Mortality, predictors and causes among people with intellectual disabilities: A systematic narrative review supplemented by machine learning. Issue 2 (3rd April 2021)

• Record Type: Journal Article
• Authors: Tyrer, Freya; Kiani, Reza; Rutherford, Mark J.
• Is Part Of: Journal of intellectual & developmental disability. Volume 46:Issue 2(2021)
• Page Start: 102
• Page End: 114
• Publication Date: 2021-04-03
• Subjects: Intellectual disability -- machine learning -- mortality -- comorbidities -- life expectancy; Learning disabilities -- Periodicals; Developmental disabilities -- Periodicals; Mental retardation -- Periodicals; 362.1968
• DOI: 10.3109/13668250.2020.1834946
• Languages: English
• ISSNs: 1366-8250

Abstract

ABSTRACT: Background: There is a need to systematically compare and contrast mortality predictors and disparities in people with intellectual disabilities (ID) for global prevention strategy development. Method: Bibliographic databases and grey literature were searched using systematic review methodology and the machine learning tool "Abstrackr." Results: Fifty-four relevant articles and reports published from 2010 to 2019 were identified. Nearly all ( n = 53) were from high-income countries. Mortality disparities were apparent and consistent across countries and publication years, with no evidence of a decrease over time. People with ID can still expect to live 12–23 years less than the general population and are particularly vulnerable to deaths from respiratory infections and epilepsy. Conclusions: Both population and individual-level approaches to prevention are indicated to tackle the continuing mortality disparities in people with ID, including consideration of reasonable adjustments in general population efforts to reduce health inequalities.