Comparison of the early screening results for autism spectrum disorder in Grade Ⅲ level A hospitals and community health services

GUO Cui-hua; LUO Mei-fang; WANG Xu-xiang; DAI Mei-xia; JING Jin

doi:10.11852/zgetbjzz2018-26-04-07

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Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (4) : 372-375. DOI: 10.11852/zgetbjzz2018-26-04-07

Comparison of the early screening results for autism spectrum disorder in Grade Ⅲ level A hospitals and community health services

GUO Cui-hua, LUO Mei-fang, WANG Xu-xiang, DAI Mei-xia, JING Jin

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Abstract

Objective To compare the screening results for autism spectrum disorder (ASD) between Grade Ⅲ level A hospitals and community health services,and to provide clues for future screening work. Methods A total of 7 381 toddlers aged 16~30 months were involved in the ASD screening,including 4 930 toddlers from Grade Ⅲ level A hospitals and 2 451 from communities.By using propensity score matching (PSM) method,2 451 pairs of toddlers with comparable basic information were used to compare the screening results between Grade Ⅲ level A hospitals and communities. Results The positive rate of Grade Ⅲ level A hospitals (17.7%) was higher than that of the communities (8.2%).The positive rate of follow-up interview(42.5%) was also higher than that of the communities (2.8%)(P<0.001).But the lost rate of diagnosis (11.7%) was lower than that in the communities (47.0%) (P＜0.001).The lost rates of follow-up interview in two kinds of samples were close(49.2% vs 47.0%,P=0.611). Conclusions The false positive rate in both Grade Ⅲ level A hospitals and communities is so high that the accuracy should be improved and follow-up interview should be taken seriously.Those failed to be followed up in communities are more likely to increase the risk of delayed diagnosis and treatment.An active monitoring,referral and follow-up system may help to improve early screening and diagnosis in primary health care services.

Key words

autism spectrum disorder / early screening / Grade Ⅲ level A hospital / community

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GUO Cui-hua, LUO Mei-fang, WANG Xu-xiang, DAI Mei-xia, JING Jin. Comparison of the early screening results for autism spectrum disorder in Grade Ⅲ level A hospitals and community health services[J]. Chinese Journal of Child Health Care. 2018, 26(4): 372-375 https://doi.org/10.11852/zgetbjzz2018-26-04-07

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