1 Laboratory for Mother and Child Health, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri," Milan, Italy.
2 Child Neuropsychiatry Department, Poma Hospital, Mantova, Italy.
J Atten Disord. 2018 Oct;22(12):1173-1184. doi: 10.1177/1087054715599573. Epub 2015 Aug 28.
We aimed to define the sociodemographic, clinical, and prescription profiles of the participants enrolled in the Italian Lombardy ADHD Register.
Data on patients evaluated by the 18 regional ADHD reference centers in the 2012 to 2013 period were analyzed.
Seven hundred fifty-three of 1,150 (65%) suspected patients received a diagnosis of ADHD. In 24% of cases, there was a family history of ADHD. Four hundred eighty-three (64%) patients had at least one psychopathological disorder, the more common of which were learning disorders (35%). Eighty-four percent of patients received a prescription for psychoeducational interventions, 2% received only pharmacological treatment, and 14% a combination of both. Compared with patients treated with psychoeducational intervention alone, patients with drug prescriptions more commonly presented values of Clinical Global Impressions - Severity scale (CGI-S) of 5 or higher ( p < .0001).
A continuous and systematic monitoring of patterns of care is essential in promoting significant improvements in clinical practice and ensuring an efficient and homogeneous quality of care.
我们旨在确定参加意大利伦巴第多动症登记处的参与者的社会人口学、临床和处方特征。
分析了 2012 年至 2013 年期间由 18 个区域 ADHD 参考中心评估的患者的数据。
在 1150 名疑似患者中，有 753 名（65%）被诊断为 ADHD。在 24%的病例中，存在 ADHD 的家族史。483 名（64%）患者至少有一种精神病理障碍，其中更常见的是学习障碍（35%）。84%的患者接受了心理教育干预的处方，2%仅接受了药物治疗，14%接受了两者的结合。与仅接受心理教育干预的患者相比，接受药物处方的患者更常见的是临床总体印象严重程度量表（CGI-S）评分为 5 或更高（p <.0001）。
持续和系统地监测护理模式对于促进临床实践的显著改善以及确保高效和同质的护理质量至关重要。
