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Emergency Department Use Among Adults with Autism Spectrum Disorders (ASD) / Rini VOHRA in Journal of Autism and Developmental Disorders, 46-4 (April 2016)
[article]
Titre : Emergency Department Use Among Adults with Autism Spectrum Disorders (ASD) Type de document : Texte imprimé et/ou numérique Auteurs : Rini VOHRA, Auteur ; Suresh MADHAVAN, Auteur ; Usha SAMBAMOORTHI, Auteur Article en page(s) : p.1441-1454 Langues : Anglais (eng) Mots-clés : Autism Emergency department Emergency room Autism trends Expenditures Adult autism Autism injury Medical conditions in autism Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-015-2692-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=284
in Journal of Autism and Developmental Disorders > 46-4 (April 2016) . - p.1441-1454[article] Emergency Department Use Among Adults with Autism Spectrum Disorders (ASD) [Texte imprimé et/ou numérique] / Rini VOHRA, Auteur ; Suresh MADHAVAN, Auteur ; Usha SAMBAMOORTHI, Auteur . - p.1441-1454.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 46-4 (April 2016) . - p.1441-1454
Mots-clés : Autism Emergency department Emergency room Autism trends Expenditures Adult autism Autism injury Medical conditions in autism Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-015-2692-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=284 Emergency department use among young adult Medicare beneficiaries with autism and intellectual disabilities / Teal W. BENEVIDES in Research in Autism Spectrum Disorders, 70 (February 2020)
[article]
Titre : Emergency department use among young adult Medicare beneficiaries with autism and intellectual disabilities Type de document : Texte imprimé et/ou numérique Auteurs : Teal W. BENEVIDES, Auteur ; Henry J. CARRETTA, Auteur ; Katelyn Y. GRAVES, Auteur ; Veronica SIKKA, Auteur Article en page(s) : p.101470 Langues : Anglais (eng) Mots-clés : Emergency department Utilization Autism spectrum disorder Medicare Young adult Intellectual disability Health services Index. décimale : PER Périodiques Résumé : Background Individuals on the autism spectrum are at greater risk for a variety of co-occurring psychiatric and medical conditions, which could result in greater emergency department (ED) use. We aimed to identify rates of ED utilization among transition-age young adults with autism and examine predictors of utilization in a U.S. national data source. Methods We conducted a retrospective analysis of Centers for Medicare and Medicaid 2010 Limited Data Set claims from Inpatient and Outpatient files. Medicare beneficiaries aged 18–25 years from three groups were included: autism spectrum disorder (ASD) and no intellectual disability (ID), ASD and ID, and ID-only. Primary outcomes were annual ED visit counts and dichotomous presence of ED visit in claim year. Results Between 43–54% of adults with ASD had an ED visit in the past claim year. Significant predictors of greater ED utilization among adults with ASD included: intellectual disability (IRR=1.19, 95%CI:1.09–1.30), psychiatric utilization in the claim year (IRR=1.42, 95%CI:1.28–1.57), and greater comorbidities as assessed with ACG® risk score (IRR=1.18, 95%CI:1.15–1.20). Minority status was associated with less ED utilization among adults with ASD (IRR=0.86, 95%CI:0.78–0.94). Adults with ASD had significantly fewer annual ED visits than adults with ID-only after controlling for other variables. Conclusions Prevention efforts to reduce ED utilization, especially for those with ID and ASD with co-occurring psychiatric conditions, is warranted. Primary care providers and case managers should develop care plans to reduce the likelihood for emergency psychiatric utilization and ensure alternative care pathways. ED clinicians may require additional training to address the needs of this population when they present to the ED in crisis. En ligne : https://doi.org/10.1016/j.rasd.2019.101470 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=414
in Research in Autism Spectrum Disorders > 70 (February 2020) . - p.101470[article] Emergency department use among young adult Medicare beneficiaries with autism and intellectual disabilities [Texte imprimé et/ou numérique] / Teal W. BENEVIDES, Auteur ; Henry J. CARRETTA, Auteur ; Katelyn Y. GRAVES, Auteur ; Veronica SIKKA, Auteur . - p.101470.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 70 (February 2020) . - p.101470
