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Early signs of autism could be detected as soon as child’s first month of life with new algorithm, US study shows

  • Gathering information automatically as the child receives care, the algorithm could alert doctors to the higher likelihood of a later diagnosis of autism
  • Raising concerns early could give a family time and mental energy to prepare for whatever might come, and allow therapies to start quickly

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A new algorithm could pick up signs of autism as early as the first month of life, putting pediatricians and parents on alert and therapies quickly started, a US study finds. Photo: Shutterstock

Signs of autism can be picked up as early as the first month of life, according to a new study from Duke University, in the US, that used children’s health records to create an algorithm.

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Infants later diagnosed with autism were much more likely than neurotypical children – those whose brain develops and functions in ways that are considered usual – to have seen an ophthalmologist or neurologist, have stomach or gastrointestinal problems, or to receive physiotherapy, said study author Geraldine Dawson, director of the Duke Centre for Autism and Brain Development.

“Infants who will go on to get a diagnosis of autism show very different early patterns of healthcare utilisation,” she said.

Geraldine Dawson, director of the Duke Centre for Autism and Brain Development. Photo: Duke University
Geraldine Dawson, director of the Duke Centre for Autism and Brain Development. Photo: Duke University

Though the findings still need to be confirmed with further studies, if red flags for autism could be spotted in a child’s earliest days, paediatricians and parents could be put on alert and therapies quickly started.

“The most important contribution of this study is we can use the first 30 days of a child’s healthcare experience to say, ‘This child is really at risk,’” said David Mandell, a professor of psychiatry at the University of Pennsylvania Perelman School of Medicine, in the US, who was not involved in the research.

What the study found

The study relied on electronic medical records of 45,000 children who had been seen in the Duke University Health System as infants between January 2006 and December 2020.

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