Related factors and incidence risk of acute myocardial infarction among the people with disability: A national population-based study.
Adults with physical or profound disability have twice the heart-attack risk—watch for early signs and loop in medical partners.
01Research in Context
What this study did
Huang et al. (2015) looked at every adult with a disability in Taiwan. They checked who later had a heart attack.
The team used national insurance files. They compared people with different kinds of disability to the rest of the country.
What they found
Men over 65 with physical or profound disability had the highest heart-attack risk.
The risk doubled for these groups. Having many chronic illnesses added even more danger.
How this fits with other research
Wilson et al. (2023) extends this picture. They show older adults with ID who already have heart disease walk slower and get out of breath sooner.
Patton et al. (2020) add another layer. Adults with IDD are 28% more likely to land in the hospital because of a medication mistake.
Sutton et al. (2022) widen the lens. Adults with ID are admitted from the emergency room four times as often as everyone else. Together these papers trace a line: higher risk, weaker fitness, more system failures.
Why it matters
You can’t prevent heart attacks with a token board, but you can spot red flags. Note clients who tire quickly, take many meds, or visit the ER often. Flag the case for a nurse or doctor. A quick referral can stop a crisis before it starts.
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02At a glance
03Original abstract
Cardiovascular disease has always been a leading cause of death worldwide. Because the mobility of people with disability is relatively decreased, their risk of cardiovascular disease is increased. This study investigated the risks and relevant factors of acute myocardial infarction (AMI) among people with disability. This is a retrospective cohort study based on secondary data analysis. This study focused on 798,328 people with disability who were aged 35 and above during 2002-2008 and were registered in the National Disability Registration Database; the relevant medical data from 2000 to 2011 were acquired from the National Health Insurance Research Database. A Cox proportional hazards model was adopted for analyzing the relative AMI risks among different disability types and finding latent risk factors. The results indicated that the AMI incidence rate (per 1000 patient-years) among people with disability was 2.48. Men had an AMI incidence rate of 2.68 per 1000 patient-years, which was significantly higher than that of women (2.21; p<.05). The AMI risk for people with mental disabilities was 0.76 times the risk for people with physical disabilities (95% confidence interval [CI]=0.71-0.82). The AMI risk for people with profound disabilities was 2.04 times (95% CI=1.93-2.16) the risk for people with mild disabilities. AMI risk increased with age. People with disability aged 65 and above had an AMI risk that was 5.01-6.03 times the risk for people with disability aged below 45. Disabled indigenous people had a relatively higher AMI risk (HR=1.35, 95% CI=1.19-1.52). The AMI risk for people with disability with a Charlson comorbidity index (CCI) of 4 and above was 5.89 times (95% CI=5.56-6.25) the risk for those with a CCI of 0. Compared with people with physical disabilities, people with visual impairment and people with dysfunctional primary organs had significantly higher AMI risks (HR=1.15; HR=1.66). This study found that people with disability who were male, aged 65 and above, married, indigenous, with physical disabilities, with high comorbidity, or with high disability levels had relatively higher AMI risks than other people with disability. The research outcomes can be used as references by public health authorities to improve the engagement of people with disability in AMI-prevention health services.
Research in developmental disabilities, 2015 · doi:10.1016/j.ridd.2014.10.019