TY  - JOUR
PY  - 2019//
TI  - Increased risk of head injury in pediatric patients with attention deficit hyperactivity disorder
JO  - Journal of child and adolescent psychiatric nursing
A1  - Grigorian, Areg
A1  - Nahmias, Jeffry
A1  - Dolich, Matthew
A1  - Barrios, Cristobal
A1  - Schubl, Sebastian D.
A1  - Sheehan, Brian
A1  - Lekawa, Michael
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: The prevalence of attention deficit hyperactivity disorder (ADHD) in the general pediatric population is 7%, whereas the prevalence in trauma is unknown. We hypothesized pediatric patients with ADHD would have a higher risk of involvement in a mechanism of injury (MOI) requiring constant attention to surroundings, such as a bicycle collision. <br><br>METHODS: The Pediatric Trauma Quality Improvement Program (2014-2016) was queried for patients with ADHD. Patients, less than 16 years of age, with ADHD were compared to those without ADHD. <br><br>RESULTS: The prevalence of ADHD was 2.5% (2,866). ADHD patients had higher risk for bicycle collision (odds ratio [OR], 1.85; 95% confidence interval [CI], 1.59-2.15; p < .001). ADHD bicyclists were less likely to wear a helmet (9.4% vs. 18.2%, p = .003) and had a higher rate of traumatic brain injury (TBI; 55.6% vs. 39.7%, p < .001), compared to non-ADHD bicyclists. <br><br>CONCLUSIONS: Pediatric ADHD patients have a 60% higher risk of being involved in a bicycle collision. ADHD patients that are involved in a bicycle collision are less likely to wear a helmet with a higher rate of TBI. Increased public awareness, education, and supervision may help reduce risk of bicycle collisions and TBI in this population.<br><br>© 2019 Wiley Periodicals, Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 1073-6077
UR  - http://dx.doi.org/10.1111/jcap.12246
ID  - ref1
ER  -