Repeat Emergency Department Visits for Individuals With Intellectual and Developmental Disabilities and Psychiatric Disorders

Although individuals with intellectual and developmental disabilities (IDD) and psychiatric concerns are more likely than others to visit hospital emergency departments (EDs), the frequency of their returns to the ED within a short time is unknown. In this population-based study we examined the like...

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Bibliographic Details
Published in:American journal on intellectual and developmental disabilities 2019-05, Vol.124 (3), p.206-219
Main Authors: Durbin, Anna, Balogh, Robert, Lin, Elizabeth, Wilton, Andrew S, Selick, Avra, Dobranowski, Kristin M, Lunsky, Yona
Format: Article
Language:English
Subjects:
Adult
Ambulatory care
Attrition (Research Studies)
Comorbidity
Departments
Developmental disabilities
Developmental Disabilities - epidemiology
Developmental Disabilities - therapy
Developmentally disabled people
Emergency medical care
Emergency Service, Hospital - statistics & numerical data
Emergency services
Female
Health behavior
Health insurance
Health services utilization
Hospitals
Humans
Intellectual disabilities
Intellectual Disability
Intellectual Disability - epidemiology
Intellectual Disability - therapy
Male
Mental disorders
Mental Disorders - epidemiology
Mental Disorders - therapy
Middle Aged
Mortality
Patient satisfaction
Personal health
Physicians
Primary care
Psychiatry
Social Services
Trends
Visits
Young Adult
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Description
Summary:Although individuals with intellectual and developmental disabilities (IDD) and psychiatric concerns are more likely than others to visit hospital emergency departments (EDs), the frequency of their returns to the ED within a short time is unknown. In this population-based study we examined the likelihood of this group returning to the ED within 30 days of discharge and described these visits for individuals with IDD + psychiatric disorders ( = 3,275), and persons with IDD only ( = 1,944) compared to persons with psychiatric disorders only ( = 41,532). Individuals with IDD + psychiatric disorders, and individuals with IDD alone were more likely to make 30-day repeat ED visits. Improving hospital care and postdischarge community linkages may reduce 30-day returns to the ED among adults with IDD.
ISSN:1944-7515
1944-7558
DOI:10.1352/1944-7558-124.3.206