Health checks for adults with intellectual disability and association with survival rates: a linked electronic records matched cohort study in Wales, UK

Kennedy, Natasha, Kennedy, Jonathan, Kerr, Mike, Dredge, Sam and Brophy, Sinead 2022. Health checks for adults with intellectual disability and association with survival rates: a linked electronic records matched cohort study in Wales, UK. BMJ Open 12 (4) , e049441. 10.1136/bmjopen-2021-049441

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Abstract

Objective To examine if mortality rates are lower in people with intellectual disability who have had a health check compared with those who have not had health checks. Setting General practice records of 26 954 people with an intellectual disability in Wales between 2005–2017, of which 7650 (28.4%) with a health check were matched 1:2 with those without a health check. Primary outcome measure Office of National Statistics mortality data; a Cox regression was utilised to examine time to death adjusted for comorbidities and gender. Results Patients who had a health check were stratified by those who (1) had a confirmed health check, that is, Read Code for a health check (n=7650 (28.4 %)) and (2) had no evidence of receiving a health check in their medical record. Patients with a health check were matched for age at time of health check with two people who did not have a health check. The health check was associated with improved survival for those with autism or Down’s Syndrome (HR 0.58 (95% CI 0.37 to 0.91) and HR 0.76 (95% CI 0.64 to 0.91), respectively). There was no evidence of improved survival for those diagnosed with diabetes or cancer. The people who had a health check were more likely to be older, have epilepsy and less likely to have autism or Down’s syndrome. Conclusions Health checks are likely to influence survival if started before a person is diagnosed with a chronic condition, especially for people with autism or Down’s syndrome.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Additional Information:	This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license
Publisher:	BMJ Publishing Group
ISSN:	2044-6055
Date of First Compliant Deposit:	20 April 2022
Date of Acceptance:	30 March 2022
Last Modified:	20 May 2023 20:29
URI:	https://orca.cardiff.ac.uk/id/eprint/149231

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