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Journal of Autism and Developmental Disorders

Gepubliceerd in:

13-01-2016 | Original Paper

Emergency Department Use Among Adults with Autism Spectrum Disorders (ASD)

Auteurs: Rini Vohra, Suresh Madhavan, Usha Sambamoorthi

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 4/2016

Abstract

A cross-sectional analyses using Nationwide Emergency Department Sample (2006–2011) was conducted to examine the trends, type of ED visits, and mean total ED charges for adults aged 22–64 years with and without ASD (matched 1:3). Around 0.4 % ED visits (n = 25,527) were associated with any ASD and rates of such visits more than doubled from 2006 to 2011 (2549–6087 per 100,000 admissions). Adults with ASD visited ED for: primary psychiatric disorder (15 %_ASD vs. 4.2 %_noASD), primary non-psychiatric disorder (16 %_ASD vs. 14 %_noASD), and any injury (24 %_ASD vs. 28 %_noASD). Mean total ED charges for adults with ASD were 2.3 times higher than for adults without ASD. Findings emphasize the need to examine the extent of frequent ED use in this population.

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Ahmedani, B. K., & Hock, R. M. (2012). Health care access and treatment for children with co-morbid autism and psychiatric conditions. Social Psychiatry and Psychiatric Epidemiology, 47(11), 1807–1814. doi:10.1007/s00127-012-0482-0.CrossRefPubMed

Austin, P. C. (2011). An introduction to propensity score methods for reducing the effects of confounding in observational studies. Multivariate Behavioral Research, 46(3), 399–424. doi:10.1080/00273171.2011.568786.CrossRefPubMedPubMedCentral

Billstedt, E., Gillberg, I. C., & Gillberg, C. (2005). Autism after adolescence: Population-based 13- to 22-year follow-up study of 120 individuals with autism diagnosed in childhood. Journal of Autism and Developmental Disorders, 35(3), 351–360.CrossRefPubMed

Billstedt, E., Gillberg, I. C., & Gillberg, C. (2007). Autism in adults: Symptom patterns and early childhood predictors use of the DISCO in a community sample followed from childhood. Journal of Child Psychology and Psychiatry and Allied Disciplines, 48(11), 1102–1110.CrossRef

Bruder, M. B., Kerins, G., Mazzarella, C., Sims, J., & Stein, N. (2012). Brief report: The medical care of adults with autism spectrum disorders: Identifying the needs. Journal of Autism and Developmental Disorders, 42(11), 2498–2504. doi:10.1007/s10803-012-1496-x.CrossRefPubMed

Brugha, T. S., McManus, S., Bankart, J., Scott, F., Purdon, S., Smith, J., et al. (2011). Epidemiology of autism spectrum disorders in adults in the community in england. Archives of General Psychiatry, 68(5), 459–465. doi:10.1001/archgenpsychiatry.2011.38.CrossRefPubMed

Choudhry, L., Dougless, M., Lewis, J., Olson, C. H., Osterman, R., & Shah, P. (2007). The impact of community health centers and community-affiliated health plans on emergency department use. National Association of Community Health Centers; Association for Community Affiliated Plans.

Croen, L. A., Najjar, D. V., Ray, G. T., Lotspeich, L., & Bernal, P. (2006). A comparison of health care utilization and costs of children with and without autism spectrum disorders in a large group-model health plan. Pediatrics, 118(4), e1203–e1211.CrossRefPubMed

Croen, L. A., Zerbo, O., Qian, Y., Massolo, M. L., Rich, S., Sidney, S., et al. (2015). The health status of adults on the autism spectrum. Autism: The International Journal of Research and Practice, 19(7), 814–823. doi:10.1177/1362361315577517.CrossRef

Curran, G. M., Sullivan, G., Williams, K., Han, X., Collins, K., Keys, J., & Kotrla, K. J. (2003). Emergency department use of persons with comorbid psychiatric and substance abuse disorders. Annals of Emergency Medicine, 41(5), 659–667. doi:10.1067/mem.2003.154.CrossRefPubMed

