Details:

Alternative Title:
Res Autism Spectr Disord
Personal Author:
DiGuiseppi, Carolyn ; Sabourin, Katherine R. ; Levy, Susan E. ; Soke, Gnakub N. ; Lee, Li-Ching ; ... More +
DiGuiseppi, Carolyn ; Sabourin, Katherine R. ; Levy, Susan E. ; Soke, Gnakub N. ; Lee, Li-Ching ; Wiggins, Lisa ; Schieve, Laura A. Less -
Description:
Background:

Evidence about injury management and outcomes in children with autism spectrum disorder (ASD) is limited.

Method:

Cross-sectional analyses included children aged 30–68 months with at least one medically attended injury. Standardized diagnostic instruments determined ASD cases. Parent-reported injury treatments and outcomes were examined in ASD cases (n = 224) versus developmental delays/disorders (DD) (n = 188) and population (POP) (n = 267) controls, adjusting for child and family characteristics using logistic regression.

Results:

Injury characteristics were similar between groups. Most children (82.5%) had emergency care (EC) or hospitalization after injury. Nearly half (46.4%) ever received a medication or injection, mostly analgesics (53.4%) and local anesthetics (23.8%), while 9.4% ever received surgery, most often for open wound (47.0%) or fracture (16.7%). ASD group children were less likely than DD group children to receive medication/injection (41.1% vs. 53.2%, adjusted odds ratio [aOR] = 0.60 [0.40, 0.90]); receipt of EC/hospitalization and surgery were comparable. Children with ASD more often had surgery than POP children (14.3% vs. 4.9%, aOR = 2.62 [1.31, 5.25]); receipt of EC/hospitalization and medication/injection were similar. Loss of consciousness was uncommon (ASD = 6.3%, DD = 5.3%, POP = 3.4%), as was long-term or significant behavior change (ASD = 5.4%, DD = 3.2%, POP = 3.2%); differences were not significant.

Conclusions:

Injured children with ASD received fewer medications/injections than children with non-ASD developmental delays/disorders and more surgical treatments than general population children. Injury management was otherwise similar between groups. Understanding whether these results reflect child or injury characteristics or provider perceptions about behaviors and pain thresholds of children with ASD, and how these may influence care, requires further study.


Subjects:
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Article ASD Emergency Care Injuries Injury Outcomes Surgery Treatment
Source:
Res Autism Spectr Disord. 66
Pubmed ID:
34552662
Pubmed Central ID:
PMC8455161
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:74baa2e232cdedd654c74936a97aac8d2fdc4052c6b610ce658f03ec18c1f397
Download URL:
https://stacks.cdc.gov/view/cdc/110295/cdc_110295_DS1.pdf
File Type:

Supporting Files

• nihms-1629145.nxml

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