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Edgar Allan Poe/Sullivan's Island Library
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West Ashley Library
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Wando Mount Pleasant Library
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Cholelithiasis prevalence and risk factors in individuals with severe or profound intellectual and motor disabilities.
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- Author(s): Watanabe, A.; Tomioka, Y.; Okata, Y.; Yoshimura, S.; Kumode, S.; Iwabuchi, S.; Kameoka, Y.; Takanarita, Y.; Uemura, K.; Samejima, Y.; Kawasaki, Y.; Bitoh, Y.
- Source:
Journal of Intellectual Disability Research. Apr2024, Vol. 68 Issue 4, p317-324. 8p. - Source:
- Additional Information
- Subject Terms: RISK assessment; COMPUTED tomography; GALLBLADDER; MULTIPLE regression analysis; QUESTIONNAIRES; MOVEMENT disorders; DESCRIPTIVE statistics; DISEASE prevalence; INTELLECTUAL disabilities; ENTERAL feeding; ODDS ratio; STATISTICS; ARTIFICIAL respiration; CONFIDENCE intervals; GALLSTONES; PEOPLE with disabilities; RESIDENTIAL care; DISEASE risk factors
- Subject Terms:
- Abstract: Background: The prevalence and risk factors of cholelithiasis in individuals with severe or profound intellectual and motor disabilities (SPIMD) are poorly characterised. Thus, we aimed to investigate the prevalence and risk determinants of cholelithiasis in a cohort with SPIMD under medical care in a residential facility. Methods: We categorised 84 patients in a residential hospital for persons with SPIMD into groups: those with (Group CL) and without (Group N) cholelithiasis. Gallstones were detected via computed tomography, ultrasonography or both. We evaluated gastrostomy status, nutritional and respiratory support, constipation, and bladder and kidney stones. Data were significantly analysed using univariate and multivariate logistic regression analyses. Results: The prevalence rate of cholelithiasis in our SPIMD cohort was 27%. There were no significant differences in sex, age, weight, height, or Gross Motor Function Classification System between the two groups. However, more patients received enteral nutrition (39.13% vs. 6.56%; P = 0.000751) and were on ventilator support (56.52% vs. 19.67%; P = 0.00249) in Group CL than in Group N. Enteral nutrition [odds ratio (OR) 10.4, 95% confidence interval (CI) 1.98–54.7] and ventilator support (OR 20.0, 95% CI 1.99–201.0) were identified as independent risk factors for the prevalence of cholelithiasis in patients with SPIMD. Conclusions: Patients with SPIMD demonstrated an increased prevalence of cholelithiasis, with a notable association between nutritional tonic use and respiratory support. Therefore, to emphasise the need for proactive screening, it is crucial to devise diagnostic and therapeutic strategies specific to patients with SPIMD. Further investigation is essential to validate our findings and explore causative factors. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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