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Population-based studies have identified prematurity and low birth weight as risk factors for later development of autism spectrum disorders. To examine this association, investigators in Boston prospectively followed a cohort of 91 extremely premature infants (gestational age, 23–30 weeks) to age 2 years. At a mean corrected age of 22 months, infants were evaluated using the Modified Checklist for Autism in Toddlers (M-CHAT), the Child Behavior Checklist (CBCL), and the Vineland Adaptive Behavior Scale (VABS). Prenatal, birth, and neonatal ICU clinical data were collected, and brain MRI was performed during initial hospitalizations.
Overall, 25% of children had positive screening results on the M-CHAT. Independent risk factors for a positiv…