Skip to main content
Top
Gepubliceerd in: Journal of Autism and Developmental Disorders 11/2019

14-08-2019 | Original Paper

Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder

Auteurs: Guodong Liu, Amanda M. Pearl, Lan Kong, Sierra L. Brown, Djibril Ba, Doug L. Leslie, Michael J. Murray

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 11/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

This study reaffirms our previous work documenting a higher number of Emergency Department (ED) visits by adolescent females with Autism Spectrum Disorder (ASD) as compared to adolescent males with ASD, as well as significantly more ED visits by older adolescents than younger adolescents with ASD. Combined externalizing and internalizing psychiatric co-morbidities as well as internalizing conditions alone predict a higher number of ED visits in this study. Illness severity as demonstrated by patterns of visits to primary care physicians and psychiatric referrals prior to ED visits and the prescription of two or more classes of psychotropic medications also predict higher number of ED visits. Finally, as expected, previous ED visits predict future ED visits. The identification of these factors may prove helpful in determining adequacy of current supports and resources for teens with ASD navigating the challenges of adolescence.
Literatuur
go back to reference AAFP. (2008). Patient-centered medical home, position statement. American Academy of Family Physicians. AAFP. (2008). Patient-centered medical home, position statement. American Academy of Family Physicians.
go back to reference AAP. (1992). The medical home. Pediatrics. American Academy of Pediatrics. AAP. (1992). The medical home. Pediatrics. American Academy of Pediatrics.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRef
go back to reference Attwood, T. (2007). The complete guide to Asperger’s syndrome (1st ed., vol. 416). Attwood, T. (2007). The complete guide to Asperger’s syndrome (1st ed., vol. 416).
go back to reference Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., … Dowling, N. F. (2018). Prevalence of autism spectrum disorder among children aged 8 years: Autism and developmental disabilities monitoring network, 11 Sites, United States, 2014. Morbidity and Mortality Weekly Report, 67(6), 1–23. https://doi.org/10.15585/mmwr.ss6706a1. Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., … Dowling, N. F. (2018). Prevalence of autism spectrum disorder among children aged 8 years: Autism and developmental disabilities monitoring network, 11 Sites, United States, 2014. Morbidity and Mortality Weekly Report, 67(6), 1–23. https://​doi.​org/​10.​15585/​mmwr.​ss6706a1.
go back to reference Hansen, L. (2017). The Truven Health MarketScan databases for life sciences researchers. Michigan: IBM Truven Health Analytics. Hansen, L. (2017). The Truven Health MarketScan databases for life sciences researchers. Michigan: IBM Truven Health Analytics.
go back to reference Kogan, M. D., Strickland, B. B., Blumberg, S. J., Singh, G. K., Perrin, J. M., & van Dyck, P. C. (2008). A national profile of the health care experiences and family impact of autism spectrum disorder among children in the United States, 2005–2006. Pediatrics, 122(6), e1149–e1158. https://doi.org/10.1542/peds.2008-1057.CrossRefPubMed Kogan, M. D., Strickland, B. B., Blumberg, S. J., Singh, G. K., Perrin, J. M., & van Dyck, P. C. (2008). A national profile of the health care experiences and family impact of autism spectrum disorder among children in the United States, 2005–2006. Pediatrics, 122(6), e1149–e1158. https://​doi.​org/​10.​1542/​peds.​2008-1057.CrossRefPubMed
go back to reference Leichtman, M., Leichtman, M. L., Barber, C. C., & Neese, D. T. (2001). Effectiveness of intensive short-term residential treatment with severely disturbed adolescents. American Journal of Orthopsychiatry, 71(2), 227–235.CrossRef Leichtman, M., Leichtman, M. L., Barber, C. C., & Neese, D. T. (2001). Effectiveness of intensive short-term residential treatment with severely disturbed adolescents. American Journal of Orthopsychiatry, 71(2), 227–235.CrossRef
go back to reference Lunsky, Y., Klein-Geltink, J. E., & Yates, E. A. (2013). Atlas on the primary care of adults with developmental disabilities in Ontario. Institute for Clinical Evaluative Sciences and Centre for Addiction and Mental Health. Lunsky, Y., Klein-Geltink, J. E., & Yates, E. A. (2013). Atlas on the primary care of adults with developmental disabilities in Ontario. Institute for Clinical Evaluative Sciences and Centre for Addiction and Mental Health.
