Frailty as a Predictor of Institutionalization Among Adults With Intellectual and Developmental Disabilities

TitleFrailty as a Predictor of Institutionalization Among Adults With Intellectual and Developmental Disabilities
Publication TypeJournal Article
Year of Publication2016
AuthorsMcKenzie K, Ouellette-Kuntz H, Martin L
JournalIntellectual and Developmental Disabilities
Volume54
Issue2
Pagination123-135
Date PublishedApr 2016
ISBN Number1934-9491
Accession NumberWOS:000373202900007
Keywordsaging, competing risks analysis, developmental disabilities, elderly-people, Frailty, hazards, home-care clients, index, institutionalization, instruments, intellectual disabilities, Long-Term Care, mds, older-people, Rai-hc, reliability, system
Abstract

Adults with intellectual and developmental disabilities (IDD) frequently become frail earlier than the general population, resulting in higher care needs. This population is at risk for institutionalization, or re-institutionalization, into long-term care (LTC). Using a retrospective cohort design to follow 3,034 individuals (18-99 years) living in Ontario, Canada, and assessed with the Resident Assessment Instrument-Home Care, individuals were characterized with a frailty index (FI) for persons with IDD. Survival analyses determined differences in rates of admission to LTC and survival in the community. Frail individuals had greater rates of admission than non-frail individuals, adjusted HR = 2.19, 95% CI [1.81, 2.64]. The FI predicts institutionalization.

DOI10.1352/1934-9556-54.2.123
Link

https://www.proquest.com/docview/1781205466/abstract/E8212A2ED154492DPQ/1

Short TitleIntellect Dev DisabIntellect Dev Disab
Alternate JournalIntellect Dev Disab