Hospitalizations of Children with Autism Increased from 1999 to 2009
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We performed a retrospective analysis of hospital discharges for children with autism, in comparison to children with cerebral palsy, Down syndrome, mental retardation/intellectual disability, and the general population. Hospitalizations for autism increased nearly threefold over 10 years, especially at the oldest ages, while hospitalizations for the other groups did not change. Leading discharge diagnoses for each age group in children with autism included mental health and nervous system disorders. Older age, Caucasian ethnicity, and living in a region with a high number of pediatric beds predicted hospitalizations associated with mental health diagnoses. These findings underscore the need for comprehensive clinical services that address the complex needs of children with autism to prevent costly hospitalizations.
KeywordsAutism Mental health Hospitalization Adolescence
- American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders fifth edition.Washington, DC: American Psychiatric Association.Google Scholar
- Centers for Disease Control. (2012). Prevalence of autism spectrum disorders–Autism and developmental disabilities monitoring network, 14 sites, United States, 2008. MMWR Surveillance Summary, 61(3), 1–19.Google Scholar
- Centet on budget and policy priorities (2007). Comparing public and private health insurance for children. Washington D.C. Ku, L. http://www.cbpp.org/files/5-11-07health.pdf. Accessed April 18, 2013.
- Chamber, J., Parrish, T., and Harr, J. (2004). What are we spending on special education services in the United States, 1999–2000? American Institues for Research. http://csef.air.org/publications/seep/national/advrpt1.pdf. Accessed April 18, 2013.
- Chamberlain., L.J., Pineda, N., Winestone, L., Saynina, O., Rangaswami, A., Link, M., and Wise, P.H. (in press) Access to pediatric subspecialty care: a population study of pediatric oncology inpatients in California. Journal of Pediatric Hematology and Oncology.Google Scholar
- Department of Health Care Services (2010), State of California. Special Care Center Directory. http://www.dhcs.ca.gov/services/ccs/scc/Pages/PICU.aspx. Accessed June 3, 2013.
- Government Accountability Office. (2005). Report to the chairman and ranking minority member, subcommitee on human rights and wellness, committee on government reform, house of representatives. Special education: Children with autism. Washington, D.C. U.S. Government Accountability Office. http://www.gao.gov/new.items/d05220.pdf. Accessed April 18, 2013.
- Health Care Financing Administration. (2002). DRGs: Diagnosis related groups definitions manual, version 20.0. Developed by 3M Health Information Systems. New Haven, CT.Google Scholar
- Liptak, G. S., T. Stuart, and Auinger, P. (2006). Health care utilization and expenditures for children with autism: data from U.S. national samples. Journal of Autism and Developmental Disorders. 36(7): 871–879.Google Scholar
- Mandell, D. S., Xie, M., Morales, K. H., Lawler, L., McCarthy, M., & Marcus, S. C. (2012). The interplay of outpatient services and psychiatric hospitalization among medicaid-enrolled children with autismm spectrum disorders. Archives of Pediatric and Adolscent Medicine, 166(1), 68–73.CrossRefGoogle Scholar