COVID-19 outcomes among people with intellectual and developmental disability living in residential group homes in New York State
COVID-19 outcomes among people with intellectual and developmental disability living in residential group homes in New York State
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DOI：
10.1016/j.dhjo.2020.100969
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发表时间：
2020-10-01
影响因子：
4.5
通讯作者：
Stevens, J. Dalton
中科院分区：
文献类型：
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作者：
Landes, Scott D.;Turk, Margaret A.;Stevens, J. Dalton
背景：患有智力和发育障碍 (IDD) 的人可能面临更高的因 COVID-19 导致严重后果的风险。目标：描述居住在纽约州住宅群体中的 IDD 患者和纽约州普通人群的 COVID-19 结局。方法：IDD 患者的数据来自为纽约州提供一半以上住宿服务的组织联盟以及纽约州卫生部。分析描述了截至 2020 年 5 月 28 日居住在住宅区和纽约州的 IDD 患者的 COVID-19 病例率、病死率和死亡率。结果：居住在住宅区的 IDD 患者出现严重 COVID-19 后果的风险更大：IDD 患者的病例率为每 100,000 人中 -7,841 例，而纽约州为 1,910 例； IDD 患者的病死率为 -15.0%，而纽约州的病死率为 7.9%； IDD 患者的死亡率为每 10 万人中 1,175 人，而纽约州的死亡率为每 10 万人中 151 人。该州各地区的病例和死亡率存在差异，但仅纽约市及其周边地区的 IDD 患者的病死率较高。结论：COVID-19 似乎对 IDD 患者带来更大的风险，尤其是居住在聚集环境中的患者。在美国各州开始公开分享他们掌握的有关该人群中的 COVID-19 结果的所有相关数据之前，不可能充分了解这种风险的严重性。 (C) 2020 Elsevier Inc. 保留所有权利。
Background: People with intellectual and developmental disabilities (IDD) may be at higher risk of severe outcomes from COVID-19. Objective: To describe COVID-19 outcomes among people with IDD living in residential groups homes in the state of New York and the general population of New York State.Methods: Data for people with IDD are from a coalition of organizations providing over half of the residential services for the state of New York, and from the New York State Department of Health. Analysis describes COVID-19 case rates, case-fatality, and mortality among people with IDD living in residential group homes and New York State through May 28, 2020.Results: People with IDD living in residential group homes were at greater risk of severe COVID-19 outcomes: case rates -7,841 per 100,000 for people with IDD compared to 1,910 for New York State; case-fatality -15.0% for people with IDD compared to 7.9% for New York State; and mortality rate -1,175 per 100,000 for people with IDD compared to 151 per 100,000 for New York State. Differences in cases and mortality rate were confirmed across regions of the state, but case-fatality rate was only higher for people with IDD in and around the New York City region.Conclusions: COVID-19 appears to present a greater risk to people with IDD, especially those living in congregate settings. A full understanding of the severity of this risk will not be possible until US states begin publicly sharing all relevant data they have on COVID-19 outcomes among this population. (C) 2020 Elsevier Inc. All rights reserved.