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Ulus Travma Acil Cerrahi Derg · Sep 2024
Prevalence and risk factors of attention deficit hyperactivity disorder in children admitted to the emergency department due to traumas.
- Ramiz Yazici, Hüseyin Mutlu, Cengizhan Kilicaslan, Ekrem Taha Sert, Kamil Kokulu, Halil Kara, Murat Kilicaslan, Mustafa Ekici, and Bensu Bulut.
- Department of Emergency Medicine,Kanuni Sultan Süleyman Training And Research Hospital Istanbul-Türkiye.
- Ulus Travma Acil Cerrahi Derg. 2024 Sep 1; 30 (9): 664670664-670.
BackgroundThis study aims to determine the prevalence of Attention Deficit Hyperactivity Disorder (ADHD) symptoms and the associated risk factors in children admitted to the Emergency Department (ED) due to traumas.MethodsEChildren aged 3-16 years admitted to the ED for traumas were included in the study. The control group consisted of children aged between 3-16, who visited the pediatric ED for non-traumatic reasons. The Revised Conners Parent Rating Scale (CPRS-R) was administered to parents who agreed to participate following initial intervention and stabilization. Trauma patients were divided into two groups: those diagnosed with ADHD and those without ADHD. Risk factors likely to increase the identification of ADHD were assessed.ResultsThe study included 917 children, with both groups showing similar characteristics regarding age, sex, demographic, and cultural factors. The most common reason for ED visits was extremity traumas, accounting for 296 (35.2%) cases. The majority of trauma patients (95.9%) were discharged from the ED after outpatient interventions. All subscale scores of the CPRS-R, except for the social problems subscale, were significantly higher in the study group compared to the control group. Factors that increased the risk of ADHD included admission with extremity traumas (p<0.001), previous ED admissions due to traumas (p<0.001), and having a family member previously diagnosed with ADHD (p<0.001).ConclusionThe prevalence of ADHD symptoms may be higher in children admitted to the ED due to traumas. Furthermore, extremity traumas, previous trauma-related ED-admissions, and a family history of ADHD increase the risk of ADHD.
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