Paediatric trauma patients and attention deficit hyperactivity disorder: correlation and significance
Cem Ertan1, Özlem Özel Özcan, Mustafa Safa Pepele
1Emergency Medicine, Inonu University Faculty of Medicine, Turgut Ozal Medical Center, Emergency Department, Malatya 44280, Turkey. cem.ertan@inonu.edu.tr
Insights
Children with repeated trauma-related emergency department visits show a predisposition to attention deficit hyperactivity disorder (ADHD). Screening for ADHD in the ED may benefit these children.
Area of Science:
- Pediatrics
- Child Psychology
- Emergency Medicine
Background:
- Trauma is a leading cause of pediatric emergency department (ED) visits.
- Childhood hyperactivity, inattentiveness, and impulsivity may increase injury risk.
Purpose of the Study:
- To determine the prevalence of attention deficit hyperactivity disorder (ADHD) in children presenting with trauma.
- To evaluate the role of ADHD in pediatric trauma cases.
Main Methods:
- A study group of children aged 3-17 with trauma was compared to a control group.
- Parents completed the Conners' Parent Rating Scales-Revised questionnaire for ADHD symptoms.
- Demographic data and trauma information were collected from parents.
Main Results:
- Children with trauma had significantly higher ADHD symptom subscale scores compared to controls.
- Falls were the most common trauma mechanism (56.4%).
- Previous trauma-related ED visits correlated with higher ADHD symptom scores.
Conclusions:
- Children with recurrent trauma-related ED visits exhibit a predisposition to ADHD.
- Screening for ADHD in pediatric ED settings may be beneficial for at-risk children.
Introduction:
Trauma is one of the leading reasons for emergency department (ED) visits in children. Hyperactivity, inattentiveness and impulsiveness may contribute to injury proneness. The aim of this study was to evaluate the prevalence and role of attention deficit hyperactivity disorder (ADHD) in children with trauma.
Methods:
Trauma patients aged 3-17 attending the ED were included in the study group. Parents were informed after medical care had been given to their children, and demographic data and information about the trauma were collected. Later, parents were asked to complete the Conners' Parent Rating Scales-Revised questionnaire for ADHD symptoms. The control group consisted of children of similar age and sociocultural characteristics who attended the hospital for reasons other than trauma. Cases in which the child apparently had no active role in the trauma or where the parents did not complete the Conners' Parent Rating Scales-Revised questionnaire were excluded from the study.
Results:
Fifty-five children were included in the study group (mean age 7.49 (range 3-14; SD 3.3); 33 (60%) were male). The control group was statistically similar to the study group. The most common trauma mechanism was falls (n=31, 56.4%). All the subscale scores were significantly higher in the study group, and previous trauma-related ED visits were associated with significantly higher subscale scores.
Conclusion:
The data suggest that children who make repeated trauma-related ED visits have a predisposition to ADHD, and they may benefit from screening for this disorder while in the ED.
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