title: Epidemiology of Injury-Related Emergency Department Visits in the US Among Youth with Autism Spectrum Disorder.
abstract: Several reports suggest children with autism spectrum disorder (ASD) are more likely to be seen for injury-related ED visits; however, no nationally representative study has examined this question. Using data from the 2008 Nationwide Emergency Department Sample, over a quarter of all visits among those with ASD were related to injury. In the multivariate analyses, the odds of an injury-related visit was 54 % greater among those with ASD compared to youth with intellectual disability (ID), but 48 % less compared to youth without ID or ASD. Compared to all other pediatric injury-visits in the US, visits among children with ASD were more likely to be due to self-inflicted injury and poisoning and were more likely to result in hospitalization (all p < 0.001).
authors.affiliation: Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, USA. lkalb2@jhu.edu.|Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. lkalb2@jhu.edu.
authors.forename: Luther G
authors.initials: LG
authors.lastname: Kalb
authors.affiliation: Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, USA.|Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Roma A
authors.initials: RA
authors.lastname: Vasa
authors.affiliation: Experimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, Bethesda, MD, USA.
authors.forename: Elizabeth D
authors.initials: ED
authors.lastname: Ballard
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Steven
authors.initials: S
authors.lastname: Woods
authors.affiliation: Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Mitchell
authors.initials: M
authors.lastname: Goldstein
authors.affiliation: Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.|Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Holly C
authors.initials: HC
authors.lastname: Wilcox
mesh_terms: D000293:Adolescent; D000067877:Autism Spectrum Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D002648:Child; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000639:trends*; D005260:Female; D006760:Hospitalization / Q000639:trends; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*
keywords: Autistic disorder; Emergency medicine; Epidemiology; Injury; Intellectual disability