ABSTRACT

Background

There is a need to systematically compare and contrast mortality predictors and disparities in people with intellectual disabilities (ID) for global prevention strategy development.

Method

Bibliographic databases and grey literature were searched using systematic review methodology and the machine learning tool “Abstrackr.”

Results

Fifty-four relevant articles and reports published from 2010 to 2019 were identified. Nearly all (n = 53) were from high-income countries. Mortality disparities were apparent and consistent across countries and publication years, with no evidence of a decrease over time. People with ID can still expect to live 12–23 years less than the general population and are particularly vulnerable to deaths from respiratory infections and epilepsy.

Conclusions

Both population and individual-level approaches to prevention are indicated to tackle the continuing mortality disparities in people with ID, including consideration of reasonable adjustments in general population efforts to reduce health inequalities.

中文翻译：

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智障人士的死亡率，预测因素和原因：以机器学习为辅的系统叙事评论

摘要

背景

有必要系统地比较和对比智障人士的死亡率预测因素和差异，以制定全球预防策略。

方法

使用系统评价方法和机器学习工具“ Abstrackr”搜索书目数据库和灰色文献。

结果

确定了2010年至2019年发表的54篇相关文章和报告。几乎所有国家（n  = 53）都来自高收入国家。死亡率差异在各个国家和出版年之间是显而易见的，并且是一致的，没有证据表明随着时间的推移会有所减少。身患疾病的人仍然可以比一般人少活12至23岁，并且特别容易遭受呼吸道感染和癫痫病的死亡。

结论

指出人口和个人一级的预防方法都可解决ID人群持续的死亡率差异，包括考虑在总体人群努力中进行合理调整以减少健康不平等。