Doshi, A., Boudreaux, E. D., Wang, N., Pelletier, A. J., & Camargo, C. A, Jr. (2005). National study of US emergency department visits for attempted suicide and self-inflicted injury, 1997–2001. Annals of Emergency Medicine, 46(4), 369–375.CrossRefPubMed

Esbensen, A. J., Greenberg, J. S., Seltzer, M. M., & Aman, M. G. (2009). A longitudinal investigation of psychotropic and non-psychotropic medication use among adolescents and adults with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(9), 1339–1349. doi:10.1007/s10803-009-0750-3.CrossRefPubMedPubMedCentral

Finlayson, J., Morrison, J., Jackson, A., Mantry, D., & Cooper, S. A. (2010). Injuries, falls and accidents among adults with intellectual disabilities. Prospective cohort study. Journal of Intellectual Disability Research: JIDR, 54(11), 966–980. doi:10.1111/j.1365-2788.2010.01319.x.CrossRefPubMed

Golnik, A., Ireland, M., & Borowsky, I. W. (2009). Medical homes for children with autism: A physician survey. Pediatrics, 123(3), 966–971. doi:10.1542/peds.2008-1321.CrossRefPubMed

Healthcare Cost and Utilization Project (HCUP). (2011). HCUP nationwide emergency department sample (NEDS). Rockville, MD: Agency for Healthcare Research and Quality.

Hofvander, B., Delorme, R., Chaste, P., Nyden, A., Wentz, E., Stahlberg, O., et al. (2009). Psychiatric and psychosocial problems in adults with normal-intelligence autism spectrum disorders. BMC Psychiatry, 9, 35-244X-9-35. doi:10.1186/1471-244X-9-35.CrossRef

Hsieh, K., Heller, T., & Miller, A. B. (2001). Risk factors for injuries and falls among adults with developmental disabilities. Journal of Intellectual Disability Research: JIDR, 45(Pt 1), 76–82.CrossRefPubMed

Iannuzzi, D. A., Cheng, E. R., Broder-Fingert, S., & Bauman, M. L. (2015). Brief report: Emergency department utilization by individuals with autism. Journal of Autism and Developmental Disorders, 45(4), 1096–1102. doi:10.1007/s10803-014-2251-2.CrossRefPubMed

Kalb, L. G., Stuart, E. A., Freedman, B., Zablotsky, B., & Vasa, R. (2012). Psychiatric-related emergency department visits among children with an autism spectrum disorder. Pediatric Emergency Care, 28(12), 1269–1276. doi:10.1097/PEC.0b013e3182767d96.CrossRefPubMed

Kato, K., Mikami, K., Akama, F., Yamada, K., Maehara, M., Kimoto, K., et al. (2013). Clinical features of suicide attempts in adults with autism spectrum disorders. General Hospital Psychiatry, 35(1), 50–53. doi:10.1016/j.genhosppsych.2012.09.006.CrossRefPubMed

Levy, S. E., Giarelli, E., Lee, L. C., Schieve, L. A., Kirby, R. S., Cunniff, C., et al. (2010). Autism spectrum disorder and co-occurring developmental, psychiatric, and medical conditions among children in multiple populations of the United States. Journal of Developmental and Behavioral Pediatrics: JDBP, 31(4), 267–275. doi:10.1097/DBP.0b013e3181d5d03b.CrossRefPubMed

Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., et al. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36(7), 849–861. doi:10.1007/s10803-006-0123-0.CrossRefPubMed

Lokhandwala, T., Khanna, R., & West-Strum, D. (2012). Hospitalization burden among individuals with autism. Journal of Autism and Developmental Disorders, 42(1), 95–104. doi:10.1007/s10803-011-1217-x.CrossRefPubMed

