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探讨自闭症谱系障碍儿童和青少年频繁使用急诊的情况。

Examining frequent emergency department use among children and adolescents with autism spectrum disorder.

机构信息

Texas A&M University, USA.

The University of Utah, USA.

出版信息

Autism. 2021 Jul;25(5):1382-1394. doi: 10.1177/1362361321990925. Epub 2021 Feb 10.

Abstract

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.

摘要

本研究使用了来自纽约州所有医院的 590 万名个体和 910 万次急诊就诊的数据,探讨了自闭症谱系障碍儿童和青少年与非自闭症谱系障碍儿童和青少年之间的频繁急诊就诊情况。我们发现,自闭症谱系障碍儿童和青少年有更多的合并症和与注意力缺陷/多动障碍、智力残疾和癫痫相关的诊断。自闭症谱系障碍儿童和青少年也更有可能利用急诊部门,并表现出频繁的使用。这些结果强调了需要使用以家庭为中心的护理来改善自闭症谱系障碍儿童和青少年及其家庭的护理体验。此外,还需要对急诊部门工作人员进行有关护理提供和护理体验的流程和实践方面的教育。

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