What Brings Adults with Down Syndrome to the Hospital? A Retrospective Review of A Spanish Cohort between 1997 and 2014

Autor/inn/en	Aparicio, Paloma; Barba, Raquel; Moldenhauer, Fernando; Suárez, Carmen; Real de Asúa, Diego
Titel	What Brings Adults with Down Syndrome to the Hospital? A Retrospective Review of A Spanish Cohort between 1997 and 2014
Quelle	In: Journal of Applied Research in Intellectual Disabilities, 36 (2023) 1, S.143-152 (10 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Moldenhauer, Fernando) ORCID (Real de Asúa, Diego)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1360-2322
DOI	10.1111/jar.13043
Schlagwörter	Adults; Down Syndrome; Patients; Hospitals; Age Differences; Symptoms (Individual Disorders); Mortality Rate; Diseases; Foreign Countries; Departments; Spain + Suchen Sie Ihr Suchwort? 'Downs Syndrome; Down''s Syndrome'; Down-Syndrom; Patient; Krankengymnast; Krankenhaus; Age; Difference; Age difference; Altersunterschied; Psychiatrische Symptomatik; Mortalitätsrate; Disease; Krankheit; Ausland; Department; Abteilung; Spanien
Abstract	Objectives: To describe the clinical and epidemiological characteristics of adult patients with Down syndrome admitted to Spanish hospitals between 1997 and 2014. Secondary goals were to study trend changes over time, and to analyse differences between patients admitted to medical and surgical departments. Patients and Methods: Retrospective observational study on data collected from the Minimum Basic Dataset (MBDS, Conjunto Mínimo Básico de Datos [CMBD]) of admissions of adults with Down syndrome to hospitals belonging to the Spanish National Health System from 1 January 1997 through 31 December 2014. We analysed epidemiological and clinical variables. Results: We analysed 28,716 admissions of 16,874 adult patients with Down syndrome. Men accounted for 58.2% of the sample, and the mean age on admission was 41 ± 13 years, with an 11-year increase in mean age during the study period. Admissions among persons with Down syndrome increased by 5% during the study period, with a noticeable rise in admissions of older adults and to medical departments. Almost one-third of patients (31.8%) were admitted more than once. Age-adjusted mortality was 15.7%. The most common comorbid conditions were chronic obstructive pulmonary disease (25%), hypothyroidism (18.6%), and epilepsy (14.3%). The departments with the highest numbers of admissions were internal medicine (26.3%), pulmonary medicine (6.9%), and general surgery (5.25%). Conclusion: Hospital admissions among Spanish adults with Down syndrome have increased in recent decades, especially in older patients. We identified substantial differences between patients admitted to medical and surgical departments. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01