COVID-19 Pandemic and Impact on Patients with Autism Spectrum Disorder / Raman BAWEJA in Journal of Autism and Developmental Disorders, 52-1 (January 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-1 (January 2022) . - p.473-482 Titre : COVID-19 Pandemic and Impact on Patients with Autism Spectrum Disorder Type de document : texte imprimé Auteurs : Raman BAWEJA, Auteur ; Sierra L. BROWN, Auteur ; Erin M. EDWARDS, Auteur ; Michael J. MURRAY, Auteur Article en page(s) : p.473-482 Langues : Anglais (eng) Mots-clés : Adolescent  Adult  Autism Spectrum Disorder/epidemiology  Covid-19  Child  Delivery of Health Care  Humans  Pandemics  SARS-CoV-2  United States/epidemiology  Adolescents  Adults  Autism Spectrum Disorder  Children  Pandemic Index. décimale : PER Périodiques Résumé : The COVID-19 infectious disease pandemic has caused significant fear and uncertainty around the world and had significant adverse psychological impact. Children, adolescents and adults with autism spectrum disorder (ASD) are a particularly vulnerable population, impacted by stay-at-home orders, closures at nonessential services, and social distancing standards. This commentary describes various challenges faced by individuals with ASD in the United States including disruptions caused by educational and vocational changes, challenges to home and leisure routines, limited access to behavioral health services and changes in health services delivery due to the pandemic. We highlight the need for ongoing skills development for individuals and development within systems to better respond to needs of the ASD population in future emergencies. En ligne : http://dx.doi.org/10.1007/s10803-021-04950-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455 [article] COVID-19 Pandemic and Impact on Patients with Autism Spectrum Disorder [texte imprimé] / Raman BAWEJA, Auteur ; Sierra L. BROWN, Auteur ; Erin M. EDWARDS, Auteur ; Michael J. MURRAY, Auteur . - p.473-482. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-1 (January 2022) . - p.473-482 Mots-clés : Adolescent  Adult  Autism Spectrum Disorder/epidemiology  Covid-19  Child  Delivery of Health Care  Humans  Pandemics  SARS-CoV-2  United States/epidemiology  Adolescents  Adults  Autism Spectrum Disorder  Children  Pandemic Index. décimale : PER Périodiques Résumé : The COVID-19 infectious disease pandemic has caused significant fear and uncertainty around the world and had significant adverse psychological impact. Children, adolescents and adults with autism spectrum disorder (ASD) are a particularly vulnerable population, impacted by stay-at-home orders, closures at nonessential services, and social distancing standards. This commentary describes various challenges faced by individuals with ASD in the United States including disruptions caused by educational and vocational changes, challenges to home and leisure routines, limited access to behavioral health services and changes in health services delivery due to the pandemic. We highlight the need for ongoing skills development for individuals and development within systems to better respond to needs of the ASD population in future emergencies. En ligne : http://dx.doi.org/10.1007/s10803-021-04950-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455

Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder / Guodong LIU in Journal of Autism and Developmental Disorders, 49-11 (November 2019)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 49-11 (November 2019) . - p.4455-4467 Titre : Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder Type de document : texte imprimé Auteurs : Guodong LIU, Auteur ; Amanda M. PEARL, Auteur ; Lan KONG, Auteur ; Sierra L. BROWN, Auteur ; Djibril BA, Auteur ; Douglas L. LESLIE, Auteur ; Michael J. MURRAY, Auteur Article en page(s) : p.4455-4467 Langues : Anglais (eng) Mots-clés : Adolescence  Autism  Emergency Department  Risk factors  Service utilization Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-019-04166-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=408 [article] Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder [texte imprimé] / Guodong LIU, Auteur ; Amanda M. PEARL, Auteur ; Lan KONG, Auteur ; Sierra L. BROWN, Auteur ; Djibril BA, Auteur ; Douglas L. LESLIE, Auteur ; Michael J. MURRAY, Auteur . - p.4455-4467. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 49-11 (November 2019) . - p.4455-4467 Mots-clés : Adolescence  Autism  Emergency Department  Risk factors  Service utilization Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-019-04166-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=408