Lugnegard, T., Hallerback, M. U., & Gillberg, C. (2011). Psychiatric comorbidity in young adults with a clinical diagnosis of asperger syndrome. Research in Developmental Disabilities, 32(5), 1910–1917. doi:10.1016/j.ridd.2011.03.025.CrossRefPubMed

Lunsky, Y., Gracey, C., & Bradley, E. (2009). Adults with autism spectrum disorders using psychiatric hospitals in ontario: Clinical profile and service needs. Research in Autism Spectrum Disorders, 3(4), 1006–1013.CrossRef

Magiati, I., Tay, X. W., & Howlin, P. (2014). Cognitive, language, social and behavioral outcomes in adults with autism spectrum disorders: A systematic review of longitudinal follow-up studies in adulthood. Clinical Psychology Review, 34(1), 73–86. doi:10.1016/j.cpr.2013.11.002.CrossRefPubMed

Maski, K. P., Jeste, S. S., & Spence, S. J. (2011). Common neurological co-morbidities in autism spectrum disorders. Current Opinion in Pediatrics, 23(6), 609–615. doi:10.1097/MOP.0b013e32834c9282.CrossRefPubMedPubMedCentral

Matson, J. L., & Rivet, T. T. (2008). Characteristics of challenging behaviors in adults with autistic disorder, PDD-NOS, and intellectual disability. Journal of Intellectual and Developmental Disability, 33(4), 323–329. doi:10.1080/13668250802492600.CrossRefPubMed

Mauch, D., Pfefferle, S., Booker, C., Pustell, M., & Levin, J. (2011). Report on state services to individuals with autism spectrum disorders (ASD). Centers for Medicare and Medicaid Services (CMS) ASD Services Project: Centers for Medicare and Medicaid Services (CMS). Retrieved fromhttp://www.cms.gov/apps/files/9-state-report.pdf.

Miller, S. M. (2015). Nurses caring for adults with autism in an emergency department: A survey of knowledge. Doctoral Projects. Paper 7. http://scholarworks.sjsu.edu/etd_doctoral/7.

Nicolaidis, C., Raymaker, D., McDonald, K., Dern, S., Boisclair, W. C., Ashkenazy, E., et al. (2013). Comparison of healthcare experiences in autistic and non-autistic adults: A cross-sectional online survey facilitated by an academic-community partnership. Journal of General Internal Medicine, 28(6), 761–769. doi:10.1007/s11606-012-2262-7.CrossRefPubMedPubMedCentral

Oskoui, M., & Wolfson, C. (2012). Treatment comfort of adult neurologists in childhood onset conditions. The Canadian Journal of Neurological Sciences, 39(2), 202–205.CrossRefPubMed

Owens, P. L., Barrett, M. L., Gibson, T. B., Andrews, R. M., Weinick, R. M., & Mutter, R. L. (2010). Emergency department care in the United States: A profile of national data sources. Annals of Emergency Medicine, 56(2), 150–165. doi:10.1016/j.annemergmed.2009.11.022.CrossRefPubMed

Palucka, A. M., & Lunsky, Y. (2007). Review of inpatient admissions of individuals with autism spectrum disorders to a specialized dual diagnosis program. Journal on Developmental Disabilities, 13(1), 205–209.

Pines, J. M., Asplin, B. R., Kaji, A. H., Lowe, R. A., Magid, D. J., Raven, M., et al. (2011). Frequent users of emergency department services: Gaps in knowledge and a proposed research agenda. Academic Emergency Medicine, 18(6), e64–e69. doi:10.1111/j.1553-2712.2011.01086.x.CrossRefPubMed

Richmond, T. S., Hollander, J. E., Ackerson, T. H., Robinson, K., Gracias, V., Shults, J., et al. (2007). Psychiatric disorders in patients presenting to the emergency department for minor injury. Nursing Research, 56(4), 275–282. doi:10.1097/01.NNR.0000280616.13566.84.CrossRefPubMedPubMedCentral

