Physiotherapy Course, Universidade Federal do Rio Grande do Norte (UFRN), Natal 59078-970, Rio Grande do Norte, Brazil.
Post-graduation Program of Physiotherapy, Universidade Federal do Rio Grande do Norte (UFRN), Natal 59078-970, Rio Grande do Norte, Brazil.
Int J Environ Res Public Health. 2020 Oct 21;17(20):7675. doi: 10.3390/ijerph17207675.
Considering that the average age for diagnosis of autism spectrum disorder (ASD) is 4-5 years, testing screening methods for ASD risk in early infancy is a public health priority. This study aims to identify the risks for development of ASD in children born prematurely and hospitalized in a neonatal intensive care unit (NICU) and explore the association with pre-, peri- and postnatal factors. : The children's families were contacted by telephone when their child was between 18 and 24 months of age, to apply the Modified Checklist for Autism in Toddlers (M-CHAT). The sample consisted of 40 children (57.5% boys). M-CHAT screening revealed that 50% of the sample showed early signs of ASD. Although the frequency of delayed development was higher in boys, this difference was not statistically significant between the sexes ( = 0.11). Assessment of the association between perinatal conditions and early signs of autism in children hospitalized in an NICU exhibited no correlation between the factors analyzed (birth weight and type of delivery). The findings indicate a high risk of ASD in premature children, demonstrating no associations with gestational and neonatal variables or the hospitalization conditions of the NICUs investigated.
考虑到自闭症谱系障碍(ASD)的平均诊断年龄为 4-5 岁,因此对婴儿早期 ASD 风险的测试筛查方法是公共卫生的重点。本研究旨在确定在新生儿重症监护病房(NICU)住院的早产儿患自闭症的风险,并探讨其与产前、围产期和产后因素的关系。当孩子在 18 至 24 个月大时,通过电话联系孩子的家庭,应用改良婴儿自闭症检查表(M-CHAT)。该样本由 40 名儿童(57.5%为男孩)组成。M-CHAT 筛查显示,该样本中有 50%的儿童出现了自闭症的早期迹象。尽管男孩的发育迟缓频率更高,但在性别之间差异无统计学意义( = 0.11)。对在 NICU 住院的儿童的围产期情况和自闭症早期迹象之间的关联进行评估,显示分析的因素(出生体重和分娩方式)之间没有相关性。研究结果表明,早产儿患自闭症的风险较高,但与妊娠和新生儿变量或调查的 NICU 住院条件无关。