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Cited by 305Injury Epidemiology and PreventionAttention Deficit Hyperactivity DisorderTrauma and Emergency Care Studies

Injuries to children with attention deficit hyperactivity disorder

DiScala, Carla, Lescohier, Ilana, Barthel, Martha, Li, Guohua·1998·PEDIATRICS
DOI 10.1542/peds.102.6.1415
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Abstract

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.

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Authors
DiScala, C., Lescohier, I., Barthel, M., & Li, G.
Affiliations
  • Tufts University (US)
  • Harvard University (US)
  • Lurie Children's Hospital (US)
  • Johns Hopkins University (US)
ORCID
Li, Guohua
Venue
PEDIATRICS
Publisher
American Academy of Pediatrics (AAP)
Published
1998-12-01
Volume
102
Issue
6
Pages
1415-1421
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.102.6.1415
OpenAlex
W2034958527
Cited by
305
References
26
Citations by year
2026: 3 · 2025: 4 · 2024: 4 · 2023: 2 · 2022: 11 · 2021: 7 · 2020: 7 · 2019: 5 · 2018: 7 · 2017: 9 · 2016: 10 · 2015: 17 · 2014: 24 · 2013: 15 · 2012: 11
FWCI
3.46
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Centers for Disease Control and Prevention
  • U.S. Public Health Service (H133850006, R49 CCR302486)
  • National Institute on Disability and Rehabilitation Research
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
Keywords
attention deficit hyperactivity disorder, pediatric injuries, hospitalization, injury severity, traumatic brain injury, pedestrian injuries, cyclist injuries, self-harm, intensive care unit admission, length of hospital stay, disability, rehabilitation, injury prevention
MeSH terms
Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Child, Preschool, Humans, Retrospective Studies, Wounds and Injuries

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