Ruble, L. A., Heflinger, C. A., Renfrew, J. W., & Saunders, R. C. (2005). Access and service use by children with autism spectrum disorders in medicaid managed care. Journal of Autism and Developmental Disorders, 35(1), 3–13.CrossRefPubMed

Santosh, P. J., & Mijovic, A. (2006). Does pervasive developmental disorder protect children and adolescents against drug and alcohol use? European Child and Adolescent Psychiatry, 15(4), 183–188. doi:10.1007/s00787-005-0517-0.CrossRefPubMed

Semansky, R. M., Xie, M., & Mandell, D. S. (2011). Medicaid’s increasing role in treating youths with autism spectrum disorders. Psychiatric Services (Washington, D.C.), 62(6), 588. doi:10.1176/appi.ps.62.6.588.CrossRef

Sills, M. R., & Bland, S. D. (2002). Summary statistics for pediatric psychiatric visits to US emergency departments, 1993–1999. Pediatrics, 110(4), e40.CrossRefPubMed

Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47(8), 921–929. doi:10.1097/CHI.0b013e318179964f.CrossRefPubMed

Sizoo, B., van den Brink, W., Gorissen van Eenige, M., & van der Gaag, R. J. (2009). Personality characteristics of adults with autism spectrum disorders or attention deficit hyperactivity disorder with and without substance use disorders. The Journal of Nervous and Mental Disease, 197(6), 450–454. doi:10.1097/NMD.0b013e3181a61dd0.CrossRefPubMed

Smith, M. W., Stocks, C., & Santora, P. B. (2015). Hospital readmission rates and emergency department visits for mental health and substance abuse conditions. Community Mental Health Journal, 51(2), 190–197. doi:10.1007/s10597-014-9784-x.CrossRefPubMed

Soto, E. C., Frederickson, A. M., Trivedi, H., Le, A., Eugene, M. C., Shekher, M., et al. (2009). Frequency and correlates of inappropriate pediatric psychiatric emergency room visits. The Journal of Clinical Psychiatry, 70(8), 1164–1177. doi:10.4088/JCP.08m04839.CrossRefPubMed

Tang, N., Stein, J., Hsia, R. Y., Maselli, J. H., & Gonzales, R. (2010). Trends and characteristics of US emergency department visits, 1997–2007. JAMA: The Journal of the American Medical Association, 304(6), 664–670. doi:10.1001/jama.2010.1112.CrossRefPubMed

Wharff, E. A., Ginnis, K. B., Ross, A. M., & Blood, E. A. (2011). Predictors of psychiatric boarding in the pediatric emergency department: Implications for emergency care. Pediatric Emergency Care, 27(6), 483–489. doi:10.1097/PEC.0b013e31821d8571.CrossRefPubMed

White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229. doi:10.1016/j.cpr.2009.01.003.CrossRefPubMedPubMedCentral

Williams, E. R., Guthrie, E., Mackway-Jones, K., James, M., Tomenson, B., Eastham, J., et al. (2001). Psychiatric status, somatisation, and health care utilization of frequent attenders at the emergency department: A comparison with routine attenders. Journal of Psychosomatic Research, 50(3), 161–167.CrossRefPubMed

Zafeiriou, D. I., Ververi, A., & Vargiami, E. (2007). Childhood autism and associated comorbidities. Brain and Development, 29(5), 257–272.CrossRefPubMed

Zibulewsky, J. (2001). The emergency medical treatment and active labor act (EMTALA): What it is and what it means for physicians. Proceedings (Baylor University. Medical Center), 14(4), 339–346.

Titel: Emergency Department Use Among Adults with Autism Spectrum Disorders (ASD)
Auteurs: Rini Vohra
Suresh Madhavan
Usha Sambamoorthi
Publicatiedatum: 13-01-2016
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 4/2016
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-015-2692-2

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