Rate and Risk Factors Associated with Autism Spectrum Disorder in Congenital Diaphragmatic Hernia

被引:17
作者
Danzer, Enrico [1 ]
Hoffman, Casey [1 ]
D'Agostino, Jo Ann [1 ]
Miller, Judith S. [2 ]
Waqar, Lindsay N. [1 ]
Gerdes, Marsha [1 ]
Bernbaum, Judy C. [1 ]
Rosenthal, Hannah [1 ]
Rintoul, Natalie E. [1 ]
Herkert, Lisa M. [1 ]
Peranteau, William H. [1 ]
Flake, Alan W. [1 ]
Adzick, N. Scott [1 ]
Hedrick, Holly L. [1 ]
机构
[1] Childrens Hosp Philadelphia, Ctr Fetal Diag & Treatment, 5th Floor Wood Ctr,3615 Civ Ctr Blvd, Philadelphia, PA 19104 USA
[2] Childrens Hosp Philadelphia, Ctr Autism Res, 3535 Market St,Suite 860, Philadelphia, PA 19104 USA
关键词
Congenital diaphragmatic hernia; Autism spectrum disorder; Autism diagnostic observation schedule; Neurodevelopmental delay; Pulmonary hypoplasia; Pulmonary hypertension; LOW-BIRTH-WEIGHT; CHILDREN; OUTCOMES; SURVIVORS; INFANTS; PREVALENCE; SYMPTOMS; PRETERM;
D O I
10.1007/s10803-018-3472-6
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
To determine the rate and predictors of autism spectrum disorder (ASD) in congenital diaphragmatic hernia (CDH). Between 06/2004 and 09/2015 a total of 110 CDH survivors underwent neurodevelopmental (ND) testing and screening for ASD, followed by a full autism diagnostic evaluation if indicated at our institution. We found a 9 time higher rate of ASD in CDH children compared to the general population (P = 0.0002). Multiple patient-related and clinical variables risk factors of ASD were identified by univariate analysis. However, only short-term and long-term neurodevelopmental delays were strongly associated with ASD in CDH by multivariate comparisons. There is a striking prevalence of ASD in CDH survivors and our findings suggest that all CDH children should be regularly screened for ASD.
引用
收藏
页码:2112 / 2121
页数:10
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