TY - JOUR AU - Ouellette-Kuntz, Hélène AU - Stankiewicz, Elizabeth AU - McIsaac, Michael AU - Martin, Lynn PY - 2018/12/10 Y2 - 2024/03/28 TI - Improving Prediction of Risk of Admission to Long-Term Care or Mortality Among Home Care Users With IDD JF - Canadian Geriatrics Journal JA - Can Geriatr J VL - 21 IS - 4 SE - Original Research DO - 10.5770/cgj.21.319 UR - https://cgjonline.ca/index.php/cgj/article/view/319 SP - 303-306 AB - <p><strong>Background</strong></p><p>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.</p><p><strong>Methods</strong></p><p>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).</p><p><strong>Results</strong></p><p>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 &lt; .0001).</p><p><strong>Conclusions</strong></p><p>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.</p> ER -