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The Prevalence and Effect of Comorbid Cystic Fibrosis and Attention Deficit Hyperactivity Disorders on
Nicole Spitzer1, Timothy B Legare2, Priyanshi Patel3
1Ophthalmology, University of Central Florida College of Medicine, Orlando, USA.
Insights
Pediatric cystic fibrosis (CF) patients with attention-deficit/hyperactivity disorder (ADHD) showed improved lung function (FEV1%pred) compared to those without ADHD. Further research is needed to understand ADHD
Area of Science:
- Pediatric Pulmonology
- Neurodevelopmental Disorders
- Chronic Disease Management
Background:
- Attention-deficit/hyperactivity disorder (ADHD) prevalence in pediatric cystic fibrosis (CF) patients mirrors the general population.
- The impact of ADHD on CF treatment adherence and patient outcomes remains under-explored.
Purpose of the Study:
- To investigate the association between comorbid ADHD and clinical outcomes in pediatric CF patients.
- To compare pulmonary function, BMI, and hospitalization rates between CF patients with and without ADHD.
Main Methods:
- Retrospective review of two matched cohorts: pediatric patients with CF/ADHD and CF-only.
- Analysis included forced expiratory volume in one-second percent predicted (FEV1%pred), BMI percentile, and hospitalizations.
- Age and sex matching was performed based on the most recent pulmonary office visit.
Main Results:
- A total of 46 pediatric CF patients with ADHD were analyzed against a matched CF-only cohort.
- No significant differences were found in total hospital admissions or BMI percentiles between groups.
- A statistically significant improvement in FEV1%pred was observed in the CF/ADHD cohort (84%) compared to the CF-only cohort (74%).
Conclusions:
- Comorbid ADHD in pediatric CF patients is associated with significantly better lung function (FEV1%pred).
- While not statistically significant, hospitalization rates and BMI did not differ between groups.
- Further research is warranted to elucidate the mechanisms and implications of ADHD on CF outcomes.
Introduction:
The prevalence of attention-deficit/hyperactivity disorder (ADHD) in pediatric cystic fibrosis (CF) patients is comparable to the general population, but the effects of ADHD on CF treatment and the outcomes have been minimally investigated.
Methods:
Two cohorts were retrospectively reviewed, pediatric patients with comorbid CF/ADHD and patients with CF only. Each patient with CF/ADHD was age and sex-matched to a CF-only patient based on their most recent pulmonary office visit. Each patient was reviewed for forced expiratory volume in one-second percent predicted (FEV1%pred), body mass index (BMI) percentile, and hospitalizations for one year prior to the last pulmonary visit.
Results:
A total of 624 patients with CF were identified, with 52 having co-morbid CF/ADHD (8.3%). Of those identified, 46 met inclusion criteria and were analyzed in the CF/ADHD cohort. The mean total hospital admissions between the CF/ADHD cohort and the CF-only cohort were not statistically significant (2.22 vs 1.834, p=.467). The difference between the BMI percentiles was not statistically significant (48.634 vs 38.634, p=.135). The difference between FEV1%pred was statistically significant at 84% for the CF/ADHD group and 74% for the CF-only group (p=.042).
Conclusion:
The difference in total hospital admissions between the CF/ADHD cohort and the CF-only cohort did not reach statistical significance, but the study was underpowered. There was a significant difference between FEV1%pred between the two groups, in favor of the comorbid CF/ADHD population. More research is needed to further evaluate the effects of a comorbid ADHD diagnosis on outcomes in the CF pediatric population.
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