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We identified 3293 people with ID aged 5\u201364\u00a0years with a hospitalisation for epilepsy between 2005 and 2014 in New South Wales, Australia. We examined unplanned readmission and ED presentation within 30 or 365\u00a0days and associations with demographic, socio\u2010economic and health status variables. Modified Poisson regression with robust estimation was used to model outcomes within 30\u00a0days. Negative binomial regression was used to account for the overdispersion of the data and to model 365\u2010day outcome rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Around half of the cohort had an unplanned readmission and ED presentation within 365\u00a0days of the index hospitalisation. In fully adjusted models, being female, being a young adult and having a longer or acute care index admission, mental and physical comorbidities and a history of incarceration were associated with an elevated risk of readmission or ED presentation. The strongest association was observed between history of self\u2010harm and 365\u2010day readmission (incidence rate ratio 2.15, 95% confidence interval 1.41\u20133.29).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Socio\u2010demographic, justice and health factors are associated with unplanned readmission and ED presentation risk after hospitalisation for epilepsy in people with ID. Interventions targeting improving continuity of care should be tailored for individuals and their support workers. The findings also emphasise the importance of person\u2010centred multidisciplinary care across different health sectors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jir.12987","type":"journal-article","created":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T08:06:01Z","timestamp":1667549161000},"page":"1317-1335","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors associated with acute care service use after epilepsy hospitalisation in people with intellectual disability"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4399-8248","authenticated-orcid":false,"given":"P.","family":"Liao","sequence":"first","affiliation":[{"name":"Department of Developmental Disability Neuropsychiatry, School of Psychiatry, Faculty of Medicine and Health University of New South Wales  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Trollor","sequence":"additional","affiliation":[{"name":"Department of Developmental Disability Neuropsychiatry, School of Psychiatry, Faculty of Medicine and Health University of New South Wales  Sydney NSW Australia"},{"name":"Centre for Healthy Brain Ageing, School of Psychiatry, Faculty of Medicine and Health University of New South Wales  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Reppermund","sequence":"additional","affiliation":[{"name":"Department of Developmental Disability Neuropsychiatry, School of Psychiatry, Faculty of Medicine and Health University of New South Wales  Sydney NSW Australia"},{"name":"Centre for Healthy Brain Ageing, School of Psychiatry, Faculty of Medicine and Health University of New South Wales  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8026-2155","authenticated-orcid":false,"given":"R. 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