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Perspectives of Health Care Providers Regarding Emergency Department Care of Children and Youth with Autism Spectrum Disorder / Lonnie ZWAIGENBAUM in Journal of Autism and Developmental Disorders, 46-5 (May 2016)
[article]
Titre : Perspectives of Health Care Providers Regarding Emergency Department Care of Children and Youth with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Lonnie ZWAIGENBAUM, Auteur ; David B NICHOLAS, Auteur ; Barbara MUSKAT, Auteur ; Christopher KILMER, Auteur ; Amanda S. NEWTON, Auteur ; William R. CRAIG, Auteur ; Savithiri RATNAPALAN, Auteur ; Justine COHEN-SILVER, Auteur ; Andrea GREENBLATT, Auteur ; Wendy ROBERTS, Auteur ; Raphael SHARON, Auteur Article en page(s) : p.1725-1736 Langues : Anglais (eng) Mots-clés : Autism Emergency care Health care provider Pediatrics Grounded theory Index. décimale : PER Périodiques Résumé : This study aimed to characterize the perspectives of health professionals who care for children with autism spectrum disorder (ASD) in the emergency department (ED) and to determine what strategies could optimize care. Ten physicians and twelve nurses were interviewed individually. Questions related to experiences, processes, clinical decision-making and outcomes of children with ASD recently seen in the ED. Interviews were audio recorded, transcribed, and analyzed using a qualitative framework. Participants identified factors that facilitated effective care, including communication strategies, parental involvement and teamwork. Barriers identified included child characteristics, the ED environment, and competing demands. Recommendations included additional staff training and stakeholder engagement. However, making accommodations was often described as being at odds with how the ED functioned, with implications for future service planning. En ligne : http://dx.doi.org/10.1007/s10803-016-2703-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288
in Journal of Autism and Developmental Disorders > 46-5 (May 2016) . - p.1725-1736[article] Perspectives of Health Care Providers Regarding Emergency Department Care of Children and Youth with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Lonnie ZWAIGENBAUM, Auteur ; David B NICHOLAS, Auteur ; Barbara MUSKAT, Auteur ; Christopher KILMER, Auteur ; Amanda S. NEWTON, Auteur ; William R. CRAIG, Auteur ; Savithiri RATNAPALAN, Auteur ; Justine COHEN-SILVER, Auteur ; Andrea GREENBLATT, Auteur ; Wendy ROBERTS, Auteur ; Raphael SHARON, Auteur . - p.1725-1736.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 46-5 (May 2016) . - p.1725-1736
Mots-clés : Autism Emergency care Health care provider Pediatrics Grounded theory Index. décimale : PER Périodiques Résumé : This study aimed to characterize the perspectives of health professionals who care for children with autism spectrum disorder (ASD) in the emergency department (ED) and to determine what strategies could optimize care. Ten physicians and twelve nurses were interviewed individually. Questions related to experiences, processes, clinical decision-making and outcomes of children with ASD recently seen in the ED. Interviews were audio recorded, transcribed, and analyzed using a qualitative framework. Participants identified factors that facilitated effective care, including communication strategies, parental involvement and teamwork. Barriers identified included child characteristics, the ED environment, and competing demands. Recommendations included additional staff training and stakeholder engagement. However, making accommodations was often described as being at odds with how the ED functioned, with implications for future service planning. En ligne : http://dx.doi.org/10.1007/s10803-016-2703-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288 Injury-related treatments and outcomes in preschool children with autism spectrum disorder: Study to Explore Early Development (SEED) / Carolyn G. DIGUISEPPI in Research in Autism Spectrum Disorders, 66 (October 2019)
[article]
