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Variables included age, several measures of mobility, the presence or absence of tube feeding, the level of retardation, and certain adaptive skills. RESULTS: Reduced mobility and the use of tube feeding were associated with a large increase in mortality risk. Own home residence and community care facilities have an estimated 25% higher risk-adjusted odds on mortality than institutions and health facilities. CONCLUSIONS: The differential mortality in the placements points to a possible effect of quality of care. One consequence of the current trend toward deinstitutionalization may be an increased mortality rate in children with severe developmental disability.<\/jats:p>","DOI":"10.2105\/ajph.86.10.1422","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:30:23Z","timestamp":1227965423000},"page":"1422-1429","source":"Crossref","is-referenced-by-count":43,"title":["Predictors of mortality in children with severe mental retardation: the effect of placement."],"prefix":"10.2105","volume":"86","author":[{"given":"D","family":"Strauss","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R K","family":"Eyman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H J","family":"Grossman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"p_1","first-page":"329","volume":"147","author":"Eyman RK","year":"1993","journal-title":"Am JDis Child."},{"key":"p_2","doi-asserted-by":"crossref","unstructured":"Eyman RK, Olmstead CE, Grossman HJ, Call TL. 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