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Continuation of Pediatric Care after Transfer to Adult Care among Autistic Youth Overlap of Pediatric and Adult Care

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Continuation of Pediatric Care after Transfer to Adult Care among Autistic Youth Overlap of Pediatric and Adult Care
Γλώσσα: English
Συγγραφείς: Joseph Sirrianni, Christopher Hanks, Steve Rust, Laura C. Hart (ORCID 0000-0003-0987-7258)
Πηγή: Journal of Autism and Developmental Disorders. 2025 55(4):1203-1214.
Διαθεσιμότητα: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Peer Reviewed: Y
Page Count: 12
Ημερομηνία έκδοσης: 2025
Sponsoring Agency: National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH)
Contract Number: UL1TR002733
Τύπος εγγράφου: Journal Articles
Reports - Research
Descriptors: Autism Spectrum Disorders, Adolescents, Young Adults, Pediatrics, Primary Health Care, Age Differences, Individual Characteristics, Health Services, Medical Care Evaluation
Γεωγραφικοί όροι: Ohio
DOI: 10.1007/s10803-024-06314-5
ISSN: 0162-3257
1573-3432
Περίληψη: The transition from pediatric to adult health care is a vulnerable time period for autistic adolescents and young adults (AYA) and for some autistic AYA may include a period of receiving care in both the pediatric and adult health systems. We sought to assess the proportion of autistic AYA who continued to use pediatric health services after their first adult primary care appointment and to identify factors associated with continued pediatric contact. We analyzed electronic medical record (EMR) data from a cohort of autistic AYA seen in a primary-care-based program for autistic people. Using logistic and linear regression, we assessed the relationship between eight patient characteristics and (1) the odds of a patient having ANY pediatric visits after their first adult appointment and (2) the number of pediatric visits among those with at least one pediatric visit. The cohort included 230 autistic AYA, who were mostly white (68%), mostly male (82%), with a mean age of 19.4 years at the time of their last pediatric visit before entering adult care. The majority (n = 149; 65%) had pediatric contact after the first adult visit. Younger age at the time of the first adult visit and more pediatric visits prior to the first adult visit were associated with continued pediatric contact. In this cohort of autistic AYA, most patients had contact with the pediatric system after their first adult primary care appointment.
Abstractor: As Provided
Entry Date: 2025
Αριθμός Καταχώρησης: EJ1464658
Βάση Δεδομένων: ERIC
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  – Url: https://dx.doi.org/doi:10.1007/s10803-024-06314-5
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  Data: <searchLink fieldCode="AR" term="%22Joseph+Sirrianni%22">Joseph Sirrianni</searchLink><br /><searchLink fieldCode="AR" term="%22Christopher+Hanks%22">Christopher Hanks</searchLink><br /><searchLink fieldCode="AR" term="%22Steve+Rust%22">Steve Rust</searchLink><br /><searchLink fieldCode="AR" term="%22Laura+C%2E+Hart%22">Laura C. Hart</searchLink> (ORCID <externalLink term="http://orcid.org/0000-0003-0987-7258">0000-0003-0987-7258</externalLink>)
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  Data: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
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  Data: The transition from pediatric to adult health care is a vulnerable time period for autistic adolescents and young adults (AYA) and for some autistic AYA may include a period of receiving care in both the pediatric and adult health systems. We sought to assess the proportion of autistic AYA who continued to use pediatric health services after their first adult primary care appointment and to identify factors associated with continued pediatric contact. We analyzed electronic medical record (EMR) data from a cohort of autistic AYA seen in a primary-care-based program for autistic people. Using logistic and linear regression, we assessed the relationship between eight patient characteristics and (1) the odds of a patient having ANY pediatric visits after their first adult appointment and (2) the number of pediatric visits among those with at least one pediatric visit. The cohort included 230 autistic AYA, who were mostly white (68%), mostly male (82%), with a mean age of 19.4 years at the time of their last pediatric visit before entering adult care. The majority (n = 149; 65%) had pediatric contact after the first adult visit. Younger age at the time of the first adult visit and more pediatric visits prior to the first adult visit were associated with continued pediatric contact. In this cohort of autistic AYA, most patients had contact with the pediatric system after their first adult primary care appointment.
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