Mots-clés : Emergency department Utilization Autism spectrum disorder Medicare Young adult Intellectual disability Health services Index. décimale : PER Périodiques Résumé : Background Individuals on the autism spectrum are at greater risk for a variety of co-occurring psychiatric and medical conditions, which could result in greater emergency department (ED) use. We aimed to identify rates of ED utilization among transition-age young adults with autism and examine predictors of utilization in a U.S. national data source. Methods We conducted a retrospective analysis of Centers for Medicare and Medicaid 2010 Limited Data Set claims from Inpatient and Outpatient files. Medicare beneficiaries aged 18–25 years from three groups were included: autism spectrum disorder (ASD) and no intellectual disability (ID), ASD and ID, and ID-only. Primary outcomes were annual ED visit counts and dichotomous presence of ED visit in claim year. Results Between 43–54% of adults with ASD had an ED visit in the past claim year. Significant predictors of greater ED utilization among adults with ASD included: intellectual disability (IRR=1.19, 95%CI:1.09–1.30), psychiatric utilization in the claim year (IRR=1.42, 95%CI:1.28–1.57), and greater comorbidities as assessed with ACG® risk score (IRR=1.18, 95%CI:1.15–1.20). Minority status was associated with less ED utilization among adults with ASD (IRR=0.86, 95%CI:0.78–0.94). Adults with ASD had significantly fewer annual ED visits than adults with ID-only after controlling for other variables. Conclusions Prevention efforts to reduce ED utilization, especially for those with ID and ASD with co-occurring psychiatric conditions, is warranted. Primary care providers and case managers should develop care plans to reduce the likelihood for emergency psychiatric utilization and ensure alternative care pathways. ED clinicians may require additional training to address the needs of this population when they present to the ED in crisis. En ligne : https://doi.org/10.1016/j.rasd.2019.101470 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=414 Emergency Department Use: Common Presenting Issues and Continuity of Care for Individuals With and Without Intellectual and Developmental Disabilities / Anna DURBIN in Journal of Autism and Developmental Disorders, 48-10 (October 2018)
[article]
Titre : Emergency Department Use: Common Presenting Issues and Continuity of Care for Individuals With and Without Intellectual and Developmental Disabilities Type de document : Texte imprimé et/ou numérique Auteurs : Anna DURBIN, Auteur ; Robert BALOGH, Auteur ; Elizabeth LIN, Auteur ; Andrew S. WILTON, Auteur ; Yona LUNSKY, Auteur Article en page(s) : p.3542-3550 Langues : Anglais (eng) Mots-clés : Continuity of care Developmental disabilities Emergency department Intellectual disabilities Primary care Primary care physicians Index. décimale : PER Périodiques Résumé : This population-based cohort study examined the relationship between level of continuity of primary care and subsequent emergency department (ED) visits for adults with (n?=?66,484) and without intellectual and developmental disabilities (IDD)(n?=?2,760,670). Individuals with IDD were more likely than individuals with no IDD to visit the ED (33.96% versus 20.28%, p?0.0001). For both groups receiving greater continuity of primary care was associated with less ED use, but this relationship was more marked for adults with IDD. While continuity of primary care can reduce ED use for populations with and without IDD, it is a higher priority for individuals with IDD whose cognitive and adaptive impairments may complicate help-seeking, diagnosis, and treatment. Improving primary care can have far-reaching implications for this complex population. En ligne : https://doi.org/10.1007/s10803-018-3615-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=369
in Journal of Autism and Developmental Disorders > 48-10 (October 2018) . - p.3542-3550[article] Emergency Department Use: Common Presenting Issues and Continuity of Care for Individuals With and Without Intellectual and Developmental Disabilities [Texte imprimé et/ou numérique] / Anna DURBIN, Auteur ; Robert BALOGH, Auteur ; Elizabeth LIN, Auteur ; Andrew S. WILTON, Auteur ; Yona LUNSKY, Auteur . - p.3542-3550.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-10 (October 2018) . - p.3542-3550
Mots-clés : Continuity of care Developmental disabilities Emergency department Intellectual disabilities Primary care Primary care physicians Index. décimale : PER Périodiques Résumé : This population-based cohort study examined the relationship between level of continuity of primary care and subsequent emergency department (ED) visits for adults with (n?=?66,484) and without intellectual and developmental disabilities (IDD)(n?=?2,760,670). Individuals with IDD were more likely than individuals with no IDD to visit the ED (33.96% versus 20.28%, p?0.0001). For both groups receiving greater continuity of primary care was associated with less ED use, but this relationship was more marked for adults with IDD. While continuity of primary care can reduce ED use for populations with and without IDD, it is a higher priority for individuals with IDD whose cognitive and adaptive impairments may complicate help-seeking, diagnosis, and treatment. Improving primary care can have far-reaching implications for this complex population. En ligne : https://doi.org/10.1007/s10803-018-3615-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=369 Emergency department visits by children with and without autism spectrum disorder: An initial comparison evaluating multiple outcome measures at one urban children's hospital / Laura Baylot CASEY in Research in Autism Spectrum Disorders, 9 (January 2015)
