PHYSICAL COMORBIDITIES IN CHILDREN WITH AUTISM SPECTRUM DISORDERS

Z. Maritska, Rahmi Isman, B. Prananjaya, Nita Parisa
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Abstract

Autism Spectrum Disorders (ASD) is a neurodevelopmental disorder characterized by two core symptoms; impairments in social communication and restricted or repetitive behavior. ASD is a broad group of conditions where patients have a variety of abilities and needs. Their ASD related-physical and psychological comorbidities also affect their mortality risk. This study wished to investigate physical comorbidities associated with ASD in the national reference hospital in Indonesia. This is a descriptive study with a cross-sectional approach on children with ASD who visited RSUP Dr. Mohammad Hoesin, Palembang, during 2014-2018. Data were obtained from the medical records and telephone interviews with the parents. Of all the 60 participants included in the study, most are male (n=52;86,7%). The most prevalent ASD-related physical comorbidities were gastrointestinal disorders (n=27;45%), followed by nervous system disorders (n=35;58,3%), and immune system disorders (n=11;18,3%). Despite the small sample size, the prevalence of ASD-related physical comorbidities in children with ASD is profoundly high, implying the need to do early detection from both parents and health professionals to prevent morbidity and complications that may occur. Children with autism can benefit from various therapies start in early childhood and continue throughout their lives to improve their development, and quality of life.
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自闭症谱系障碍儿童的身体合并症
自闭症谱系障碍(ASD)是一种以两个核心症状为特征的神经发育障碍;社会沟通障碍,限制或重复行为。ASD是一组广泛的疾病,患者有各种各样的能力和需求。他们与ASD相关的生理和心理合并症也会影响他们的死亡风险。本研究旨在调查印度尼西亚国家参考医院与ASD相关的身体合并症。这是一项描述性研究,采用横断面方法对2014-2018年期间访问巨港RSUP Mohammad Hoesin博士的ASD儿童进行了研究。数据来自医疗记录和与父母的电话访谈。在所有纳入研究的60名参与者中,大多数是男性(n=52; 86.7%)。最常见的asd相关身体合并症是胃肠道疾病(n=27;45%),其次是神经系统疾病(n=35; 58.3%)和免疫系统疾病(n=11; 18.3%)。尽管样本量小,但ASD儿童中与ASD相关的身体合并症的患病率非常高,这意味着需要父母和卫生专业人员进行早期检测,以预防可能发生的发病率和并发症。自闭症儿童可以从儿童早期开始并持续一生的各种治疗中受益,以改善他们的发展和生活质量。
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