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患有自闭症谱系障碍的青少年和青年的急诊科利用率

Emergency Department Utilization of Adolescents and Young Adults with Autism Spectrum Disorder.

作者信息

Iannuzzi Dorothea, Hall Matt, Oreskovic Nicolas M, Aryee Emmanuel, Broder-Fingert Sarabeth, Perrin James M, Kuhlthau Karen A

机构信息

Department of General Pediatrics, Massachusetts General Hospital, 125 Nashua Street, Boston, MA, 02114, USA.

Children's Hospital Association, Lenexa, KS, USA.

出版信息

J Autism Dev Disord. 2022 Feb;52(2):617-622. doi: 10.1007/s10803-021-04969-y. Epub 2021 Mar 22.

Abstract

This study examined emergency department (ED) utilization by adolescents and young adults, 12-30 years of age (AYA) with autism spectrum disorder (ASD) using the 2016 Healthcare Cost and Utilization Project/National Emergency Department Sample (HCUP/NEDS). We investigated the principal reason for an ED visit, presence of an ambulatory care sensitive condition (ACSC), and likelihood of hospital admission following ED encounter in ASD and Non-ASD cohorts. The ASD cohort had a higher proportion of ED visits for ACSC diagnoses as compared to the Non-ASD cohort. In addition, the likelihood of admission following an ED visit in the ASD cohort was 3.7 times greater than in the Non-ASD cohort.

摘要

本研究利用2016年医疗成本与使用项目/国家急诊科样本(HCUP/NEDS),对年龄在12至30岁之间患有自闭症谱系障碍(ASD)的青少年和青年成年人(AYA)的急诊科(ED)使用情况进行了调查。我们调查了急诊科就诊的主要原因、是否存在非住院治疗敏感疾病(ACSC),以及ASD队列和非ASD队列在急诊科就诊后住院的可能性。与非ASD队列相比,ASD队列中因ACSC诊断而进行急诊科就诊的比例更高。此外,ASD队列在急诊科就诊后住院的可能性是非ASD队列的3.7倍。

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