[article]
Titre : Emergency department visits by children with and without autism spectrum disorder: An initial comparison evaluating multiple outcome measures at one urban children's hospital Type de document : Texte imprimé et/ou numérique Auteurs : Laura Baylot CASEY, Auteur ; Robert L. WILLIAMSON, Auteur ; Sarah MILLER, Auteur ; J. Brian SMITH, Auteur ; Kimberly N. FRAME, Auteur ; Elisabeth C. LANGFORD, Auteur ; J. Brittain COLEMAN, Auteur ; Barry GILMORE, Auteur ; Kathryn A. MCVICAR, Auteur Année de publication : 2015 Article en page(s) : p.144-150 Langues : Anglais (eng) Mots-clés : Emergency department Standard of care Autism spectrum disorder Comparative analysis Index. décimale : PER Périodiques Résumé : Abstract Hospitals everywhere, especially children's hospitals, attempt to give exceptional care to all of their patients regardless of race, religion, socio-economic class, or intellectual ability. We evaluated data collected in the emergency department of a children's hospital, comparing duration of visit in minutes, chief complaint upon arrival to the emergency department, mode of arrival to the emergency department, method of obtaining patient history, demographic information, medications prescribed, medical testing, laboratory testing, diagnosis at discharge, billing code(s) used by the hospital per visit, and the type of insurance billed for services for patients with and without autism spectrum disorder. Results showed no differences were found between the presenting complaint provided by the caretaker upon entering the emergency department and the medical diagnosis for which the patient was actually treated within the emergency department. The tests also showed that there was a significant association between the categories of presenting complaints and whether or not the patient had autism spectrum disorder. The arrival mode to the emergency department was not significantly different between those with and without autism spectrum disorder. There was no significant difference existing between the two groups regarding cost of medical services provided and no significant difference existed between the two groups for the number of laboratory tests, medical tests, or total tests conducted, as well as no significant difference was found between the two groups was found in the length of hospital stay. En ligne : http://dx.doi.org/10.1016/j.rasd.2014.10.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243
in Research in Autism Spectrum Disorders > 9 (January 2015) . - p.144-150[article] Emergency department visits by children with and without autism spectrum disorder: An initial comparison evaluating multiple outcome measures at one urban children's hospital [Texte imprimé et/ou numérique] / Laura Baylot CASEY, Auteur ; Robert L. WILLIAMSON, Auteur ; Sarah MILLER, Auteur ; J. Brian SMITH, Auteur ; Kimberly N. FRAME, Auteur ; Elisabeth C. LANGFORD, Auteur ; J. Brittain COLEMAN, Auteur ; Barry GILMORE, Auteur ; Kathryn A. MCVICAR, Auteur . - 2015 . - p.144-150.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 9 (January 2015) . - p.144-150
Mots-clés : Emergency department Standard of care Autism spectrum disorder Comparative analysis Index. décimale : PER Périodiques Résumé : Abstract Hospitals everywhere, especially children's hospitals, attempt to give exceptional care to all of their patients regardless of race, religion, socio-economic class, or intellectual ability. We evaluated data collected in the emergency department of a children's hospital, comparing duration of visit in minutes, chief complaint upon arrival to the emergency department, mode of arrival to the emergency department, method of obtaining patient history, demographic information, medications prescribed, medical testing, laboratory testing, diagnosis at discharge, billing code(s) used by the hospital per visit, and the type of insurance billed for services for patients with and without autism spectrum disorder. Results showed no differences were found between the presenting complaint provided by the caretaker upon entering the emergency department and the medical diagnosis for which the patient was actually treated within the emergency department. The tests also showed that there was a significant association between the categories of presenting complaints and whether or not the patient had autism spectrum disorder. The arrival mode to the emergency department was not significantly different between those with and without autism spectrum disorder. There was no significant difference existing between the two groups regarding cost of medical services provided and no significant difference existed between the two groups for the number of laboratory tests, medical tests, or total tests conducted, as well as no significant difference was found between the two groups was found in the length of hospital stay. En ligne : http://dx.doi.org/10.1016/j.rasd.2014.10.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243 An Australian Cross-Sectional Survey of Parents' Experiences of Emergency Department Visits Among Children with Autism Spectrum Disorder / Alice GARRICK in Journal of Autism and Developmental Disorders, 52-5 (May 2022)
