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Injuries to Children With Attention Deficit Hyperactivity Disorder
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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“perhaps to an increased risk of injuries in children with ADHD (Discala et al., 1998; Rowe et al., 2007) and adults with ADHD (Kaya et al., 2008).”
From Postural sway and regional cerebellar volume in adults with attention-deficit/hyperactivity disorder (2015) · cites this paper as Discala et al., 1998
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Metadata
- 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
- 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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