Impaired Gas Exchange at Birth and Risk of Intellectual Disability and Autism: A Meta-analysis.

We conducted meta-analyses of 67 studies on the association between neonatal proxies of impaired gas exchange and intellectual disability (ID) or autism spectrum disorders (ASD). Neonatal acidosis was associated with an odds ratio (OR) of 3.55 [95 % confidence interval (95 % CI) 2.23-5.49] for ID an...

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Publicado en:Journal of Autism & Developmental Disorders Vol. 46; no. 5; pp. 1847 - 1860
Autores principales: Modabbernia, Amirhossein, Mollon, Josephine, Boffetta, Paolo, Reichenberg, Abraham
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Springer Nature May2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2016
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10803-016-2717-5
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        atl: Impaired Gas Exchange at Birth and Risk of Intellectual Disability and Autism: A Meta-analysis.
      aug:
        au:
          Modabbernia, Amirhossein
          Mollon, Josephine
          Boffetta, Paolo
          Reichenberg, Abraham
      sug:
        subj:
          Intellectual Disability Risk Factors
          Autism Spectrum Disorder Risk Factors
          Anoxia
          Pulmonary Gas Exchange
          Systematic Review
          Meta Analysis
          Data Analysis Software
          Odds Ratio
          Confidence Intervals
          Medline
          Apgar Score
          Regression
          Bias (Research)
          Sensitivity and Specificity
          P-Value
          Acidosis
          Funding Source
          Asphyxia Neonatorum
          Human
          Intelligence
          Infant, Newborn
          Chi Square Test
          Infant, Newborn: birth-1 month
      ab: We conducted meta-analyses of 67 studies on the association between neonatal proxies of impaired gas exchange and intellectual disability (ID) or autism spectrum disorders (ASD). Neonatal acidosis was associated with an odds ratio (OR) of 3.55 [95 % confidence interval (95 % CI) 2.23-5.49] for ID and an OR of 1.10 (95 % CI 0.91-1.31) for ASD. Children with a 5-min Apgar score of <7 had an OR of 5.39 (95 % CI 3.84-7.55) for ID and an OR of 1.67 (95 % CI 1.34-2.09) for ASD. O2 treatment was associated with an OR of 4.32 (95 % CI 3.23-5.78) for ID and an OR of 2.02 (95 % CI 1.45 to 2.83) for ASD. Our meta-analysis demonstrates an increased risk of ID and (to a lesser extent) ASD in children with neonatal hypoxia. Moreover, our findings raise the possibility that concomitant ID might account for the observed association between the gas exchange proxies and ASD.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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