过期分娩与自闭症谱系障碍之间的关联:更新的系统性审查和元分析
Ensiyeh Jenabi1, Sajjad Farashi1, Amir Mohammad Salehi2
1Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
European journal of medical research
|September 2, 2023
概括
过期分娩与儿童患自闭症谱系障碍 (ASD) 的风险更高有关. 这次元分析发现了一个显著的关联,在男性子组分析中解决了异质性.
科学领域:
- 围产期健康 围产期健康
- 神经发育障碍 神经发育障碍
背景情况:
- 调查过期分娩与自闭症谱系障碍 (ASD) 风险之间的关联.
- 解决过期分娩对公共卫生的相关性,后期分娩发生在5-10%的怀孕中.
研究的目的:
- 进行一项元分析,评估产后分娩与儿童自闭症谱系障碍 (ASD) 风险之间的关联.
- 综合来自多项研究的证据,以提供风险的综合估计.
主要方法:
- 对主要数据库 (PubMed,Scopus,Web of Science) 进行了系统的搜索,以确定相关的研究.
- 一个随机效应模型被用于元分析.
- 通过使用GRADE检查表来评估研究质量.
主要成果:
- 分析包括了18个记录,其中包括来自12个国家的1,412,667名儿童的数据.
- 在产后分娩和ASD风险之间发现了显著的关联 (RR=1.34,95% CI 1.10-1.58;OR=1.47,95% CI 1.03-1.91).
- 基于OR估计的初始异质性很高 (I2=94.1%),但基于RR估计的初始异质性不存在 (I2=6.6%). 按性别分类的子组分析解决了男性的异质性.
结论:
- 过期分娩代表了自闭症谱系障碍的高风险因素.
- 这种关联是显著的,尽管最初的异质性需要仔细解释.
- 性别特异性分析澄清了这种关系,特别是对于男性来说.
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