Titre : Injury-related treatments and outcomes in preschool children with autism spectrum disorder: Study to Explore Early Development (SEED) Type de document : Texte imprimé et/ou numérique Auteurs : Carolyn G. DIGUISEPPI, Auteur ; Katherine R. SABOURIN, Auteur ; Susan E. LEVY, Auteur ; Gnakub N. SOKE, Auteur ; Li-Ching LEE, Auteur ; Lisa D. WIGGINS, Auteur ; Laura A. SCHIEVE, Auteur Article en page(s) : p.101413 Langues : Anglais (eng) Mots-clés : ASD Injuries Surgery Emergency care Injury outcomes Treatment Index. décimale : PER Périodiques Résumé : Background Evidence about injury management and outcomes in children with autism spectrum disorder (ASD) is limited. Method Cross-sectional analyses included children aged 30–68 months with at least one medically attended injury. Standardized diagnostic instruments determined ASD cases. Parent-reported injury treatments and outcomes were examined in ASD cases (n?=?224) versus developmental delays/disorders (DD) (n?=?188) and population (POP) (n?=?267) controls, adjusting for child and family characteristics using logistic regression. Results Injury characteristics were similar between groups. Most children (82.5%) had emergency care (EC) or hospitalization after injury. Nearly half (46.4%) ever received a medication or injection, mostly analgesics (53.4%) and local anesthetics (23.8%), while 9.4% ever received surgery, most often for open wound (47.0%) or fracture (16.7%). ASD group children were less likely than DD group children to receive medication/injection (41.1% vs. 53.2%, adjusted odds ratio [aOR]?=?0.60 [0.40, 0.90]); receipt of EC/hospitalization and surgery were comparable. Children with ASD more often had surgery than POP children (14.3% vs. 4.9%, aOR?=?2.62 [1.31, 5.25]); receipt of EC/hospitalization and medication/injection were similar. Loss of consciousness was uncommon (ASD?=?6.3%, DD?=?5.3%, POP?=?3.4%), as was long-term or significant behavior change (ASD?=?5.4%, DD?=?3.2%, POP?=?3.2%); differences were not significant. Conclusions Injured children with ASD received fewer medications/injections than children with non-ASD developmental delays/disorders and more surgical treatments than general population children. Injury management was otherwise similar between groups. Understanding whether these results reflect child or injury characteristics or provider perceptions about behaviors and pain thresholds of children with ASD, and how these may influence care, requires further study. En ligne : https://doi.org/10.1016/j.rasd.2019.101413 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=404
in Research in Autism Spectrum Disorders > 66 (October 2019) . - p.101413[article] Injury-related treatments and outcomes in preschool children with autism spectrum disorder: Study to Explore Early Development (SEED) [Texte imprimé et/ou numérique] / Carolyn G. DIGUISEPPI, Auteur ; Katherine R. SABOURIN, Auteur ; Susan E. LEVY, Auteur ; Gnakub N. SOKE, Auteur ; Li-Ching LEE, Auteur ; Lisa D. WIGGINS, Auteur ; Laura A. SCHIEVE, Auteur . - p.101413.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 66 (October 2019) . - p.101413
Mots-clés : ASD Injuries Surgery Emergency care Injury outcomes Treatment Index. décimale : PER Périodiques Résumé : Background Evidence about injury management and outcomes in children with autism spectrum disorder (ASD) is limited. Method Cross-sectional analyses included children aged 30–68 months with at least one medically attended injury. Standardized diagnostic instruments determined ASD cases. Parent-reported injury treatments and outcomes were examined in ASD cases (n?=?224) versus developmental delays/disorders (DD) (n?=?188) and population (POP) (n?=?267) controls, adjusting for child and family characteristics using logistic regression. Results Injury characteristics were similar between groups. Most children (82.5%) had emergency care (EC) or hospitalization after injury. Nearly half (46.4%) ever received a medication or injection, mostly analgesics (53.4%) and local anesthetics (23.8%), while 9.4% ever received surgery, most often for open wound (47.0%) or fracture (16.7%). ASD group children were less likely than DD group children to receive medication/injection (41.1% vs. 53.2%, adjusted odds ratio [aOR]?=?0.60 [0.40, 0.90]); receipt of EC/hospitalization and surgery were comparable. Children with ASD more often had surgery than POP children (14.3% vs. 4.9%, aOR?=?2.62 [1.31, 5.25]); receipt of EC/hospitalization and medication/injection were similar. Loss of consciousness was uncommon (ASD?=?6.3%, DD?=?5.3%, POP?=?3.4%), as was long-term or significant behavior change (ASD?=?5.4%, DD?=?3.2%, POP?=?3.2%); differences were not significant. Conclusions Injured children with ASD received fewer medications/injections than children with non-ASD developmental delays/disorders and more surgical treatments than general population children. Injury management was otherwise similar between groups. Understanding whether these results reflect child or injury characteristics or provider perceptions about behaviors and pain thresholds of children with ASD, and how these may influence care, requires further study. En ligne : https://doi.org/10.1016/j.rasd.2019.101413 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=404