{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:03:17Z","timestamp":1784304197925,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T00:00:00Z","timestamp":1683072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T00:00:00Z","timestamp":1683072000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2023,11]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n To describe the profiles of hospital admissions of school\u2010age children identified with a learning disability (ICD\u201011 intellectual developmental disorder) and\/or safeguarding needs compared to children without learning disability, in a population where proactive identification of learning disabilities in children is embedded in practice.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n Data were collected about the reasons for and duration of hospital admissions of school\u2010age children living in the study catchment area between April 2017 and March 2019; the presence (or absence) of learning disability and\/or safeguarding flags in the medical record was also noted. The impact of the presence of flags on the outcomes was explored using negative binomial regression modelling.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of 46 295 children in the local population, 1171 (2.53%) had a learning disability flag. The admissions of 4057 children were analysed (1956 females; age range 5\u201316\u2009years, mean 10\u2009years 6\u2009months, SD 3\u2009years 8\u2009months). Of these, 221 out of 4057 (5.5%) had a learning disability, 443 out of 4057 (10.9%) had safeguarding flags, 43 out of 4057 (1.1%) had both, and 3436 out of 4057 (84.7%) had neither. There was a significantly increased incidence of hospital admissions and length of stay in children with either or both flags, compared to children with neither.<\/jats:p>\n <\/jats:sec>\n \n Interpretation<\/jats:title>\n Children with learning disabilities and\/or safeguarding needs have higher rates of hospital admissions than children without. Robust identification of learning disabilities in childhood is required to make the needs of this group visible in routinely collected data as the first step towards needs being appropriately addressed.<\/jats:p>\n <\/jats:sec>\n \n What this paper adds<\/jats:title>\n \n \n \n Children with learning disabilities must be consistently identified in populations so that their needs are made visible.<\/jats:p>\n <\/jats:list-item>\n \n Information about these needs must be collected from educational, health, and social care sources and scrutinized systematically.<\/jats:p>\n <\/jats:list-item>\n \n Children with learning disabilities and safeguarding needs have an increased incidence of hospital admissions and length of stay.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/dmcn.15592","type":"journal-article","created":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T03:29:08Z","timestamp":1683084548000},"page":"1511-1519","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Hospital admissions of school\u2010age children with an intellectual disability: A population\u2010based survey"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1834-5296","authenticated-orcid":false,"given":"Karen A.","family":"Horridge","sequence":"first","affiliation":[{"name":"Paediatric Disability Department South Tyneside and Sunderland NHS Foundation Trust Sunderland UK"},{"name":"Department of Education University of Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Bretnall","sequence":"additional","affiliation":[{"name":"Paediatric Disability Department South Tyneside and Sunderland NHS Foundation Trust Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1360-4191","authenticated-orcid":false,"given":"Lorna K.","family":"Fraser","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of York York UK"},{"name":"Cicely Saunders Institute and Department of Women's and Children's Health King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,3]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"International Classification of Diseases, 11th Revision (ICD\u201011)","author":"World Health Organization","year":"2018"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2010.12.018"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3148.2011.00638.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2012.04348.x"},{"key":"e_1_2_7_6_1","unstructured":"Learning Disabilities Observatory People with learning disabilities in England 2015: Main report. 2016. 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