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Prevalence and risk factors of choking in older adults with intellectual disability: Results from a national cross-sectional study
Journal of Intellectual & Developmental Disability ( IF 1.951 ) Pub Date : 2020-06-24 , DOI: 10.3109/13668250.2020.1763278
Beatrice Manduchi 1 , Margaret Walshe 1 , Éilish Burke 2 , Rachael Carroll 2 , Philip McCallion 3 , Mary McCarron 2
Affiliation  

ABSTRACT

Background

Choking is a serious and under-recognised condition for adults with intellectual disability (ID), with health, psychological and potentially fatal consequences. This study aims to determine the prevalence and risk factors for choking in a population-based sample of older adults with ID.

Method

597 adults with ID (mean age: 60 years old; SD = 8) were selected as part of The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing. Information was collected on choking history, comorbidities, challenging behaviours and eating difficulties. Logistic regression was employed to determine risk factors for choking history.

Results

17.3% of participants reported choking history. Eating difficulties, cerebral palsy, visual impairment, being ≥ 65 years old and antipsychotic use increased the odds of choking history.

Conclusions

Choking is prevalent in our sample. Managing choking risk requires specific responsibilities from the multidisciplinary team. Risk assessment, training staff and caregivers should be implemented in usual care.



中文翻译:

智力障碍老年人的患病率和危险因素:一项国家横断面研究的结果

摘要

背景

窒息是智力障碍(ID)成人的一种严重且未被充分认识的疾病,具有健康,心理和潜在的致命后果。这项研究的目的是确定以人群为基础的有ID的老年人样本中的窒息患病率和危险因素。

方法

597名ID为ID的成人(平均年龄:60岁; SD = 8)被选为《爱尔兰纵向老龄化研究智障补充》的一部分。收集了有关窒息史,合并症,具有挑战性的行为和饮食困难的信息。采用逻辑回归分析确定窒息史的危险因素。

结果

17.3%的参与者报告了窒息史。进餐困难,脑瘫,视力障碍,≥65岁和使用抗精神病药增加了窒息史的几率。

结论

窒息在我们的样本中很普遍。管理窒息风险需要多学科团队的具体职责。应当在常规护理中进行风险评估,培训人员和护理人员。

更新日期:2020-06-24
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