Constipation

Dharmarajan, T. S.; Widjaja, David; Pitchumoni, C. S.

doi:10.1007/978-3-030-30192-7_45

Cited by 1 publication

(1 citation statement)

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“…Challenging behaviour may be caused by mental disorders or chronic pain (Emerson & Einfeld, 2011). Constipation is one of the adverse effects of analgesics and some psychotropic drugs used to treat pain and mental disorders respectively (Dharmarajan et al, 2021). Constipation, in turn, may precipitate challenging behaviour (Christensen et al, 2009).…”

Section: Characteristics Associated With Frequent Hospital Admissionsmentioning

confidence: 99%

Characteristics associated with frequent health system use by Australian adults with intellectual disability: A cohort study

Song

Ware

Doan

et al. 2022

Research Intellect Disabil

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Background: In a cohort of adults with intellectual disability who were followed for up to 16-years, we investigated characteristics associated with frequent emergency department (ED) presentations, hospitalisation, and psychiatric care.Method: Community-dwelling adults with intellectual disability residing in Queensland, Australia, were followed from 1999 to 2015. Healthcare presentations were extracted from administrative databases. Adults who presented frequently were identified and characteristics associated with frequent presentations were identified.Results: Data from 445 adults were analysed. Chronic disease and challenging behaviour were associated with frequent ED presentations (adjusted odds ratio = 1.8, 95% confidence interval = 1.1-3.0 and aOR = 2.2, 95% CI = 1.2-3.9 respectively).Chronic disease and severe/profound intellectual disability were associated with frequent hospitalisations (aOR = 1.9, 95% CI = 1.2-3.2 and aOR = 2.0, 95% CI = 1.2-3.3 respectively). Psychotropic medication use was associated with frequent psychiatric presentations (aOR = 1.9, 95% CI = 1.0-3.4).Conclusions: Adults at high risk of frequent healthcare presentations should be identified for programmes of optimising health system use, and potentially improving health care quality.

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Section: Characteristics Associated With Frequent Hospital Admissionsmentioning

confidence: 99%