Abstract
The objective of this study was to assess the inpatient care burden among individuals with autism using the 2007 Health Care Utilization Project Nationwide Inpatient Sample [HCUP-NIS]). There were ~26,000 hospitalizations among individuals with autism in 2007, with an overall rate of 65.6/100,000 admissions. Rates of hospitalizations were the highest among individuals with autism aged 10–20 years, males, having household income >$63,000, and with private insurance, respectively. In terms of hospital characteristics, rates were the highest in hospitals in large urban areas, located in the Northeast region, and with teaching status, respectively. Individuals with autism had significantly higher LOS (6.5 vs. 4.2; p < 0.0001) and total charges ($24,862 vs. $23,225; p < 0.0001) as compared to those without autism.
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American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders fourth edition text revision. Washington, DC: American Psychiatric Association.
Bhasin, T. K., & Schendel, D. (2007). Sociodemographic risk factors for autism in a US metropolitan area. Journal of Autism and Developmental Disorders, 37(4), 667–677.
Creon, L. A., Najjar, D. V., Ray, T., Lotspeich, L., & Bernal, P. (2006). A comparison of health care utilization and costs of children with and without autism spectrum disorders in a large group-model health plan. Pediatrics, 118, e1203–e1211.
Durkin, M. S., Maenner, M. J., Meaney, F. J., Levy, S. E., DiGuiseppi, C., Nicholas, J. S., et al. (2010). Socioeconomic inequality in the prevalence of autism spectrum disorder: Evidence from a U.S. cross-sectional study. PLoS ONE, 5(7), e11551.
Ganz, M. L. (2006). The costs of autism. In Moldin & J. L. R. Rubenstein (Eds.), Understanding autism: From basic neuroscience to treatment. Boca Raton, FL: S.O. Taylor and Francis Group.
Ganz, M. L. (2007). The lifetime distribution of the incremental societal costs of autism. Archives of Pediatrics and Adolescent Medicine, 161(4), 343–349.
Kogan, M. D., Blumberg, S. J., Schieve, L. A., Boyle, C. A., Perrin, J. M., Ghandour, R. M., et al. (2009). Prevalence of parent-reported diagnosis of autism spectrum disorder among children in the US, 2007. Pediatrics, 124, 1395–1403.
Leslie, D. L., & Martin, A. (2007). Health care expenditure associated with autism spectrum disorders. Archives of Pediatrics and Adolescent Medicine, 161, 350–355.
Liptak, G. S., Stuart, T., & 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, 871–879.
Mandell, D. S., Cao, J., Ittenbach, R., & Pinto-Martin, J. (2006). Medicaid expenditures for children with autistic spectrum disorders: 1994 to 1999. Journal of Autism and Developmental Disorders, 36, 475–485.
Nicholas, J. S., Charles, J. M., Carpenter, L. A., King, L. B., Jenner, W., Eve, G., et al. (2008). Prevalence and characteristics of children with autism spectrum disorders. Annals of Epidemiology, 18(2), 130–136.
Riley, G. F. (2009). Administrative and claims records as sources of health care cost data. Medical Care, 47(7), s51–s55.
Ruble, L. A., Heflinger, C. A., Renfrew, J. W., & Saunders, R. C. (2005). Access and service use by children with autism spectrum disorders in Medicaid managed care. Journal of Autism and Developmental Disorders, 35(1), 475–485.
Shimabukuro, T. T., Grosse, S. T., & Rice, C. (2008). Medical expenditures for children with an autism spectrum disorder in a privately insured population. Journal of Autism and Developmental Disorders, 38, 546–552.
U.S. Congress, Office of Technology Assessment, OTA-HCS-23. (1983). Medical Technology and Costs of the Medicare Program. Health Technology Case Study 24: Variations in Hospital Length of Stay: Their Relationship to Health Outcomes. Washington, D. C.
Wang, E. C., Choe, M. C., Meara, J. G., & Koempel, J. A. (2004). Inequality of access to surgical specialty health care: Why children with government-funded insurance have less access than those with private insurance in Southern California. Pediatrics, 114(5), e584–e590.
Wang, L., & Leslie, D. L. (2010). Health care expenditures for children with autism spectrum disorders in Medicaid. Journal of the American Academy of Child and Adolescent Psychiatry, 49(11), 1165–1171.
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Lokhandwala, T., Khanna, R. & West-Strum, D. Hospitalization Burden Among Individuals with Autism. J Autism Dev Disord 42, 95–104 (2012). https://doi.org/10.1007/s10803-011-1217-x
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DOI: https://doi.org/10.1007/s10803-011-1217-x