自闭症谱系障碍儿童被狗咬伤的回顾性分析。

IF 3.2 2区心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL

Journal of Autism and Developmental Disorders Pub Date : 2024-08-08 DOI:10.1007/s10803-024-06510-3

Lauren E Mazur, Katelyn M Even, Conrad Krawiec

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引用次数: 0

摘要

目的：患有自闭症谱系障碍（ASD）的儿童可能会被狗咬伤，但其频率及其临床影响尚不清楚。我们试图评估被狗咬伤的 ASD 儿童的 (1) 受试者特征；(2) 受伤类型；(3) 提供的临床护理；以及 (4) 死亡率。我们假设，与无 ASD 儿童相比，有 ASD 的儿童死亡率更高，需要的临床护理也更多：这是一项回顾性观察队列研究，利用 TriNetX ® EHR 数据库对 0 至 18 岁被狗咬伤的受试者进行诊断编码。对数据进行了人口统计学、诊断、用药、程序代码和死亡率分析：我们分析了38337名被狗咬伤的受试者（n，%）[619人（1.6%）患有自闭症，37718人（98.4%）不患有自闭症]。患有 ASD 的儿童头部外伤几率更高[1.34 (1.15, 1.57)，p 结论：患有 ASD 的儿童头部外伤几率更高：被狗咬伤的自闭症儿童的临床需求与无自闭症儿童相似，但头部外伤的可能性更大。未来的研究需要更好地了解这一人群受伤的诱发因素。

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Retrospective Analysis of Dog Bite Injuries in Children with Autism Spectrum Disorder.

Purpose: Children with autism spectrum disorder (ASD) may suffer a dog bite injury, but the frequency and its clinical impact is unknown. We sought to evaluate the (1) subject characteristics; (2) injury type; (3) clinical care provided; and (4) mortality in children with ASD who suffer a dog bite injury. We hypothesized that children with ASD have higher mortality and require more clinical care than children without ASD.

Methods: This is a retrospective observational cohort study utilizing the TriNetX ^® EHR database of subjects aged 0 to 18 years with dog bite diagnostic codes. Data were analyzed for demographics, diagnostic, medication, procedural codes, and mortality.

Results: We analyzed 38,337 subjects (n, %) coded for a dog bite injury [619 (1.6%) with ASD and 37718 (98.4%) without ASD]. Children with ASD had a higher odds of a traumatic injury to the head [1.34 (1.15, 1.57), p < 0.0001] compared to those without. There was no difference in critical care services, hospitalization, mechanical ventilation, and rabies vaccine administration. All-cause mortality at 1 year was low with no deaths reported within the ASD cohort and 37 (0.1%) deaths reported within the no ASD cohort.

Conclusions: Children with ASD that suffer dog bite injuries have similar clinical needs to children without ASD but are more likely to suffer a traumatic injury to the head. Future studies are needed to better understand inciting factors for injuries in this population.

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来源期刊

Journal of Autism and Developmental Disorders PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

8.00

自引率

10.30%

发文量

433

期刊介绍： The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.