We analyze the 2011–2016 Healthcare Cost and Utilization Project State Emergency Department Databases and State Inpatient Databases for all emergency department visits by children and adolescents in New York to estimate the association between autism spectrum disorder and frequent emergency department utilization. Our study included 5.9 million individuals with 9.1 million emergency department visits. Of those, 31,682 had autism spectrum disorder (0.5%) accounting for 66,053 (0.7%) emergency department visits. Individuals with autism spectrum disorder had on average 0.6 more emergency department visits per year, were more likely to exhibit frequent emergency department use (⩾4, ⩾6, ⩾8, and ⩾10 emergency department visits/year), and had larger shares of comorbidities and diagnoses related to attention-deficit/hyperactivity disorder, intellectual disability, and epilepsy. These findings highlight the need for patient and family-centered care interventions and emergency department staff education initiatives.

Lay 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.

中文翻译：

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检查自闭症谱系障碍儿童和青少年频繁使用急诊科的情况

我们分析了 2011-2016 年医疗成本和利用项目州急诊科数据库和纽约州所有急诊科就诊的纽约州住院患者数据库，以估计自闭症谱系障碍与急诊科频繁使用之间的关联。我们的研究包括 590 万人，急诊就诊 910 万人次。其中，31,682 人患有自闭症谱系障碍 (0.5%)，其中 66,053 人 (0.7%) 就诊于急诊科。患有自闭症谱系障碍的个体平均每年多就诊 0.6 次急诊科，更有可能经常使用急诊科（⩾ 4、⩾ 6、⩾ 8 和 ⩾ 10 次急诊科/年），并且有更大的比例与注意力缺陷/多动障碍相关的合并症和诊断，智力障碍和癫痫。这些发现强调了对以患者和家庭为中心的护理干预和急诊科员工教育计划的必要性。

摘要

本研究使用纽约州所有医院的 910 万次急诊科就诊人数的 590 万人的数据来探索患有自闭症谱系障碍的儿童和青少年与没有自闭症谱系障碍的儿童和青少年之间频繁使用急诊科的情况。我们发现患有自闭症谱系障碍的儿童和青少年在与注意力缺陷/多动障碍、智力障碍和癫痫相关的合并症和诊断中所占比例更大。患有自闭症谱系障碍的儿童和青少年也更有可能使用急诊科并表现出频繁使用。这些结果强调需要使用以家庭为中心的护理来改善患有自闭症谱系障碍的儿童和青少年及其家人的护理体验。此外，