Examining frequent emergency department use among children and adolescents with autism spectrum disorder / Judith BEVERLY in Autism, 25-5 (July 2021)  

Public ISBD [article]  inAutism > 25-5 (July 2021) . - p.1382-1394 Titre : Examining frequent emergency department use among children and adolescents with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Judith BEVERLY, Auteur ; Theodoros GIANNOUCHOS, Auteur ; Timothy CALLAGHAN, Auteur Article en page(s) : p.1382-1394 Langues : Anglais (eng) Mots-clés : Adolescent  Attention Deficit Disorder with Hyperactivity/epidemiology  Autism Spectrum Disorder/epidemiology  Child  Comorbidity  Emergency Service, Hospital  Humans  Intellectual Disability/epidemiology  adolescents  autism  children  emergency department  frequent emergency department use  healthcare cost utilization project Index. décimale : PER Périodiques Résumé : This study used data for 5.9 million individuals with 9.1 million emergency department visits from all hospitals in the state of New York to explore frequent emergency department use between children and adolescents with autism spectrum disorders and those without autism spectrum disorders. We found that children and adolescents with autism spectrum disorders had larger shares of comorbidities and diagnoses related to attention-deficit/hyperactivity disorder, intellectual disability, and epilepsy. Children and adolescents with autism spectrum disorders were also more likely to utilize emergency departments and to exhibit frequent use. These results emphasize the need for using family-centered care to improve the care experiences of children and youth with autism spectrum disorders and their families. In addition, the education of emergency department staff of processes and practices as it relates to delivery of care and the care experience. En ligne : http://dx.doi.org/10.1177/1362361321990925 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Examining frequent emergency department use among children and adolescents with autism spectrum disorder [Texte imprimé et/ou numérique] / Judith BEVERLY, Auteur ; Theodoros GIANNOUCHOS, Auteur ; Timothy CALLAGHAN, Auteur . - p.1382-1394. Langues : Anglais (eng) in Autism > 25-5 (July 2021) . - p.1382-1394 Mots-clés : Adolescent  Attention Deficit Disorder with Hyperactivity/epidemiology  Autism Spectrum Disorder/epidemiology  Child  Comorbidity  Emergency Service, Hospital  Humans  Intellectual Disability/epidemiology  adolescents  autism  children  emergency department  frequent emergency department use  healthcare cost utilization project Index. décimale : PER Périodiques Résumé : This study used data for 5.9 million individuals with 9.1 million emergency department visits from all hospitals in the state of New York to explore frequent emergency department use between children and adolescents with autism spectrum disorders and those without autism spectrum disorders. We found that children and adolescents with autism spectrum disorders had larger shares of comorbidities and diagnoses related to attention-deficit/hyperactivity disorder, intellectual disability, and epilepsy. Children and adolescents with autism spectrum disorders were also more likely to utilize emergency departments and to exhibit frequent use. These results emphasize the need for using family-centered care to improve the care experiences of children and youth with autism spectrum disorders and their families. In addition, the education of emergency department staff of processes and practices as it relates to delivery of care and the care experience. En ligne : http://dx.doi.org/10.1177/1362361321990925 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Examining frequent emergency department use among children and adolescents with autism spectrum disorder / Judith BEVERLY in Autism, 26-5 (July 2022)  

Public ISBD [article]  inAutism > 26-5 (July 2022) . - p.1382-1394 Titre : Examining frequent emergency department use among children and adolescents with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Judith BEVERLY, Auteur ; Theodoros GIANNOUCHOS, Auteur ; Timothy CALLAGHAN, Auteur Article en page(s) : p.1382-1394 Langues : Anglais (eng) Mots-clés : Adolescent  Attention Deficit Disorder with Hyperactivity/epidemiology  Autism Spectrum Disorder/epidemiology  Child  Comorbidity  Emergency Service, Hospital  Humans  Intellectual Disability/epidemiology  adolescents  autism  children  emergency department  frequent emergency department use  healthcare cost utilization project Index. décimale : PER Périodiques Résumé : This study used data for 5.9 million individuals with 9.1 million emergency department visits from all hospitals in the state of New York to explore frequent emergency department use between children and adolescents with autism spectrum disorders and those without autism spectrum disorders. We found that children and adolescents with autism spectrum disorders had larger shares of comorbidities and diagnoses related to attention-deficit/hyperactivity disorder, intellectual disability, and epilepsy. Children and adolescents with autism spectrum disorders were also more likely to utilize emergency departments and to exhibit frequent use. These results emphasize the need for using family-centered care to improve the care experiences of children and youth with autism spectrum disorders and their families. In addition, the education of emergency department staff of processes and practices as it relates to delivery of care and the care experience. En ligne : http://dx.doi.org/10.1177/1362361321990925 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=483 [article] Examining frequent emergency department use among children and adolescents with autism spectrum disorder [Texte imprimé et/ou numérique] / Judith BEVERLY, Auteur ; Theodoros GIANNOUCHOS, Auteur ; Timothy CALLAGHAN, Auteur . - p.1382-1394. Langues : Anglais (eng) in Autism > 26-5 (July 2022) . - p.1382-1394 Mots-clés : Adolescent  Attention Deficit Disorder with Hyperactivity/epidemiology  Autism Spectrum Disorder/epidemiology  Child  Comorbidity  Emergency Service, Hospital  Humans  Intellectual Disability/epidemiology  adolescents  autism  children  emergency department  frequent emergency department use  healthcare cost utilization project Index. décimale : PER Périodiques Résumé : This study used data for 5.9 million individuals with 9.1 million emergency department visits from all hospitals in the state of New York to explore frequent emergency department use between children and adolescents with autism spectrum disorders and those without autism spectrum disorders. We found that children and adolescents with autism spectrum disorders had larger shares of comorbidities and diagnoses related to attention-deficit/hyperactivity disorder, intellectual disability, and epilepsy. Children and adolescents with autism spectrum disorders were also more likely to utilize emergency departments and to exhibit frequent use. These results emphasize the need for using family-centered care to improve the care experiences of children and youth with autism spectrum disorders and their families. In addition, the education of emergency department staff of processes and practices as it relates to delivery of care and the care experience. En ligne : http://dx.doi.org/10.1177/1362361321990925 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=483

