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Prevalence of attention deficit hyperactivity disorder (ADHD) in children presenting with foreign body ingestion

Kasım Turgut1, Mehmet Kaan Poyraz1, Ebru Sekmen2

  • 1Department of Emergency Medicine, Research and Training Hospital, Adiyaman University, Adiyaman, Turkey.

The American Journal of Emergency Medicine
|January 26, 2019
PubMed

Insights

Children who ingest foreign bodies show a higher incidence of attention deficit hyperactivity disorder (ADHD) symptoms. This study compared ADHD symptoms in children with foreign body ingestion versus healthy controls.

Area of Science:

  • Pediatric Emergency Medicine
  • Child Psychology
  • Public Health

Background:

  • Foreign body ingestion is a frequent pediatric emergency.
  • Existing research has not extensively explored the link between foreign body ingestion and neurodevelopmental disorders.

Purpose of the Study:

  • To investigate the prevalence of attention deficit hyperactivity disorder (ADHD) symptoms in children presenting with foreign body ingestion.
  • To compare ADHD symptom incidence between children with foreign body ingestion and a control group of healthy children.

Main Methods:

  • A case-control study involving pediatric patients aged 3-17 years.
  • The study group comprised children admitted for foreign body ingestion; the control group included children presenting for non-traumatic reasons.
  • Conners' Parent Rating Scales-Revised (CPRS-R) were administered to assess ADHD symptoms in both groups.

Main Results:

  • The study included 53 children with foreign body ingestion and 47 controls, with no significant demographic differences.
  • Coins, needles, and beads were the most common ingested foreign bodies.
  • Significantly higher CPRS-R subscale scores were observed in the foreign body ingestion group compared to controls (p < 0.001).

Conclusions:

  • Children presenting to emergency services due to accidental foreign body ingestion exhibit a high incidence of ADHD symptoms.
  • Further research is warranted to understand the underlying mechanisms and clinical implications of this association.
Abstract

Keywords:
ConnersForeign bodyHyperactivity

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