Predictors of emergency service use in adolescents and adults with autism spectrum disorder living with family

Lunsky, Yona; Paquette‐Smith, Melissa; Weiss, Jonathan A.; Lee, Jacques

doi:10.1136/emermed-2014-204015

Cited by 49 publications

(46 citation statements)

References 22 publications

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“…In a US study, individuals (12–21y) with autism were reported to have more frequent emergency service use than the general population and slightly higher rates of overall hospital admissions . Higher rates of emergency service use were reported in those with hospital admissions within the previous year, in those who were manifesting aggressive behaviours, and in those with lack of a daily routine and structure to their daily activities . We found differences in hospital admission risk in children with ASD according to maternal origins.…”

Section: Discussionmentioning

confidence: 64%

“…For example, in our population study children with intellectual disability were 3 to 10 times more likely to be admitted to hospital compared to the rest of the population, while the rates for children with ASD were still elevated but less so than for intellectual disability . Increased hospital admissions and emergency department use, particularly during the transition to adulthood, have also been reported elsewhere for adolescents with ASD . These included both psychiatric and non‐psychiatric presentations related to epilepsy, neurological concerns, and gastrointestinal disturbances .…”

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confidence: 50%

“…4 Increased hospital admissions and emergency department use, particularly during the transition to adulthood, have also been reported elsewhere for adolescents with ASD. 7,8 These included both psychiatric and non-psychiatric presentations related to epilepsy, neurological concerns, and gastrointestinal disturbances. 8 Children with CP especially can have high rates of hospital admissions.…”

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confidence: 99%

“…7,8 These included both psychiatric and non-psychiatric presentations related to epilepsy, neurological concerns, and gastrointestinal disturbances. 8 Children with CP especially can have high rates of hospital admissions. Increased CP severity has been shown to be associated with emergency department presentation and longer hospital stays.…”

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confidence: 99%

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Hospital admissions in children with developmental disabilities from ethnic minority backgrounds

Abdullahi

Wong

Klerk

et al. 2019

Develop Med Child Neuro

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Aim To compare hospital admission patterns after the first year of life in Australian children with developmental disabilities and children with no known disability, according to maternal country of birth and Indigenous status. Method This was a retrospective cohort study using linked data across health, disability, and hospital admission databases. The study investigated 656 174 children born in Western Australia between 1983 and 2008 with a total of 1 091 834 records of hospital admissions. Results Children with no known disability born to Indigenous mothers had the highest rate of hospital admissions compared to children of non‐Indigenous mothers. Children of foreign‐born mothers from low‐income countries had the highest rate of hospital admissions if disability was present. Children with cerebral palsy (CP) with or without associated intellectual disability had the highest rate of hospital admissions among children with developmental disability, especially if mothers were foreign‐born. Interpretation Children with CP and intellectual disability, particularly from minority backgrounds (Indigenous Australian and foreign‐born mothers), were at higher risk of being admitted to hospital after the first year of life. What this paper adds Hospital admissions in Australian children with and without disabilities differ according to maternal country of birth. Hospital admission rates in children without a developmental disability were greatest for Australian‐born Indigenous children. Disabled Australian‐born children of foreign‐born mothers from low‐income countries had the highest hospital admission rates. Hospital admission risk was greatest for Australian‐born children with cerebral palsy, especially if mothers were foreign‐born.

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Section: Discussionmentioning

confidence: 64%

mentioning

confidence: 50%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Hospital admissions in children with developmental disabilities from ethnic minority backgrounds

Abdullahi

Wong

Klerk

et al. 2019

Develop Med Child Neuro

View full text Add to dashboard Cite

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“…Emerald does not grant permission for this article to be further copied/distributed or hosted elsewhere without the express permission from Emerald Group Publishing Limited. individuals with ASD (Lunsky et al 2014), some social stories to help individuals understand and prepare for restraint might also be helpful. Further research into restraint use in hospitals is warranted.…”

Section: Discussionmentioning

confidence: 99%

A review of emergency department visits made by youth and adults with autism spectrum disorder from the parent perspective

Lunsky

Tint

Weiss

et al. 2018

AIA

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Purpose: Past research has shown individuals with autism spectrum disorder (ASD) visit hospital emergency departments (ED) at high rates. In order to assist individuals with ASD, their families and health care providers to improve ED care, it is important to understand these encounters in greater detail. This study aimed to provide a descriptive summary of the ED experiences of adolescents and adults with ASD, from the perspective of their families.

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Medical service utilization and costs of autism spectrum disorder: Evidence from hospital records in Beijing, China

Zhao

Zhu

et al. 2023

Autism Research

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As more and more people are diagnosed with autism spectrum disorder (ASD), it is necessary to better understand their costs. Detailed information on medical service utilization and costs could aid in designing equitable, effective policies to support individuals with ASD and their families. In this retrospective analysis, individuals with a hospital encounter (outpatient visit or inpatient admission) were collected from Beijing Municipal Health Big Data and Policy Research Center (BMHBD), from January 1, 2017 to December 31, 2021. We analyzed the costs, hospital visits/admissions and their changing trends over 5 years. Poisson regression and logit regression were conducted to analyze the influencing factors of visits, admissions and costs. The study population consisted of 26,826 users of medical services (26,583 outpatients and 243 inpatients; mean age: 4.82 ± 3.47 years for outpatients; 11.62 ± 6.74 years for inpatients). 99.1% were outpatients

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Predictors of emergency service use in adolescents and adults with autism spectrum disorder living with family

Cited by 49 publications

References 22 publications

Hospital admissions in children with developmental disabilities from ethnic minority backgrounds

Hospital admissions in children with developmental disabilities from ethnic minority backgrounds

A review of emergency department visits made by youth and adults with autism spectrum disorder from the parent perspective

Medical service utilization and costs of autism spectrum disorder: Evidence from hospital records in Beijing, China

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