[article]
Titre : An Australian Cross-Sectional Survey of Parents' Experiences of Emergency Department Visits Among Children with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Alice GARRICK, Auteur ; Marie L. LEE, Auteur ; Carrington SCARFFE, Auteur ; Tony ATTWOOD, Auteur ; Kirsten FURLEY, Auteur ; Mark A. BELLGROVE, Auteur ; Beth P. JOHNSON, Auteur Article en page(s) : p.2046-2060 Langues : Anglais (eng) Mots-clés : Australia/epidemiology Autism Spectrum Disorder/epidemiology Child Cross-Sectional Studies Emergency Service, Hospital Humans Parents Attention deficit hyperactivity disorder Autism spectrum disorders Comorbidity Emergency department Survey Index. décimale : PER Périodiques Résumé : Parents of children with ASD who had attended an Australian emergency department (ED; n=421) completed a questionnaire relating to their experiences in the ED, including (1) child's reason for presentation and existing comorbidities, (2) quality of care during the visit (3) child's behaviour during visit, e.g. sensory responses to the ED environment, and disruptive behaviours. Children with comorbid ASD and intellectual disability were more likely to present with gastrointestinal issues and seizures, while those with comorbid ASD and oppositional defiant disorder were more likely to present with self-injury. ED staff awareness of ASD-related issues, including communication and expression of pain, were common difficulties for parents. The ED environment (e.g. lights, sounds, waiting areas), exacerbated child anxiety and led to disruptive behaviour. En ligne : http://dx.doi.org/10.1007/s10803-021-05091-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476
in Journal of Autism and Developmental Disorders > 52-5 (May 2022) . - p.2046-2060[article] An Australian Cross-Sectional Survey of Parents' Experiences of Emergency Department Visits Among Children with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Alice GARRICK, Auteur ; Marie L. LEE, Auteur ; Carrington SCARFFE, Auteur ; Tony ATTWOOD, Auteur ; Kirsten FURLEY, Auteur ; Mark A. BELLGROVE, Auteur ; Beth P. JOHNSON, Auteur . - p.2046-2060.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-5 (May 2022) . - p.2046-2060
Mots-clés : Australia/epidemiology Autism Spectrum Disorder/epidemiology Child Cross-Sectional Studies Emergency Service, Hospital Humans Parents Attention deficit hyperactivity disorder Autism spectrum disorders Comorbidity Emergency department Survey Index. décimale : PER Périodiques Résumé : Parents of children with ASD who had attended an Australian emergency department (ED; n=421) completed a questionnaire relating to their experiences in the ED, including (1) child's reason for presentation and existing comorbidities, (2) quality of care during the visit (3) child's behaviour during visit, e.g. sensory responses to the ED environment, and disruptive behaviours. Children with comorbid ASD and intellectual disability were more likely to present with gastrointestinal issues and seizures, while those with comorbid ASD and oppositional defiant disorder were more likely to present with self-injury. ED staff awareness of ASD-related issues, including communication and expression of pain, were common difficulties for parents. The ED environment (e.g. lights, sounds, waiting areas), exacerbated child anxiety and led to disruptive behaviour. En ligne : http://dx.doi.org/10.1007/s10803-021-05091-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 An Instrument to Prepare for Acute Care of the Individual with Autism Spectrum Disorder in the Emergency Department / Arvind VENKAT in Journal of Autism and Developmental Disorders, 46-7 (July 2016)
PermalinkDevelopment and Evaluation of Educational Materials for Pre-hospital and Emergency Department Personnel on the Care of Patients with Autism Spectrum Disorder / John J. MCGONIGLE in Journal of Autism and Developmental Disorders, 44-5 (May 2014)
PermalinkExamining frequent emergency department use among children and adolescents with autism spectrum disorder / Judith BEVERLY in Autism, 25-5 (July 2021)
PermalinkExamining frequent emergency department use among children and adolescents with autism spectrum disorder / Judith BEVERLY in Autism, 26-5 (July 2022)
PermalinkPredicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients / C. A. KING in Journal of Child Psychology and Psychiatry, 60-10 (October 2019)
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