在一个大型纽约医疗系统中,自闭症患者使用急诊室的模式
Eleny Romanos-Sirakis1, Jon Javor2
1Department of Pediatrics, Northwell Health-SIUH, New Hyde Park, NY, USA; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
The American journal of emergency medicine
|December 23, 2025
概括
自闭症患者的急诊室 (ED) 访问次数比预期的要少,大多数人年龄在30岁以下. 与非自闭症患者相比,自闭症患者入院的可能性较小,住院时间较短.
科学领域:
- 医疗保健利用研究 医疗保健利用研究
- 自闭症谱系障碍 (ASD) 研究研究
- 公共卫生分析.
背景情况:
- 自闭症患者因感官和沟通差异而面临医疗保健方面的挑战.
- 了解自闭症患者获得医疗保健的机会对于改善健康公平至关重要.
研究的目的:
- 分析自闭症和非自闭症患者的急诊室 (ED) 使用模式.
- 为了比较这些群体之间的关键结果,如入院率和停留时间.
主要方法:
- 在一个大型纽约医疗保健系统中对ED遭遇的回顾性分析 (2023年).
- 包括来自523,057名患者的711,254次ED访问,使用ICD-10代码F84.0识别自闭症.
- 评估护理准入,初级诊断,与年龄相关的利用,入院状态和住院时间.
主要成果:
- 自闭症患者占ED访问的0.23%,明显低于预期的患病率.
- 在较年轻的年龄组 (<30岁) 观察到更高比例的自闭症患者.
- 自闭症患者的入院率较低 (12.3%对23.3%),住院时间中位数较短 (3天对4天).
结论:
- 自闭症患者使用ED服务的频率低于预期.
- 年轻的自闭症患者占ED遇到的大多数.
- 需要进一步的研究来解决医疗保健接入障碍和自闭症社区的支持需求.
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