Hospitalization burden among individuals with autism.
Autistic patients stay longer and pay more—so push hospitals for autism-ready care and early discharge plans.
01Research in Context
What this study did
Tasneem and colleagues looked at every hospital stay in a large U.S. database. They compared autistic patients with non-autistic patients. They asked: who stays longer and who pays more?
What they found
Autistic people stayed in the hospital 55% longer. Their bills were also higher. The extra days and dollars add up fast for families and insurers.
How this fits with other research
McMaughan et al. (2023) zoomed in on teens and young adults. They found autistic youth are hospitalized for mental-health crises 11 times more often than peers with other long-term illnesses.
Siegel et al. (2014) gives hope. A special inpatient psychiatry unit cut severe irritability in 78% of autistic kids. Long stays can still end well if staff know autism.
Reyes et al. (2019) moved the lens to the ER. Autistic teens do not visit the ER more, but when they do the bill is the highest—usually for psychiatric emergencies.
Why it matters
Longer stays mean more stress, missed school, and bigger bills. Use this data when you ask hospitals for single rooms, quiet spaces, or staff trained in autism. Start discharge planning on day one. Link families to outpatient crisis teams before the next emergency.
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02At a glance
03Original 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.
Journal of autism and developmental disorders, 2012 · doi:10.1007/s10803-011-1217-x