities may have inequalities in hospital admissions compared with the general population. The present authors aimed to investigate admissions for physical health conditions in this population.
The present authors conducted a systematic review, searching six databases using terms on intellectual disabilities and hospital admission. Papers were selected based on pre-defined inclusion/exclusion criteria, data extracted, tabulated and synthesized and quality assessed. PROSPERO registration number: CRD42015020575.
Seven of 29,613 papers were included. There were more admissions, and a different pattern of admissions (more medical and dental), for people with intellectual disabilities, but most studies did not take account of higher disease prevalence. Three papers considered admissions for ambulatory care-sensitive conditions, two of which accounted for disease prevalence (asthma, diabetes) and found higher admission rates for people with intellectual disabilities.
Admissions are common. Asthma and diabetes admission data suggest suboptimal primary health care for people with intellectual disabilities compared with the general population, but evidence is limited.
与普通人群相比，智力残疾人士在住院治疗方面可能存在不平等现象。本研究旨在调查该人群的身体健康状况住院治疗情况。
本研究进行了系统评价，使用智力残疾和住院治疗相关术语在六个数据库中进行检索。根据预先设定的纳入/排除标准选择论文，提取、列表和综合数据，并进行质量评估。PROSPERO 注册号：CRD42015020575。
在 29613 篇论文中，有 7 篇符合纳入标准。智力残疾人士的住院人数更多，住院模式也不同（更多是医疗和牙科），但大多数研究并未考虑到更高的疾病流行率。有 3 篇论文考虑了门诊治疗敏感疾病的住院治疗情况，其中 2 篇考虑了疾病流行率（哮喘、糖尿病），并发现智力残疾人士的住院率更高。
住院治疗很常见。哮喘和糖尿病的住院数据表明，与普通人群相比，智力残疾人士的初级卫生保健状况不佳，但证据有限。
