Autism screening and diagnostic outcomes among toddlers born preterm

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Developmental Medicine and Child Neurology Pub Date : 2024-10-24 DOI:10.1111/dmcn.16146

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Abstract

This study looked at how well an autism screener, the Modified Checklist for Autism in Toddlers, Revised, with Follow-Up (M-CHAT-R/F), identified autism likelihood in toddlers who were born preterm compared to those born full term. The study also examined rates of autism diagnoses following screening in children born preterm.

A total of 9725 toddlers were screened using the M-CHAT-R/F, a parent questionnaire, at 15, 18, or 24 months of age during well visit check-ups. Toddlers were assigned to one of four groups based on how early they were born (extremely preterm, very preterm, moderately preterm, or full term). Those who screened positive were invited for diagnostic evaluation.

Results showed that children born extremely preterm had the highest rate of positive autism screenings (51.35%), whereas those born at term had the lowest rate (6.95%). Children attended the evaluations at similar rates across the preterm categories. Those who were born extremely preterm were most likely to receive an autism diagnosis (16.05%), followed by those born very preterm (2.00%), moderately preterm (2.89%), and full term (1.49%).

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早产幼儿的自闭症筛查和诊断结果。

这项研究考察了自闭症筛查工具--"幼儿自闭症随访改良核对表"（M-CHAT-R/F）--与足月儿相比在早产儿中识别自闭症可能性的效果。该研究还对早产儿筛查后的自闭症诊断率进行了检测。共有 9725 名幼儿在 15、18 或 24 个月大时接受了健康检查，并使用家长问卷 M-CHAT-R/F 进行了筛查。根据幼儿的早产程度（极早产、极早产、中度早产或足月），将他们分为四组。结果显示，极早产儿的自闭症筛查阳性率最高（51.35%），而足月儿的自闭症筛查阳性率最低（6.95%）。不同早产类别的儿童参加评估的比例相似。极早产儿最有可能获得自闭症诊断（16.05%），其次是极早产儿（2.00%）、中度早产儿（2.89%）和足月儿（1.49%）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developmental Medicine and Child Neurology 医学-临床神经学

CiteScore

7.80

自引率

13.20%

发文量

338

审稿时长

3-6 weeks

期刊介绍： Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA). For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.