Improving Prediction of Risk of Admission to Long-Term Care or Mortality Among Home Care Users With IDD

Authors

  • Hélène Ouellette-Kuntz Queen's University
  • Elizabeth Stankiewicz Queen's University
  • Michael McIsaac Queen's University
  • Lynn Martin Lakehead University

DOI:

https://doi.org/10.5770/cgj.21.319

Keywords:

intellectual disability, developmental disability, frailty, mor-tality, long-term care, home care, aging

Abstract

Background

Frailty is an established predictor of admission into long-term care (LTC) and mortality in the elderly population. Assessment of frailty among adults with intellectual and developmental disabilities (IDD) using a generic frailty marker may not be as predictive, as some lifelong disabilities associated with IDD may be interpreted as a sign of frailty. This study set out to determine if adding the Home Care-Intellectual and Devel-opmental Disabilities Frailty Index (HC-IDD Frailty Index), developed for use in home care users with IDD, to a basic list of predictors (age, sex, rural status, and the Johns Hopkins Frailty Marker) increases the ability to predict admission to long-term care or death within one year.

Methods

A retrospective cohort study was conducted using Residential Assessment Instrument for Home Care (RAI-HC) data for adult home care users with IDD who had a home care as-sessment between January 1, 2010 and December 31, 2013 (N = 6,169).

Results

The HC-IDD Frailty Index was found to significantly improve prediction of transitions into LTC or death by explaining an additional 5.95% of the variance in such transitions among home care users with IDD (p value < .0001).

Conclusions

We recommend the use of the HC-IDD Frailty Index in care planning and in further research related to the effectiveness of interventions to reduce or delay adverse age-related outcomes among adults with IDD.

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Published

2018-12-10

How to Cite

1.
Ouellette-Kuntz H, Stankiewicz E, McIsaac M, Martin L. Improving Prediction of Risk of Admission to Long-Term Care or Mortality Among Home Care Users With IDD. Can Geriatr J [Internet]. 2018 Dec. 10 [cited 2022 May 16];21(4):303-6. Available from: https://cgjonline.ca/index.php/cgj/article/view/319

Issue

Section

Original Research