在急诊室的身体伤害机制 患有ADHD的青少年
Spencer I Evans1, Elijah W Hale1, Matt S Silverman2
1School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
与没有ADHD的儿童相比,患有注意力缺陷/多动障碍 (ADHD) 的儿童患者在急诊室的严重伤害率显着更高. 这凸显了提供者需要查ADHD以改善患者的治疗结果的必要性.
科学领域:
- 儿科急救医学 儿科急救医学
- 神经发育障碍 神经发育障碍
- 伤害预防 预防伤害
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是儿童常见的一种神经发育障碍.
- 以前的研究表明,多动症和增加的冒险行为之间存在潜在的联系.
- 了解儿童ADHD患者的损伤模式对于有针对性的干预至关重要.
研究的目的:
- 研究与没有ADHD的儿童患者相比,患有ADHD的儿童患者中严重伤害的患病率.
- 确定急诊室提供者是否应该在儿科患者中查ADHD,以减轻严重受伤风险.
- 分析与不同ADHD表现相关的特定伤害类型.
主要方法:
- 使用TrinetX数据库进行回顾性队列研究.
- 包括小儿病患者 (<25岁) 进入急诊室.
- 对ADHD亚型 (不注意,过度活跃/冲动,组合) 和非ADHD队列中受伤风险差异的分析.
主要成果:
- 在大多数结果中,在ADHD和非ADHD队列之间观察到严重伤害率的显著差异.
- 患有整体多动症的患者的骨折,意外过量服用,烧伤,溺水,枪伤,窒息和自杀未遂率较高.
- 与对照组相比,特定的ADHD亚型在受伤率上也显示出显著的差异.
结论:
- 在儿科ADHD和非ADHD急诊室患者之间存在严重伤害呈现的显著差异.
- 医疗保健提供者应考虑对儿科患者进行ADHD查,以告知他们严重受伤的风险.
- 早期识别和教育可能会改善ADHD儿童的长期结果.
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