Table 5.
Relative rate of ED presentations and hospital admissions for ambulatory care sensitive conditions over the last year of life for decedents with intellectual disability compared with the matched comparison cohort
Ambulatory care sensitive conditions | ED presentations | Hospital admissions | ||||
RR | 95% CI | P | RR | 95% CI | P | |
Vaccine preventable | ||||||
Influenza and pneumonia | 2.6 | 2.0 to 3.4 | <0.001 | 2.3 | 1.0 to 5.3 | 0.044 |
Other vaccine preventable | NE | NE | ||||
Chronic | ||||||
Diabetes complications | 1.6 | 0.4 to 5.9 | 0.489 | 0.8 | 0.4 to 1.5 | 0.441 |
Nutritional deficiencies | NE | 21.8 | 1.6 to 292.3 | 0.020 | ||
Iron deficiency anaemia | 2.9 | 1.2 to 7.1 | 0.018 | 2.0 | 1.0 to 4.2 | 0.055 |
Hypertension | NE | NE | ||||
Congestive heart failure | 1.0 | 0.6 to 1.9 | 0.905 | 1.1 | 0.7 to 1.8 | 0.696 |
Angina | 1.0 | 0.4 to 2.4 | 0.999 | 1.3 | 0.6 to 2.8 | 0.509 |
Chronic obstructive pulmonary disease | 0.8 | 0.5 to 1.6 | 0.596 | 1.4 | 0.9 to 2.4 | 0.164 |
Asthma | 4.7 | 2.1 to 10.4 | <0.001 | 4.6 | 1.4 to 15.0 | 0.011 |
Acute | ||||||
Dehydration and gastroenteritis | 2.3 | 1.2 to 4.3 | 0.008 | 0.7 | 0.2 to 2.0 | 0.518 |
Convulsions and epilepsy | 6.2 | 3.9 to 9.9 | <0.001 | 4.3 | 2.6 to 6.9 | <0.001 |
Ear, nose and throat infections | 1.9 | 0.8 to 4.0 | 0.122 | 0.0 | 0.0-. | 0.972 |
Dental conditions | 0.9 | 0.2 to 3.9 | 0.932 | 1.3 | 0.5 to 3.4 | 0.655 |
Cellulitis | 1.7 | 1.0 to 2.7 | 0.038 | 2.5 | 1.5 to 4.1 | 0.001 |
Gangrene | 1.5 | 0.2 to 11.3 | 0.670 | NE | ||
Perforated/bleeding ulcer | NE | NE | ||||
Pyelonephritis | NE | NE | ||||
Pneumonitis due to solids/liquids | 17.9 | 11.3 to 28.3 | <0.001 | 17.6 | 11.7 to 26.5 | <0.001 |
ED, emergency department; NE, not estimable due to small numbers of events in the cohort of decedents with intellectual disability; RR, rate ratio estimated from negative binomial count model adjusted for age, sex, index of relative disadvantage, partner status, indigenous status, being Australian born and number of comorbid conditions and strata weights applied.