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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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© Author(s) 2022. Re-use permitted under CC BY. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made.
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DOI (Published version): 10.1136/bmjopen-2021-049441
Abstract
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%...
| Published in: | BMJ Open |
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| ISSN: | 2044-6055 2044-6055 |
| Published: |
BMJ
2022
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa60463 |
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| Abstract: |
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. |
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| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
Llywodraeth Cymru - N/A: Infrastructure support without research award; Medical Research Council - NIWA1 |
| Issue: |
4 |
| Start Page: |
e049441 |