Epidemiology of Injury-Related Emergency Department Visits in the US Among Youth with Autism Spectrum Disorder

J Autism Dev Disord. 2016 Aug;46(8):2756-2763. doi: 10.1007/s10803-016-2820-7.

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).

Keywords: Autistic disorder; Emergency medicine; Epidemiology; Injury; Intellectual disability.

MeSH terms

  • Adolescent
  • Autism Spectrum Disorder / diagnosis
  • Autism Spectrum Disorder / epidemiology*
  • Autism Spectrum Disorder / therapy*
  • Child
  • Cross-Sectional Studies
  • Emergency Service, Hospital / trends*
  • Female
  • Hospitalization / trends
  • Humans
  • Male
  • Multivariate Analysis
  • United States / epidemiology
  • Wounds and Injuries / diagnosis
  • Wounds and Injuries / epidemiology*
  • Wounds and Injuries / therapy*