Evidence map›Paper›PMID 40146314›Full record

ArticleJournal of autism and developmental disorders2026

Unintentional Drowning Incidents Involving Children with Autism Spectrum Disorder Treated in US Emergency Departments, 2016-2020.

Kristal Xie, Ashley Blanchard, Stanford Chihuri, Matthew Russell, Caleb Ing, Carolyn DiGuiseppi, Guohua Li

Abstract read
In one paragraph

Article in Journal of autism and developmental disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kristal XieDepartment of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
Ashley BlanchardDepartment of Emergency Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA. ab3923@cumc.columbia.edu.ORCID http://orcid.org/0000-0002-1109-6373
Stanford ChihuriDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Matthew RussellDepartment of Anesthesiology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, 10032, USA.
Caleb IngDepartment of Anesthesiology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, 10032, USA.
Carolyn DiGuiseppiDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Guohua LiDepartment of Anesthesiology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, 10032, USA.

Funding

Mortality in AutismR01HD108138 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GUOHUA LI · 2023 to 2026
$1.7M
Injuries in Children with AutismR21HD098522 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LI, GUOHUA · 2020 to 2021
$418k
Eunice Kennedy Shriver National Institute of Child Health and Human Development HD098522Eunice Kennedy Shriver National Institute of Child Health and Human Development HD108138NICHD NIH HHS R01 HD108138NICHD NIH HHS R21 HD098522
6 · The paper itself

Abstract

Children with autism spectrum disorder (ASD) are at heightened risk of unintentional drowning. We examined the epidemiological patterns of unintentional drowning incidents involving children diagnosed with ASD treated in US emergency departments (EDs). Data for this study came from the 2016-2020 Nationwide ED Sample. Children aged 1-19 years diagnosed with ASD and treated in EDs were identified using ICD-10-CM code F84.0. Weighted multivariable logistic regression models were used to estimate the adjusted odds ratio (aOR) and 95% confidence interval (CI) of drowning-related ED visits associated with ASD. During the study period, there were an estimated 21,226 unintentional drowning-related ED visits in children, including 369 in children diagnosed with ASD. Compared to children without ASD, ED visits for unintentional drownings in children with ASD were more likely to have occurred in swimming pools (47.45% vs. 41.21%), natural water (15.55% vs. 8.82%), and bathtubs (8.08% vs. 4.79%). Among children with ASD, unintentional drowning-related ED visits occurred more commonly in children > 10 years (43.20% vs. 18.19%) and were more likely to result in hospital admission (35.14% vs. 22.02%) than among children without ASD. With adjustment for demographic characteristics, ASD was associated with more than a 2-fold increased odds of ED-treated unintentional drowning (aOR = 2.31; 95% CI 1.84, 2.89). Epidemiologic patterns of unintentional drowning are different between children with and without ASD. Targeted interventions designed to increase supervision, provide adaptive swimming lessons, and enhance environmental safety may reduce the risk of unintentional drownings among children diagnosed with ASD.

Indexed as

Autism Spectrum DisorderDrowningEmergency Service, HospitalAdolescentChildChild, PreschoolEmergency Room VisitsFemaleHumansInfantMaleSwimming PoolsUnited StatesYoung AdultASDChildrenDrowningEmergency departmentUnintentional

Identifiers

PMID40146314
PMCPMC12258417

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.