Evidence map›Paper›PMID 18381541›Full record

ArticlePediatrics2008

Positive screening for autism in ex-preterm infants: prevalence and risk factors.

Catherine Limperopoulos, Haim Bassan, Nancy R Sullivan, Janet S Soul, Richard L Robertson, Marianne Moore, Steven A Ringer, Joseph J Volpe, Adré J du Plessis

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 151 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed, 7 pooled it
43.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

151 citing papers in PubMed, 7 syntheses or guidelines pooled it, 420 citations in OpenAlex.

  1. Pooled it
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  8. Factors associated with abnormal screening for autism spectrum disorder among Extremely Preterm Children.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  9. Review
  10. Article
  11. Sex Differences in Autistic Youth Born Extremely Preterm.Journal of autism and developmental disorders · 2026
    Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Contribution of the serotonergic system to developmental brain abnormalities in autism spectrum disorder.Autism research : official journal of the International Society for Autism Research · 2024
    Review
  18. Article
  19. Article
  20. Review

91 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Catherine LimperopoulosDepartment of Neurology and Neurosurgery, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada. catherine.limperopoulos@childrens.harvard.edu
Haim Bassan
Nancy R Sullivan
Janet S Soul
Richard L Robertson
Marianne Moore
Steven A Ringer
Joseph J Volpe
Adré J du Plessis
Boston Children's Hospital · USDevelopmental Studies Center · USHarvard University · USMcGill University · CA

Funding

PERIVENTRICULAR LEUKOMALACIA IN THE PREMATURE INFANTP01NS038475 · NINDS · CHILDREN'S HOSPITAL BOSTON · PI VOLPE, JOSEPH J · 2000 to 2009
$13.2M
Quantitation of Insult and Injury to the Preterm BrainK24NS057568 · NINDS · CHILDREN'S RESEARCH INSTITUTE · PI DU PLESSIS, ADRE JACQUES · 2007 to 2011
$641k
Continuous Monitoring for Cerebral Pressure-Passivity in Premature InfantsR21HD056009 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI DU PLESSIS, ADRE JACQUES · 2007 to 2008
$460k
NICHD NIH HHS R21 HD056009NINDS NIH HHS K24 NS057568NINDS NIH HHS P01 NS038475NINDS NIH HHS P01NS38475
6 · The paper itself

Abstract

objectiveThe survival of very low birth weight infants has increased markedly in recent years. Unfortunately, the prevalence of significant and lifelong motor, cognitive, and behavioral dysfunction has remained a major problem confronting these children. The objective of this study was to perform screening tests for early autistic features in children with a history of very low birth weight and to identify risk factors associated with a positive screening result.

methodsWe studied 91 ex-preterm infants < or = 1500 g at birth. Infants underwent conventional MRI studies at preterm and/or term-adjusted age. We collected pertinent demographic, prenatal, intrapartum, acute postnatal, and short-term outcome data for all infants. Follow-up assessments were performed at a mean age of 21.9 +/- 4.7 months, using the Modified Checklist for Autism in Toddlers, the Vineland Adaptive Behavior Scale, and the Child Behavior Checklist.

resultsTwenty-six percent of ex-preterm infants had a positive result on the autism screening tool. Abnormal scores correlated highly with internalizing behavioral problems on the Child Behavior Checklist and socialization and communication deficits on the Vineland Scales. Lower birth weight, gestational age, male gender, chorioamnionitis, acute intrapartum hemorrhage, illness severity on admission, and abnormal MRI studies were significantly associated with an abnormal autism screening score.

conclusionsEarly autistic behaviors seem to be an underrecognized feature of very low birth weight infants. The results from this study suggest that early screening for signs of autism may be warranted in this high-risk population followed by definitive autism testing in those with positive screening results.

Indexed as

Infant, Extremely Low Birth WeightNeonatal ScreeningAutistic DisorderCohort StudiesDevelopmental DisabilitiesFemaleHumansInfant, NewbornInfant, PrematureInfant, Premature, DiseasesLogistic ModelsMagnetic Resonance ImagingMaleMass ScreeningMultivariate AnalysisNeuropsychological Tests

Identifiers

PMID18381541
PMCPMC2703587
OpenAlexW2041137717

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.