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Study Design
4.3%
3.8%
3.6%
3.0%
Pneumonia
Autistic disorder
Dehydration
Population Studied
We used a cross-sectional sample of the NEDS
involving 29,491 ED visits among children aged 3-17 years
with ASD in 2009 and 2010, representing a total of
132,218 pediatric ED visits.
Table 1
Adjusted Odds Ratio for Hospital Admissions following ED Events by Rural-Urban
Residence among Children with ASD
ED Visits
Independent Variables
OR
95% CI
P value
Residence location (Rural vs. Urban)
1.38
(1.15-1.64)
0.0004
1.24
(1.12-1.38)
<.0001
1.11
(1.02-1.21)
0.0139
0.77
(0.72-0.83)
0.0489
0.76
(0.69-0.85)
0.0011
5.95
(5.54-6.39)
<.0001
1.09
(0.99-1.19)
0.0737
2.02
(1.87-2.18)
<.0001
Key Findings
Conclusions
Children with ASD were about 4 times more likely
to be hospitalized after ED events compared to
children without ASD
Hospitalizations among children with ASD were
associated with age, gender, insurance type,
prevalence of chronic conditions, median
household income level, and hospital teaching
status
Rural children with ASD had a significantly higher
likelihood of being hospitalized compared to their
urban counterparts
Both mood and autistic disorders were among the
most common diagnoses related to hospital
admissions after ED events
Pneumonia and dehydration were frequent but
preventable conditions with higher prevalence
among children with ASD
Figure 2
Characteristics of Hospital Admissions following Pediatric ED Visits
59.0%
53.2%
46.5%
49.5%
46.2%
35.2%
32.5%
35.3%
28.6%
21.9%
20.8%
14.4%
Female
Public insurance
ASD
South region
Mutiple chronic
conditions
Non-ASD