遗传性心脏缺陷是否与更严重的注意力缺陷/多动性障碍有关? : 一个系统的审查和元分析
Mohammed Tarek Hasan1, Mahmoud Shaban Abdelgalil2, Merihan A Elbadawy2
1Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Medicine
|November 28, 2023
概括
先天性心脏缺陷 (CHD) 与注意力缺陷/多动症障碍 (ADHD) 的严重程度增加有关. 在患有心血管疾病的儿童中,早期诊断ADHD对于更好的临床和心理结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 儿科 儿科 儿科
背景情况:
- 先天性心脏缺陷 (CHD) 是导致婴儿死亡的主要原因.
- 注意缺陷/多动障碍 (ADHD) 有一个多因素的病因.
- 之前的研究表明,心脏手术患者患ADHD的发病率较高.
研究的目的:
- 系统地审查和分析患有心血管疾病的患者ADHD症状的严重程度.
- 调查心血管疾病和ADHD症状严重程度之间的关联.
主要方法:
- 在PubMed,Embase,Scopus和Web of Science数据库中进行了搜索.
- 包括英语的观察性研究,评估心血管疾病患者的ADHD症状负担.
- 使用标准化平均差异 (SMD) 进行连续结果的聚合分析.
主要成果:
- 包括8项研究,包括120158名患者.
- 心血管疾病与ADHD指数T得分 (SMD=0.65) 和高活性-冲动性子表 (SMD=0.16) 的统计学显著增加有关.
- 在ADHD注意力缺失分量 (SMD=0.25) 和综合分数 (SMD=0.23) 中也观察到显著增加.
结论:
- 心血管疾病和ADHD严重程度之间存在强烈的关联.
- 在患有心血管疾病的儿童中,早期诊断ADHD对于临床实践至关重要.
- 这种早期诊断可以改善受影响儿童的临床和心理方面.
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