Brief Report: Factors Associated with Emergency Department Visits for Epilepsy Among Children with Autism Spectrum Disorder.
Autistic teens with epilepsy land in the ER for seizures more than for psychiatric issues, and they often arrive with injuries.
01Research in Context
What this study did
Zhang et al. (2018) looked at emergency room trips for seizures in kids with autism. They checked charts to see who came in, how old they were, and what else was going on.
What they found
Most visits happened to teens aged 13-17. Kids who also had mental health diagnoses showed up less often for seizures. Many visits included an injury at the same time.
How this fits with other research
Goris et al. (2021) saw the same age spike but for any ER trip, not just seizures. Their wider view confirms teens with autism use the ER more overall.
Amaral et al. (2019) found the opposite pattern for psychiatric ER visits: autistic teens poured in for mental health crises. Together the papers show the ER door swings for two different groups—seizure teens and psychiatric teens.
Iannuzzi et al. (2022) added that autistic teens are admitted to the hospital 3.7 times more than peers, often for preventable problems. The seizure-injury combo in Wanqing et al. is one clear example.
Why it matters
If you serve autistic teens, add seizure first-aid and injury-prevention to your parent training. Check for epilepsy in your safety plans, and remind caregivers when to call 911 versus when to call the neurologist. A quick seizure action sheet can cut ER wait times and keep kids safer at home.
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02At a glance
03Original abstract
We examined how demographic and clinical characteristics differ between emergency department (ED) visits for epilepsy (EP cohort) and ED visits for other reasons (non-EP cohort) in children with ASD. The data were drawn from the 2009 and 2010 Nationwide Emergency Department Sample. We performed both univariate and multivariate analyses to compare and contrast similarities and differences between EP cohort and non-EP cohort among children with ASD. The results showed ED visits in EP cohort were more likely to occur among adolescents aged 13-17 years, less likely to occur among children with co-occurring psychiatric conditions, and were more likely to co-occur with injury. We discussed some unique challenges for managing children with both ASD and epilepsy.
Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-017-3433-5