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An Exploration of Emergency Department Visits for Home Unintentional Injuries Among Children With Autism Spectrum Disorder for Evidence to Modify Injury Prevention Guidelines.
Jones, Vanya; Ryan, Leticia; Rooker, Griffin; Debinski, Beata; Parnham, Taylor; Mahoney, Patricia; Shields, Wendy.
Afiliação
  • Jones V; From the Johns Hopkins Bloomberg School of Public Health.
  • Ryan L; Johns Hopkins University School of Medicine.
  • Debinski B; Wake Forest School of Medicine Winston-Salem, NC.
  • Parnham T; From the Johns Hopkins Bloomberg School of Public Health.
  • Mahoney P; From the Johns Hopkins Bloomberg School of Public Health.
  • Shields W; From the Johns Hopkins Bloomberg School of Public Health.
Pediatr Emerg Care ; 37(10): e589-e593, 2021 Oct 01.
Article em En | MEDLINE | ID: mdl-34570078
ABSTRACT

OBJECTIVES:

Current childhood injury prevention guidance is anchored by a child's age. For example, children are considered at high risk for falls at ages 4 years and less, and guidance for prevention focuses on these ages. However, these guidelines may not be adequate for children with autism spectrum disorders (ASD).

METHODS:

This retrospective chart review examined injury characteristics for children with ASD receiving treatment in a pediatric emergency department between 2014 and 2016. Bivariate statistics determined injury demographic correlates. Chart narratives were also coded using traditional content analysis to determine the mechanism that caused the home injury.

RESULTS:

The sample (27 cases) was mostly male (89%), Black (48%), with a mean age of 7.8 (SD, 4.9) years. The most common mechanism was a fall (44%), followed by self-injurious behavior (33%), and then burns (22%). All cases identified at least 1 mechanism contributing to the injury, in 2 cases, 2 items were mentioned. Of the 29 items identified, most involved a house feature that was not stairs (24%); some included stairs, furniture, or a combination of foreign object and grill (21%); and few identified food/beverage/liquid (11%).

CONCLUSIONS:

Analyses suggest that unintentional home injury prevention for children with ASD may require prevention guidance extended through older ages.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ferimentos e Lesões / Queimaduras / Transtorno do Espectro Autista Tipo de estudo: Guideline / Observational_studies / Prognostic_studies Limite: Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged Idioma: En Revista: Pediatr Emerg Care Assunto da revista: MEDICINA DE EMERGENCIA / PEDIATRIA Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ferimentos e Lesões / Queimaduras / Transtorno do Espectro Autista Tipo de estudo: Guideline / Observational_studies / Prognostic_studies Limite: Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged Idioma: En Revista: Pediatr Emerg Care Assunto da revista: MEDICINA DE EMERGENCIA / PEDIATRIA Ano de publicação: 2021 Tipo de documento: Article