go back to reference Mahajan, P., Alpern, E. R., Grupp-Phelan, J., Chamberlain, J., Dong, L., Holubkov, R. (2009). Epidemiology of psychiatric-related visits to Emergency Departments in a multicenter collaborative research pediatric network. Pediatric Emergency Care, 25(11), 715–720. https://doi.org/10.1097/pec.0b013e3181bec82f. Mahajan, P., Alpern, E. R., Grupp-Phelan, J., Chamberlain, J., Dong, L., Holubkov, R. (2009). Epidemiology of psychiatric-related visits to Emergency Departments in a multicenter collaborative research pediatric network. Pediatric Emergency Care, 25(11), 715–720. https://​doi.​org/​10.​1097/​pec.​0b013e3181bec82f​.
go back to reference Mattila, M. L., Hurtig, T., Haapsamo, H., Jussila, K., Kuusikko-Gauffin, S., Kielinen, M., … Moilanen, I. (2010). Comorbid psychiatric disorders associated with Asperger syndrome/high-functioning autism: A community- and clinic-based study. Journal of Autism and Developmental Disorders, 40(9), 1080–1093. https://doi.org/10.1007/s10803-010-0958-2. Mattila, M. L., Hurtig, T., Haapsamo, H., Jussila, K., Kuusikko-Gauffin, S., Kielinen, M., … Moilanen, I. (2010). Comorbid psychiatric disorders associated with Asperger syndrome/high-functioning autism: A community- and clinic-based study. Journal of Autism and Developmental Disorders, 40(9), 1080–1093. https://​doi.​org/​10.​1007/​s10803-010-0958-2.
go back to reference McCaid, L. F., & Burt, C. W. (2005). National Hospital Ambulatory Medical Care Survey: 2003 outpatient department summary. Adv Data, 358, 1–38. McCaid, L. F., & Burt, C. W. (2005). National Hospital Ambulatory Medical Care Survey: 2003 outpatient department summary. Adv Data, 358, 1–38.
go back to reference McLennan, J. D., Lord, C., & Schopler, E. (1993). Sex differences in higher functioning people with autism. Journal of Autism and Developmental Disorders, 23(2), 217–227.CrossRef McLennan, J. D., Lord, C., & Schopler, E. (1993). Sex differences in higher functioning people with autism. Journal of Autism and Developmental Disorders, 23(2), 217–227.CrossRef
go back to reference PA Bureau of Autims Services. (2012). Pennsylvania autism needs assessment: A survey of individuals and families living with autism: Service needs. Harrisburg, PA: Bureau of Autism Services Pennsylvania Department of Public Welfare. PA Bureau of Autims Services. (2012). Pennsylvania autism needs assessment: A survey of individuals and families living with autism: Service needs. Harrisburg, PA: Bureau of Autism Services Pennsylvania Department of Public Welfare.
go back to reference Tsai, L. Y., & Beisler, J. M. (1983). The development of sex differences in infantile autism. British Journal of Psychiatry, 142, 373–378.CrossRef Tsai, L. Y., & Beisler, J. M. (1983). The development of sex differences in infantile autism. British Journal of Psychiatry, 142, 373–378.CrossRef
go back to reference USDHHS. (2010). The Secretary’s Advisory Committee on National Health Promotion and Disease Prevention objectives for 2020. Phase I report: Recommendations for the framework and format of Healthy People 2020. Section IV. Advisory Committee findings and recommendations. United States Department of Health and Human Services. USDHHS. (2010). The Secretary’s Advisory Committee on National Health Promotion and Disease Prevention objectives for 2020. Phase I report: Recommendations for the framework and format of Healthy People 2020. Section IV. Advisory Committee findings and recommendations. United States Department of Health and Human Services.
go back to reference Van Wijngaarden-Cremers, P. J., van Eeten, E., Groen, W. B., Van Deurzen, P. A., Oosterling, I. J., & Van der Gaag, R. J. (2014). Gender and age differences in the core triad of impairments in autism spectrum disorders: A systematic review and meta-analysis. Journal of Autism and Developmental Disorders, 44(3), 627–635. https://doi.org/10.1007/s10803-013-1913-9.CrossRefPubMed Van Wijngaarden-Cremers, P. J., van Eeten, E., Groen, W. B., Van Deurzen, P. A., Oosterling, I. J., & Van der Gaag, R. J. (2014). Gender and age differences in the core triad of impairments in autism spectrum disorders: A systematic review and meta-analysis. Journal of Autism and Developmental Disorders, 44(3), 627–635. https://​doi.​org/​10.​1007/​s10803-013-1913-9.CrossRefPubMed
Metagegevens
Titel
Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder
Auteurs
Guodong Liu
Amanda M. Pearl
Lan Kong
Sierra L. Brown
Djibril Ba
Doug L. Leslie
Michael J. Murray
Publicatiedatum
14-08-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 11/2019
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-019-04166-y

Andere artikelen Uitgave 11/2019

Journal of Autism and Developmental Disorders 11/2019 Naar de uitgave