[article] 
inResearch in Autism Spectrum Disorders > 118 (October 2024) . - 102490

Titre :	Clinical and functional characteristics of co-occurring cerebral palsy and autism spectrum disorder among children and young adults
Type de document :	Texte imprimé et/ou numérique
Auteurs :	Myriam CASSEUS, Auteur ; Hannah A. SHOVAL, Auteur ; Abby J. ERASMUS, Auteur ; JenFu CHENG, Auteur
Article en page(s) :	102490
Langues :	Anglais (eng)
Mots-clés :	Cerebral palsy  Autism spectrum disorder  Co-occurring CP+ASD  Neurodevelopmental disorders  Pediatric CP
Index. décimale :	PER Périodiques
Résumé :	Background To examine clinical and functional factors associated with co-occurring cerebral palsy (CP) and autism spectrum disorder (ASD). Methods Data were collected from the electronic health records of 994 patients with CP aged 3 to 26 years (59 % males) who received services from a U.S. hospital system between January 1, 2016 and July 1, 2021. CP, ASD, and other co-occurring conditions were abstracted using International Classification of Diseases - 10th Revision (ICD-10) codes, diagnostic summaries, and clinical descriptions. Bivariate and adjusted multivariable analyses examined the association between ASD, CP type, Gross Motor Function Classification System (GMFCS) level, speech or language disorders, and mental or behavioral problems. Results Prevalence of ASD was 8.2 % among patients with CP. Patients with GMFCS levels III-V were less likely to have a diagnosis of ASD (adjusted odds ratio [AOR] = 0.21; 95 % confidence interval [CI], 0.11-0.41). However, speech or language disorders (AOR = 6.00; 95 % CI, 2.14-16.81) and mental or behavioral problems (AOR =8.79; 95 % CI, 4.99-15.49) were associated with significantly higher odds of ASD. Conclusions Children and young adults with co-occurring CP and ASD have higher prevalence of clinical and functional impairments compared with counterparts with CP without co-occurring ASD. Screening for both conditions is necessary because of the high prevalence of ASD in this population. It is also necessary to implement specialized assessment procedures to decrease the risk of misclassifying or overlooking ASD among children and young adults with CP.
En ligne :	https://doi.org/10.1016/j.rasd.2024.102490
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=540

[article] Clinical and functional characteristics of co-occurring cerebral palsy and autism spectrum disorder among children and young adults [Texte imprimé et/ou numérique] / Myriam CASSEUS, Auteur ; Hannah A. SHOVAL, Auteur ; Abby J. ERASMUS, Auteur ; JenFu CHENG, Auteur . - 102490.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 118 (October 2024) . - 102490

Mots-clés :	Cerebral palsy  Autism spectrum disorder  Co-occurring CP+ASD  Neurodevelopmental disorders  Pediatric CP
Index. décimale :	PER Périodiques
Résumé :	Background To examine clinical and functional factors associated with co-occurring cerebral palsy (CP) and autism spectrum disorder (ASD). Methods Data were collected from the electronic health records of 994 patients with CP aged 3 to 26 years (59 % males) who received services from a U.S. hospital system between January 1, 2016 and July 1, 2021. CP, ASD, and other co-occurring conditions were abstracted using International Classification of Diseases - 10th Revision (ICD-10) codes, diagnostic summaries, and clinical descriptions. Bivariate and adjusted multivariable analyses examined the association between ASD, CP type, Gross Motor Function Classification System (GMFCS) level, speech or language disorders, and mental or behavioral problems. Results Prevalence of ASD was 8.2 % among patients with CP. Patients with GMFCS levels III-V were less likely to have a diagnosis of ASD (adjusted odds ratio [AOR] = 0.21; 95 % confidence interval [CI], 0.11-0.41). However, speech or language disorders (AOR = 6.00; 95 % CI, 2.14-16.81) and mental or behavioral problems (AOR =8.79; 95 % CI, 4.99-15.49) were associated with significantly higher odds of ASD. Conclusions Children and young adults with co-occurring CP and ASD have higher prevalence of clinical and functional impairments compared with counterparts with CP without co-occurring ASD. Screening for both conditions is necessary because of the high prevalence of ASD in this population. It is also necessary to implement specialized assessment procedures to decrease the risk of misclassifying or overlooking ASD among children and young adults with CP.
En ligne :	https://doi.org/10.1016/j.rasd.2024.102490
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=540