Suicide and non-fatal self-injury-related emergency department visits among individuals with autism spectrum disorder / Theodoros V GIANNOUCHOS in Autism, 27-7 (October 2023)  

Public ISBD [article]  inAutism > 27-7 (October 2023) . - p.1983-1996 Titre : Suicide and non-fatal self-injury-related emergency department visits among individuals with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Theodoros V GIANNOUCHOS, Auteur ; Judith BEVERLY, Auteur ; Ilias CHRISTODOULOU, Auteur ; Timothy CALLAGHAN, Auteur Article en page(s) : p.1983-1996 Langues : Anglais (eng) Mots-clés : autism  emergency department  mental health  self-injury  suicides Index. décimale : PER Périodiques Résumé : We analyzed the Healthcare Cost and Utilization State Emergency Department (ED) Databases and State Inpatient Databases for all individuals who were 2 years of age or older with at least one ED visit from 2011 to 2016 in New York to estimate the association between suicide and non-fatal injury-related ED visits and autism spectrum disorder (ASD). Our study included 14.4 million individuals with 43.5 million ED visits. Of those, 31,946 (0.2%) individuals had ASD accounting for 162,440 ED visits (0.4%). Compared to those without ASD, individuals with ASD had 2.1 more ED visits on average, higher shares of inpatient ED visits, more years of ED utilization, and higher prevalence of mental health-related comorbidities and diagnoses and self-injury-related ED visits. Among the ASD cohort, 6.1% had at least one self-injury-related ED visit compared to 2.2% among those without ASD. Using multivariable regressions adjusted for sociodemographic, clinical, contextual, and visit-level characteristics, we found that individuals with ASD were significantly more likely to have at least one self-injury-related ED visit compared to those without ASD. Our findings highlight the importance of raising awareness among caregivers and providers about the increased self-injury risk that individuals with ASD face and to tailor care delivery practices towards their needs.Lay abstractThis study used data for 14.4 million individuals with 43.5 million emergency department visits from all hospitals in the state of New York to explore the association between suicide and non-fatal self-injury-related (self-injury) emergency department visits and autism spectrum disorder. Overall, we found that individuals with autism spectrum disorder had more emergency department visits and admissions through the emergency department, more years of emergency department utilization, and higher prevalence of mental health-related comorbidities. Individuals with autism spectrum disorder were also significantly more likely to have at least one self-injury-related emergency department visit compared to those without autism spectrum disorder. These results emphasize the need to raise awareness across both family caregivers and healthcare providers on the increased suicide and self-injury risks that individuals with autism spectrum disorder face and to improve care delivery practices. In addition, effort to promote and increase timely access to mental health care is an urgent priority for individuals with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/13623613221150089 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=510 [article] Suicide and non-fatal self-injury-related emergency department visits among individuals with autism spectrum disorder [Texte imprimé et/ou numérique] / Theodoros V GIANNOUCHOS, Auteur ; Judith BEVERLY, Auteur ; Ilias CHRISTODOULOU, Auteur ; Timothy CALLAGHAN, Auteur . - p.1983-1996. Langues : Anglais (eng) in Autism > 27-7 (October 2023) . - p.1983-1996 Mots-clés : autism  emergency department  mental health  self-injury  suicides Index. décimale : PER Périodiques Résumé : We analyzed the Healthcare Cost and Utilization State Emergency Department (ED) Databases and State Inpatient Databases for all individuals who were 2 years of age or older with at least one ED visit from 2011 to 2016 in New York to estimate the association between suicide and non-fatal injury-related ED visits and autism spectrum disorder (ASD). Our study included 14.4 million individuals with 43.5 million ED visits. Of those, 31,946 (0.2%) individuals had ASD accounting for 162,440 ED visits (0.4%). Compared to those without ASD, individuals with ASD had 2.1 more ED visits on average, higher shares of inpatient ED visits, more years of ED utilization, and higher prevalence of mental health-related comorbidities and diagnoses and self-injury-related ED visits. Among the ASD cohort, 6.1% had at least one self-injury-related ED visit compared to 2.2% among those without ASD. Using multivariable regressions adjusted for sociodemographic, clinical, contextual, and visit-level characteristics, we found that individuals with ASD were significantly more likely to have at least one self-injury-related ED visit compared to those without ASD. Our findings highlight the importance of raising awareness among caregivers and providers about the increased self-injury risk that individuals with ASD face and to tailor care delivery practices towards their needs.Lay abstractThis study used data for 14.4 million individuals with 43.5 million emergency department visits from all hospitals in the state of New York to explore the association between suicide and non-fatal self-injury-related (self-injury) emergency department visits and autism spectrum disorder. Overall, we found that individuals with autism spectrum disorder had more emergency department visits and admissions through the emergency department, more years of emergency department utilization, and higher prevalence of mental health-related comorbidities. Individuals with autism spectrum disorder were also significantly more likely to have at least one self-injury-related emergency department visit compared to those without autism spectrum disorder. These results emphasize the need to raise awareness across both family caregivers and healthcare providers on the increased suicide and self-injury risks that individuals with autism spectrum disorder face and to improve care delivery practices. In addition, effort to promote and increase timely access to mental health care is an urgent priority for individuals with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/13623613221150089 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=510

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