Dr. Balogh and Ms. Dobranowski are with the University of Ontario Institute of Technology, Oshawa, Ontario, Canada. Dr. Lin, Ms. Selick, and Dr. Lunsky are with the Centre for Addiction and Mental Health, Toronto. Mr. Wilton is with the Institute for Clinical Evaluative Sciences, Toronto.
Psychiatr Serv. 2018 Mar 1;69(3):353-357. doi: 10.1176/appi.ps.201600534. Epub 2017 Nov 15.
Early hospital readmissions within 30 days of discharge are common and costly. This research describes predictors of all-cause, 30-day hospital readmissions among persons with intellectual and developmental disabilities (IDD), a group known to experience high rates of hospitalization.
A cohort of 66,484 adults with IDD from Ontario, Canada, was used to create two subgroups: individuals with IDD only and those with IDD and mental illness. The rates of hospital readmission were determined and contrasted with a comparison subgroup of people without IDD who have mental illness.
Compared with those with mental illness only, individuals with IDD and mental illness were 1.7 times more likely to experience a hospital readmission within 30 days. Predictors of their readmission rates included being a young adult and having high morbidity levels.
The high rate of hospital readmission suggests that individuals with IDD and mental illness need attention regarding discharge planning and outpatient follow-up.
出院后 30 天内的早期住院再入院是常见且代价高昂的。本研究描述了智力和发育障碍（IDD）患者全因、30 天内住院再入院的预测因素，这些患者已知住院率很高。
利用来自加拿大安大略省的 66484 名 IDD 成年人的队列创建了两个亚组：仅 IDD 患者和 IDD 合并精神疾病的患者。确定了住院再入院率，并与患有精神疾病但无 IDD 的对照组进行了对比。
与仅有精神疾病的患者相比，患有 IDD 和精神疾病的患者在 30 天内再次住院的可能性高 1.7 倍。导致他们再入院率的预测因素包括年轻成年人和高发病率水平。
高住院再入院率表明，患有 IDD 和精神疾病的患者需要关注出院计划和门诊随访。
