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Health checks for adults with intellectual disability and association with survival rates: a linked electronic records matched cohort study in Wales, UK
BMJ Open, Volume: 12, Issue: 4, Start page: e049441
Swansea University Authors: Tash Kennedy Kennedy, Jonathan Kennedy, Sam Dredge, Sinead Brophy
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DOI (Published version): 10.1136/bmjopen-2021-049441
Objective: To examine if mortality rates are lower in people with intellectual disability who have had a health check compared with those who have not had health checks.Setting: General practice records of 26 954 people with an intellectual disability in Wales between 2005–2017, of which 7650 (28.4%...
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Objective: To examine if mortality rates are lower in people with intellectual disability who have had a health check compared with those who have not had health checks.Setting: General practice records of 26 954 people with an intellectual disability in Wales between 2005–2017, of which 7650 (28.4%) with a health check were matched 1:2 with those without a health check.Primary outcome measure: Office of National Statistics mortality data; a Cox regression was utilised to examine time to death adjusted for comorbidities and gender.Results: Patients who had a health check were stratified by those who (1) had a confirmed health check, that is, Read Code for a health check (n=7650 (28.4 %)) and (2) had no evidence of receiving a health check in their medical record. Patients with a health check were matched for age at time of health check with two people who did not have a health check. The health check was associated with improved survival for those with autism or Down’s Syndrome (HR 0.58 (95% CI 0.37 to 0.91) and HR 0.76 (95% CI 0.64 to 0.91), respectively). There was no evidence of improved survival for those diagnosed with diabetes or cancer. The people who had a health check were more likely to be older, have epilepsy and less likely to have autism or Down’s syndrome.Conclusions: Health checks are likely to influence survival if started before a person is diagnosed with a chronic condition, especially for people with autism or Down’s syndrome.
Faculty of Medicine, Health and Life Sciences
Llywodraeth Cymru - N/A: Infrastructure support without research award; Medical Research Council - NIWA1