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A Comparison of Medical and Psychobehavioral Emergency Department Visits Made by Adults with Intellectual Disabilities
Joint Authors
Balogh, Rob
Morris, Susan
Khodaverdian, Alin
Jaskulski, Christine
Elliott, Deborah
Lunsky, Yona
Source
Emergency Medicine International
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-09-29
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Study Objective.
We describe and contrast medical to psychobehavioral emergency visits made by a cohort of adults with intellectual disabilities.
Methods.
This was a study of 221 patients with intellectual disabilities who visited the emergency department because of a psychobehavioral or medical emergency.
Patient profiles are described and logistic regression was used to assess predictors of psychobehavioral emergencies in this group, including age, residence, psychiatric diagnosis, cognitive level, and life events.
Results.
Ninety-eight individuals had medical emergencies and 123 individuals presented with psychobehavioral emergencies.
The most common medical issue was injury and the most common psychobehavioral issue was aggression.
In the multivariate analysis, life events (odds ratio (OR) 0.28; 95% confidence interval (CI) 0.10 to 0.75), psychiatric diagnosis (OR 2.35; 95% CI 1.12 to 4.95), and age group (OR 4.97; 95% CI 1.28 to 19.38) were associated with psychobehavioral emergencies.
Psychobehavioral emergencies were more likely to result in admission and caregivers reported lower rates of satisfaction with these visits.
Conclusion.
Emergency departments would benefit from greater understanding of the different types of presentations made by adults with intellectual disabilities, given the unique presentations and outcomes associated with them.
American Psychological Association (APA)
Lunsky, Yona& Balogh, Rob& Khodaverdian, Alin& Elliott, Deborah& Jaskulski, Christine& Morris, Susan. 2012. A Comparison of Medical and Psychobehavioral Emergency Department Visits Made by Adults with Intellectual Disabilities. Emergency Medicine International،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-471379
Modern Language Association (MLA)
Lunsky, Yona…[et al.]. A Comparison of Medical and Psychobehavioral Emergency Department Visits Made by Adults with Intellectual Disabilities. Emergency Medicine International No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-471379
American Medical Association (AMA)
Lunsky, Yona& Balogh, Rob& Khodaverdian, Alin& Elliott, Deborah& Jaskulski, Christine& Morris, Susan. A Comparison of Medical and Psychobehavioral Emergency Department Visits Made by Adults with Intellectual Disabilities. Emergency Medicine International. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-471379
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-471379