There has been an increase in utilization of the Emergency Department (ED) in individuals with autism spectrum disorder (ASD) which may reflect a deficit of services (Green et al., Journal of the American Academy of Child and Adolescent Psychiatry 40(3):325–332, 2001; Gurney et al., Archives of Pediatric and Adolescent Medicine 160:825–830, 2006; Leichtman et al., American Journal of Orthopsyhciatry 72(2):227–235, 2001). The current study examined the rates of ED utilization between 2005 and 2013 in ASD youth 12- to 21-years-old. Adolescents with ASD accessed ED services four times as often as adolescents without ASD. Older adolescents and those living in rural areas showed a significant increase in ED visits over time. Post hoc analysis revealed increased ED utilization for females and behavioral health ED services over time. Better access to and greater understanding of services for adolescents with ASD is a critical need.
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This work was supported in part by Penn State University College of Medicine Junior Faculty Development Program Award (Liu), the National Center for Advancing Translational Sciences, National Institutes of Health, through Grant UL1 TR000127 (Kong). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. We also would like to acknowledge the essential support of the Center for Applied Studies in Health Economics (CASHE).
GL contributed to the conception and design of the study, acquisition, analysis and interpretation of data, drafting the manuscript and approving the final version. AMP contributed to the design of the study and interpretation of data, drafting the manuscript and approving the final version, LK contributed to the design of the study and analysis of data, drafting the manuscript and approving the final version. DLL contributed to the analysis of data, drafting the manuscript and approving the final version. MJM contributed toward the conception and design of the study, interpretation of data, drafting the manuscript, and approving the final version.
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An erratum to this article is available at http://dx.doi.org/10.1007/s10803-017-3100-x.
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Liu, G., Pearl, A.M., Kong, L. et al. A Profile on Emergency Department Utilization in Adolescents and Young Adults with Autism Spectrum Disorders. J Autism Dev Disord 47, 347–358 (2017). https://doi.org/10.1007/s10803-016-2953-8