Evidence map›Paper›PMID 20679296›Full record

ArticlePediatrics2010

Early medical and behavioral characteristics of NICU infants later classified with ASD.

Bernard Z Karmel, Judith M Gardner, Lauren Swensen Meade, Ira L Cohen, Eric London, Michael J Flory, Elizabeth M Lennon, Inna Miroshnichenko, Simon Rabinowitz, Santosh Parab and 2 more

Abstract read
In one paragraph

Article in Pediatrics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Auditory brainstem response in infants and children with autism spectrum disorder: A meta-analysis of wave V.Autism research : official journal of the International Society for Autism Research · 2018
    Pooled it
  2. Article
  3. Prematurity and autism: a dose-response relationship across gestational age.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Article
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  10. Social and non-social sensory responsivity in toddlers at high-risk for autism spectrum disorder.Autism research : official journal of the International Society for Autism Research · 2021
    Article
  11. Observational
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  18. Functional Connectome of the Fetal Brain.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2019
    Article
  19. Article
  20. A longitudinal study of parent-reported sensory responsiveness in toddlers at-risk for autism.Journal of child psychology and psychiatry, and allied disciplines · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Bernard Z KarmelNew York State Institute for Basic Research in Developmental Disabilities, Department of Infant Development, 1050 Forest Hill Rd, Staten Island, NY 10314, USA. karmelgardner@gmail.com
Judith M Gardner
Lauren Swensen Meade
Ira L Cohen
Eric London
Michael J Flory
Elizabeth M Lennon
Inna Miroshnichenko
Simon Rabinowitz
Santosh Parab
Anthony Barone
Anantham Harin

Funding

Standardized testing/Arousal-attention batteryP01HD047281 · NICHD · INSTITUTE FOR BASIC RES IN DEV DISABIL · PI KARMEL, BERNARD Z · 2005 to 2009
$4.3M
AROUSAL AND ATTENTION IN HIGH-RISK NEONATESR01HD021784 · NICHD · MOUNT SINAI SCHOOL OF MEDICINE OF CUNY · PI GARDNER, JUDITH M · 1986 to 2004
$2.6M
NICHD NIH HHS P01 HD047281NICHD NIH HHS P01-HD047281NICHD NIH HHS R01 HD021784NICHD NIH HHS R01-HD021784
6 · The paper itself

Abstract

objectivesRecent evidence suggests higher prevalence of autism spectrum disorder (ASD) in NICU graduates. This aim of this study was to identify retrospectively early behaviors found more frequently in NICU infants who went on to develop ASD.

methodsTwenty-eight NICU graduates who later received a diagnosis of ASD were compared with 2169 other NICU graduates recruited from 1994 to 2005. They differed in gender, gestational age, and birth cohort. These characteristics were used to draw a matched control sample (n=112) to determine which, if any, early behaviors discriminated subsequent ASD diagnosis. Behavioral testing at targeted ages (adjusted for gestation) included the Rapid Neonatal Neurobehavioral Assessment (hospital discharge, 1 month), Arousal-Modulated Attention (hospital discharge, 1 and 4 months), and Bayley Scales of Infant Development (multiple times, 4-25 months).

resultsAt 1 month, children with ASD but not control children had persistent neurobehavioral abnormalities and higher incidences of asymmetric visual tracking and arm tone deficits. At 4 months, children with ASD had continued visual preference for higher amounts of stimulation than did control children, behaving more like newborns. Unlike control children, children with ASD had declining mental and motor performance by 7 to 10 months, resembling infants with severe central nervous system involvement.

conclusionsDifferences in specific behavior domains between NICU graduates who later receive a diagnosis of ASD and matched NICU control children may be identified in early infancy. Studies with this cohort may provide insights to help understand and detect early disabilities, including ASD.

Indexed as

Infant BehaviorIntensive Care Units, NeonatalAge FactorsChild Development Disorders, PervasiveChild, PreschoolFemaleHumansInfantMaleRetrospective Studies

Identifiers

PMID20679296
PMCPMC3494479

What OpenQuestion holds

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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.