Does attention-deficit/hyperactivity disorder increase the risk of minor blunt head trauma in children?

IF 1.6 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2022-08-13 DOI:10.1111/jcap.12390

Murat Pakyurek MD, Mohamed Badawy MD, Irma T. Ugalde MD, Paul Ishimine MD, Pradip P. Chaudhari MD, Kevan McCarten-Gibbs MD, Ozra Nobari MD, Nathan Kuppermann MD, MPH, James F. Holmes MD, MPH

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引用次数: 0

Abstract

Problem

It is unclear if attention-deficit hyperactivity disorder (ADHD) increases the risk of head trauma in children.

Methods

We conducted a multicenter prospective observational study of children with minor blunt head trauma. Guardians were queried, and medical records were reviewed as to whether the patient had previously been diagnosed with ADHD. Enrolled patients were categorized based on their mechanism of injury, with a comparison of those with motor vehicle collision (MVC) versus non-MVC mechanisms.

Findings

A total of 3410 (84%) enrolled children had ADHD status available, and 274 (8.0%; 95% confidence interval, CI: 7.1, 9.0%) had been diagnosed with ADHD. The mean age was 9.2 ± 3.5 years and 64% were males. Rates of ADHD for specific mechanisms of injury were: assaults: 23/131 (17.6%; 95% CI 11.5, 25.2%), automobile versus pedestrian 23/173 (13.3%; 95% CI: 8.6, 19.3%), bicycle crashes 26/148 (17.6%; 95% CI: 11.8, 24.7%), falls 107/1651 (6.5%; 95% 5.3, 7.8%), object struck head 31/421 (7.4%; 5.1, 10.3%), motorized vehicle crashes (e.g., motorcycle, motor scooter) 11/148 (7.4%; 3.8, 12.9%), and MVCs 46/704 (6.5%; 95% CI: 4.8, 8.6%).

Conclusion

Children with ADHD appear to be at increased risk of head trauma from certain mechanisms of injury including assaults, auto versus pedestrian, and bicycle crashes but are not at an increased risk for falls.

查看原文本刊更多论文

注意力缺陷/多动障碍是否会增加儿童轻微钝性头部创伤的风险？

问题：目前尚不清楚注意力缺陷多动障碍（ADHD）是否会增加儿童头部创伤的风险。方法：我们对轻度钝性头部创伤儿童进行了一项多中心前瞻性观察研究。询问了监护人，并审查了患者之前是否被诊断为多动症的医疗记录。纳入的患者根据其损伤机制进行分类，并将机动车碰撞（MVC）机制与非MVC机制的患者进行比较。研究结果：共有3410名（84%）注册儿童患有多动症，274名（8.0%；95%置信区间，CI:7.1%，9.0%）被诊断为多动症。平均年龄9.2岁 ± 3.5岁，64%为男性。特定损伤机制的多动症发生率为：袭击：23/131（17.6%；95%置信区间11.525.2%），汽车与行人之比23/173（13.3%；95%可信区间8.619.3%），自行车碰撞26/148（17.6%，95%置信区间11.824.7%），跌倒107/1651（6.5%；95%5.37.8%），物体撞击头部31/421（7.4%；5.110.3%），机动车辆碰撞（如摩托车、摩托车）11/148（7.4%，3.812.9%），和MVCs 46/704（6.5%；95%可信区间：4.8，8.6%）。结论：患有多动症的儿童似乎因某些损伤机制而增加了头部创伤的风险，包括袭击、汽车与行人碰撞和自行车碰撞，但跌倒的风险没有增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Child and Adolescent Psychiatric Nursing NURSING-

CiteScore

2.90

自引率

6.70%

发文量

期刊介绍： Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.