{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T18:20:15Z","timestamp":1792693215197,"version":"4.5.0"},"reference-count":79,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,9,1]]},"abstract":"<jats:sec><jats:title>CONTEXT:<\/jats:title><jats:p>Evidence is emerging that preterm infants are at risk for autism spectrum disorder (ASD).<\/jats:p><\/jats:sec><jats:sec><jats:title>OBJECTIVES:<\/jats:title><jats:p>To conduct a systematic review and meta-analysis to estimate the prevalence of ASD in preterm infants.<\/jats:p><\/jats:sec><jats:sec><jats:title>DATA SOURCES:<\/jats:title><jats:p>Medline (via PubMed and Ovid), Embase, PsycINFO, and relevant conference proceedings were searched in May 2017.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY SELECTION:<\/jats:title><jats:p>Original studies in which researchers report on the prevalence of ASD using diagnostic tests in children born preterm were included. Studies in which researchers used only ASD screening tools were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>DATA EXTRACTION:<\/jats:title><jats:p>Relevant data were extracted independently by 3 authors.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>Researchers in a total of 18 studies (3366 preterm infants) used ASD diagnostic tools. The median gestation, birth weight, and age at assessment were 28.0 weeks (range: 25.1\u201331.3 weeks), 1055 g (range: 719\u20131565 g), and 5.7 years (range: 1.5\u201321 years), respectively. Meta-analysis revealed that the overall prevalence rate for ASD was 7% (95% confidence interval: 4% to 9%). The funnel plot and Egger\u2019s test revealed that there was probably no evidence of publication bias.<\/jats:p><\/jats:sec><jats:sec><jats:title>LIMITATIONS:<\/jats:title><jats:p>The limitations were significant heterogeneity and a lack of studies from middle- and low-income countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>The prevalence of ASD is significantly high in the preterm population. Adequate resources are needed to improve the outcomes of these children.<\/jats:p><\/jats:sec>","DOI":"10.1542\/peds.2018-0134","type":"journal-article","created":{"date-parts":[[2018,8,3]],"date-time":"2018-08-03T07:25:14Z","timestamp":1533281114000},"source":"Crossref","is-referenced-by-count":307,"title":["Prevalence of Autism Spectrum Disorder in Preterm Infants: A Meta-analysis"],"prefix":"10.1542","volume":"142","author":[{"given":"Sachin","family":"Agrawal","sequence":"first","affiliation":[{"name":"Neonatal Unit, King Edward Memorial Hospital for Women and Perth Children Hospital, Nedlands, Western Australia, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shripada C.","family":"Rao","sequence":"additional","affiliation":[{"name":"Neonatal Unit, King Edward Memorial Hospital for Women and Perth Children Hospital, Nedlands, Western Australia, Australia;"},{"name":"School of Medicine, University of Western Australia, Crawley, Australia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Max K.","family":"Bulsara","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Institute for Health Research, University of Notre Dame, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay K.","family":"Patole","sequence":"additional","affiliation":[{"name":"Neonatal Unit, King Edward Memorial Hospital for Women and Perth Children Hospital, Nedlands, Western Australia, Australia;"},{"name":"School of Medicine, University of Western Australia, Crawley, Australia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2018,9,1]]},"reference":[{"issue":"3","key":"2021120916440983800_B1","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1001\/jamapediatrics.2014.3351","article-title":"Survival and morbidity of preterm children born at 22 through 34 weeks\u2019 gestation in France in 2011: 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