Injuries to children with attention deficit hyperactivity disorder

被引:217
作者
DiScala, C
Lescohier, I
Barthel, M
Li, GH
机构
[1] Tufts Univ, Sch Med, Dept Phys Med & Rehabil, Boston, MA 02111 USA
[2] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA
[3] Childrens Mem Hosp, Chicago, IL 60614 USA
[4] Johns Hopkins Univ, Sch Med, Dept Emergency Med, Baltimore, MD 21205 USA
关键词
injuries; psychosocial; risk attention deficit hyperactivity disorder; disability;
D O I
10.1542/peds.102.6.1415
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objectives. To determine differences between hospital admitted injuries to children with preinjury attention deficit hyperactivity disorder (ADHD) and injuries to those with no preinjury conditions (NO). Design. Comparative analysis, excluding fatalities, of ADHD patients (n = 240) to NO patients (n = 21 902), 5 through 14 years of age. Outcome Measures. Demographics, injury characteristics, length of stay, admission to the intensive care unit, surgical intervention, disability, and disposition at discharge. Data Source. Retrospective review of charts submitted by more than 70 hospitals participating in the National Pediatric Trauma Registry between October 1988 and April 1996. Results. Compared with the NO children, the children with ADHD were more likely to be boys (87.9% vs 66.5%), to be injured as pedestrians (27.5% vs 18.3%) or bicyclists (17.1% vs 13.8%), and to inflict injury to themselves (1.3% vs 0.1%). They were more likely to sustain injuries to multiple body regions (57.1% vs 43%), to sustain head injuries (53% vs 41%), and to be severely injured as measured by the Injury Severity Score (12.5% vs 5.4%) and the Glasgow Coma Scale (7.5% vs 3.4%). The ADHD mean length of stay was 6.2 days versus 5.4 in the NO group. In both groups, 40% had surgery, but the ADHD children were admitted more frequently to the intensive care unit (37.1% vs 24.1%). The injury led to disability in 53% of the children with ADHD vs 48% of the NO children. Children with ADHD with any disability were twice as likely to be discharged to rehabilitation/ extended care than were the NO children. Conclusions. Injured children with ADHD are more likely to sustain severe injuries than are children without ADHD. More research is needed to identify prevention efforts specifically targeted at this population.
引用
收藏
页码:1415 / 1421
页数:7
相关论文
共 30 条
[1]   INJURY SEVERITY SCORE - UPDATE [J].
BAKER, SP ;
ONEILL, B .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1976, 16 (11) :882-885
[2]  
BARKLEY RA, 1993, PEDIATRICS, V92, P212
[3]  
Barkley RA, 1996, PEDIATRICS, V98, P1089
[4]  
*BMDP STAT SOFTW I, 1985, BMDP STAT SOFTW
[5]  
Christoffel KK, 1996, PEDIATRICS, V97, P33
[6]  
DAVIDSON LL, 1987, J DEV BEHAV PEDIATR, V8, P335
[7]   Children hospitalized for traumatic brain injury: Transition to postacute care [J].
DiScala, C ;
Osberg, JS ;
Savage, RC .
JOURNAL OF HEAD TRAUMA REHABILITATION, 1997, 12 (02) :1-10
[8]  
Eppright T D, 1996, Mo Med, V93, P604
[9]   ATTENTION-DEFICIT DISORDER DURING ADOLESCENCE - A REVIEW [J].
FAIGEL, HC ;
SZNAJDERMAN, S ;
TISHBY, O ;
TUREL, M ;
PINUS, U .
JOURNAL OF ADOLESCENT HEALTH, 1995, 16 (03) :174-184
[10]   INJURY RISK-FACTORS IN CHILDREN WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDER [J].
FARMER, JE ;
PETERSON, L .
HEALTH PSYCHOLOGY, 1995, 14 (04) :325-332