Incidence of Traumatic Brain Injury among Ontarian adults with and without Intellectual and Developmental Disabilities
Notice bibliographique
Résumé
Background: In Ontario, there are approximately 66,000 adults living with a diagnosis of intellectual and developmental disability (IDD). These individuals have poorer health and health outcomes compared to the general population. For instance, it is known that persons with IDD experience falls and injuries more frequently than the general population. However, little is known about traumatic brain injury (TBI) in this population. Traumatic brain injuries (TBIs) are a leading cause of death and disability in Canada, and cost the healthcare system nearly $300 million annually in direct costs from Ontario emergency departments alone. TBI captured by Ontario emergency departments also account for more than $650 million in lost productivity. Falls are a known risk factor for TBI, indicating a potential increased TBI burden among persons with IDD compared to the general population and resulting in even higher healthcare costs. Despite this, there is no research examining the risk of TBI among persons with IDD. The objective of this study was to compare TBI among Ontarian adults with and without IDD over time and by demographic information. Methods: Using administrative data, annual incidence of TBI for fiscal years 2002/03 - 2016/17 were compared across three cohorts: 1) all adults with IDD (ALL IDD), 2) persons with IDD diagnosed prior to experiencing any TBI (IDD prior to TBI), and 3) random 10% sample of Ontarians without IDD (No-IDD). Records of persons with IDD and/or TBI were identified using International Classification of Diseases (ICD) codes in three administrative health databases: the Canadian Institute for Health Information Discharge Abstract Database (CIHI-DAD), Same Day Surgery (SDS), and the National Ambulatory Care Reporting System (NACRS). Annual incidence was calculated using the first new instance of TBI in a unique individual in a given fiscal year. Incidence of TBI in the three study groups was adjusted for age and sex.Results & Discussion: Data analysis will begin in December 2018 and results will be ready in time for the conference. Based on existing literature indicating falls as a leading cause of TBI in combination with literature indicating a greater risk of falls and injury-related loss of consciousness among persons with IDD, it is anticipated that the yearly incidence of TBI will be greater among persons with IDD than the general population. This will be the first known study to quantify TBI in persons with IDD using population level data. Our findings could be used to guide TBI prevention strategies specific to the needs of people with IDD.
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Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,002 | 0,000 |
| Bibliométrie | 0,013 | 0,006 |
| Études des sciences et des technologies | 0,001 | 0,009 |
| Communication savante | 0,004 | 0,017 |
| Science ouverte | 0,005 | 0,009 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,008 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
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