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Patterns of Presentation to a Children's Hospital Emergency Department of Patients with Autism and/or Intellectual Disability with Behaviours of Concern

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  • Additional Information
    • Availability:
      Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
    • Peer Reviewed:
      Y
    • Source:
      6
    • Subject Terms:
      Foreign Countries; Autism Spectrum Disorders; Intellectual Disability; Hospitalized Children; Hospitals; Behavior Problems; Children; Adolescents; Patients; Needs; Pediatrics; Allied Health Personnel
    • Subject Terms:
      Australia
    • Accession Number:
      10.3109/13668250.2022.2109824
    • ISSN:
      1366-8250
      1469-9532
    • Abstract:
      Background: The aim of this study was to investigate the demographic, clinical characteristics, and service systems of patients with autism spectrum disorder (ASD) and/or intellectual disability presenting to a large paediatric hospital emergency department (ED) with behaviours of concern (BOC) over a two-year period. Method: Retrospective audit of ED presentations with BOC in patients with ASD and/or intellectual disability from 1 January 2019 to 31 December 2020, at the Royal Children's Hospital, Melbourne, Australia. Results: There were 124 presentations (84 patients) in 2019 and 129 presentations (82 patients) in 2020. The mean age was 11.7 years. 55% arrived by ambulance, 24% required physical restraint, and 26% required sedation. Re-presentation was predicted by single-parent household, child protection involvement, and requirement of an interpreter. Conclusions: Children and adolescents with ASD and/or intellectual disability regularly present to ED with BOC. New models of care are required to better support this highly vulnerable patient group.
    • Abstract:
      As Provided
    • Publication Date:
      2023
    • Accession Number:
      EJ1380853