Incidence of autism in high risk neonatal follow up

Hussein S Mohammed1, Saeed H Wahass, Adel A Mahmoud

  • 1National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.

Insights

Autism spectrum disorder (ASD) prevalence was higher in a neonatal follow-up program compared to the general population. Key risk factors identified include male gender, low birth weight, and premature birth.

Area of Science:

  • Neonatal care
  • Pediatric neurology
  • Developmental pediatrics

Background:

  • Autism spectrum disorder (ASD) diagnosis and risk factor assessment are crucial for early intervention.
  • The High Risk Neonatal Follow up Program (HRNFP) serves a population with potential developmental vulnerabilities.
  • Understanding ASD prevalence in specific neonatal cohorts is vital for public health initiatives in Saudi Arabia.

Purpose of the Study:

  • To determine the prevalence of autism spectrum disorder (ASD) within the High Risk Neonatal Follow up Program (HRNFP).
  • To identify potential risk factors associated with ASD in this high-risk neonatal population.
  • To provide insights into ASD epidemiology in the Kingdom of Saudi Arabia (KSA).

Main Methods:

  • A retrospective medical chart review was conducted at a tertiary care hospital in Riyadh, KSA.
  • Patients in the HRNFP evaluated at 3 years corrected age between 2012 and 2013 were included.
  • Data on potential risk factors including low birth weight, gestational age (<33 weeks), and male gender were collected.

Main Results:

  • The overall ASD incidence rate in the HRNFP was 4.7% over the 2-year study period.
  • Specific incidence rates were 5.1% in 2012 and 4.2% in 2013.
  • Male gender, low birth weight, and gestational age less than 33 weeks were associated with a higher likelihood of ASD.

Conclusions:

  • The prevalence of ASD was found to be higher in the HRNFP cohort compared to the general community.
  • The study highlights the importance of monitoring for ASD in high-risk neonatal populations.
  • Further research is warranted to explore the identified risk factors in greater detail.
Abstract

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