Diagnoses Associated with Intellectual and Developmental Disabilities in Adult Decedents: A Secondary Analysis of Healthcare Cost and Utilization Project National Inpatient Sample (HCUP/NIS) Data
Name:
Final Written Dissertation.pdf
Size:
2.073Mb
Format:
PDF
Description:
Briere dissertation PDF
Authors
Briere, Heather
Faculty Advisor
Nancy MorrisUMass Chan Affiliations
Tan Chingfen Graduate School of NursingDocument Type
Doctoral DissertationPublication Date
2023-02-17Keywords
intellectual disabilitiesIDD
HCUP-NIS
GERD
constipation
aspiration
sepsis
seizures
respiratory infection
mortality
GI obstruction
dehydration
NIMHD Minority Health and Health Disparities Research Framework
IDD Contributing Conditions
IDD Concerning Conditions
Fatal Five plus One
Fatal Four
Metadata
Show full item recordAbstract
Purpose: To identify primary and secondary diagnoses preceding death among adults with and without IDD who died during hospitalization. Specific Aims: 1) to describe the commonly reported base diagnostic related groups preceding death among decedents with and without IDD who died during hospitalization in 2019, 2) to determine which base-DRGs had a higher prevalence rate among adults with IDD than among adults without IDD, controlling for age, gender, race, urbanicity of person’s residence, US census division of hospital, and mean income of person’s zip code, and 3) to use the base-DRGs and ICD-10-CMs to examine the conditions of the Fatal Four/Five as conditions of concern preceding death in decedents with and without IDD. Framework: The NIMHD Minority Health and Health Disparities Research Framework. Design: A secondary data analysis using the 2019 Healthcare Cost and Utilization Project National (Nationwide) Inpatient Sample (HCUP-NIS). Results: Identified fourteen primary diagnoses at the time of death for decedents with IDD that are represented at a higher percentage than for decedents without IDD and have a significant odds ratio for IDD diagnosis. Conclusion: A new set of conditions is proposed to assist nurses in reducing preventable deaths in decedents with IDD. Dehydration, GI obstruction, respiratory infection, seizures, and sepsis, will be known as the IDD Concerning Conditions. Aspiration, constipation, and GERD, the IDD Contributing Conditions, are conditions that do not cause death in themselves but contribute to the development of at least one of the IDD Concerning Conditions, which do cause death.DOI
10.13028/7sp3-wz36Permanent Link to this Item
http://hdl.handle.net/20.500.14038/51838Rights
Copyright © 2023 BriereDistribution License
https://creativecommons.org/licenses/by/4.0/ae974a485f413a2113503eed53cd6c53
10.13028/7sp3-wz36