Vulnerabilities associated with physical health conditions for emergency department utilization in adolescents with autism spectrum disorder / Guodong LIU in Research in Autism Spectrum Disorders, 85 (July 2021)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 85 (July 2021) . - 101800 Titre : Vulnerabilities associated with physical health conditions for emergency department utilization in adolescents with autism spectrum disorder Type de document : texte imprimé Auteurs : Guodong LIU, Auteur ; Amanda M. PEARL, Auteur ; Lan KONG, Auteur ; Sierra L. BROWN, Auteur ; Djibril M. BA, Auteur ; Douglas L. LESLIE, Auteur ; Michael J. MURRAY, Auteur Article en page(s) : 101800 Langues : Anglais (eng) Mots-clés : Autism  Adolescence  Risk factors  Emergency department  Physical and mental health  Service utilization Index. décimale : PER Périodiques Résumé : Background Adolescents with Autism Spectrum Disorder (ASD) have been found to have higher emergency department (ED) utilization due to psychiatric crisis compared to adolescents without ASD. However, little attention has been given to identification of physical health risk factors specifically associated with ED utilization in this population. Method This was a retrospective longitudinal study using the 2005–2014 MarketScan® claims database. We extracted a cohort of subjects with ASD, aged 12–21 and having a minimum of two full consecutive calendar years of enrollment. The outcome variable was a binary indictor of ED utilization during a calendar year. In addition to the univariate association analysis, we performed a multivariable logistic regression analysis to evaluate the independent effects of prior physical health conditions while adjusting for mental health conditions and other potential confounders. Results Our study included 181,686 person-years of data from 63,886 subjects with ASD. The multivariable regression analysis showed that prior physical health conditions were associated with elevated risk for ED visit. In particular, prior injuries posted the highest risk of ED utilization (adjusted odds ratio [aOR]: 2.54; 95 % confidence interval [CI]: 2.35–2.75). Epilepsy and gastrointestinal (GI) problems were also found to be strongly associated with the increased ED utilization (epilepsy: 2.34; 2.10–2.60; GI problems: 2.16; 1.97–2.37). Conclusions This study indicated that individuals with co-occurring physical health conditions appear to be at a high risk for ED visit in adolescents with ASD. These identified risk factors may serve as effective intervention points to refine current standards of care for this historically under-served population. En ligne : https://doi.org/10.1016/j.rasd.2021.101800 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458 [article] Vulnerabilities associated with physical health conditions for emergency department utilization in adolescents with autism spectrum disorder [texte imprimé] / Guodong LIU, Auteur ; Amanda M. PEARL, Auteur ; Lan KONG, Auteur ; Sierra L. BROWN, Auteur ; Djibril M. BA, Auteur ; Douglas L. LESLIE, Auteur ; Michael J. MURRAY, Auteur . - 101800. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 85 (July 2021) . - 101800 Mots-clés : Autism  Adolescence  Risk factors  Emergency department  Physical and mental health  Service utilization Index. décimale : PER Périodiques Résumé : Background Adolescents with Autism Spectrum Disorder (ASD) have been found to have higher emergency department (ED) utilization due to psychiatric crisis compared to adolescents without ASD. However, little attention has been given to identification of physical health risk factors specifically associated with ED utilization in this population. Method This was a retrospective longitudinal study using the 2005–2014 MarketScan® claims database. We extracted a cohort of subjects with ASD, aged 12–21 and having a minimum of two full consecutive calendar years of enrollment. The outcome variable was a binary indictor of ED utilization during a calendar year. In addition to the univariate association analysis, we performed a multivariable logistic regression analysis to evaluate the independent effects of prior physical health conditions while adjusting for mental health conditions and other potential confounders. Results Our study included 181,686 person-years of data from 63,886 subjects with ASD. The multivariable regression analysis showed that prior physical health conditions were associated with elevated risk for ED visit. In particular, prior injuries posted the highest risk of ED utilization (adjusted odds ratio [aOR]: 2.54; 95 % confidence interval [CI]: 2.35–2.75). Epilepsy and gastrointestinal (GI) problems were also found to be strongly associated with the increased ED utilization (epilepsy: 2.34; 2.10–2.60; GI problems: 2.16; 1.97–2.37). Conclusions This study indicated that individuals with co-occurring physical health conditions appear to be at a high risk for ED visit in adolescents with ASD. These identified risk factors may serve as effective intervention points to refine current standards of care for this historically under-served population. En ligne : https://doi.org/10.1016/j.rasd.2021.101800 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458

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